1. FIRST AID Major Dr Inam Danish Khan Medical Officer Nehru Institute of Mountaineering

2. PROLOGUE CHOKING FAINTING SHOCK ALLERGY NOSE BLEEDS CRAMPS SEIZURES CUTS/WOUNDS BURNS ELECTRIC SHOCK SPRAIN/STRAIN DISLOCATIONS FRACTURES STINGSDOG BITE SNAKE BITE POISONOUS PLANTS DROWNING

4. Back slaps 4 times

5. Abdominal thrusts

7. Fresh Air

8. Loosen clothing

9. Don’t give fluids/food

12. Fresh Air

13. Loosen clothing

14. Don’t give fluids/food/alcohol

16. Epipen ?

18. Pinch the nose

19. Breath through mouth

21. Apply heat

23. Overexertion

25. Do not restrain, loosen clothing

26. Do not slap or pour water on face

27. Do not put anything in mouth

28. After seizure, allow to sleep

29. Reassure, seek a doctor’s helpSYMPTOMS Jerkiness Frothing (mouth) Clenched teeth Fall to ground Passing urine Passing stools

30. CUTS/WOUNDS Amputation Lacerations Puncture wound Contusion/Bruise Incision

32. Don’t breath over/blow over a wound

33. Don’t cover with dirty cloth

34. Clean wounds with soap and water

35. Bleeding – Pressure/ Elevation/ Bandage

37. BURNS

39. SCALDS Steam, hot fluids

40. ELECTRICAL BURN Low-V current, lightning strike

43. Mild pain

44. Redness, warmth

46. Remove gadgets, jewellery

47. Expose body parts

48. Loose bandage

51. Severe pain

52. Redness, warmth

53. Swelling and tenderness

54. Blisters, Clear fluid comes out

56. Burnt part not to touch anything

57. Don’t prick blisters

59. Skin looks waxy, pale or charred

60. No pain

62. Cover both eyes

63. Don’t prick blisters

64. Don’t put ice over burns�

65. 30 BURNS

67. Stand on an insulating material and remove patient

68. Don’t touch unless power supply cut off

69. Be careful in wet areas

70. Remove gadgets, jewellery

71. Loose bandage

72. Artificial respiration or CPR

74. Hot fomentation

75. Crepe Bandage

76. Pain Killers

78. Rest / Immobilisation

79. Pain Killers

82. Swelling

84. Rest/Immobilisation

85. Hot fomentation

86. Splint - Comfortably

87. Pain Killers

89. Swelling

90. Loss of power

91. ShockPRICE PROTECT REST ICE COMPRESSION ELEVATION

93. Remove sting

94. Cold compresses

95. First aid for allergy

96. Lie victim down and immobilize limb

97. Transport victim to hospital

100. Even an animal licking your fingers is dangerous

101. InjRabipur/Verorab at 0, 3, 7, 14, 21 days

102. Person having Rabies can transmit to others BEWARE OF DOGS, CATS, RATS

104. Bites on face and hands more dangerous

105. Look for cuts, blood - Dangerous

106. Don’t chase or kill the animal

107. Don’t cut the wound

108. Don’t apply ointments, herbs, ice packs

109. Don’t give the patient alcohol, disprin etc

110. Observe the animal for 10 days

111. Immunization must prior to expected exposure

113. WOLF ATTACK ON A 12 YR OLD CHILD

117. They live in peace and avoid humans

118. Their poison is meant for killing their prey

119. 3000 species worldwide, 725 poisonous

120. 250 able to kill a human with single bite

121. 275 species in Indian subcontinent

122. 2,50,000 snake bites/yr

123. 50,000 die due to unscientific/delayed treatment

124. Only few Indian species are poisonous

125. Snakes at >11,000 ft are non poisonous COBRA, KRAIT, VIPER, SEA SNAKE

126. COBRA KRAIT SEA SNAKE VIPER

127. POISONOUS Vs NON POISONOUS

128. POISONOUS Vs NON POISONOUS

133. Fang marks

134. Sweating, flushing

135. Tightness in chest

137. Difficult swallowing

138. Pain abdomen

140. Low Blood Pressure

141. Shock

143. Don’t chase or kill the snake

144. Don’t cut the wound

145. Don’t wash the bitten area

146. Don’t try to suck poison from the bite

147. Don’t let the person move unnecessarily

148. Don’t apply ointments, herbs, ice packs

149. Don’t give the patient alcohol, disprin etc

151. Reassure and calm patient

152. Lie victim down and immobilize

153. Provide non-alcoholic liquid to victim if conscious

154. Give artificial respiration/CPR

155. Evacuate victim to hospital immediately

156. Inj Tetanus

159. Wash exposed area with soapy water

160. Cold compresses

161. Provide non-alcoholic liquid to victim

162. First aid for allergy

163. Wash yourself after treating

164. Lie victim down and immobilize limb

166. Clean the mouth (Sand, mud, plants etc)

167. Put him on the floor and raise his body

168. Give artificial respiration or CPR

169. After revival, remove wet clothing

170. May require warming of the body

172. Painkillers (For pain, fever, swelling)- Ibuprofen, Diclofenac, Piroxicam, Nimesulide, Tramadol etc

173. Antibiotics-Amoxycillin,Erythromycin, Ofloxacin etc

174. Anti diarrhoeals-Secnidazole,Tinidazole,Norfloxacin

175. Anti allergics-Cetrizine, Avil(Pheniramine)

176. Antacids-Digene, Ranitidine, Omeprazole

177. Mountain med- Acetazolamide, Dexamethasone

178. Savlon/Dettol, Soframycin/Povidone Iodine cream etc

181. Surgical suture, needle, inj Lignocaine, iv fluids, intracath, infusion set, stethoscope, airway etc

184. Questions Thank You