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"Never create a second victim" is the mantra of many a first aid provider. At the scene of a medical emergency, it is vital to check and fix any immediate environmental safety hazards before attending to the injured people.Tell someone nearby to call 911, if in an urban setting.Look around before approaching injured people. Note any immediate hazards to either the injured people or bystanders, such as traffic or avalanche danger.Fix whatever hazards are immediately fixable. For instance, appoint someone to slow traffic while someone else gets flares.Determine whether the injured person needs to be moved by looking for such hazards as avalanche danger or immersion in cold water.Consider spinal injury. If you do not suspect one, then you can move the injured person fairly quickly. ...

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