FIRST-AID LEAFLET
SITUATIONS – PROCEDURES
Industrial Medicine Division
Central
Labour Institute
Directorate General Factory
Advice Service & Labour Institutes Ministry of Labour & Employment, Government of
India
Sion,
Mumbai 400 022, INDIA
Telephone: 0091 – 22 – 24092203
Fax: 0091 – 22 – 24071986
E-mail: imd@dgfasli.nic.in Website: www.dgfasli.nic.in
CONTENTS
FIRST AID
ARTIFICIAL RESPIRATION
CONTROL OF BLEEDING
FRACTURES
BURNS
SHOCK
WOUNDS
EYE INJURIES
ABDOMINAL WOUNDS
BACKBONE FRACTURE
HEAT STROKE
BLEEDING NOSE
FOREIGN BODY IN THE NOSE
BLEEDING EAR
FOREIGN BODY IN THE EAR
SNAKE BITE
DOG BITE
INSECT BITE
CHEMICAL BURNS
SUFFOCATION
ELECTRIC SHOCK
UNCONSCIOUSNESS
POISONING
FIRST - AID
First-aid is the immediate care given to the victim of an accident or sudden illness before the arrival of a qualified expert. The purpose of First-aid is to preserve life, assist recovery, prevent aggravation and minimize complications at a later date with the help of such material as may be available.
ARTIFICIAL RESPIRATION
·
Mouth to Mouth: This is
appropriate and effective technique for emergency artificial respiration.
·
Keep the head slightly
backward and open the jaw.
·
Seal the casualty’s nose
to prevent escape of air by pinching with thumb and index finger.
·
Take a deep breath, open
your mouth widely, place it over the victim’s mouth and make a tight seal.
·
Quickly blow the full
breath into the mouth of victim.
·
Remove your mouth from the
victim and allow him to exhale passively.
·
Repeat the procedure 12 to
15 times per minute, till medical aid is arranged.
·
Arrange immediate medical
aid.
CAUTIONARY NOTE
·
Do not give mouth to mouth
resuscitation during CPR in the presence of toxins such as cyanide, hydrogen
sulphide, corrosives and organo-phosphates.
Ventilate the casualty by using a face mask or bag/valve/mask assembly.
·
Avoid mouth to mouth
resuscitation if there is possibility of transmission of infection between the
victim and the rescuer, such as HIV, Hepatitis-B, Tuberculosis, Shigellosis,
Meningococcal meningitis, Herpes simplex virus and Salmonella. Use an interpositional airway device which
must function effectively in both its resuscitation and protective roles, and
be immediately available at all times.
CONTROL OF BLEEDING
·
Apply
direct pressure by thumb or finger.
·
Apply
dressing – gauze pad and bandage.
·
Apply
indirect pressure on pressure points.
·
Apply
tourniquet.
·
Remove
the injured to the hospital.
FRACTURES
Signs of Fracture : Pain,
Tenderness, Swelling,
Loss of Power,
Deformity
·
Do not move the injured
unless the life is endangered from other causes.
·
Deal with the haemorrhage
and breathing difficulties. Immobilise
the fracture by using suitable splints.
·
Immobilisation should
include one joint above and one joint below the fracture.
·
Remove the injured to the
hospital.
BURNS
·
Pour running cold water on
the affected part.
·
Do not apply ointments or
oils or any other substance.
·
Cover the wound with
sterilized cloth.
·
Give artificial
respiration, if needed.
·
Prevent shock.
·
Arrange immediate medical
aid.
SHOCK
·
Lay the
patient on his back.
·
Stop
bleeding, if any.
·
Relieve
pain by supporting the injured part.
·
Keep the
patient comfortable.
·
Do not
cause sweating.
·
Fluids may be given by
mouth in small amounts, if the patient is conscious.
·
Reassure the patient.
·
Arrange immediate medical
aid.
WOUNDS
·
Stop the
bleeding, if any.
·
Avoid
touching the wounds.
·
Cover the
wound with sterilized cloth.
·
Arrange
immediate medical aid.
EYE INJURIES
·
Removal of foreign body
should not be attempted.
·
Do not
apply oil or ointment.
·
Apply
sterile pad and loose bandage.
·
Send the
patient to the hospital.
ABDOMINAL WOUNDS
·
No time should be lost in
sending the patient to the hospital.
·
Keep the
patient flat on his back.
