Unconsciousness or inability to awaken.
Slow or shallow breathing or breathing difficulty such as choking sounds or a gurgling/snoring noise from a person who cannot be awakened.
Fingernails or lips turning blue/purple.
Call the person’s name.
If this doesn’t work, vigorously grind knuckles into the sternum (the breastbone in middle of chest) or rub knuckles on the person’s upper lip.
If the person responds, assess whether he or she can maintain responsiveness and breathing.
Continue to monitor the person, including breathing and alertness, and try to keep the person awake and alert.
