First aid manual 10th edition pdf download






















Place the casualty in the recovery position pp. Is there a response? Is he breathing normally? The emergency services will give instructions for chest-compression-only CPR. YES Leave the child in the position found. Is she breathing normally? Place the child in the recovery position pp. However, if you have not had training in CPR, or you are unwilling or unable to give rescue breaths, you may give chest compressions only pp.

The emergency services will give instructions for chestcompression-only CPR. Take the infant or child with you to the phone if necessary — never leave a child to search for an AED. Always approach and treat the casualty from the side, kneeling down next to his head or chest. You will then be in the correct position to perform all the stages of resuscitation: opening the airway; checking breathing; and giving chest compressions and rescue breaths together called cardiopulmonary resuscitation, or CPR.

The steps given here tell you what to do next; work through them in rapid succession with minimal interruption. If normal breathing returns at any stage, you should place the casualty in the recovery position. If the casualty is not breathing, the early use of an AED automated external defibrillator may increase his chance of survival.

Always speak loudly and clearly to the casualty. Summon help if needed. Monitor and record vital signs — breathing, 2 pulse and level of response pp. Leave the casualty in the 1 position in which he was found and open the airway. If you are unable to open the airway in 2 the position in which he was found, roll him on to his back and open the airway. Go to How to open the airway opposite.

Gently tilt his Place the fingertips of your other hand on the 1 head back. Go to How to check breathing, below. Do this for no more than 10 seconds before deciding whether or not the casualty is breathing normally. Breathing may be agonal p. If there is any doubt, act as if it is not normal. Place the casualty in the recovery 2 position pp. Monitor and record vital signs — breathing, 3 pulse and level of response pp. Go to How to place casualty in recovery position pp. Ask the person to bring an AED if one is available.

If you are alone, make the call yourself, ideally use your mobile device set to speaker phone to make the call.

Go to How to give CPR pp. If the mechanism of injury suggests a spinal injury, treat as described opposite and on pp. Do not search his pockets for small items. With your other hand, grasp the far leg just above the knee and pull it up, keeping the foot flat on the ground. If necessary, adjust the hand under the cheek 7 to keep the airway open. Monitor and record vital signs — breathing, pulse and level of response pp. If the casualty is likely to remain in the 9 recovery position for a while, after 30 minutes roll him on to his back, and then roll him on to the opposite side — unless other injuries prevent you from doing this.

Breastbone Hand position Lower tip of breastbone Ribs Upper abdomen Place the heel of your other hand on top of the Leaning over the casualty, with your arms 2 first hand, and interlock your fingers, making 3 straight, press down vertically on the sure the fingers are kept off the ribs. Release the pressure without removing your hands from his chest. Allow the chest to come back up fully recoil before giving the next compression.

The time taken for compression and release should be about the same. Put one hand on his forehead and two fingers of the other hand under the tip of his chin. Move the hand that was on the forehead down to pinch the soft part of the nose with the finger and thumb. If the chest rises visibly as you blow and falls fully when you lift your mouth away, you have given a rescue breath — one rescue breath should take one second.

Give a second rescue breath. A complete rescue breath should take one second. If the chest does not rise, you may need to adjust the head position How to open the airway, p. An ambulance dispatcher will give instructions for chest-compression-only CPR. This restricts blood from the lower part of the body from his mouth, then immediately roll him onto his back again and recommence CPR. A casualty may breathe through a hole in the front of the neck — a stoma — opposite.

You can also use a pocket mask or face shield when giving rescue breaths. To prevent this from happening, tilt her right hip upwards. Positioning the woman Keep the woman's upper body as flat on the floor as possible in order to give good-quality compressions. Raise her right hip and ask a helper to kneel beside the woman so that his knees are underneath the raised hip. Make no more than two attempts to achieve rescue breaths before repeating compressions.

A pocket mask has a mouthpiece through which breaths are given. If you have one of these barrier devices, avoid unnecessary interruptions to CPR when you use it. Mouth-to-nose rescue breathing If a casualty has injuries to the mouth that make it impossible to achieve a good seal, you can use the mouth-to-nose method for giving rescue breaths.

Then allow the mouth to fall open to let the air escape. Deliver rescue breaths through the filter. Mouth-to-stoma rescue breathing A casualty who has had his voice-box surgically removed breathes through an opening in the front of the neck a stoma , rather than through the mouth and nose.

