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Common First Aid Techniques⚓︎

Summary⚓︎

Because I can't say it better than the professionals, the following information comes from an article from VeryWell Health on basic first aid procedures.

ALWAYS CALL 911

Do not be a hero! Always call 911, even if you think it might not be a real emergency. Better safe than sorry.

Common Procedures⚓︎

CPR and AEDs⚓︎

Cardiopulmonary resuscitation, or CPR, is one of the most critical emergency medical procedures. If a person is in cardiac arrest because their heart is not beating, they could die. Performing CPR or using an (AED) could save their life.

AEDs are available in many public areas and businesses. These devices are simplified for use even if you have no training.

What to Do

When you suspect someone is in cardiac arrest, follow these steps:

  • Get someone to call 911.
  • Start chest compressions immediately. Using both hands, push down hard and fast in the center of the chest, allowing the chest to come back up naturally between compressions. Continue until someone with more training has arrived.
  • If trained in CPR, use chest compressions and rescue breathing.
  • Use an AED if available. However, don't delay chest compressions to find the device. If possible, have someone else look for it instead.

Bleeding⚓︎

The color of the blood and how it's leaving the body can give a sense of the extent of the injury:

  • Capillaries: Bleeding from capillaries, which are the smallest blood vessels, looks like a trickle and will usually stop on its own.
  • Veins: A consistent blood flow and blood that's a dark red color is most likely coming from the veins. It can range from mild to severe.
  • Arteries: Arteries are the largest blood vessels and carry oxygen. If they are injured, bright red blood typically spurts out. Blood loss can happen quickly from this type of bleed.

It's important to note that almost all bleeding can be controlled. If severe bleeding continues, it can lead to shock and eventually death.

What to Do

While it is essential to stop bleeding, remember the ABCs of first aid and check for something more serious first.

Then:

  • Wash your hands or put on disposable gloves, if possible. Clean hands and gloves can help protect you from diseases like viral hepatitis and HIV/AIDS.6
  • Rinse the wound with water.
  • Cover the wound with a gauze or cloth (towel, blanket, clothing, whatever's available).
  • Apply direct pressure to stop the blood flow and encourage clotting, as this is when blood naturally thickens to stop blood loss.
  • If possible, elevate the bleeding body part above the heart.
  • Don't remove the cloth if it becomes soaked through, but add more layers if needed. Removing the first layer will interfere with the clotting process and result in more blood loss.
  • Once bleeding has stopped, apply a clean bandage.

Get medical help if:

  • The wound is deep
  • The wound has widely separated sides
  • The injury oozes blood after pressure is applied
  • The injury is from an animal or human bite
  • The injury is a puncture, burn, or electrical injury
  • You suspect arterial bleeding
  • Blood is soaking through bandages
  • Bleeding won't stop

Make sure someone keeps treating the person during the drive to the hospital or while you wait for an ambulance.

Choking⚓︎

Choking due to a blockage in the throat is a dangerous situation that can lead to unconsciousness or even death.

Signs include:

  • Gagging, gasping, or wheezing
  • Inability to talk or make noise
  • Turning blue in the face
  • Grabbing at the throat
  • Waving arms
  • Appearing panicked

The Heimlich maneuver is a series of abdominal thrusts that can help dislodge whatever someone may be choking on. Perform this only if someone is indeed choking.

Before doing anything, ask the person if they are choking. If someone is coughing or talking, they aren't choking. If they are unresponsive or exhibit any of the above signs, proceed with the Heimlich.

Important

Methods are different for babies.

What to Do

To perform the Heimlich maneuver:

  • Stand behind the person and lean them slightly forward.
  • Put your arms around their waist.
  • Clench your fist and place it between their navel and rib cage.
  • Grab your fist with your other hand.
  • Pull the clenched fist sharply backward and upward under the rib cage in 5 quick thrusts. Repeat this until the object is out.

For obese or pregnant women, perform thrusts around the chest instead of the abdomen.

If someone is unconscious:

  • Place them on their back and kneel over them.
  • Place the heel of your hand slightly above the navel.
  • Place your other hand on top of it.
  • Give quick upward thrusts to dislodge the obstruction.

Burns⚓︎

The first step to treating a burn is to stop the burning process. Remove the chemicals, turn off any electricity and cool down any heat with running water. Those with sunburns need to be covered up or go inside.

