Case: Head Injury
In the event of a head injury, it’s crucial to take immediate steps while waiting for professional medical assistance. Here’s what you should do:
1. Assess the Situation:
Safety First: Ensure the area is safe for both you and the injured person. Check Responsiveness: Determine if the person is conscious and alert. Ask questions and observe for any response. Airway: Confirm that the airway is clear. If not, try to clear any obstructions. Breathing: Assess whether the individual is breathing effectively.
2. Positioning:
Recovery Position: If the person is unconscious and their current position may lead to further injury, gently place them in the recovery position. This helps minimize the risk of inhaling fluids or choking.
Head Lowered: If there’s a risk of inhaling water (as in near-drowning situations), keep the person’s head lower than the rest of their body.
3. CPR (Cardiopulmonary Resuscitation):
If the injured person is unresponsive and not breathing, consider performing CPR with chest compressions. Follow these steps: Call for Help: Dial emergency services (such as 9-1-1) and request an ambulance.
Begin Chest Compressions: Place the heel of one hand on the center of the person’s chest (between the nipples). Use your other hand to interlock fingers and position them above the first hand.
Compression Depth: Compress the chest at least 2 inches deep (5 centimeters) at a rate of about 100-120 compressions per minute. Allow Full Chest Recoil: After each compression, allow the chest to fully recoil.
Rescue Breaths: If you’re trained in rescue breathing, provide breaths after every 30 compressions. Maintain a ratio of 30:2 (compressions to breaths).
Case: Heart Attack
If you suspect someone is having a heart attack, follow these steps while waiting for professional medical assistance:
1. Call for Help:
Dial 9-1-1 or the emergency helpline number in your area to request an ambulance.
If you believe a nearby hospital can respond more quickly, consider calling them directly.
2. Assist the Person:
Sit Them Down: Help the person sit down in an upright position, preferably in a lazy W shape. Medication:
If they have a GTN (glyceryl trinitrate) spray, encourage them to use it.
If they’ve been prescribed a 300mg Aspirin, help them chew it.
Monitor Continuously:
Check their breathing, pulse, and consciousness.
Stay with the person until the ambulance arrives.
Remember, acting promptly and seeking professional medical attention is crucial during a heart attack. Stay calm and support the individual while waiting for the ambulance
Case: Major Injury
In the event of a major injury, it’s crucial to take immediate steps while waiting for professional medical assistance. Here’s what you should do:
1. Assess the Situation:
Safety First: Ensure the area is safe for both you and the injured person.
Check Responsiveness: Determine if the person is conscious and alert. Ask questions and observe for any response.
Airway: Confirm that the airway is clear. If not, try to clear any obstructions.
Breathing: Assess whether the individual is breathing effectively.
2. Positioning:
Recovery Position: If the person is unconscious, place them in the recovery position. This helps minimize the risk of inhaling fluids or choking.
Head Lowered: If there’s a risk of inhaling water (as in near-drowning situations), keep the person’s head lower than the rest of their body.
3. Control Bleeding:
Apply pressure to any wounds using a sterile bandage, clean cloth, or clothing to stop bleeding.
4. Immobilize the Injury:
Keep the injured area from moving. Avoid trying to realign the bone or push a bone that’s sticking out back in.
Use broad bandages (where possible) to prevent movement at joints above and below the fracture.
5. Monitor Continuously:
Ensure an ambulance has been called (dial 9-1-1).
Stay with the person until professional help arrives.
Case: Heat Stroke
If you encounter someone suffering from heatstroke, it’s crucial to take immediate steps while waiting for professional medical assistance. Here’s what you should do:
1. Call for Help:
Dial emergency services (such as 9-1-1) immediately if the person’s body temperature is 104°F (40°C) or higher. Even if their temperature is slightly below the fever threshold, call an ambulance, as body temperatures can vary by 1 to 2°F (½ to 1°C)
2. Move the Person to a Cooler Area:
Shade or Air-Conditioned Room: Get the person out of the sun and into the shade or an air-conditioned room.
Remove Unnecessary Clothing: If in an air-conditioned room, remove any unnecessary clothing to help cool them down.
Fan Air Over the Patient: If you don’t have air conditioning, use a fan or fan-like object (such as a notepad) to circulate air around the person.Spray with Cool Water or Use a Damp Sheet:
1. Wet a sheet in the sink and cover the person from neck to toes.
2. Alternatively, use a water bottle to spray cool water on their body.
3. Apply water using a sopping wet sponge or cloth1.
3. Apply Ice Packs:
If available, place ice packs under the patient’s armpits, on the groin, neck, and back.
These areas have blood vessels close to the skin, and applying ice can help cool the body more quickly.
Case: Drug Overdose
If you suspect someone is experiencing a drug overdose, it’s crucial to take immediate steps while waiting for professional medical assistance. Here’s what you should do:
1. Call for Help:
Dial 9-1-1 or the emergency helpline number in your area to request an ambulance.
If you’re alone, put the phone on speaker. Remember, you won’t get in trouble for calling 9-1-1 in a suspected overdose situation.
2. Assess Responsiveness:
Stimulate the Person: Try to wake them up by shouting their name or using pain stimuli (such as a trapezius squeeze or pinching the webbing between their thumb and fingers).
If they don’t respond to sound or pain, it’s a medical emergency.
3. Airway and Ventilation:
Check the Airway: Look for obstructions in their mouth (gum, dentures, syringe caps). Remove any obstructions.
Tilt Their Head Back: This opens their airway.
Provide Rescue Breaths:
1. If you have naloxone, follow the instructions provided in the Take Home Naloxone kit.
2. If you don’t have naloxone or aren’t confident administering it, focus on rescue breaths.
3. Pinch their nose, tilt their head back, and give two breaths. Continue one breath every five seconds until help arrives.
4. Evaluate and Administer Naloxone (if available):
If the person remains unresponsive, continue rescue breathing.
If you have naloxone, prepare the kit. Hold the ampoule, snap it open, and administer it.
Keep providing breaths until first responders arrive.
Case: Fractures
In case of a fracture, it’s crucial to take immediate steps while waiting for professional medical help. Here’s what you should do:
1. Assess the Injury:
Quickly evaluate the seriousness of the injury. Severe pain, trauma from a fall or accident, and limited use of the injured area are indicators of a possible broken bone.
Bones in the arms, legs, fingers, toes, and nose may appear crooked, misshapen, or obviously out of place when broken. If you suspect a break in the head, spine, or pelvis, avoid moving the person without medical training.
2. Call for Emergency Help:
If the injury is severe and you suspect a broken bone, call 9-1-1 for an ambulance.
Even if you’re close to a hospital or emergency clinic, avoid driving the injured person yourself. Let professionals handle it. If the injured person is not breathing or has no pulse, consider administering cardiopulmonary resuscitation (CPR) if you know how, while waiting for the ambulance.
3. Control Bleeding:
Apply pressure to any wounds using a sterile bandage, clean cloth, or clothing to stop bleeding.
4.Immobilize the Injury:
Keep the injured area from moving. Avoid trying to realign the bone or push a bone that’s sticking out back in. Use broad bandages (where possible) to prevent movement at joints above and below the fracture.
5. Watch for Signs of Circulation Loss:
Ensure an ambulance has been called (dial triple zero, 000).
Stay on the line with the dispatcher in case conditions worsen, and follow their instructions234.
Remember, providing immediate first aid is essential, but it’s no substitute for professional medical attention. Stay calm, support the injured person, and wait for the ambulance to arrive.