The basics of first aid

The basics of first aid

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  The Basics ofFirst Aid
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  Defining “First Aid” FIRST- coming before all others in time or order; earliest; 1st. AID -help or support (someone or something) in the achievement of something. First Aid is defined as any and all emergency care given to an injured or sick person prior to the intervention of any professional medical treatment.
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  Purpose of firstaid • To preserve and sustain the life of the casualty • To Stabilize the patient • To prevent contamination • To aid in better and more rapid recovery • To aid in the safe transportation of the patient to a hospital of doctor
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  Points to beclear on • You are NOT A DOCTOR. • Role of the first aider is to help keep the patient alive, as comfortable as possible till medical help arrive. • NEVER give up on a patient. • Only a doctor should declare a patient dead and stop life-saving procedures. • Your efforts may save a life. • Being aware of safety issues • You cannot help someone else if you become a victim yourself!
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  First Aid- Kit Awell-stocked first-aid kit can help you respond effectively to common injuries and emergencies. Keep at least one first-aid kit in your home, office and one in your car. • Easy locations. • Reach out of young children. • Type and size depending on the size of the group.
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  What’s In aFirst Aid Kit ?? Kits vary in contents but most kits have the following items: • Forceps / tweezers • Disposable thermometers • First aid instruction booklet • Band-aids / Adhesive bandages • Gauze pads and tape • Scissors, cold pack • Wound bandage / compress • Eye pads / eye wash solution • First aid / burn cream • Antibiotic ointment • Face shield or barrier mask for providing CPR
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  Dressings and Bandages Thepurpose of a dressing is to: • Control bleeding • Prevent infection and contamination • Absorb blood and fluid drainage • Protect the wound from further injury What to Do: • Always wear gloves (if possible) • Use a dressing large enough to extend beyond the wound’s edges. • Cover the dressing with bandages. Bandage can be used to: •Hold a dressing in place over an open wound •Apply direct pressure over a dressing to control bleeding •Prevent or reduce swelling •Provide support and stability for an extremity or joint •Bandage should be clean but need not be sterile.
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  Spinal Injuries Spinal Injuries •Head injuries may indicate that there are possible spinal injuries  It may have been moved suddenly in one or more directions, damaging the spine. • What to Look For • General signs & symptoms  Painful movement of the arms or legs  Numbness, tingling, weakness, or burning sensation in the arms or legs  Loss of bowel or bladder control  Paralysis of the arms or legs  Deformity (odd-looking angle of the victim’s head & neck
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  Spinal Injuries Cont. •What to Do:  Stabilize the victim against any movement.  Check ABCs. (Airway Breathing Circulation) • Unresponsive Victim:  Look for cuts, bruise, and deformities.  Test response by pinching the victim’s hand, and bare foot.  If no reaction, assume the victim may have spinal damage • Responsive Victim • Upper Extremity Checks:  Victim wiggles fingers.  Victim feels rescuer squeeze fingers.  Victim squeeze rescuer’s hand. • Lower Extremity Checks:  Victim wiggles toes.  Victim feels rescuer squeezes toes.  Victim pushes foot against rescuer’s hand.
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  Emergency Action Steps ASSESS:the situation – is it safe? The victim – is he/she responsive? ALERT: call 911 or activate the emergency action plan. ATTEND: to the victim. Check for life threatening conditions first.
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  Universal Precautions andPersonal Protective Equipment (PPE) To reduce the risk of infections: • Wear disposable gloves when giving first aid. Use a face shield or mask when performing CPR. • Remove gloves properly – Without touching the bare skin, grasp the inside palm of your gloves with the fingers of the opposite hand and pull gloves off inside out – repeat with 2nd hand and dispose of gloves in an appropriate manner. • Clean your hands with an alcohol based hand sanitizer. If not available, wash well with soap and water.
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  The ABCs ofFirst Aid The ABCs stands for… • Airway • Breathing • Circulation Additional things to pay attention to: • Notice the color of the persons’ skin. Blue, grey or purple colors usually indicate illness. • Try to smell for alcohol on the breath • Listen for groaning noises or rasping in the breathing. • Listen for coughing or spluttering
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  A-B-C’s Establish responsiveness Use chinlift/head tilt Look.-listen-feel for breathing Attempt to Ventilate after every 5 seconds. Check pulse Recovery position
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  General First AidProcedure • ALWAYS CALL 911 FIRST (or have someone else call if more than one person is present)
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  Adult / ChildChoking : Severe Airway Blockage Victim is responsive: • Quickly ask, “are you choking?” • If the victim nods yes, or is unable to talk, speak, or cough – act quickly. • Stand behind the victim. • Make a fist and place the thumb side of that hand against the victim’s abdomen, just above the navel and below the ribs. Grasp fist with the other hand. • Quickly thrust inward and upward into the abdomen. • Repeat thrusts until object is expelled or victim becomes unresponsive.