The severity of a burn is determined by its depth and size:

  • First-degree burn: This affects only the outer layer of skin and causes redness and swelling. It is considered a minor burn.
  • Second-degree burn: This affects two layers of skin and causes blistering, redness, and swelling. It's a significant burn if it's more than three inches wide or is on the face, hands, feet, genitals, buttocks, or over a major joint.
  • Third-degree burn: This affects deeper layers of skin and causes white or blackened skin that may be numb. It is always considered a significant burn.
What to Do

Major burns need emergency medical attention. Call 911 or get someone else to call once the burning process has stopped.

For other burns, take these first aid steps:

  • Flush the burned area with cool running water for several minutes. Do not use ice.11
  • Apply a light gauze bandage. (You may apply an ointment, like aloe vera, before doing so if the burn is minor.)12
  • Take Motrin (ibuprofen) or Tylenol (acetaminophen) for pain relief, if necessary.
  • Do not break any blisters that may have formed.

Blisters⚓︎

Blisters protect the damaged skin underneath while it heals.

Whether or not to treat it, and how so, depends on the qualities of the blister and your overall health.

What to Do

If the blister is small, unbroken, and not very painful, it's best to leave it alone. Cover it to prevent rubbing that could cause it to swell and possibly burst. Popping a blister may let in bacteria that could lead to an infection.

If the blister is large or painful, follow these steps:

  • Wash your hands and sterilize a needle with alcohol.
  • Make small punctures at the edge of the blister.
  • Gently push the fluid out.
  • Apply antibiotic ointment.
  • Put on a bandage.
  • If possible, take steps to protect the area from further rubbing or pressure.

If you have a compromised immune system, you have a greater risk of infection and shouldn't drain a blister on your own. Your healthcare provider may want to drain it to protect you from disease.

If the blister broke open on its own:

  • Gently wash with clean water only.
  • Smooth the flap of broken skin over the newly exposed skin, unless it's dirty, torn, or pus has gathered under it.
  • Apply petroleum jelly.
  • Bandage it.

Change the bandage any time it gets wet. Take it off when you go to bed so the area can air out.

Broken Bone or Fracture⚓︎

Any injury to your limbs, hands, and feet needs to be treated as a broken bone until an X-ray can confirm.

While broken bones or fractures do need medical treatment, they don't all require an emergency trip to the hospital.

What to Do

Call 911 immediately if:

  • The person is bleeding profusely, is unresponsive, not breathing, or has numerous injuries
  • You suspect a fracture or other serious injury to the spinal column, head, hip, pelvis, or thigh. In this case, do not move the person except by trained medical personnel.
  • A broken bone protrudes from the skin, known as an open or compound fracture
  • The area below an injured joint feels cold and clammy or becomes bluish
  • You can't immobilize the injury well enough to transport the person

If these don't apply, use first aid and then go to urgent care or contact your healthcare provider for guidance.

Steps to take:

  • Don't try to straighten the bone.
  • For a limb, use a splint and padding to keep it still and elevate it.
  • Put a cold pack on the injury, with a barrier between it and the skin to prevent tissue damage. If ice is all that's available, put it in a plastic bag and wrap it in a shirt or towel.
  • Give anti-inflammatory drugs like Advil (ibuprofen) or Aleve (naproxen) for pain.

Research has shown that non-steroidal anti-inflammatory drugs (NSAIDs) like Advil (ibuprofen) and Aleve (naproxen sodium) can slow bone healing. However, short-term NSAID use appears to have little or no effect on recovery.

Sprains⚓︎

A sprain is an injury to the ligaments, connective tissues that hold bones, cartilage, and joints together. Sprains are generally caused by twisting a joint, which overstretches or tears these tissues. They commonly occur in the ankle and wrist.

Symptoms of a sprain are similar to those of a broken bone, so an X-ray will likely be used for diagnosis.

What to Do

The first thing to do is make sure the injured person stops any unnecessary activity so they don't worsen the injury.

Sprains often don't require emergency treatment. However, you should get immediate medical care if the injured person has:

  • Severe pain with movement or touch
  • Ongoing inability to bear weight on the injured joint
  • Increased bruising
  • Numbness or pins-and-needles near the sprain
  • Signs of infection
  • Little or no improvement during the first week

If they don't, begin first aid:

  • Keep the limb still.
  • Apply a cold pack.
  • Elevate the injured part if you can do so safely.
  • Use NSAIDs for pain.

