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Emergency
telephone numbers — ambulance, fire, police, local utilities, senior
management, Ministry of Labor — should be posted in the field office for quick
reference.
It is
natural to try to rescue casualties caught or buried by a cave-in. But care
must be taken to prevent injury and death to rescuers, whether from a further
cave-in or other hazards.
The
following procedures may be suitable, depending on conditions.
1) To get
down to the casualty, use a tarpaulin, fencing, plywood, or similar
material
that can cover the ground and will ride up over any further cave-in.
2)
Sometimes a further cave-in can be prevented by placing a backhoe bucket
against the
suspected area or excavating it.
3) Rescue
workers should enter the trench with ropes and wear rescue harnesses if
possible.
4) To
prevent further injury, remove the casualty by stretcher whenever possible.
Tarps or
ladders can be used as a makeshift stretcher.
Breathing —
Ensure that the casualty is breathing. If not, open the airway and start artificial
respiration immediately. Mouth-to-mouth is the most efficient method.
Bleeding —
Control external bleeding by applying direct pressure, placing the casualty in a
comfortable position, and elevating the injured part if possible.
Unconsciousness
— This is a priority because it may lead to breathing problems. An unconscious
person may suffocate when left lying face up. If injuries permit, unconscious persons
who must be left unattended should be placed in the recovery position.