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  Adult / ChildChoking : Severe Airway Blockage Victim is unresponsive: • If needed, help the victim to the ground and alert EMS / call 911. • Begin chest thrusts as you would with CPR. Each time the airway is opened look for the object in the victim’s throat and if you can see it, remove it – being careful not to lodge the object further into the victim’s throat. • Continue chest thrusts until EMS / Paramedics arrive, or the victim shows signs of breathing /responsiveness.
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  Heimlich Maneuver
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  Basic First AidInstructions Minor Wounds Signs and Symptoms: • Break, cut or opening in the skin • Bleeding – may be minor, moderate or severe • Bruising and pain • Infection • Progressing shock First Aid: • If bleeding, apply direct pressure with a clean cloth or absorbent pad. • Wash area with antibacterial soap and clean until there appears to be no foreign matter in the wound. • Cover area with an adhesive bandage or gauze wrap. Minor wounds include abrasions, lacerations, punctures and incisions. The most significant issues to consider with any open wound are control of bleeding and infection.
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  Minor Wounds, continued Bruising:Caused by broken blood vessels leaking blood under the skin. Bruising can be minimal or large and severe. Signs and Symptoms: • Pain and swelling • Discoloration: new bruising will be dark purple / older bruising will fade to greenish yellow First Aid: • Apply ice to injury to reduce pain, bleeding and swelling. • To prevent frost bite to the injured area, place a thin towel or cloth between the skin and ice. Limit ice application to 20 minutes on, 20 off. Crush Injury: Occurs when a body part is subjected to a high degree of force or pressure . Example: smashed fingers in door. Signs and Symptoms: • Pain and swelling • Discoloration and sometimes deformity First Aid: • Apply ice just as you would with a bruising injury. • If pain is severe and does not lessen with ice or there is decreased sensation, weakness, or paleness of the skin in the affected area, seek emergency care.
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  Shock Shock develops whennot enough blood flows to the vital organs of the body. Victims with shock may stop responding. Common causes of shock are: Severe bleeding Nervous system injuries Heart attack or other heart problem Severe burns Severe allergic reaction Dehydration Signs and Symptoms: • Dizziness, faint or weak feeling • Rapid, shallow breathing • Anxiety, restlessness, agitation, or confusion • Cool and clammy to the touch • Pale or grayish skin • Thirst • Nausea or vomiting First Aid: • Help person lie on their back. • Keep victim lying flat with feet slightly elevated if possible. • Cover person to keep him/her warm, but prevent overheating. • Ensure an open airway for victim and adequate breathing. • Monitor victim and administer CPR if necessary.
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  Burns • Thermal burnsare caused by sun, fire, hot liquids or objects and sometimes hot gases. • Chemical burns are caused by contact with wet or dry chemicals. • Electrical burns are caused by contact with electrical wires, current or lightening. • Burns on the face, hands, feet and genitals can be particularly serious. • Burns can cause tremendous damage to the body. They can cause extreme pain, scarring, massive infection, organ failure and even death. • A rescuer’s highest priority is personal safety. • If a victim is on fire, tell him/her to STOP, DROP, and ROLL. • If a victim is in contact with electricity DO NOT TOUCH him/her until the source of electricity has been shut off.
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  Burns: Minor/Major andFirst Aid Care Minor Burns: Signs and Symptoms: • Pain, Redness • Swelling, Blisters First Aid: • Expose the burn. • Cool burns with cold water and continue until pain lessens. • After cooling, cover with a dry, sterile bandage or clean dressing. • Protect from friction /pressure • DO NOT pop blisters or apply any ointment or other substance. Major Burns: Signs and Symptoms: • Dry/leathery, white or blackened, charred skin First Aid: • Assess/Alert/Attend to any life threatening problems. • Call 911and Activate EMS. • If caused by a liquid chemical, flush with large amounts of water right away if you are fully trained in First Aid.
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  Bites and Stings Bitesand stings that could require first aid care can occur from a wide variety of sources. Most cause only minor discomfort and can easily be treated by a first aid provider. However bites and stings from venomous snakes, insects or animals can cause intense pain and swelling. Bites from humans and animals such as dogs, cats, bats, etc., can cause severe injury and infection, including tetanus and rabies. Some people have severe allergic reactions to bites or stings that can be life threatening. In these cases, the most important first aid measure is rapid access to advanced emergency medical care
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  Bites and StingsFirst Aid General Signs and Symptoms associated with bites and stings: • Redness • Swelling • Pain • Itching • Nausea • Problems breathing General First Aid for bites and stings: • Remove jewelry and constrictive clothing • Wash the area with soap and clean water • Cover the area with an adhesive bandage or gauze wrap • Apply ice if needed to reduce pain and swelling
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  Bites and StingsCont. • Tick bites  Tick can remain embedded for days without the victim’s realizing it.  Most tick bites are harmless, although ticks can carry serious diseases.  Symptoms usually begin 3 to 12 days after a tick bites • What to Do:  The best way to remove a tick is with fine-pointed tweezers. Grab as closely to the skin as possible and pull straight back, using steady but gentle force.  Wash the bite site with soap and water. • Apply rubbing alcohol to further disinfect the area.  Apply an ice pack to reduce pain.  Calamine lotion may provide relief from itching. • Keep the area clean.  Continue to watch the bite  site for about one month for  a rash. • If rash appears, see a physician. • Also watch for other signs such as fever.
