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 Emergency & First Aid: First Aid for Unconsciousness 
 
American Institute for Preventive Medicine ©
Someone who is unconscious is not sleeping. Rather, an unconscious person is hard to rouse or can't be made aware of his or her surroundings. Unconsciousness is caused by illness, injury or emotional shock.

Signs and Symptoms

There are many levels of unconsciousness. Some are more serious than others. Levels include unconscious episodes that are:

  • Brief. Examples are fainting or blacking out.
  • Longer. The victim is incoherent when roused.
  • Prolonged. A person in a coma, for example, can be motionless and not at all aware of his or her surroundings for a very long time.

Causes of Unconsciousness

  • Carbon monoxide poisoning
  • Hypothermia (low body temperature usually caused by over-exposure to cold temperatures or cold water)
  • Stroke
  • Shock
  • Epilepsy
  • Heat exhaustion
  • Diabetic coma
  • Excessive bleeding
  • Alcohol abuse
  • Drug overdose
  • Poisoning
  • Head injury/concussion
  • Low blood sugar
  • Too fast, too slow and/or irregular heartbeats
  • Heart attack
  • Medications
  • Hypothermia (very low body temperature)
  • Heart valve disease

Look for a medic alert information if you find a person unconscious. It could be on a bracelet or a neckchain. It could be in his or her wallet on a card or on a sticker on the back of his or her driver's license. Each of these can identify the person's medical condition.

Questions to Ask

Is the person not breathing and has no pulse?Yes: Seek CareGive First Aid
No
Do CPR (see "CPR") and Seek Emergency Care. (Note: If the person also has a head, neck or spinal injury, keep the head, neck and back perfectly still. Do not tilt the head back to clear the airway. Lift the chin forward instead. See "Head Injury", "Neck/Spine Injury".)
Has the person stopped breathing?Yes: Seek CareGive First Aid
No
Do Rescue Breathing. See "Airway and Breathing" and Get Emergency Care.(Note: If the person also has a head, neck or spinal injury, keep the head, neck and back perfectly still. Do not tilt the head back to clear the airway. Lift the chin forward instead. See "Head Injury", "Neck/Spine Injury".)
Does the person have a head or neck injury?Yes: Seek CareGive First Aid
No
Get Emergency Care and give first aid for head injury and/or neck/spine injury. (See "Head Injury", "Neck/Spine Injury".)
Is the person bleeding a lot?Yes: Seek CareGive First Aid
No
Get Emergency Care and give first aid before emergency care. (See "Cuts, Scrapes and Punctures".)
Did the person show these signs of an insulin reaction or low blood sugar before unconsciousness?
  • Lack of coordination
  • Bad temper, angry outburst
  • Confusion
  • Pale skin
  • Sweating
  • Trembling
  • Seizure
Yes: Seek CareGive First Aid
No
Get Emergency Care and give first aid before emergency care:
  • Place a small amount of sugar under the victim's tongue. Check the victim's pocket or purse for something sweet. He or she may have a tube of a sweet source (glucose paste) for emergencies. If so, squeeze some under his or her tongue.
  • Keep the victim's airway open.
  • Place victim on his or her side.
  • Do not give liquids.
With or without a medic alert tag for diabetes:

Did the person have these signs of a diabetic coma?

  • Fast and weak pulse
  • Rapid, deep breathing
  • Red, dry, warm skin
  • Fruity breath odor (can smell like grape juice or nail polish remover (acetone)
  • Vomiting
Yes: Seek Care
No
Has the person been stung by an insect?Yes: Seek CareGive First Aid
No
Give shot from emergency insect sting kit, if available. Follow other instructions in kit and Get Emergency Care.
When you shake the person, does he or she not respond after 2 minutes, but is still breathing and has not been seriously injured?Yes: Seek CareGive First Aid
No
Get Emergency Care and give first aid before emergency care. Put the victim in the "Recovery Position".
Has the person fainted or blacked out?Yes: Seek CareGive First Aid
Give first aid for fainting (See "Fainting") and Seek Emergency Care.
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Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.
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