The Top 10 Rules of First Aid
Here are the rules of first aid emergency care in nutshell. If time's a'wastin', don't worry. Just look over this Top 10 checklist, and you'll be prepared to begin your first aid care for real!
- Shout for help! Don't be afraid to use your lungs and shout for help as soon as you begin first aid measures. Keep shouting for help until you know you've been heard and action has been taken. Professional help can't come soon enough—if it's needed!
- Assess the situation and scout the territory. If possible, ask the injured person what happened. Can she speak? Can she tell you how serious the accident is? Also, look around and make sure that performing first aid isn't going to be hazardous to your health. Are there any exposed wires near the injured person? Are there toxic fumes or flames? Is the ice hard enough for you to walk on or the water calm enough to jump in? In short, make sure you aren't in any danger before you start first aid. You won't be much help if you get injured, too.
- Determine if the accident warrants a visit to a hospital—or simply a cleansing and a Band-Aid. If the injured person can talk, great. If the person simply needs stitches, don't call for an ambulance, just make a trip to the emergency room. But if he or she is unconscious, you need to make that 911 call. Check those important ABCs: Are the airways clear? Is he or she breathing? What about circulation? Is there a pulse? And, most importantly, it's up to you to decide whether or not to move the injured person. Sometimes this can't be helped. Once you've decided that you can safely walk on the ice or run past the flames, you might have to save the person in jeopardy by pulling or carrying them to safety, away from flames, thin ice, or toxic fumes. Here's a good rule to remember: don't move a person if there isn't a life-or-death reason to do so. You might cause more harm than good.
- If you are trained and certified in CPR and a person is choking or cannot breathe, begin CPR right away. If you are not trained in CPR, do not attempt to resuscitate. You can break the ribs or puncture the lungs, for example, and if the person is choking, you can actually force the object further down his or her throat! If you don't know CPR, use mouth-to-mouth resuscitation techniques or for choking, use the Heimlich Maneuver. Also, take the injured person's pulse and loosen his or her clothes to make breathing easier.
- Stop the bleeding. If the injured person is bleeding, apply direct, even pressure with a cloth and your hands to slow the flow. (To protect yourself against HIV and other infections while in direct contact with blood, don't forget to practice the universal guidelines for preventing infection.) Lift up a bleeding limb if it doesn't cause substantial additional pain. Make and apply a tourniquet only as a last resort. (See How to Treat Wounds and Stop Bleeding for details on using a tourniquet.)
- Treat any symptoms of shock. If the victim is chilled, breathing harshly, nauseous, clammy, and pale, it is possible he or she is in shock and might become unconscious at any time. Vomiting can also be a sign of shock, and you want to keep airways clear. If no back or neck injury is suspected, gently roll your the victim's whole body to the side to keep airways open and prevent vomit from pooling in the back of the throat (which can cause choking). Cover the victim with a blanket if you see any signs of shock. Use the universal guidelines to prevent transmittal of HIV or any other infection if you come in contact with bodily fluids.
- Look for a Medic Alert bracelet or necklace. The medic alert identification tag bears the name “Medic Alert” and displays the Greek symbol for medical care (a snake twisted around a staff). This bracelet provides medical and emergency personnel with life-sustaining information about the patient's medical history and special needs. The Medic Alert tag tells you if the victim is diabetic, epileptic, or allergic to any medications—all of which can make a tremendous difference in the course of treatment. If there is no Medic Alert bracelet or necklace, check the injured person's wallet. Sometimes medical warnings are written on an ID card or driver's license.
- Seek trained medical assistance. At this point, you can leave the injured person for a moment if necessary to summon help. In this world of cellular phones, it's nice to know we're only an arm's length away from 911. But what if an injury takes place where there isn't a portable phone? Or what if you don't own one yourself? Shout for help or as a last resort, run to the nearest phone. When you call for help, tell the police you want an ambulance with an EMT staff. Only trained personnel can help you with cardiac or respiratory problems, head traumas, poisoning, or fractures.
With or without medical alert information, you can make your call to 911 more efficient if you begin with your name and location and the nature of the problem. If you've performed steps 1 through 7, you can also inform them of such additional things as potential dangers in the locale, whether or not the patient is breathing or bleeding or appears to have broken bones. All of these things help the EMTs prepare themselves before they arrive on the scene.
- Never give an injured unconscious person anything by mouth. This means no pills, no liquids—nothing! When a person is unconscious, even water (which you might think will ease the pain) can interfere with breathing and choke him or her.
- Wait. This is the hardest part of administering first aid care. When you've followed the steps above and done everything you can, all that's left is to wait for the ambulance to arrive. Unfortunately, minutes can feel like hours. While you're waiting, try to keep the injured person calm. You can provide comfort with a soothing voice or a gentle touch. The “Ssh. Don't worry. Help is almost here…” will help you cope as much as it will help the person you're treating.
Don't move an injured person if you don't have to. As long as you're not in a burning building or drowning at sea, it is best to let a person lie where he or she is. If the victim has back, head, or neck injuries, moving him or her can make the injuries worse or even cause permanent damage or death.
CPR is short for Cardiopulmonary Resuscitation. When administered immediately to a patient suffering cardiac or respiratory distress, CPR can save a life. However, it's best to take a course to learn CPR. It's not safe to rely solely on the knowledge you gain from reading a book. You need to be certified in order to perform CPR correctly and save lives.
More on: First Aid
Excerpted from The Complete Idiot's Guide to First Aid Basics © 1996 by Stephen J. Rosenberg, M.D. and Karla Dougherty. All rights reserved including the right of reproduction in whole or in part in any form. Used by arrangement with Alpha Books, a member of Penguin Group (USA) Inc.
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