Always check for a stoma before giving rescue breaths. If you find a stoma, close off the mouth and nose with one hand and then breathe into the stoma. Deliver rescue breaths through the mouthpiece. If an AED is not already attached to the casualty, the ambulance personnel will do that. They will also use additional drugs and equipment to provide advanced care p.

If you are asked to help you should listen carefully and follow the instructions given p. The ambulance personnel will make a decision whether to transfer the casualty to hospital immediately or to continue treatment at the scene. Any decision to stop resuscitation can only be made by a health care professional. Make sure there is minimal interruption when you change over to maintain the quality of the compressions.

However, if you have not had training in CPR or you are unwilling or unable to give rescue breaths, chestcompression-only CPR has been shown to be of great benefit certainly in the first minutes after the heart has stopped. The emergency services will give instructions for chest-compressiononly resuscitation for an unresponsive casualty when advising an untrained person by telephone.

Put your device on speakerphone mode so that you can deliver first aid and talk to the dispatcher. Start chest compressions as soon as possible and continue them until: emergency help arrives and takes over; the casualty shows signs of becoming responsive — such as coughing, opening his eyes, speaking or moving purposefully — and starts breathing normally; or you are too exhausted to continue.

Place the fingertips of your other hand on the chin and lift it. Place in the recovery position pp. Kneel beside the casualty, 4 level with his chest. Place one hand on the centre of the chest p. Put the heel of your other hand on top of the first and interlock your fingers. Make sure your fingers are not in contact with the ribs.

Release the pressure — but do not take your hands off the chest — and let the chest come back up. Continue with chest 6 compressions at a rate of — per minute until: emergency help arrives; the casualty shows signs of becoming responsive — such as coughing, opening his eyes, speaking or moving purposefully — and starts breathing normally; or you are too exhausted to continue.

When treating a child, always approach and treat her from the same side, kneeling down next to the head or chest. You will then be in the correct position to carry out all the different stages of resuscitation: opening the airway, checking breathing and giving rescue breaths and chest compressions together known as cardiopulmonary resuscitation, or CPR.

At each stage you will have decisions to make; for example, is the child breathing? The steps given here tell you what to do next; work through all of them in rapid succession with minimal interruption. If normal breathing resumes, place the child in the recovery position pp.

Early access to advanced care can be life-saving. Do this by speaking loudly and clearly to the child. Place one hand on her shoulder, and gently tap her to see if there is a response. Leave the child in the position 1 in which she was found, and open the airway. If you are unable to open the airway in 2 the position in which she was found, roll the child on to her back and open the airway.

Gently Place the fingertips of your other hand on the 1 tilt her head back. As you do this, the mouth 2 point of the chin and lift. Do not push on the will fall open slightly. Now check to see if the child is breathing.

Go to How to check breathing below. Do this for no more than 10 seconds. Go to How to place child in recovery position pp. If you are on your own, perform CPR for one minute and then make the emergency call yourself. Use your mobile device set to speaker phone to make the call or take the child with you to the telephone if necessary.

If the mechanisms of injury suggest a spinal injury, treat as described on pp. If necessary, adjust the hand under the cheek 6 to make sure that the head remains tilted and the airway stays open. If the child is likely to remain in the recovery 7 position for a while, after 30 minutes you should roll her on to her back, then turn her on to the opposite side — unless other injuries prevent you from doing this. Do not sweep the mouth with your the other hand on the point of her chin.

Make sure that her nostrils are closed to prevent air from escaping. Allow her mouth to fall open. If the chest rises visibly as you blow and falls fully when you lift your mouth, you have given a rescue breath. Each complete rescue breath should take one second. If the chest does not rise you may need to adjust the head p.

Give a child FIVE initial rescue breaths. Place one 6 hand on the centre of her chest. This is the point at which you will apply pressure. Hand position Ribs Breastbone Lower tip of breastbone Upper abdomen Lean over the child, with your arm straight, 7 and then press down vertically on the breastbone with the heel of your hand.

Depress the chest by at least one-third of its depth. Release the pressure without removing your hand from the chest. Allow the chest to come back up completely recoil before you give the next compression. Compress the chest 30 times, at a rate of — compressions per minute. Continue CPR until: emergency help arrives and takes over; the child shows signs of becoming responsive — such as coughing, opening her eyes, speaking, or moving purposefully — and starts to breathe normally; or you become too exhausted to continue.

