A casualty with suspected internal bleeding is unresponsive, breathing normally and vomiting. Their airway cannot be kept clear in the current position. Which action takes priority?

Correct answer

Protect the airway, turning onto the side if essential and minimising spinal movement.

Protect the airway against aspiration, using only the movement necessary to allow vomit to drain. Call 112 promptly and follow instructions. A spinal injury may be present: if turning onto the side is necessary, seek help to turn as a unit, keeping head, neck and torso aligned. Do not routinely put every road casualty in the recovery position or automatically raise their legs. If normal breathing stops, follow emergency-service CPR instructions.