The initial simple assessment of responsiveness consists of asking the child "Are you alright?", and gently shaking him or her by the shoulders. Infants and very small children who cannot talk yet, and older children who are very scared, are unlikely to reply meaningfully, but may make some sound or open their eyes to the rescuer's voice.
In case associated with trauma, the neck and spine should be immobilised during this manoeuvre. This is achieved by placing one hand firmly on the forehead, while one of the child's arms is shaken gently.
Shout for help Approach with care Free from danger
Figure 4.2. The SAFE approach
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