While it is better to give a combination of rescue breaths and chest compressions, you may not have been formally trained in CPR or you may be unwilling or unable to give rescue breaths.

In this situation you can give chest compressions only. The emergency services will give instructions for chest-compression-only CPR when you call. Clear the mouth, then immediately roll her onto her back again and recommence CPR.

Place one hand on the chest, cover it with your other hand and interlock your fingers, keeping them clear of the chest. Lean over the child with your arm straight and 2 depress the chest by at least one third of the depth, and release the pressure but do not remove your hand.

Repeat compressions at a rate of — 3 per minute until: emergency help arrives and takes over; the child shows signs of becoming responsive — such as coughing, opening her eyes, speaking, or moving purposefully — and starts to breathe normally; or you become too exhausted to continue.

Remove any obvious obstructions, but do not do a finger sweep of the mouth. Make no more than two attempts to achieve rescue breaths before repeating the chest compressions. Mouth-to-nose rescue breathing If a child has been rescued from water, or injuries to the mouth make it impossible to achieve a good seal, you can use the mouth-to-nose method for giving rescue breaths. A pocket mask is more substantial and has a valve through which breaths are given.

If you have one of these barrier devices, avoid unnecessary interruptions when giving CPR to the child. Pinch the nose and deliver breaths through the filter. Deliver breaths through the mouthpiece. If an AED is not already attached to the child the ambulance personnel will do that. The ambulance personnel will make a decision whether to transfer the child to hospital immediately or to continue treatment at the scene.

For a child over the age of one year, use the child resuscitation procedure pp. Always treat the infant from the side, the correct position for doing all the stages of resuscitation: opening the airway, checking breathing and giving rescue breaths and chest compressions cardiopulmonary resuscitation, or CPR.

Work through all of them in rapid succession with minimal interruption. Your first priority is to ensure that the airway is open and clear. If normal breathing resumes at any stage, hold the infant in the recovery position opposite.

Never shake an infant. Summon help if needed — take the infant with 2 you to make the call. Go to How to open the airway below. Place one fingertip of your 2 other hand on the point of the infant's chin. Gently lift the point of the chin. Do not push on the soft tissues under the chin since this may block the airway. Go to How to check breathing opposite. Do this for no more than ten seconds. Hold the infant in the recovery position.

Go to How to hold an infant in the recovery position below. If you are on your own, perform CPR for one minute before making the call yourself. Use your mobile device set to speaker phone to make the call or take the infant with you to the telephone if necessary.

Go 2 to How to give CPR pp. This position prevents him from choking on his tongue or from inhaling vomit. Pick out any visible obstructions from mouth Maintaining head tilt and chin lift, take your 2 and nose. If the chest rises visibly as you blow and falls fully when you lift your mouth, you have given a breath.

Give FIVE rescue breaths. Resume CPR as soon as possible. Release the pressure without moving your fingers from the breastbone. Repeat to give 30 compressions at a rate of — times per minute. While it is better to give a combination of rescue breaths and chest compressions, if you have not had formal training in CPR, or if you are unwilling or unable to give rescue breaths, you can give chest compressions only.

The emergency services will give instructions for chest-compression-only CPR; put your mobile device on speaker phone so you can deliver first aid and talk to the ambulance dispatcher. Continue CPR until: emergency help arrives and takes over; the infant shows signs of becoming responsive — such as coughing, opening his eyes, speaking or moving — and starts to breathe normally; or you become too exhausted to continue. If you put them on the wrong way round, do not try to move them; it wastes time and the pads may not stick to the chest properly when they are reattached.

When the heart stops, a cardiac arrest has occurred. The most common cause is an abnormal rhythm of the heart, known as ventricular fibrillation. This abnormal rhythm can occur when the heart muscle is damaged as a result of a heart attack or when insufficient oxygen reaches the heart.

A machine called an AED automated external defibrillator can be used on adults and children over the age of one year to correct the heart rhythm by giving an electric shock. AEDs can be used safely and effectively without prior training. They are available in many public places, including shopping centres, railway stations and airports — the logo opposite will be visible on the outside of the case.

The AED will start analysing 4 the heart rhythm. Ensure that no-one is touching the casualty. There are several different AED models available, each of which has different voice prompts. Do not stop chest compressions while the pads are applied. You should follow the prompts given by the machine that you have until advanced care arrives.

