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At any moment, you or someone around you could experience an injury or illness.
Using basic first aid, you may be able to stop a minor mishap from getting worse. In
the case of a serious medical emergency, you may even save a life.
That’s why it’s so important to learn basic first aid skills. To build on the information
you learn here, considering taking a first aid course. Many organizations offer first aid
training, including the American Red Cross and St. John Ambulance.
In some cases, first aid consists of the initial support provided to someone in the
middle of a medical emergency. This support might help them survive until
professional help arrives.
In other cases, first aid consists of the care provided to someone with a minor injury.
For example, first aid is often all that’s needed to treat minor burns, cuts, and insect
stings.
3 steps for emergency situations
If you encounter an emergency situation, follow these three basic steps:
Look for anything that might be dangerous, like signs of fire, falling debris, or violent
people. If your safety is at risk, remove yourself from the area and call for help.
If the scene is safe, assess the condition of the sick or injured person. Don’t move
them unless you must do so to protect them from danger.
If you suspect the sick or injured person needs emergency medical care, tell a nearby
person to call 911 or the local number for emergency medical services. If you’re
alone, make the call yourself.
3. Provide care
If you can do so safely, remain with the sick or injured person until professional help
arrives. Cover them with a warm blanket, comfort them, and try to keep them calm. If
you have basic first aid skills, try to treat any potentially life-threatening injuries they
have.
Remove yourself from danger if at any point in the situation you think your safety
might be at risk.
First aid bandage
In many cases, you can use an adhesive bandage to cover minor cuts, scrapes, or
burns. To cover and protect larger wounds, you might need to apply a clean gauze
pad or roller bandage.
To check the circulation in a bandaged limb, pinch one of the person’s fingernails or
toenails until the color drains from the nail. If color doesn’t return within two seconds
of letting go, the bandage is too tight and needs to be adjusted.
Over-the-counter pain relievers can help relieve pain. Applying lidocaine or an aloe
vera gel or cream can also reduce discomfort from minor burns.
To help prevent infection, apply an antibiotic ointment and loosely cover the burn
with clean gauze. Find out when you should contact a doctor for follow-up care.
Even if you don’t have formal training, you can use hands-only CPR to help keep
someone alive until professional help arrives.
1. Place both hands on the center of their chest, with one hand on top of the other.
2. Press straight down to compress their chest repeatedly, at a rate of about 100 to 120
compressions per minute.
3. Compressing the chest to the beat of “Staying Alive” by the Bee Gees or “Crazy in
Love” by Beyoncé can help you count at the correct rate.
4. Continue performing chest compressions until professional help arrives.
Learn how to treat an infant or child with CPR and how to combine chest
compressions with rescue breathing.
First aid for bee sting
For some people, a bee sting is a medical emergency. If a person is having an allergic
reaction to a bee sting, call 911. If they have an epinephrine auto-injector (like an
EpiPen), help them find and use it. Encourage them to remain calm until help arrives.
Someone who’s stung by a bee and showing no signs of an allergic reaction can
usually be treated without professional help.
If the stinger is still stuck under the skin, gently scrape a credit card or other flat
object across their skin to remove it. Then wash the area with soap and water and
apply a cool compress for up to 10 minutes at a time to reduce pain and swelling.
To treat itching or pain from the sting, consider applying calamine lotion or a paste
of baking soda and water to the area several times a day.
Get the information you need to recognize and treat other types of stings and bites.
If you have nitrile of vinyl gloves, you can press or pinch their nostril closed for them.
If the nosebleed continues for 20 minutes or longer, seek emergency medical care.
The person should also receive follow-up care if an injury caused the nosebleed.
Call 911 if they develop signs or symptoms of heatstroke, including any of the
following:
nausea or vomiting
mental confusion
fainting
seizures
a fever of 104°F (40°C) or greater
If they’re not vomiting or unconscious, encourage them to sip cool water or a sports
drink. Take a moment now to learn about other strategies to help someone with heat
exhaustion or heatstroke recover.
If they have difficulty breathing, loosen any clothing around their chest and neck.
Start CPR if they lose consciousness.
If you have a baby, you might need to replace or supplement some of the products in a
standard first aid kit with infant-appropriate alternatives. For example, your kit should
include an infant thermometer and infant acetaminophen or ibuprofen.
It’s also important to store the kit in a place where your baby can’t reach it.
Ask your pediatrician or family doctor for more information about infant-friendly first
aid.
You can buy preassembled first aid kits from many first aid organizations,
pharmacies, or outdoor recreation stores. Alternatively, you can create your own first
aid kit using products purchased from a pharmacy.
It’s also smart to include a list of your healthcare providers, emergency contact
numbers, and prescribed medications in your first aid kits.
Outlook
It’s important to protect yourself from contagious illnesses and other hazards when
providing first aid. To help protect yourself:
Always check for hazards that could put your safety at risk before approaching a
sick or injured person.
Avoid direct contact with blood, vomit, and other bodily fluids.
Wear protective equipment, such as nitrile or vinyl gloves when treating someone
with an open wound or a breathing barrier when performing rescue breathing.
Wash your hands with soap and water immediately after providing first aid care.
In many cases, basic first aid can help stop a minor situation from getting worse. In
the case of a medical emergency, first aid might even save a life. If someone has a
serious injury or illness, they should receive follow-up care from a medical
professional.
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This quick primer on common basic first aid procedures can help get you through a minor crisis,
at least until the paramedics arrive or you can get to medical treatment. These tips are based on
the 2010 first aid proceduresrecommended by the American Heart Association and American
Red Cross. They are not a substitute for proper first aid training but can be an introduction to
what you can do.
