stepped on a rusty nail and it' not exclusively rusty nails and you have a cut and open wound and at the timeu at the time dm here and these are the first things you check for in any patient you see. if they don't have an air way they can't breathe and then wha are they? >> (inaudible). >> dead and we will review that and it's a basic point. okay. if you are plea are bleeding an important to keep in mind that most bleeding stops on its own and all bleeding stops essentialls shrcials eventuaeve. medical joke and if you are in shock -- and no hurt nerves we don't want you to go in and hel somebody and have something fal on you and get other hur hurt. look, listen and feel and have you ever put your chin to your chest and it's tougher to breathe and tilt your head back and easier to get a breath and we tilt the head back, lift the jaw up off of the air way and i opens the air way. this young lady is in the classic position and take first aid and take cpr class and ther is any and she'y annie and she' and in a disaster you don't fin people in this position and sometimes i walk up and i can't tell