- II. Approaching and Initial Assessment
- Approaching: Address the person clearly: “Hello, can you hear me?”
- Lightly shake or pinch: Gently try to establish contact to check for any reaction.
- Check for breathing: Briefly hold your ear near the mouth/nose and observe the chest. Do you hear or feel any breathing?
- If no breathing or irregular breathing is detected: Immediately initiate resuscitation measures (see Section 4).
- If there is breathing, but the person does not respond: The person is unconscious.
- III. Immediate Actions & Emergency Call
- Emergency Call (112):
- Provide your name and the exact address (bar/club/event venue).
- Briefly describe the situation: “The person is unconscious, but is breathing / is not breathing.”
- Follow the instructions from the emergency dispatch center.
- Assess the cause (if possible):
- Did the person consume alcohol or other substances?
- Was there a fall or a fight?
- Does the person have pre-existing conditions (e.g., epilepsy, diabetes, heart problems)?
- Pass this information along to the emergency responders as soon as they arrive.
- IV. Resuscitation (Only If There Is No or Irregular Breathing)
- Chest Compressions:
- Press down in the center of the chest about 5–6 cm deep at a rate of 100-120 compressions per minute (roughly in the rhythm of “Stayin’ Alive”).
- Allow the chest to fully rise after each compression.
- Rescue Breaths (Optional, if trained):
- After 30 chest compressions, give 2 rescue breaths.
- Watch for the chest to rise and fall.
- If you feel uncertain or uncomfortable (hygiene, etc.), focus on continuous chest compressions.
- Automated External Defibrillator (AED):
- If one is available in the club or bar, retrieve it immediately.
- Turn on the device and follow its instructions.
- Apply the electrodes to the bare chest according to the device/illustration.
- Continue until help arrives:
- Do not stop until professional responders take over or the person starts reacting.
- V. Recovery Position (If the Person Is Breathing but Unconscious)
- Check for hazards: Ensure that no vomit or blood is blocking the airways.
- Position the person on their side:
- Place the nearest arm bent upward (elbow at shoulder level) and the far arm in front of the chest.
- Bend the far leg and carefully turn the person onto their side so that their face is slightly downward.
- Tilt the head slightly backward to keep the airways clear.
- Monitor:
- Continue to observe if the person is breathing regularly.
- Remain with them until emergency services arrive.
- VI. Calming the Environment
- Calm those around you:
- Briefly explain that you are taking care of the person and have called for help.
- Avoid causing panic.
- Create space:
- If possible, clear an area (push aside tables/chairs, ask guests to keep their distance).
- Privacy & Dignity:
- If necessary, cover the person and respect their privacy (e.g., no photos or videos by bystanders).
- VII. Cooperation with Security and Bar Staff
- Bouncers/Security:
- Help by keeping an unobstructed access route for the rescuers and by dispersing onlookers.
- Check if the person may have been a victim of a crime or dangerous situation (e.g., drugging with “date-rape” drugs, assault).
- Bartenders/Staff:
- Communicate relevant information to security and the emergency services (if known, which beverages were consumed, any mixed consumption, etc.).
- If necessary, support with emergency call handling (address, exact location in the building).
- Friends of the Affected Person:
- Stay nearby to provide important details about the person (allergies, medical history, emergency contacts).
- Help calm the person if they regain consciousness.
- VIII. Important Follow-Up
- Documentation:
- Record the time, the situation, the initial measures taken, and any unusual behavior (e.g., suspicion of drug use, aggression).
- Debrief with Emergency Services:
- Share any relevant information (personal details, if known, alcohol/drug consumption, observed symptoms).
- Further Procedure:
- Decide, together with the emergency services and, if necessary, the police, whether further actions (e.g., hospital accompaniment) are required.
- Evaluation:
- Briefly debrief with your team regarding what went well and what could be improved next time.
- If needed, consider professional psychological support (e.g., in cases of shock).
- Recognize Is the person unconscious or just dazed?
- Secure Eliminate hazards and organize assistance.
- React Address the person, check for breathing, and if necessary, place an emergency call.
- First Aid Perform resuscitation or place the person in the recovery position, according to the condition.
- Manage the Environment Calm bystanders, create space, secure emergency access routes.
- Follow Up Document the incident, pass on information to emergency services, and review the procedures.