Make sure that no-one is touching the casualty while it is analysing. Is a shock advised? AED advises that no shock is needed. AED instructs you to deliver the shock. The AED re-analyses heart rhythm. The European standard one is green, as here, but some companies use other colours. Leave the AED attached to the casualty. The use of an AED is occasionally complicated by underlying medical conditions, external factors, clothing or the cause of the cardiac arrest.

Safety of all concerned should always be your first consideration. Normal amounts of chest hair are not a problem, but if hair prevents good contact between the skin and the pads, it should be shaved off. Ensure any metal is removed from the area where the pads will be attached. Remove clothing containing metal, such as an underwired bra. If a casualty is rescued from water p. If the casualty is unresponsive following an electric shock, start CPR immediately the contact with electricity is broken.

The electric current may cause muscle paralysis, which can 86 make rescue breaths and chest compressions more difficult to perform, however, it will not affect the use of the AED. This should not stop you using an AED.

However, if you can see or feel a device under the chest skin, do not place the pad directly over it. Therefore, to place the AED pads correctly, you may need to move one or both breasts.

This must be carried out with respect and dignity. For children between the ages of one and eight, use a paediatric AED or a standard machine and paediatric pads. If neither is available, then a standard AED and pads can be used.

Make sure both pads are vertical. Connect the pads to the AED and proceed as described on p. Ensure that any used materials from the AED cabinet are disposed of as clinical waste p. Inform the relevant person what has been taken out of the cabinet as it will need to be replaced. Every time we breathe in, air containing oxygen enters the lungs. This oxygen is then transferred to the blood, to be transported around the body. Breathing and the exchange of oxygen and carbon dioxide a waste product from body tissues are described as respiration.

The structures within the body that enable us to breathe — the air passages and the lungs — together make up the respiratory system, and work with the heart and circulatory system.

Respiration can be impaired in several different ways. The airways may be blocked causing choking or suffocation, the exchange of oxygen and carbon dioxide in the lungs may be affected by the inhalation of smoke or fumes, lung function may be impaired by chest injury, or the breathing mechanism may be affected by conditions such as asthma.

Anxiety can also cause breathing difficulties. Problems with respiration can be life-threatening and need urgent first aid. Respiration involves the process of breathing and the exchange of gases oxygen and carbon dioxide both in the lungs and in cells throughout the body. We breathe in air to take oxygen into the lungs, and we breathe out to expel the waste gas, carbon dioxide, a by-product of respiration. When we breathe, air is drawn through the nose and mouth into the airway and the lungs.

In the lungs, oxygen is taken from air sacs alveoli into the pulmonary capillaries. At the same time, carbon dioxide is released from the capillaries into the alveoli.

The carbon dioxide is then expelled as we breathe out. Structure of the respiratory system The lungs form the central part of the respiratory system. Together with the circulatory system, they perform the vital function of gas exchange in order to distribute oxygen around the body and remove carbon dioxide.

Epiglottis Larynx Windpipe trachea extends from the larynx to two main bronchi Windpipe divides into two main bronchi sing. The thin walls of both structures allow oxygen to diffuse into the blood and carbon dioxide to leave it.

Pressure differences between the lungs and the air outside the body determine whether air is drawn in or expelled. When the air pressure in the lungs is lower than outside, air is drawn in; when pressure is higher, air is expelled. The pressure within the lungs is altered by the movements of the two main sets of muscles involved in breathing: the intercostal muscles and the diaphragm.

Intercostal muscles between ribs contract Lung inflates Diaphragm contracts and moves down Lung deflates Ribs rise and swing outwards Breathing in The intercostal muscles the muscles between the ribs and the diaphragm contract, causing the ribs to move up and out, the chest cavity to expand, and the lungs to expand to fill the space.

As a result, the pressure inside the lungs is reduced, and air is drawn into the lungs. Diaphragm returns to domed position Intercostal muscles between ribs relax Ribs move down and inwards Breathing out The intercostal muscles relax, and the ribcage returns to its resting position, while the diaphragm relaxes and resumes its domed shape. As a result, the chest cavity becomes smaller, and pressure inside the lungs increases. Air flows out of the lungs to be exhaled.

This centre responds to changes in the level of carbon dioxide in the blood. When the carbon dioxide level in the body rises, the respiratory centre reacts by stimulating the intercostal muscles and the diaphragm to contract, and a breath occurs. Our breathing rate can be altered consciously under normal conditions or in response to abnormal levels of carbon dioxide, low levels of oxygen, or with stress, exercise, injury or illness.

