In which scenario is the recovery position indicated?

• A. An unconscious casualty not in shock
• B. An unconscious casualty in shock
• C. A conscious casualty who is actively vomiting
• D. A conscious casualty who requires immediate airway management

Answer: (A)

The recovery position is used for an unconscious casualty who is breathing and does not have signs of shock, to keep the airway open and reduce the risk of aspiration. When a person is unconscious, the tongue can relax back and partially block the airway; lying them on their side with the head supported helps prevent that, and allows any secretions or vomit to drain away from the airway. It also stabilizes the person so you can monitor breathing and consciousness while help is on the way.

If the casualty were in shock, the focus would be on supporting circulation and treating the shock first, and turning them for a side-lying recovery position might not be appropriate as a standing priority. A conscious person who is actively vomiting should be placed on their side to drain, but they are not in the unconscious recovery-position scenario. A conscious casualty who requires immediate airway management needs airway procedures rather than simply being placed in the recovery position.