The Basics of First Aid Justin Crews Charlotte Ellsworth Edgar Estevez Table of Contents iii Table of Contents Introduction ..................................................................................................................................... v Fractures ............................................................................................................................... 7 Information regarding fractures: .......................................................................... 3 Materials: ........................................................................................................................... 3 Call 911 if: ............................................................................................................................. 3 Steps to treating a fracture: ........................................................................................... 3 1 Stop any bleeding – .................................................................................................. 3 2 Immobilize the injured area – ............................................................................. 4 3 Apply ice – ..................................................................................................................... 4 4 Treat for shock – ........................................................................................................ 4 Poisoning ............................................................................................................................... 5 Information regarding poisoning........................................................................... 7 Materials: ........................................................................................................................... 7 Steps to handling a poisoning:....................................................................................... 7 Cleanse of Poison – .................................................................................................. 7 Identify the poison ....................................................................................................... 7 Contact emergency services ..................................................................................... 8 Contact the poison center.......................................................................................... 8 Burns ................................................................................................................................ 9 Information regarding burns ............................................................................. 11 Call 911 if: ........................................................................................................................... 11 Steps for treating a burn: ................................................................................................ 11 Stop the burning .................................................................................................................. 11 Information regarding Animal Bites ............................................................................... 19 For treating an animal bite: ............................................................................................... 19 For minor wounds ................................................................................................................. 19 For deep wounds .................................................................................................................... 19 For infection ............................................................................................................................. 19 For suspected rabies.............................................................................................................. 19 iv The Basics of First Aid For severe wounds ................................................................................................................. 20 1 Give Back Blows ................................................................................................................. 23 2 If Person Is Still Choking, Do Thrusts ........................................................................ 23 3 Give CPR, if Necessary..................................................................................................... 23 Index ........................................................................................................................................... 25 Introduction v Introduction First aid is essential to everyday life, for an accident can happen at any time. Knowledge in handling a particular situation can mean the difference between permanent and temporary physical damage. This manual covers how to handle: Fractures Poisoning Burns Cuts and wounds Animal bites Choking Following the steps noted in this manual will help in resolving a stressful accident or medical emergency. Please note that while the steps in this manual are helpful y you should always contact emergency services for major accidents. Fractures Fractures 3 Information regarding fractures: A fracture is a break in a bone. Fractures can result from major trauma or injury. For fractures that pierce the skin heavy bleeding can occur, if this happens be sure to take precaution when treating the person. It is important to restrict movement when treating fractures, for it can cause complication in severity. In an event of the person going into shock or bleeding excessively, contact emergency services immediately. Materials: Ice packs Towels Splint (if available) Tourniquet Sterile bandages Call 911 if: Fracture pieces through the skin The person is unresponsive The person is an infant or a senior Steps to treating a fracture: 1 Stop any bleeding – The first action to take when a potential fracture exists is to stop any and all bleeding. Fractures can be severe enough to rip the skin and blood loss should be stopped immediately. To stop bleeding apply pressure to the wound with a piece of cloth (preferably sterile). *DO NOT use dirty material to stop bleeding; this will avoid the chance of a potential infection. 