This document provides guidance on first aid techniques for various medical emergencies. It discusses assessing life-threatening injuries, preventing further harm, and seeking prompt medical care. Key points covered include first aid aims, burn treatment, trauma response, controlling bleeding, fracture splinting, poisoning response, and following universal precautions to avoid infection. The overall message is that first aid sustains life and prevents worsening until emergency medical services arrive.
1. First aid in emergencies
Dr. Shankar Hippargi
Consultant
Dept of Accident & Emergency
Medicine
MMHRC- Madurai
2. First aid
• The emergency care, help and
treatment of an injured person,
before arrival of medical care
• It is not a substitute for medical
care
• First aid should not delay the
transport
3. First aid- Aims
• To sustain the life of the victim
• To prevent his condition from
deteriorating
• To prevent the occurrence of further
injuries
• To prevent contamination
• To seek medical help
4. Types of emergencies
• Fatal emergencies:
• Cases which lead to death if first aid
is not provided immediately
Ex: cardiac arrest, major fractures,
profuse bleeding etc…
• Non fatal emergencies:
• Cases which are not life threatening
but will require first aid to prevent
worsening
Ex: minor fractures, nasal bleeding
etc…
8. Causes of burns
• Fire
• Hot liquids
• Chemical substances
• Hot objects
• Radiation
• Electric current
• Lightening
9. First aid treatment
• Reassure the person & keep him in safe
place
• Cool the burn area with running water
for 10-20 mins especially in chemical
burns
• Apply silverex cream only for minor
burns
• Prevent contamination
• Do not puncture the blisters
• Keep nil by mouth for major burns
10. First aid treatment
• Gently remove any rings, watches,
belts or constricting clothing from the
injured area before it begins to swell
• Don't remove anything that is sticking
to the burn
• Cover loosely with sterile dressing
• Do not use adhesive dressings
• Transfer to hospital as soon as
possible
11. TRAUMA (RTA)
• Injuries in RTA may range from minor
abrasions to severe head, thoracic and
abdominal injuries which may cause
immediate death
• Identifying life threatening injuries and
rapid transport to the nearest multi
specialty hospital may improve the
chances of survival
12. Mechanism of injury
• Mechanism of injury is very important
in predicting the severity of injuries
• Any death in a mass casualty should
alert the possibility of severe injuries to
other passengers
14. Cervical spine
• Cervical spine is most susceptible for
injuries
• Any injury above the level of collar
bones will have associated C-spine
injury
• Injury to spinal cord can cause
permanent paralysis of both upper and
lower limbs
• Very important to immobilize the C-
spine while extricating from scene and
transport
16. Bleeding
• Could be external or
internal or both
• Internal bleeding
more profuse and
dangerous than
external bleeding
17. First Aid for External
Bleeding
• Apply direct pressure with the hand to
the bleeding points with a sterile
dressing
• Elevate the bleeding part & support in
that position until bleeding stops.
18. First Aid for External
Bleeding
• If bleeding continues, do not remove
soaked pad, apply another dressing
pad on previous one
• The tourniquet is to be used only as the
last resort.
“LIFE OR LIMB ”
• Refer to hospital immediately
19. Internal bleeding
• Signs & symptoms of internal
bleeding
• Pale color
• Rapid weak pulse
• Rapid & shallow breathing
• Cold, clammy skin
• Pain in the bleeding part
• Restless, anxiety & thirst
• Sweating
• Unconsciousness
20. First aid for internal
bleeding
• Lay the person flat on his back with raised legs
• Do not give any thing by mouth
• Reassure the person & transfer to hospital as
soon as possible
21. Traumatic Amputation
• Wash the organ with saline
• Wrap the organ in a sterile
gauze
• Place it in a dry plastic bag
• Place the bag in another bag
containing ice
• Send the amputated organ with
the patient to hospital
24. First aid in fracture
• Reassure the patient, give pain killers if
available
• Control bleeding by direct pressure
• Splint the limb and elevate above the level
of heart
• Support the upper & lower joint of the
injured part with a splint
• Do not try to straighten or repair the
fractured part
28. First aid in penetrating
injuries
• Reassure the patient
• Never attempt to remove the object-
may cause severe uncontrollable
bleeding and may cause sudden death
• Rapid transport
29. Poisoning
• Poisons are any substance in a form of
solid, liquid or gas which, when taken
into the body in sufficient amount will
have a negative or destructive effect on
health
30. Routes of poisoning
• Oral
• Inhalational
• Direct skin contact
• Intravenous (rare)
31. Signs & symptoms of
poisoning
• Burns or stains around the mouth
• Unusual breath odours
• Abnormal breathing & pulse rate
• Abdominal pain
• Sweating
• Vomiting
• Diarrhea
• Seizures
• Unconscious
32. First aid in poisoning
• Check the responsiveness, then seek
medical help
• Decontaminate (wash) the skin
• Do not induce vomiting
• Transport the patient as soon as
possible
• Send the container / medication
strip to hospital
34. First aid
• Pinch the nose
• Lean forwards
• Apply ice packs over nose
35. Heat stroke
• Heat stroke is a potentially fatal
emergency
• Temperature regulation center-
inoperable
• The temperature continuously rises,
causing eventual brain damage
• Immediate active intervention is
necessary to avoid coma and death
• Very high mortality
36. Signs & Symptoms
• Flushed, hot, dry skin- victim has
ceased sweating
• Rapid, strong pulse
• Irrational or aggressive behavior, visual
disturbances
• Vomiting
• Seizures
• Decreased level of consciousness
• Coma
37. First aid
• Complete rest in shade
• Remove victim's clothing
• Cool victim with any means possible
• Evaporative cooling: Spray water on
patient’s body and keep him under a fan
• Nil by mouth - dehydration should be
corrected by intravenous fluids
• Rapid transport
38. Universal precautions
• Assume every patient as potentially
infected with HIV, HBV, HCV
• Health care provider must be protected
against exposure to blood and other body
fluids from patients
• Chances of getting infected with HIV, HBV,
and HCV are high in health care providers
• Use appropriate protective equipments like
gloves, gowns, masks, shoes, goggles
39. Universal precautions
• Your life is more important to you than
the victims life, so be careful about
your health
• Remember that “ I ” comes before “U”
even in the alphabets
• Do not become a patient yourself
• Do not do the things which you are not
trained
Ex: Trying to save a drowning victim
without knowing swimming