Cardiopulmonary resuscitation (CPR) is the most important medical procedure of all. If a person
is in cardiac arrest (the heart is no longer pumping blood) and CPR is not performed, that person
will die. On the other hand, performing CPR or using an automated external defibrillator (AED)
could save a life.
You can start by reviewing the basics of CPR. The procedure has changed in the past few years,
so it is best to take a CPR class at a medical center, community college, Red Cross, or fire
department. There is no substitute for a hands-on class.
AEDs are available in many public areas and businesses. These devices are simplified for use
even if you have never been trained. CPR training will include familiarization with AED use.
According to the American Heart Association and American Red Cross 2010 guidelines, the
steps to take when a cardiac arrest is suspected are:
Command someone to call 911 or the medical alert system for the locale.
Immediately start chest compressions regardless of your training. Compress hard and fast
in the center of the chest, allowing recoil between compressions. Hand this task over to
those who are trained if and when they arrive.
If you are trained, use chest compressions and rescue breathing.
An AED should be applied and used. But it is essential not to delay chest compressions,
so finding one should be commanded to someone else while you are doing chest
compressions.
Regardless of how severe, almost all bleeding can be controlled. Mild bleeding will usually stop
on its own. If severe bleeding is not controlled, it may lead to shock and eventually death.
There are steps to take if you are faced with bleeding right now.
Cover the wound with a gauze or a cloth and apply direct pressure to stop the blood flow.
Don't remove the cloth. Add more layers if needed. The cloth will help clots form to stop
the flow.
In most cases, applying a tourniquet may do more damage to the limb than good. The
2010 American Heart Association guidelines also discount the value of elevation and
using pressure points.
The first step to treating a burn is to stop the burning process. Chemicals need to be cleaned off.
Electricity needs to be turned off. Heat needs to be cooled down with running water. Sunburn
victims need to be covered up or go inside. No matter what caused the burns or how bad they
are, stopping the burn comes before treating the burn.
The severity of a burn is based on depth and size. For serious burns, you might need to see a
doctor or call 911. Take these first aid steps:
Flush the burned area with cool running water for several minutes. Do not use ice.
Apply a light gauze bandage.
Do not apply ointments, butter, or oily remedies to the burn.
Take ibuprofen or acetaminophen for pain relief if necessary.
Do not break any blisters that may have formed.
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Whether or not a blister needs any treatment is debatable. If the blister is small, unbroken and not
very painful, it is probably best to leave it alone. Cover it to prevent continued rubbing and
pressure on it that can cause it to swell more and possibly burst on its own.
If the blister is large or painful – especially if the activity isn’t finished (such as you are in the
middle of a hike) – follow steps to drain and dress a blister. Use a sterilized needle and make
small punctures at the edge of the blister and express the fluid. Then apply antibiotic ointment
and cover it to protect it from further rubbing and pressure.
All extremity injuries need to be treated as broken bones (fractures) until an X-ray can be
obtained.
There are all kinds of broken bone myths, such as not being able to walk on a broken leg or
whether there's a difference between a fracture and a break. If you don't have Superman's X-ray
eyes, treat it like it's broken. Take these steps for a suspected fracture:
The symptoms of a sprain are almost exactly the same as that of a broken bone. When in doubt,
first aid for sprains should be the same as broken bones. Immobilize the limb, apply a cold pack,
elevate it, and take anti-inflammatory drugs. See your doctor for further diagnosis and treatment.
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Most of us have had a bloody nose at some time in our lives. It simply means bleeding from the
inside of the nose due to trauma. The biggest cause of a nosebleed is digital trauma – otherwise
known as picking it.
Frostbite occurs when the body's tissues freeze deeply in the cold. Ice crystals that form in the
tissues cause damage to the cells. This is the opposite of a burn, but it does almost identical
damage to the skin.
Treating frostbite is a delicate procedure of gradual warming. If at all possible, this should be
done by professionals at a medical facility. First, get out of the cold. Small areas of minor
frostbite may be rewarmed by skin-to-skin contact, but avoid using any heat sources or hot
packs.
If you can't make it to a medical facility, use immersion of the affected area in warm water (98 to
105 F) for 20 to 30 minutes to rewarm it. Do not rub the affected area or use heat sources.
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Bee stings are either annoyingly painful or deadly, depending on if the victim is allergic to the
venom. Use these bee sting first aid tips:
Get the stinger out any way you can to prevent more venom being delivered. It's a myth
that any particular way is better or worse.
If the person is known to be allergic to bee stings, use an EpiPen to prevent anaphylaxis
or call 911 if none is available.
Use a cold pack to reduce swelling at the site, but take care not to cause frostbite.
Use an antihistamine like Benadryl (diphenhydramine) to reduce swelling and itching.
Try ibuprofen or Tylenol (acetaminophen) for pain.
Monitor the person who was stung by signs of anaphylaxis, including hives, redness or
itching in other areas of the body, and shortness of breath.
The problem with jellyfish is that they sneak up on their victims. Swimmers are cruising along in
the ocean one minute, and feeling the sting of the jellyfish the next. Takes these first aid steps for
jellyfish stings.
Rinse the area of the sting generously with vinegar for at least 30 seconds. If you don't
have vinegar available, use a baking soda slurry instead.
Immerse the affected area in hot water, as hot as the person can tolerate, for at least 20
minutes or until the pain goes away. If hot water isn't available, use dry hot packs. If
those aren't available, use dry cold packs. Other methods to relieve pain are less effective
(such as urine, fresh water wash, papain or meat tenderizer).
Do not use a pressure bandage.
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