BASIC FIRST AID SKIILS Definition: First aid is immediate help or treatment of a person following and accident, illness or injury. The first aider may then give appropriate treatment, advise, refer patient to casualty or summon emergency medical services. Principles of first aid: Remain Calm Assess the situation Stabilize the person Universal precautions: It’s important to take precautions before you offer someone first aid i.e. Washing hands or using a sanitizer Wearing proper personal protective equipment(PPE) e.g. gloves Proper disposal of contaminated items BLEEDING SEVERE BLEEDING This is pulsating bleeding and it indicates a severed artery. Excessive bleeding can be life threatening. Treatment CALL FOR AMBULANCE Stop bleeding with direct pressure Elevate wound Place sterile gauze or clean cloth over injury and press firmly, add gauze as needed but do not remove gauze already in place. Secure gauze/clean cloth in place MODERATE BLEEDING Treatment Cleanse with water Bandage with sterile gauze/clean cloth or sterile strip bandage NOSEBLEEDING Causes: Can be caused by Specific injury or may occur spontaneously with no apparent cause Treatment Place victim in sitting position with head slightly forward Stop bleeding by squeezing nostrils shut with thumb and finger Release pressure every several minutes to see if bleeding has stopped Place an icepack on the forehead and repeat until bleeding has stopped BURNS SEVERE BURNS Symptoms are; Blistering, skin broken, white or charred surface, burns covering face, hands, feet, genitals or more than 15% of body. Treatment Call for ambulance Monitor breathing Cover burn with cling film or clean dry bandage Do not break blisters MINOR BURNS Symptoms are: Unbroken skin, blistering, burns cover small area of body. Treatment Soak or hold under running water until pain is relieved (at least 20 minutes) Apply burn cream if available Chemical burns Remove affected clothing Flush liquid chemical burn with water for 10-20 mins If burn is from dry chemical, dust off chemical then flush with water Electrical burns Turn power source off Treat as above for minor or severe burns INSECT BITES AND STINGS Emergency allergic reaction Symptoms are; Swelling of throat, breathing difficulty, dizziness, nausea, red and watery eyes, hives (skin rash), sweating, wheezing (abnormal breath sound) Treatment: If victim has history of reaction, administer prescribed medication as soon as possible. Use epi Pen if available Administer an antihistamine e.g cetirizine or piriton Seek emergency medical attention Less serious allergic reaction: Local swelling, redness, pain or itching Treatment: If stinger is visible, scrape from surface of skin Apply cool water or ice pack Apply antihistamine cream if available SPRAINS This is injury to a ligament or its attachment. Sprains only occur at the joints. If in doubt treat as if fractured. Symptoms are; Local pain, swelling, deformity, discoloration, inability to move part Treatment: “RICE” Rest. Remove victim from activity Ice. Apply ice pack or other cold immediately Compress by wrapping injury firmly Elevate injured part x-rays are recommended for severe sprains to rule out fractures. Pain can be managed by use of painkillers FRACTURES A broken bone is called a fracture. When there is a fracture, there is accompanying soft tissue injury either to the muscle, ligament or tendon Symptoms: Possible swelling, deformity, tenderness, pain, numbness, inability to move injured part. Treatment: Immobilize with splint Do not manipulate suspected fracture Transport to hospital for x rays and medical treatment Manage pain with painkillers