FIRST AID
                              

BREATHING

Q. I don’t think he’s breathing. What do I do?
A. 1. See if the victim is conscious. Tap him on the shoulder and ask loudly, "Are you okay?"
     2. Open the airway. Make sure it’s clear. If a person’s mouth is injured, his own blood can choke him.

When a victim is unconscious, the tongue can fall back and block the airway. Get the tongue out of the way by tilting the head. Place the heel of one hand on the victim’s forehead and tilt the head back. Place the other hand beneath the victim’s neck and gently lift.

    3. Find out for sure if the victim is breathing or not. Place your ear to the victim’s mouth and nose. Listen and feel for breath. Look at the chest to see if it’s rising and falling. If he’s not breathing, you should now be ready to perform mouth-to-mouth artificial respiration. Someone who has stopped breathing can die in minutes. Serious brain damage can occur even sooner. Start mouth-to-mouth breathing right away. Don’t wait.

BLEEDING

Q. How can I stop that bleeding?
A. Direct pressure is best. Press the entire area of the open wound with the palm of your hand on some kind of a clean dressing like a thick pad of cloth. The cloth between the hand and the wound will help control the bleeding by absorbing blood and allowing it to clot. Continue direct pressure until the bleeding completely stops, or until the ambulance attendants take over.

Don’t remove the pad if blood soaks through, that would interfere with clotting. Instead, add more thick layers of cloth and continue the direct hand pressure even more firmly.

Unless there is evidence of a broken bone, try to position the victim so the wound is elevated higher than the heart. This uses gravity to reduce blood pressure at the wound and slow the blood loss, but keep the hand pressure on.

If direct pressure and elevation won’t stop severe bleeding of an arm or leg wound, try the pressure point technique. Keep the direct pressure on, too. Don’t use a tourniquet unless the bleeding can’t be controlled by any other means. A tourniquet cuts off all of the blood flow and can mean the loss of a limb.

If you must use a tourniquet (maybe a limb was severed), use a strip of material at least 2 inches wide and place it close to the edge of the wound. Don’t use anything narrow that could cut the skin. Then make note of the time you apply the tourniquet, and tell the ambulance attendants or doctor.

SHOCK

 
Q. How do I check for shock?
A. Any serious injury can throw somebody into shock. And shock can kill even when the injury itself isn’t all that bad.

When somebody goes into shock, several critical body functions, including blood circulation, slow down. Look for these signs:

- Skin may be pale or bluish, or it might be blotchy. On dark-skinned victims, check the fingernails and inside the mouth.
- Pulse will usually be quite rapid, but weak.
- Skin may feel cool and clammy.
- Breathing is fast. Breaths may be shallow, labored or irregular.
- Victim may be restless, anxious, or thrashing about, complaining of severe thirst or nausea.
- Victim might have a vacant expression and an offhand, "so what" attitude.
- Pupils of the eyes may be open wide (dilated).

You don’t have to see all of these signs. When you see some, assume you’ve got a case of shock on your hands. Placing an unconscious victim on his side prevents choking by allowing any fluids to drain from the mouth.

Q. How do I fight shock?
A. Take these steps to improve circulation and oxygen supply. Get the victim to lie down. That’s good for circulation. But don’t move him if you suspect a neck or spine injury.

Wrap him up enough to conserve body heat. You don’t want to warm him up, just keep him from cooling off. Don’t forget blankets underneath, too. If the victim is unconscious and there are no serious injuries, put him on his side so any blood or fluids can drain from the mouth. Take extreme care to keep the airway open. DON’T give fluids. If the person is conscious and there are no serious leg, abdominal, or chest injuries, put him on his back with his feet slightly raised. If you’re in doubt about the injuries, keep him flat.

Q. Is this all I need to know?
A. Not by a long shot. If you really want to come through in an emergency, get some real training. To find out about courses in your area, contact your local Red Cross chapter.

RESCUE

Q. An accident. Somebody’s hurt! Where do I begin?
A. Remember the "first five rules of first aid."

1. Get the victim out of danger. If he’s safe where he is, try to keep him still.
2. Check for breathing. If the victim is not breathing, tilt the head back and give artificial respiration.
3. Check for bleeding. If you find it, stop it.
4. Check for shock. If you see signs, take steps to fight it.
5. Have someone call an ambulance (DIAL 911). If you tend to these five tasks, quickly and carefully, you stand a good chance of saving someone from a life threatening injury.

