12 First Aid Non - Clinical First aid is the immediate treatment given to a victim of an accident (or) sudden illness before medical help is obtained. Aims of First Aid 1. Preserve life 2. Promote recovery 3. Prevent the condition from getting worse Principles of First Aid 1. Observe carefully 2. Keep calm and think clearly 3. Act quickly and confidently Life Saving Measures in various situations Artificial Respiration Check if the person is breathing or not by 1. Looking for movement of the chest or upper abdomen. 2. Listening with your ear close to the person’s nose or mouth. 3. Feeling with your hand held over his mouth and nose for warm air. If breathing is found to be stopped, Tilt the person’s head well back at once, to open the air passage from mouth to lungs. At the same time, lift up the lower jaw. Loosen the dress, remove false teeth with your finger (or) and clear the mouth of any mucous food (or) other obstruction. If breathing does not begin at once, start artificial respiration. Blow your own breath into the lungs, through his nose or mouth closing the other with your fingers. Elevate - raise to a level A R A V I N D E Y E C A R E S Y S T E M Repeat this at your own breathing rate until he breaths normally. If normal breathing is not revived, start external cardiac massage. External Heart Compression This should be given at the same time as artificial respiration if there is no heart beat. It will be easier if there are two persons to help in giving first aid. If there is no heartbeat, body colour will be blue (or) pale. Pupils are dilated and no carotid pulse is felt. • The patient should be lying on a firm surface, eg: a floor • Kneel at the side and feel for the lower part of the sternum • Place the heel of the palm over it and the heel of the other palm over your wrist with all fingers extended. • With arms straight, press sternum backwards towards the spine then immediately take your hands away. Repeat the pressure about 60 times per minute for adults. For children, press with one hand only. • When pulse is not restored, continue heart compression until the patient reaches hospital. Bleeding • Lay the injured person down flat and elevate the legs or place a pillow under the body so that the trunk is just slightly higher than the head. If the wound is in a limb, elevate the limb. 13 • Remove any dirt from the bleeding area without removing any large chunks that may have caused the damage. • Apply pressure on the bleeding area to stop severe bleeding. • Place a pad over the wound tightly with the edges of the wound held together for a gaping wound. • Place an icepack on the wounded area. This will help to constrict blood vessels, which will help stop bleeding. • Get the injured person to the emergency room as quickly as you can. Unconsciousness If you cannot determine what caused the loss of consciousness, give first aid for general unconsciousness and call emergency medical services if the person does not revive promptly (ie, within a couple minutes). 1. Check the person's airway, breathing and circulation. 2. If you do not think there is a spinal injury, put the person in the recovery position: - Position the person lying face up. - Turn the person's face toward you. - Take the person's arm that is closest to you, and place it to his/her side, tucking it under the buttock. - Take the person's other arm, and place it across his/her chest. - Cross the person's ankles by placing his/her far leg over the near leg. - Bend one arm up and one arm down, to support the upper and lower body. - Tilt the person's head back to allow air to move freely in and out of the mouth. If you do think there is a possible spinal injury, leave the person as you found him/her (as long as breathing continues). If the person vomits or bleeds out of his/her mouth, roll his/her entire body at one time to the side. Keep the person warm until emergency medical help arrives. The following should be avoided in the case of loss of consciousness: • Do not give an unconscious person anything by mouth; even if he/she regains consciousness, do not give anything until consulting a physician. • Do not attempt to wake an unconscious person by slapping or shaking him/her or by sprinkling cold water on the person. • Do not put a pillow under the head of an unconscious person, as this could block his/her airway. Shock Shock that is severe may cause death. Reduce shock by 1. Reassuring and promoting confidence. 2. Relieving pain and discomfort. 3. Protecting from cold and handling gently Clothing on fires Quickly take hold of the nearest thick cloth such as a carpet. Hold it in front of you and throw it over the burning person to put out the flames. If your own clothes catch fire lie down and roll on the ground. In every case, the patient must be seen by a doctor as soon as possible. Chunk - thick piece; Gaping - wide open; Constrict - become narrow Compassion Jan - Mar, 2015