4 The Basics of First Aid *DO NOT allow the person to try walking with a fractured bone, many times adrenaline will ease the pain. This can result in a worse bone damage to the person. 2 Immobilize the injured area – Immobilize the area where a fracture may have happened as much as possible. Rest the area on a surface to minimize movement of the fractured bone. If a splint is available, apply the splint to the area above and below the fracture. *DO NOT attempt to apply a splint without prior experience. A misused splint can result in further complication of the fracture. *DO NOT try to realign or push a bone that is sticking out back in. 3 Apply ice – Applying ice to limit swelling will help relieve pain until further emergency personnel can assist with the fracture. Collect ice and wrap in a towel or a similar material. If the affected area does not stop swelling, contact emergency services immediately. *DO NOT apply ice directly on the skin. 4 Treat for shock – If the person shows sign of fainting or is breathing in short bursts, lay the person down. When doing so make sure the head is lowered. The person’s legs should be raised higher than their body if possible. For a person that is unresponsive, contact emergency services immediately. Poisoning Poisoning 7 Information regarding poisoning This section will cover situations when poisonous chemicals are ingested. It is important to read the symptoms and sign of poisoning carefully, for many conditions mimic the symptoms of poisoning. Emergencies such as: Alcohol intoxication Strokes Insulin reactions Should be identified and taken care of accordingly. When dealing with potential poisoning, always check the chemical container if available for emergency information. POISON CENTER: 1-800-222-1222 Materials: Phone Chemical container Steps to handling a poisoning: 1 Cleanse of Poison – If the person has been exposed to poisonous fumes, take them into a place with fresh air immediately. For a person who has swallowed poison, clear their mouth for any remaining poison. 2 Identify the poison If the container is available make sure to identify what kind of chemical they have ingested, this will help in the process in administering a remedy. 8 The Basics of First Aid 3 Contact emergency services A person who has ingested poisonous chemicals needs to be transported to a medical facility. If you have identified the poisonous material, be sure to inform the medical professionals and bring any containers of the chemical. 4 Contact the poison center While the person is being transported to a medical facility *DO NOT attempt to induce vomiting Burns Information regarding burns When dealing with burns it is very important to know the proper steps for treatment. Some burns are more severe than others and sometimes must be handled in a different manner. Not knowing how to treat each degree of burns, could lead to further injury or death. Call 911 if: Burn penetrates all layers of skin Skin is leathery or charred looking, with white, brown, or black patches Burn blister is larger than 2 inches or oozes Hands, feet, face, or genitals are burned The person is an infant or a senior Steps for treating a burn: Stop the burning Put out the fire Help the victim “stop, drop, and roll” to smother the flames Remove any burning materials from the victim Remove constrictive clothing Remove jewelry, belts, and tight clothing as burns can swell quickly Determine the degree of burn and treat 1st Degree Burns The skin is usually red, sometimes swollen, and sometimes pain is present Cool the burn with cool running water or immerse in cool water until pain is gone Protect the burn with a sterile, non-adhesive bandage Take over-the-counter pain reliever such as ibuprofen, Tylenol, or Aleve to reduce pain 12 The Basics of First Aid If signs of an infection are present such as increased pain, redness, swelling, fever, or oozing then seek medical attention 2nd Degree Burns Blisters develop, skin is intensely red/splotchy, and the pain is severe and area is swollen. Cool the burn by immersing the affected area in cool water for 10 to 15 minutes Don’t apply ice, break blisters, or apply ointments Protect the burn by covering it loosely with a sterile, nonstick bandage and secure in place with gauze or tape Unless the person has a head, neck, or leg injury, or it would cause discomfort, try to prevent shock by: 1. Laying the person flat 2. Elevating the feet about 12 inches 3. Elevate the burn area above the heart level, if possible 4. Cover the person with a coat or blanket See a doctor so he can test burn severity and treat 3rd Degree Burns Area may be charred black or appear dry and white. All layers of the skin are affected and permanent tissue damage