There are a number of causes of hypoxia, ranging from suffocation, choking or poisoning to impaired lung or brain function. The condition is accompanied by a variety of symptoms, depending on the degree of hypoxia. If not treated quickly, hypoxia is potentially fatal because a sufficient level of oxygen is vital for the normal function of all the body organs and tissues, especially the brain. In a healthy person, the amount of oxygen in the air is more than adequate for the body tissues to function normally.

However, in an injured or ill person, a reduction in oxygen reaching the tissues results in deterioration of body function. However, if the oxygen supply to the brain cells is cut off for as little as three to four minutes, the brain cells will begin to die. All the conditions covered in this chapter can result in hypoxia. These pose a particular danger in young children because they can completely block the airway Airway obstruction requires prompt action; be prepared to give chest compressions and rescue breaths if the casualty stops breathing The unresponsive casualty, pp.

The information on this page is appropriate for all causes of airway obstruction, but if you need detailed instructions for specific situations, refer to the relevant pages given below. If the casualty is responsive 2 and breathing normally, reassure him, but keep him under observation. Monitor and record his vital signs — breathing, pulse and level of response pp.

If she is not breathing, begin CPR pp. If blockage of the airway is mild, the casualty should be able to clear it; if it is severe, she will be unable to speak, cough or breathe, and will eventually become unresponsive. If she is unresponsive the throat muscles may relax and the airway may open enough to do rescue breathing.

Be prepared to begin rescue breaths and chest compressions. Remove any obvious obstruction from the mouth. Stand behind the casualty and put both arms around the upper part of her abdomen. Make sure that she is still bending well forwards. Clench your fist and place it between the navel and the bottom of her breastbone. Grasp your fist firmly with your other hand.

Pull sharply inwards and upwards up to five times. Support her upper body with one hand, and help her to lean well forward. Give up to five sharp blows between her shoulder blades with the heel of your hand. Stop if the obstruction clears. Check her mouth. Repeat steps 2 and 3 — 5 rechecking the mouth after each step — until help arrives or the casualty becomes unresponsive see CAUTION, above, left.

A child may choke on food, or may put small objects into her mouth and cause a blockage of the airway. If a child is choking, you need to act quickly. If she becomes unresponsive, the throat muscles may relax and the airway may open enough to do rescue breathing. If she is not breathing, begin CPR to try to relieve the obstruction pp.

Put your If the back blows fail, try this may clear the obstruction. Remove any obvious obstruction from her mouth. Make sure that she is bending well forwards. Place your fist between the navel and the bottom of her breastbone, and grasp it with your other hand.

Bend her well forward and give up to five blows between her shoulder blades using the heel of your hand. Check her mouth, but do not sweep the mouth with your finger. Check the mouth. Repeat steps 2 and 3 — 5 rechecking the mouth after each step — until help arrives or the child becomes unresponsive see CAUTION, above, right.

If the infant is not breathing, begin CPR pp. An infant is more likely to choke on food or small objects than an adult. The infant will rapidly become distressed, and you need to act quickly to clear any obstruction. If the infant becomes unresponsive, the throat muscles may relax and the airway may open enough to do rescue breathing.

Give up to five back blows between the shoulder blades, with the heel of your hand. These are similar to chest compressions, but sharper in nature and delivered at a slower rate. Give up to five chest thrusts. Remove any obvious obstructions with your fingertips. Do not sweep the mouth with your finger as this may push the object further down the throat.

Repeat steps 1 to 3 — 5 rechecking the mouth after each step — until help arrives or the infant becomes unresponsive see CAUTION, above left. Sometimes, hanging or strangulation may occur accidentally — for example, by ties or clothing becoming caught in machinery.

Hanging may cause a broken neck; for this reason, a casualty in this situation must be handled extremely carefully. Be aware that the body will be very heavy if he is unresponsive.

A casualty who has inhaled fumes is likely to have low levels of oxygen in his body tissues Hypoxia, p. Do not attempt to carry out a rescue if it is likely to put your own life at risk; fumes that have built up in a confined space will quickly overcome anyone who is not wearing protective equipment. Smoke from burning plastics, foam padding and synthetic wall coverings is likely to contain poisonous fumes. Casualties who have suffered from fume inhalation should also be examined for other injuries due to the fire, such as external burns.

