Lay the victim flat on his back. If possible raise the wound above the level of the heart.
Remove any visible object from the wound, but do not remove any object or clothing that is stuck inside or at the wound. You may remove something that is actually plugging the wound and worsen the bleeding.
Apply direct pressure on the wound with a clean cloth or your hand. If blood comes through the cloth, do not remove it but apply another cloth over it. Keep pressing. You may have to apply more pressure if blood continues to seep through.
If the bleeding stops bandage the part with a clean cloth without removing the cloth that helped stop the bleeding. Bandage around the object that is stuck in the wound without applying any pressure on it.
Find out whether the person is responsive,either by asking him, "are you alright?" or by shaking him (not vigorously).
If there is absolutely no response, seek immediate help. Call up the nearest casualty or hospital and very calmly, give all information. Do not hang up in panic till the information is properly given.
Check the ABCs - airway, breathing and circulation To clear the airway,
Open the mouth and clear the airway of vomitus, saliva, foreign body or blood.
Tilt the head and lift up the chin.
Lift and pull forward the lower jaw. This will lift up the tongue which is falling back and choking the airway.
Watch the chest for movements or feel the breath at the nostril as evidence of breathing If there is no evidence of breathing, then start mouth to mouth breathing as follows.
Pinch the persons nose closed. Take a deep breath yourself and blowout at the persons mouth forming a tight seal with your mouth. Watch the chest rise as you blow.
If the chest fails to rise, reposition the persons head and try again or think of airway obstruction.
Feel for the pulse. Locate the adams apple with your fingers and slide your fingers into the groove besides it, or put your ear in front of the left side of the chest to hear heart beats. If no heartbeats or pulsations felt then give a thump with a closed
fist on the heart area.
Start cardiac massage. Feel and locate the breast bone in the midline. Place the heel of your right hand two fingers above the tip of the breast bone. Place cross wise the left hand on top of the right hand.
Position your body, so that the shoulders are directly above your hands, with arms stretched and elbows locked. With a firm thrust push the breast bone 1.5 to 2 inches down.
Release and repeat.
Continue artificial breathing and cardiac massage till help arrives. Give about two mouth to mouth breaths followed by fifteen cardiac massage pushes, then recheck for a pulse.
If the victim is not breathing but has a pulse, give breaths. For an adult or child over eight years old, give 1 breath every five seconds. Check for pulse every 12 breaths. For a child between one and eight, give 1 breath every four seconds and check for
pulse every 15 breaths. Continue till help arrives.
Placing an unconscious person who is breathing in the recovery position will keep the airways open.