may occur. Call 911 Protect burn area by covering it loosely with a sterile, nonstick bandage Separate burned toes and fingers with dry, sterile dressings Do not soak burn in water or apply ointments Unless the person has a head, neck, or leg injury, or it would cause discomfort, try to prevent shock by: 1. Laying the person flat 2. Elevating the feet about 12 inches 3. Elevate the burn area above the heart level, if possible 4. Cover the person with a coat or blanket 5. For an airway burn, do not place pillow under the person’s head as the airway can close 6. Have a person with a facial burn sit up 7. Check pulse and breathing until emergency services arrive See a doctor so he can treat the burn Cuts and Wounds Cuts and wounds 15 Information regarding cuts and wounds It is important to know how to properly treat minor cuts and wounds as infections or excessive pain may occur if treated incorrectly. Call 911 if: A cut is bleeding severely Blood is spurting out Bleeding can’t be stopped after 10 minutes of firm and steady pressure Steps for treating cuts and wounds: Stop the bleeding Apply direct pressure on the area Clean and protect Clean the area with warm water and gentle soap Apply an antibiotic ointment to reduce chance of infection Call a health care provider Call a health care provider if: The cut is deep over a joint You cannot get the cut or laceration clean The injury is a deep puncture wound or the person has not had a recent tetanus shot or booster The cut is from a human or animal bite Follow up Remove bandage after a couple of days to promote healing See a health care provider if the cut doesn’t heal or shows signs of infection such as redness, swelling, pus, or excessive pain Animal bites Animal Bites 19 Information regarding Animal Bites Animal Bites tend to have 4 levels of severity. Here are the procedures needed to take incase this was to take place: For treating an animal bite: For minor wounds If the bite barely breaks the skin and there's no danger of rabies, treat it as a minor wound. Wash the wound thoroughly with soap and water. Apply an antibiotic cream to prevent infection and cover the bite with a clean bandage. For deep wounds. If the animal bite creates a deep puncture of the skin or the skin is badly torn and bleeding, apply pressure with a clean, dry cloth to stop the bleeding and see your doctor. Apply direct pressure until bleeding stops. For infection If you notice signs of infection, such as swelling, redness, increased pain or oozing, see your doctor immediately. Get medical help immediately for any animal bite that is more than a superficial scratch or if the animal was a wild animal or stray, regardless of the severity of the injury. If the animal's owner is available, find out if the animal's rabies shots are up-to-date. Give this information to your health care provider. For suspected rabies If you suspect the bite was caused by an animal that might carry rabies — including any wild or domestic animal of unknown immunization status, particularly bats — see your doctor immediately. If the animal was a stray or wild animal, call the local health department or animal control immediately. 20 The Basics of First Aid For severe wounds The health care provider will make sure the wound is thoroughly clean and may prescribe antibiotics. If there is any risk of rabies infection, the health care provider will recommend anti-rabies treatment. The person may require stitches, depending on the location and severity of the animal bite. The person may also require a tetanus shot or booster. The health care provider may recommend ibuprofen or acetaminophen for pain. t Choking Choking 23 Steps to handle a choking situation: 1 Give Back Blows Give up to 5 blows between the shoulder blades with the heel of your hand. 2 If Person Is Still Choking, Do Thrusts To perform abdominal thrusts (Heimlich maneuver) on someone else: Stand behind the person. Wrap your arms around the waist. Tip the person forward slightly. Make a fist with one hand. Position it slightly above the person's navel. Grasp the fist with the other hand. Press hard into the abdomen with a quick, upward thrust — as if trying to lift the person up. Perform a total of 5 abdominal thrusts, if needed. If the blockage still isn't dislodged, repeat the five-and-five cycle. Take the object out of his mouth only if you can see it. Never do a finger sweep unless you can see the object in the person's mouth. To perform abdominal thrusts (Heimlich maneuver) on yourself: First, if you're alone and choking and you have a landline phone, call 911 or your local emergency number immediately. Then, although you'll be unable to effectively deliver back blows to yourself, you can still perform abdominal thrusts to dislodge the item. Place a fist slightly above your navel. Grasp your fist with the other hand and bend over a hard surface — a countertop or chair will do. Shove your fist inward and upward. If the person is obese or pregnant, do high abdominal thrusts: Stand behind the person, wrap your arms them, and position your hands at the base of the breast bone. Quickly pull inward and upward. Repeat until the object is dislodged. 3 Give CPR, if Necessary If the obstruction comes out, but the person is not breathing or if the person becomes unconscious give CPR Choking 25 Index bite, iii, 19, 20 burns, iii, 11 fumes, 7 health, 19, 20 poisoning, iii, 7 pregnant, 23 rabies, iii, 19, 20 Strokes, 7