The gas acts directly on red blood cells, preventing them from carrying oxygen to the body tissues. If carbon monoxide is inhaled in large quantities — for example, from smoke or vehicle exhaust fumes in a confined space — it can very quickly prove fatal. However, lengthy exposure to even a small amount of carbon monoxide — for example, due to a leakage of fumes from a defective heater or flue — may also prove fatal.

Tell ambulance control 3 encourage him to breathe that you suspect fume inhalation. Treat any obvious burns pp. Monitor and fumes, help the casualty away from the fumes into fresh air.

Do not enter the fume-filled area yourself. Drowning causes breathing impairment as a result of submersion or immersion in a liquid. Drowning begins when a casualty is unable to breathe because the nose, mouth and air passages are submerged below the surface of a liquid. Any incident involving immersion when there is no problem with breathing is not defined as drowning but as a rescue p. A casualty rescued from a drowning incident must be assessed using the primary survey pp. If he is unresponsive and not breathing, give five initial rescue breaths before you start chest compressions, then continue with CPR at a rate of 30 chest compressions to two rescue breaths.

Check his level of response, open his airway and check breathing. Check that the airway is open and give FIVE 3 initial rescue breaths. Follow this with 30 chest compressions, then TWO rescue breaths. Continue CPR at a rate of until help 4 arrives; the casualty shows signs of becoming responsive — coughing, opening his eyes, speaking, or moving purposefully — and starts breathing normally; or you are too exhausted to continue.

If the casualty starts to breathe normally, 6 treat him for hypothermia pp. If possible replace wet clothes with dry ones. Provide flotation Remove from water Provide care as needed Seek medical attention This can prevent Do this only if it is safe to do so. It may occur in individuals who have recently experienced an emotional upset or those with a history of panic attacks.

The unnaturally fast or deep breathing of hyperventilation causes an increased loss of carbon dioxide from the blood, which leads to chemical changes within the blood. These changes result in symptoms such as dizziness and trembling, as well as tingling in the hands. As breathing returns to normal, these symptoms will gradually subside. If 1 possible, lead the casualty away to a quiet place where she may be able to regain control of her breathing more easily and quickly.

If this is not possible, ask any bystanders to leave. Look for other causes. As a result, the airways become narrowed, which makes breathing difficult. Sometimes, there is a recognised trigger for an attack, such as an allergy, a cold, a particular drug or cigarette smoke.

At other times, there is no obvious trigger. Many sufferers have sudden attacks. Most reliever inhalers have blue caps.

Preventer inhalers have brown or white caps and are used to help prevent attacks. They should not be used during an asthma attack. Ask her to breathe slowly and deeply. If the Sit her down in the position 2 she finds most comfortable. They are especially useful when giving medication to young children. Help the casualty to 5 continue to use her inhaler as required. Monitor her vital signs — breathing, pulse and level of response pp.

It is caused by inflammation in the windpipe and larynx. This can cause Attacks of croup usually occur at night and can be made worse the throat muscles to go into spasm and block the airway. If an attack of croup persists, or is severe, and accompanied by fever, call for emergency help.

The child then needs urgent medical attention. Calmly reassure 1 the child. Try not to panic; this will only alarm her, which is likely to make the attack worse. Keep monitoring her vital signs — breathing, pulse and level of response pp. The ribcage extends far enough downwards to protect organs such as the liver and spleen in the upper part of the abdomen. If a sharp object penetrates the chest wall, there may be severe damage to the organs in the chest and the upper abdomen and this will lead to shock.

The lungs are particularly susceptible to injury, either by being damaged themselves or from wounds that perforate the two-layered membrane pleura that surrounds and protects each lung.

Find out how to deal with over different first aid situations from splinters and sprained ankles to strokes and major injuries and how to use essential equipment including a defibrillator. Step-by-step photography, all shot in-situ to reflect real-life issues, shows you what to do in any situation.

The ideal first aid book for you and your family, keep the First Aid Manual handy; it could be a life-saver. Previous edition ISBN This site comply with DMCA digital copyright. Download Link 1 Click Here. Download Link 2 Click Here. Download Link 3 Click Here. No comments:. Newer Post Older Post Home. Subscribe to: Post Comments Atom. Essentials of Pediatric Nursing Pdf Download The thrilling and challenging experience of authoring this textbook would not have Been possi About Me nursesnote View my complete profile.

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