·
Give
nothing by mouth.
·
Maintain
warmth.
·
If intestines protrude
from the wound, do not attempt to touch or replace them.
·
Apply sterile dressing and
binder on the wound.
·
Provide immediate
transportation to the hospital.
BACKBONE FRACTURE
·
Fracture of backbone may
lead to paralysis of limbs. Hence, victim
should be handled with great care.
·
Transport on a rigid
frame, which may be improvised by using available board.
·
The rigid frame is to be
placed on a stretcher for transportation.
·
Immediate hospitalization
is needed.
HEAT STROKE
·
Make the patient lie down.
·
Remove all clothings
except the underwear.
·
Keep the patient under the
fan.
·
Pour cold water on the
body repeatedly.
·
Wash the head thoroughly
with cold water and dry it with towel.
·
Record body temperature
falls up to 38ºC stop pouring water.
·
Give plenty of cold water
with a pinch of common salt in each glass of water to drink.
·
Send the patient to the
hospital.
BLEEDING NOSE
·
Make the patient sit on a
Chair with head downward.
·
Pinch the nose with
fingers and thumb.
·
Apply ice or cold
compression.
·
Do not plug the nostrils.
·
Do not put water or any
medicine through the nostrils.
·
Send for medical aid
immediately.
FOREIGN BODY IN THE NOSE
- Do not try to remove the solid object.
- Ask the patient to breathe through mouth.
- Send the patient to the hospital.
BLEADING EAR
·
Lay the patient with the
head slightly raised.
·
Incline the head to the
affected side and apply a dry dressing over the ear with loose bandage.
·
Do not
plug the ear.
·
Apply
pressure in front of the ear.
·
Send for
medical aid immediately.
FOREIGN BODY IN THE EAR
·
Solid – Do not try to
remove, scratch or probe it.
·
Insects – Put a few drops
of water in the ear and turn the head so that affected ear points upwards.
·
Keep the head in that
position for 5 minutes, then turn the head downwards so that the water flows
out.
·
Arrange immediate medical
aid.
SNAKE BITE
·
Reassure
the patient
·
Do not
allow the person to run or walk
·
Apply a ligature above the
wound (in between the heart and the wound) if the bite is in the leg or hand.
·
Wash the wound with
potassium permanganate solution or with soap and water.
·
Allow
free bleeding.
·
Never
suck the blood from the wound.
·
Treat for
shock.
·
Arrange immediate
hospitalization, by transporting the patient in a lying down position.
OG BITE
·
Clean the
wound immediately with water.
·
Then wash
with antiseptic soap and water.
·
Do not
try to stop bleeding.
·
Do not
cover the wound.
·
Send the
patient to hospital for treatment.
INSECT BITE
·
The sting
bite should be pulled out.
·
Apply
cold compression.
·
Apply vinegar
diluted with water.
·
Soda-bicarbonate paste
should be applied at the site.
·
Prevent
shock.
·
Send for
medial aid immediately.
CHEMICAL BURNS OF THE EYES
·
Immediate
washing of the eye with clean water at least for fifteen minute or longer.
·
Apply
sterile dressing over the eye.
·
Neutralising
agents or ointments should not be used.
·
Send the
patient to the hospital.
SUFFOCATION
·
Remove
the patient from the source
·
Clean the
airways.
·
Restore
breathing by artificial respiration.
·
Send the
patient to the hospital.
ELECTRIC SHOCK / INJURIES
·
Do not touch the casualty
while he is still in contact with electricity.
·
Switch off the current at
once.
·
Do not attempt first aid
until the contact has been broken.
·
Make the air passage clear
and clean.
·
Restore breathing
Artificial respiration and external cardiac massage, if needed.
·
Call for immediate medical
aid.
·
Send the patient to the
hospital.
UNCONSCIOUSNESS
·
Make the patient lie down
on his belly with head turned to one side.
·
Check breathing and pulse.
·
Loosen tight clothings.
·
Clean the air-way.
·
Give artificial
respiration and external Cardiac Massage, if needed.
·
Transport the patient to
the hospital.
POISONING
·
Find the nature of the
poison
·
Give universal antidote
mixture as given below to drink:
Charcoal
powder - 2 table spoons
Coffee
powder - 2 table spoons
Chalk
powder - 1 table spoon
Add it to a glass of warm water and mix well.
·
Send the patient
immediately to the hospital.
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