This lesson will briefly discuss basic first aid. We will cover a number of topics and provide an overview of what to do in certain situations. Included will be minor problems, emergency issues, and how to decide when to call 911.
Cuts and Scrapes
For minor cuts and scrapes first remove any debris and rinse the area with water or hydrogen peroxide, if available.
Hold pressure until the bleeding stops. Once the area is clean, apply an antibacterial ointment and a bandage. Try to keep the area clean and dry.
For serious cuts that will not stop bleeding or have arterial bleeding (blood that squirts each time the heart beats) you need to hold pressure and visit the nearest emergency room (ER). If you are alone call 911. Hold pressure firmly and try to elevate the cut above the heart. If you cannot hold pressure firmly enough or can’t reach the injured area, you can use a belt or rope as a tourniquet.
Be careful not to cut off circulation to the area below the cut and only apply enough pressure to stop the bleeding.
Injuries involving foreign objects are fairly easy to care for. Simply remove the object and then follow the same care for a scrape or cut. However, if the object is embedded in the eyes, ears, nose, or stuck in the back of the throat, DO NOT attempt to remove it; then get to the nearest ER.
For minor burns, run the area under cool water, apply an antibacterial ointment, and cover with a bandage. You can also take an over-the-counter pain reliever such as Advil to help with the pain and swelling. If the burn covers a large area or something is melted to the skin, proceed to the ER.
For chemical burns, consult the directions accompanying the product or call a poison control center.
For most insect bites, simply apply hydrocortisone cream to the affected area. You can also take an antihistamine such as Benadryl or Zyrtec to counter the itching and ibuprofen to help with the pain and swelling. For stings you can apply tobacco to the area to help draw out the pain. Be sure to remove the stinger if one is embedded in the skin. If swelling around the face and neck occurs or the patient becomes short of breath, they may be experiencing anaphylaxis.
Anaphylaxis is life threatening and could result in the patient swelling so much that they cannot breathe. We will discuss this in detail later. In this case, bring the injured person to the ER.
If an animal bite is minor and from a pet, and therefore rabies is not suspected, care for it as you would a cut or scrape. However, if it is a cat bite you may want to visit a doctor, as cat bites become infected easily.
If the animal is wild or you suspect rabies, go to the ER for testing and treatment. If the bite is significant and bleeding heavily, hold pressure on the wound and proceed to the ER.
Anytime a chemical or poison is ingested you should call the poison control center. They will instruct you on how to treat the ingestion, and will also call back later to check up on you.
If the injury is just a simple black eye, treat it with a cool compress and pain relievers.
It will be better in a few days. However, if you have severe pain, bleeding on the eyeball itself, trouble with your vision, or something stuck in the eye, you should see the doctor immediately.
If a person who has been hit in the head doesn’t lose consciousness, knows what happened, is aware of where they are, and does not seem ‘off’, you can simply keep an eye on them. Watch the person to be sure they don’t develop problems such as fainting, disorientation, liquid from the nose or ears, or vision problems. If they lose consciousness after the incident or exhibit any of the above symptoms, get to the ER immediately.
Fractures require an ER visit to make sure bones are realigned properly. To reduce pain while en route to the ER, you can splint the bone with a stiff item like a ruler (or a stick if you are in a bind).
You can also use a towel or sheet to make a splint. If a fracture is to the skull, DO NOT press on it and call 911 immediately.
A minor shock can be treated like a minor burn.
However, if someone loses consciousness, isn’t acting normal, or experiences problems with their vision, get them to the ER. In severe cases their heart could stop (at which point you would need to perform CPR). Note that if an electrocuted person is submerged in water, you should NOT attempt to enter the water as you could be electrocuted as well. If this is the case, call 911 immediately.
Frostbite, Hypothermia, and Heat Stroke
If heat stroke is minor and there are no changes in consciousness, you can treat it at home by cooling off the affected person and administering ample water. However, someone experiencing altered consciousness should visit the ER. Similarly, a person experiencing mild hypothermia should be warmed up; however, if they aren’t acting right they need to go to the hospital.
All cases of frostbite should be seen at the ER, as the victim may need medication to restore circulation to the affected area (if circulation is not restored the person may need an amputation).
Chest pain is a sign of a potential heart attack and should be treated as a medical emergency. Additional signs include sweating, pain radiating down the left arm, dizziness, chest heaviness, heartburn-like pain, and shortness of breath. Someone experiencing these symptoms should stop their activity and rest. If they have medication for chest pain, they should take it and then go to the ER.
Signs of anaphylaxis include swelling, turning blue, shortness of breath, and feeling faint or dizzy. Usually this occurs after taking a medication, getting stung by an insect, or eating a certain food. If the patient has an EpiPen, use it and then call 911.
An EpiPen is an auto-injector cartridge that contains epinephrine (the medication used to stop the reaction). To use it, simply engage it and stick it into the thigh. The pen will discharge the correct amount. Don’t try to take the person to the ER yourself. If their airway closes en route to the hospital you will not be able to help them, but the ambulance personnel could.
If a person begins choking, perform the Heimlich maneuver. If nothing happens after a few thrusts, call 911 and check the choking person’s airway. DO NOT do a blind sweep (using fingers inside to mouth to remove the obstruction) to see if you can get anything out, as this may result in the object causing the choking to be pushed farther into the throat.
Only use your fingers if you can clearly see the object and can easily reach it. If the person loses consciousness, begin CPR and wait for the ambulance.
Call 911 immediately if a patient shows any of the following signs of stroke: confusion, weakness or paralysis of one side of the body, an inability to speak, slurred speech, or drooping of one side of the face.
If you suspect spinal trauma DO NOT move the person and call 911 immediately. Signs of spinal trauma include loss of feeling in the extremities, paralysis, loss of control of bodily functions, and severe pain in the neck and back.
If the injured person lacks a pulse and CPR is required, DO NOT adjust the head to open the airway.
This is just a brief overview of basic first aid. Minor cuts, scrapes, burns, and other minor injuries can usually be handled at home.
However, chest pain, stroke, and spinal trauma should always be treated as emergencies, as should major cuts, burns, anaphylaxis, and choking cases that don’t respond to the Heimlich maneuver. If any of these occur, call 911 immediately.Medical Disclaimer: The information on this site is for your information only and is not a substitute for professional medical advice.