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  Snake & Spiderbites Rattlesnake Copperhead Black Widow Brown Recluse •Limit activity •Constricting bandage above •Cold application •Advanced medical attention
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  Nosebleeds and FirstAid Most nosebleeds are not serious and can be handled by a first aid responder. Most will stop on their own or with simple first aid actions. In some cases nosebleeds can indicate a more serious condition which may require ongoing medical attention. If the nose bleed is related to an injury, the victim should be assisted in finding medical assistance urgently. Some people may be taking medications that make them more prone to bleeding. These people should also seek care urgently.
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  Nosebleeds and FirstAid Signs and symptoms to monitor: • Bleeding in the back of the throat, causing the victim to vomit blood • Bleeding from one or both nostrils First Aid Interventions: • Sit upright and lean forward. By remaining upright, you reduce blood pressure in the veins of your nose. This discourages further bleeding. Sitting forward will help you avoid swallowing blood, which can irritate your stomach. Have the victim spit out blood that collects in the back of the throat or mouth. • Pinch the nose firmly. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for 5 to 10 minutes. Pinching sends pressure to the bleeding point on the nasal septum and often stops the flow of blood. • To prevent re-bleeding, don't pick or blow your nose and don't bend down for several hours after the bleeding episode. During this time remember to keep your head higher than the level of your heart.
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  Diabetes and Diabetic Emergencies Diabetesis a chronic condition that causes an imbalance of blood sugar and insulin. Emergencies can occur if someone’s blood sugar becomes very high or very low. Several factors can contribute to hypoglycemia in people with diabetes, including taking too much insulin or other diabetes medications, skipping a meal, or exercising more or at a higher intensity than usual.
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  Hypoglycemia (Low BloodSugar) Signs and Symptoms: • Shakiness • Dizziness • Sweating • Hunger • Irritability or moodiness • Anxiety or nervousness • Headache, vision problems • Drowsiness • Seizures First Aid Interventions: • Five to six pieces of hard candy • Four ounces of fruit juice or regular not diet soda • One tablespoon of sugar, jelly or honey • Three glucose tablets (available without a prescription at most pharmacies) • Use the above interventions only if victim is alert – if not alert or appears confused, call 911.
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  Heat Exhaustion &Heat Stroke Causes of heat exhaustion include exposure to high temperatures, particularly when combined with high humidity, and strenuous physical activity. Without prompt treatment, heat exhaustion can lead to heatstroke, a life-threatening condition. Fortunately, heat exhaustion is preventable. Heatstroke occurs if your body temperature continues to rise. At this point, emergency treatment is needed. In a period of hours, untreated heatstroke can cause damage to your brain, heart, kidneys and muscles. These injuries get worse the longer treatment is delayed, increasing your risk of very serious complications.
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  Heat Exhaustion FirstAid Signs and Symptoms: • Cool, moist skin with goose bumps when in the heat • Heavy sweating • Faintness • Dizziness • Fatigue • Weak, rapid pulse • Low blood pressure upon standing • Muscle cramps • Nausea • Headache First Aid Interventions: • Stop all activity and rest. • Move to a cooler place. • Drink cool water or sports drinks. • Contact your doctor if your signs or symptoms worsen or if they don't improve within one hour. Seek immediate medical attention if your body temperature reaches 104°F (40°C) or higher.
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  Heat Stroke FirstAid Signs and Symptoms: • High body temperature. • A lack of sweating. • Nausea and vomiting • Flushed skin. • Rapid breathing. • Racing heart rate. • Headache. • Confusion. First Aid Interventions: • If you think a person may be experiencing heatstroke, seek immediate medical help. Call 911 or your local emergency services number. • Help the person move to a shaded location and remove excess clothing. • Place ice packs or cold, wet towels on the person's head, neck, armpits and groin. • Mist the person with water while a fan is blowing on him/her.