See your healthcare provider soon after for further treatment.

Nosebleeds⚓︎

The most significant cause of a nosebleed is digital trauma, better known as picking your nose.

Other causes may include
  • Dry or hot air
  • High altitudes
  • Chemical fumes that irritate the nasal passage
  • Colds and allergies
  • Blowing your nose hard or often
  • Trauma to the nose
  • Deviated septum, which is crooked nasal cartilage
  • Nasal polyps or tumors, which are non-cancerous or cancerous growths in the nasal passage and sinuses
  • Bleeding disorders, including hemophilia and leukemia
  • High blood pressure
  • Pregnancy
  • Frequent use of nasal sprays, decongestants, and antihistamines
  • NSAIDs
  • Blood thinners such as Coumadin (warfarin)
  • Cocaine and other snorted drugs

Many of these things dry out or damage the delicate nasal membranes in your nostrils, causing them to become crusty and burst when irritated.

What to Do

First aid for nosebleeds includes:

  • Lean slightly forward, not back.
  • Pinch the nose just below the bridge, high enough that the nostrils aren't pinched closed.
  • Check after five minutes to see if bleeding has stopped. If not, continue pinching and check after another 10 minutes.
  • You can also apply a cold pack to the bridge of the nose while pinching.

See a healthcare provider if:

  • You get frequent nosebleeds
  • You have anemia symptoms like weakness, faintness, fatigue, and pale skin
  • You're taking blood thinners
  • You have a clotting disorder
  • You just started a new medication
  • You also have unusual bruising

A nosebleed needs emergency medical treatment when:

  • It won't stop even after more than 15 minutes of direct pressure
  • There is a lot of blood loss
  • You have a hard time breathing
  • You've swallowed a lot of blood and vomited it up
  • You've had a severe injury or a blow to the head

Frostbite⚓︎

Frostbite occurs when the body's tissues freeze deeply in the cold. Frostbite is the opposite of a burn, but its damage to your skin is almost identical.

What to Do

Treating frostbite is a delicate procedure of gradually warming the affected area. If at all possible, this should be done by a medical professional.

If that's not possible, or while awaiting an ambulance, you can begin first aid:

  • Get out of the cold.
  • Immerse the affected area in warm water (98 to 105 F) for 20 to 30 minutes.
  • Do not rub the affected area.
  • Do not use dry heat sources, like a heating pad or a fireplace.
  • For fingers and toes, after they're warm, put clean cotton balls between them.
  • Loosely wrap the area with bandages.
  • Use Tylenol (acetaminophen) or Advil (ibuprofen) for pain.
  • Get medical attention as soon as possible.

For small areas of minor frostbite, you can also warm the area with skin-to-skin contact.

Get emergency treatment if the skin is hard and begins turning white.

Bee Stings⚓︎

Bee stings may be painful for some people, but they can also be deadly for those allergic to bee venom.

An allergy can develop at any time, so it's essential to always watch for signs of an allergic reaction after a bee sting. These include:

  • Swelling away from the area that was stung
  • Flushing
  • Hives are raised, large red or skin-colored bumps
  • Itching
  • Signs of anaphylaxis, a life-threatening allergic reaction that can cause hives, swelling, chest pain, confusion, sweating, blue lips and nails, and difficulty breathing
What to Do

Call 911 immediately or get the person to the hospital if any signs of allergy appear.

If the stung person has a known allergy to bee stings, use an EpiPen to prevent anaphylaxis.

In someone without a known bee allergy, watch for signs of an allergy while performing first aid:

  • Get the stinger out any way you can to keep it from injecting more venom. The method doesn't matter. What's most important is completing it quickly.
  • Wash the area with soap and water.
  • Use a cold pack to reduce swelling at the site, but don't apply ice directly to the skin.
  • Use an allergy medication, or antihistamine, like Benadryl to reduce swelling and itching.
  • Use Tylenol (acetaminophen) or Advil (ibuprofen) for pain.

References⚓︎

https://www.verywellhealth.com/basic-first-aid-procedures-1298578