Q. He’s in danger here. How should I move him?
A. When you move an injured person, you risk making the injury worse. It’s especially dangerous with back and neck injuries.

But sometimes there’s greater risk if you don’t move him. Maybe the victim is lying in the road where he could be hit. Then you move him, but cautiously.

The rule is to avoid as much bending and twisting of the neck, body, and limbs as possible. For example, if you find the victim lying with legs crossed, move him with legs crossed. Broken bones have sharp edges that can cause internal damage if they move around.

If someone is unconscious in the road, you can drag him to safety. Take him by the shoulders (best) or by the ankles (second best); never pull him sideways.

Q. How do I give artificial respiration?
A. 1. Open the airway and keep the head tilted as described above. Pinch the nose shut. Seal your mouth around the victim’ s mouth and blow in four quick, full breaths in rapid succession. Pull your mouth away to inhale between breaths, but don’t hold it away long enough for the air to come back out of the victim’s lungs.

    2. Check to see if the victim does not start breathing, keep giving artificial respiration, one big breath every five seconds. Watch the victim’s chest fall between breaths. If the victim does start breathing, keep the airway open and keep checking. He might stop breathing again.

CARBON MONOXIDE IS THE "SILENT KILLER"
LURKING IN YOUR HOME?

CO poisoning occurs when an internal combustion engine or improperly adjusted fuel-burning appliance is operated in a closed area without fresh air. When a generous supply of fresh air is available and the fuel is burning properly there is little danger of CO poisoning.

RECOGNIZE THE SIGNS OF DANGER

The early stages of CO exposure includes headaches, dizziness, and drowsiness. A conscious victim may look or act intoxicated. Other symptoms include blurred vision, irritability, and an inability to concentrate. Severe cases cause nausea and vomiting, shortness of breath, convulsions, unconsciousness, and eventually death. Considering these symptoms, it is easy to see how readily CO poisoning could strike a sleeping victim. While the best first-aid for CO poisoning is lots of fresh air, long-term exposure can result in brain damage. If the victim is unconscious, place him or her on the side with the head resting on an arm only after moving to an area with fresh air. If the victim is not breathing, begin mouth-to-mouth resuscitation and CPR if necessary. Keep the victim warm and quiet; give nothing to eat or drink. Take a conscious victim immediately to the hospital, even if exposure was minimal and recovery appears complete. 

DEFEND YOURSELF

To protect against CO poisoning, the U.S. Consumer Product Safety Commission offers these suggestions:

- All home fuel-burning equipment should be inspected yearly by an expert to keep it operating efficiently and properly vented.

-Fuel-burning heaters used to warm the house should be vented to the outside. If you must use an unvented heater, be sure to leave a window open at least one inch. Unvented heaters should always be turned off at night.

- Do not use a gas range or oven for heating a room. Never use a charcoal grill or hibachi inside, unless it is in a well-ventilated fireplace. Burning charcoal — whether it’s glowing red or turning to gray ashes — gives off large amounts of carbon monoxide. Never close a fireplace vent until the fire is completely extinguished.

- Internal combustion engines; such as automobiles, boats, lawnmowers, and generators produce lethal amounts of CO. Never run these engines in a closed or confined area; such as indoors, in a garage, or storage shed!

- Inspect chimneys, stove pipes, flues, and connectors to be sure they are clean and in good repair. The home isn’t the only place where the "silent killer" lurks. The inside of a car can be equally deadly. In fact, it is not uncommon to hear about CO leaking into a moving car from the engine exhaust killing the children in the back seat!

- To avoid CO poisoning from automobiles, have your muffler and tail pipes checked.

HEAT DISORDER

SUNBURN

SYMPTOMS: Redness and pain. In severe cases swelling of skin, blisters, fever and/or headaches.
FIRST AID Ointments for mild cases if blisters appear and do not break. If breaking occurs, apply dry sterile dressing. Serious, extensive cases should be seen by physician.