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  Fractures classifications of fractures: •Greenstick fracture – which is a simple crack in the bone. They can be determined by a doctor using an x-ray machine. • Closed or “simple” fracture – in which the broken bone has not pierced through the skin. • Open or “compound” fracture – in which the broken bone has pierced or torn the skin resulting in an open wound. • Comminuted or “multiple” fracture – in which the bone is broken in more than one place. • Try to avoid moving or jarring the limb • Support the limb with a splint (stick, rolled newspaper, etc… secured with rope, strips of cloth, tie, etc… to keep the limb completely rigid. • Make sure that the splint isn’t too tight by checking for a pulse at the extreme of the limb in question. The absence of a pulse would indicate that the splint is too tight. • Apply ice or frozen vegetables to keep the swelling down but not for more than 20 minutes at a time. • Do not try to set the bone or repair the fracture. A fracture is a break or splinter in a bone. It can be caused by violent impact or by any number of diseases that cause bone decay. First- Aid
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  Asthma Asthma is achronic disease that causes the airways to constrict, become inflamed or accumulates excessive amounts of mucus. These attacks may be triggered by a number of different factors including cigarette smoke, pollen, cold air, warm air, pet dander and any number of other airborne particulates. Additionally the triggers may be brought on because of emotions or excursions. Asthma can be severe and, in extreme cases, the attacks can be fatal.
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  First - Aid •Help the sufferer sit upright as it is easier for them to breathe in this position than if they are laying down. • Try to calm them. Talk with a soothing voice. Do not panic and add to the emotional stress that the sufferer is already experiencing. Any additional stress will just make matters worse. • Get them to take their medication. Help them if they can’t take it for themselves. Shake the inhaler and give them one good puff. Have them hold the breath in for 4 seconds or so followed by 4-5 normal breaths. Repeat this procedure up to four times. If, after 4 minutes there is no improvement you should repeat the procedure. • If there is still no improvement in the sufferers condition, call 911 and stay with them until help arrive
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  Concussions Concussions are causedwhen a sudden impact to the head occurs. This sudden impact can cause the brain to “bounce around” in the skull resulting in bruising and swelling of the brain. As with any injury to the brain sensory input and output can be temporarily damaged and must therefore be dealt with immediately. Symptoms of a concussion : • Speech impairment • Blurred vision • Confusion • Disorientation • Inability to concentrate or focus • Headaches • Dizziness • Seizures • Bleeding from the ears • Dilated pupils • Paralysis of any of the limbs
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  First - Aid •Lay the patient down on his or her back with legs elevated over the head and loosen all clothing. • Apply a damp cloth to face and neck • DO NOT GIVE THEM ANYTHING TO DRINK, even if they ask for it. Although most concussions do not require any additional medical treatment except rest, it is important to note two very important facts related to concussions: • Immediate symptoms and the injury seemed to be a minor one. This means that it is better to be safe and to have a patient checked out by a professional if there is the least doubt. • Damage from concussions can be cumulative. It is therefore essential to keep the head protected by using hard hats, bump caps and helmets. It is also essential to use seatbelts while driving.
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  Performing CPR • Ifthe patient is not breathing, tilt their head back and cover their mouth with yours. Blow until you see their chest rise. Breathe this way twice for two seconds each. • If the patient still shows no signs of life (sputtering, coughing, etc…) begin chest compressions directly between the nipples. Most people do not compress hard enough. Push hard, using the heel of your hand with the other hand over it. Pump at the rate of 100 compressions per minute (use the song “Staying alive” by the BeeGees to get the correct beat). Again, most people do not pump fast enough. • Breaths to pumps should ideally be 2 breaths to 15 pumps. • Many AEDs (Automatic External Defibrillators) on the market today will actually monitor the strength and depth of the compression for you and let you know if you are not doing it hard enough or fast enough. This can make the difference between life and death for inexperienced personnel. Consider having an AED like the Zoll AED Plus.
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  Causes of Respiratory/Cardiac Arrest ElectricalDrowning Heart Attack Drugs Toxic - Noxious gases Suffocation Trauma Allergic reactions
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  Cardio Pulmonary Resuscitation •Should be trained to perform this procedure • If done improperly, could harm victim • Courses available everywhere • New in Late 2006 – 30 Compressions to 2 Breaths – For Everyone!
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  The Good SamaritanLaws • Most states now have some form of a Good Samaritan law that provides immunity from liability for any person who tries to help someone in distress. This law applies also to attempted first aid. Though these laws do not prevent a lawsuit from being generated, either by the patient or by relatives, it does protect you, as the first aider, from being found liable. Good Samaritan laws do not apply to professional health care workers who are getting paid to rescue. Professionals are assumed to have been properly trained and to have the necessary knowledge to do their jobs correctly. They can be held accountable for their mistakes. • A complication of this exemption may apply to you if you accept any kind of remuneration for the actions that you took. If you are somehow rewarded monetarily or otherwise for providing first aid, you may no longer be able to fall under the Good Samaritan law if legal proceedings are initiated against you. Because of this it is usually advisable not to accept gifts or rewards for any first aid acts taken.