HEAT & LEG CRAMPS

SYMPTOMS: Painful spasms usually in muscles of abdomen possible. Heavy sweating.
FIRST AID Firm pressure on cramping muscles, or gentle massage to relieve spasm. Give sips of water. If nausea occurs, discontinue use.

HEAT EXHAUSTION

SYMPTOMS: Heavy sweating, weakness, skin cold, pale, and clammy. Pulse thready. Normal temperature possible. Fainting and vomiting.
FIRST AID Get victim out of sun. Lay down and loosen clothing. Apply cool, wet cloths. Fan or move victim to air conditioned room. Sips of water. If nausea occurs discontinue use. If vomiting continues seek imediate medical attention.

HEAT STROKE

SYMPTOMS: High body temperature (106 F, or higher). Hot dry skin. Rapid and (or sunstroke) strong pulse. Possible unconsciousness.
FIRST AID HEAT STROKE IS A SEVERE MEDICAL EMERGENCY. SUMMON EMERGENCY MEDICAL ASSISTANCE OR GET THE VICTIM TO HOSPITAL IMMEDIATELY.

DELAY CAN BE FATAL

Move the victim to a cooler environment. Reduce body temperature with cold bath or sponging. Use extreme caution. Remove clothing, use fans, and air conditioners. If temperature rises again, repeat process. Do not give fluids.

Heat Wave Safety Tips

Slow down. Strenuous activities should be reduced, eliminated, or rescheduled to the coolest time of the day; individuals at risk should stay in the coolest available place, not necessarily indoors.

Dress for summer. Lightweight, light-colored clothing reflects heat and sunlight, and helps your body maintain normal temperatures.

Put less fuel on your inner fires. Foods (like Proteins) that increase metabolic heat production also increase water loss.

Drink plenty of water or other non-alcohol fluids. Your body needs water to keep cool. Drink plenty of fluids even if you don’t feel thirsty. Persons who (1) have epilepsy or heart, kidney, or liver disease, (2) are on fluid restrictive diets or (3) have a problem with fluid retention should consult a physician before increasing their consumption of fluids.

Do not drink alcoholic beverages.

Do not take salt tablets unless specified by a physician. Persons on salt restrictive should consult a physician before increasing their salt intake.

Spend more time in air-conditioned places. Air conditioning in homes and other buildings markedly reduces danger from the heat. If you cannot afford an air conditioner, spending some time each day (during hot weather) in an air conditioned environment affords some Protection.

Don’t get too much sun. Sunburn makes the job of heat dissipation that much more difficult.

HEAT EXHAUSTION

• Moist and clammy skin, usually pale
• Pupils dilated
• Normal or subnormal temperature
• Weak, dizzy or faint
• Headache
• No appetite, nausea

HEATSTROKE

• Dry hot skin, usually red
• Pupils constricted
• Very high body temperature
• Coma or near coma
• Pulse strong and rapid

There are two basic kinds of heat exhaustion:

Salt-depletion, in which unacclimatized individuals exert themselves and drink enough water, but do not replace the salt.

Water-depletion, which usually occurs among the elderly or chronically ill who do not drink enough water during extreme heat. This type of heat exhaustion is characterized by extreme anxiety and agitation, intense thirst, headache, weakness, fever, muscular incoordination, and decreased sweating.

Signs and Symptoms

Primary signs and symptoms of heat exhaustion are much like flu symptoms. They can include the following:

• Headache, giddiness, and extreme weakness.
• Nausea and possible vomiting.
• Dizziness and fainting, profuse sweating.
• Loss of appetite, fatigue, diarrhea.
• Collapse and unconsciousness (usually brief).
• Below-normal body temperature or normal body temperature; in occasional cases, body temperature may be slightly elevated.
• Dilated pupils, weak, and rapid pulse.
• Rapid, shallow breathing.
• Pale, cool, sweaty skin, usually ashen gray in color.
• Possible heat cramps or muscular aches.
• Inelastic skin.
• Difficulty in walking.
• Temperature of 105 F, or higher.
• Hot reddish, dry skin; patients who are progressing from heat exhaustion to heat stroke may still have some perspiration on the skin.
• An initially rapid, strong pulse of 160 or more, continuing rapid but becoming weak as damage progresses.
• Initially constricted pupils, later becoming dilated.
• Mental confusion and anxiety; patients may show unusual irritability, aggression, combative agitation, or - in the extreme psychotic or hysterical behavior.
• Initially deep, rapid breathing becomes shallow and weak as damage progresses.
• Headache, dry mouth, shortness of breath.
• Loss of appetite, nausea, or vomiting.
• Increasing dizziness and weakness, decreased blood pressure.
• Convulsions, sudden collapse, and possible unconsciousness; all heatstroke patients have compromised levels of consciousness, ranging from disorientation to coma.
• Tremors. seizure.

Patients: may lapse into a coma, become delirious, and die. About 4,000 Americans die of heatstroke every year.

FIRST AID SUPPLIES

Assemble a first aid kit for your home and one for each car. A first aid kit should include:

Items to include

-Sterile adhesive bandages in assorted sizes
-2-inch sterile gauze pads (4-6)
-4-inch sterile gauze pads (4-6)
-Hypoallergenic adhesive tape
-Triangular bandages (3)
-2-inch sterile roller bandages (3 rolls)
-3-inch sterile roller bandages (3 rolls)
-Splint
-Ice bag, hot water bottle
-Scissors
-Tweezers
-Sewing Needle
-Moistened towelettes
-Antiseptic -Thermometer
-Antibacterial soap
-Tongue blades/depressors (2)
-Cotton swabs
-Tube of petroleum jelly or other lubricant
-Assorted sizes of safety pins
-Cleansing agent/soap
-Latex gloves (2 pair)
-Sunscreen
-Aspirin or non-aspirin pain reliever
-Anti-diarrhea medication
-Antacid (for stomach upset)
-Baking soda
-Syrup of Ipecac (use to induce vomiting if advised by the Poison Control Center)
-Laxative
-Activated charcoal (use if advised by the Poison Control Center)
-Snake bite kit
-Contact the local American Red Cross chapter to obtain a basic first aid manual.

MEDICINES THAT GO ONTO YOU INCLUDE:

-hydrogen peroxide
-antibiotic ointment
-calamine lotion
-betadine
-sun block
-lip balm
-antifungal cream
-ergophine or "drawing salve" which brings splinters to surface
-eye drops
-ear drops
-nose drops
-rubbing alcohol
-prescription medicines

MEDICINE TO GO INTO YOU INCLUDE:

-aspirin or acetominophine
-antacids
-cough medicine
-sore throat lozenges or spray
-laxative
-anti-diarrhea medicine
-allergy medicine
-ipecac syrup
-vitamins

Sanitation

-Toilet paper, towelettes*
-Soap, liquid detergent*
-Feminine supplies*
-Personal hygiene items* : shampoo, deodorant, toothpaste, tooth brushes, comb and brush, lip balm
-Small shovel for digging an expedient latrine
-Plastic garbage bags, ties (for personal sanitation uses)
-Plastic bucket with tight lid
-Disinfectant
-Household chlorine blench

TOOLS AND EMERGENCY SUPPLIES

-Mess kits, or paper cups, plates and plastic utensils*
-Emergency preparedness manual*
-Battery operated radio and extra batteries*
-Flashlights and extra batteries*
-Cash or traveler’s checks, change*
-Non-electric can opener, utility knife*
-Fire extinguisher: small canister, ABC type
-Tube tent
-Pliers
-Tape
-Compass
-Matches in a waterproof container
-Aluminum foil
-Plastic storage containers
-Signal flare
-Paper, pencil
-Needles, thread
-Medicine dropper
-Shut-off wrench, to turn off household gas and water
-Whistle
-Plastic sheeting
-Map of the area (for locating shelters)

SPECIAL ITEMS

• Remember family members who may need special items, such as infants and elderly or disabled persons.

- Babies *

• Formula
• Diapers
• Bottles
• Powdered milk
• Medications

-Adults*

• Heart and high blood pressure medication
• Insulin
• Prescription drugs
• Denture needs
• Contact lenses and supplies
• Extra eyeglasses