Professional Documents
Culture Documents
3
FIRST AID
by
Linda H. Byers
and
Marilyn Hutchison, M. D.
,.
PREFACE
This is one of a series of man uals prepared by the
included at the end for those interested in additional information on first aid and emergency care.
Other manuals available
Michael G. Zabetakis
Superintendent
National Mine Health and
Safety Academy
-.
CONTENTS
Page
Introduction ............................ 1
Basic procedures for first aid ............ 2
First aid procedures for life threatening con-
ditions ................................. 4
Impaired breathing ................. . .. 5
Circulatory failure. . . . . . . . . . . . . . . . . . . .. 10
Bleeding ............................. 15
24
25
26
27
28
Fractures - dislocations. . . . . . . . . . . . . .. 30
Frostbite ............................. 34
Heart attack ......................... 35
Heat cramps . . . . . . . . . . . . . . . . . . . . . . . . .. 36
Heat exhaustion ...................... 37
Heat stroke. . . . . . . . . . . . . . . . . . . . . . . . . .. 37
Hypothermia (exposure) ............... 38
Insect bites and stings ............... .. 39
40
44
44
45
Skull fracture . . . . . . . . . . . . . . . . . . . . . . . .. 46
Snakebite ............................ 47
Spine fracture or dislocation ......... 48
Sprains ............................ 54
Strains ............................ 54
Stroke ............................... 55
Transportation . . . . . . . . . . . . . . . . . . . . . . . .. 56
Bibliography .......................... 66
.
INTRODUCTION
What should you do if a coworker or family
member is suddenly injured or becomes il? Right
after an accident or ilness occurs and before
safely, and if
IMPAIRED BREATHING
CAUSES
1. Suffocation
2. Gas poisoning
3. Electrical shock
4. Drowning
5. Heart failure
SIGNS/SYMPTOMS
MOVE FAST
Seconds count when a person is not breathing.
Start artificial ventilation at once. Don't take time
to move the victim unless the accident site remains
unsafe.
MOUTH-TO-MOUTH (NOSE)
TECHNIQUE
if
you stil
(Count
5)
(circulatory failure).
DON'T
STOP
sudden strong pressure against the victim's abdomen. This wil force air out ofthe
lungs and may expel the obstruction.
CIRCULATORY FAILURE
CAUSES
1. Heart attack
2. Impaired breathing
3. Shock
4. Electrical shock
SIG NS/SYMPTOMS
1. No breathing
2. No pulse
10
If
Check pulse.
5. CHECK PULSE - After giving four quick
breaths, check the pulse using the carotid artery in
the neck. To find the carotid artery, locate the voice
firmly but gently to feel for the pulse and hold for at
lest 5 seconds. If a pulse is not present, begin
13
CARDIOPULMONARY RESUSCITATION
FOR INFANTS AND SMALL CHILDREN
1. Airway - be careful not to overextend the
BLEEDING
SIG NS/SYMPTOMS
the
hand to depress the chest at mid-sternum and
minute. For small children, use only the heel of
depress the mid-sternum % to 1112 inches, depending on the size of the child. The rates should be 80
to 100 compressions per minute.
pression.
15
(f
@
~
()
~
$
heart.
16
17
SIGNS/SYMPTOMS
1. Shallow breathing
4. Shivering
5. Pale, moist skin
6. Mental confusion
7. Drooping eyelids, dilated pupils
INTERNAL BLEEDING
SIG NS/SYMPTOMS
1. Cold and clammy skin
nothing by mouth
3. Get the victim to professional medical help as
quickly and safely as possible
SHOCK
Shock may accompany any serious inJury:
blood loss, breathing impairment, heart failure,
burns.
Shock can kil - treat as soon as possible and
19
or alcoholic beverages.
7. Always treat for shock in all serious injuries
and watch for it in minor injuries.
injury.
20
21
BURNS- HEAT
FIRST DEGREE
SIG NS/SYMPTOMS
Reddened Skin
Reddened skin.
SECOND DEGREE
SIG NS/SYMPTOMS
Reddened Skin, Blisters
THIRD DEGREE
SIGNS/SYMPTOMS
Skin destroyed, tissues damaged, charring
FIRST AID TREATMENT
1. Cut away loose clothing (do not remove
23
CHEST WOUNDS
BURNS - CHEMICAL
FIRST AID TREATMENT
1. Flood affected area with water for at least 20
minutes until all chemical is removed.
2. Remove victim's clothing because chemical
may be retained in clothing.
~
..
:.
r
1.
!;
: :
25
EPILEPTIC SEIZURE
DIABETIC EMERGENCIES
DIABETIC COMA
SIG NS/SYMPTOMS
1. Loses consciousness
2. Convulsions
SIG NS/SYMPTOMS
1. Skin: red and dry
2. Temperature: lowered
INSULIN SHOCK
SIGNS/SYMPTOMS
1. Skin: pale, moist, clammy and covered with
cold sweat.
2. Breathing: normal or shallow.
3. No odor of acetone
3. Severe spasms of
the
muscles ofthejaw(may
bite tongue)
4. Victim may vomit
quickly.
27
IMPALED OBJECTS
EYE INJURIES
it.
28
29
FRACTURES - DISLOCATIONS
SIGNS/SYMPTOMS
a. Deformity
b. Irregularity
c. Swellng
d. Discoloration
e. Grating sound
f. Exposed bone (open fracture)
g. Pain
..
OPEN FRACTURE (compound): broken
bone with open wound
DISLOCATIONS
SIG NS/SYMPTOMS
a. Deformity
b. Pain
c. Loss of function
30
dislocation.
bony prominences.
31
pressure is reached.
33
FROSTBITE
HEART ATTACK
SIGNS/SYMPTOMS
1. Skin becomes pale or a grayish-yellow color
1. Shortness of breath
2. Anxiety
3. Crushing pain in chest, under breastbone, or
radiating down left arm.
4. Ashen color
5. Possible perspiration and vomiting.
tongue).
parts.
SIGNS/SYMPTOMS
8. Give no stimulants.
35
.
HEAT
CRAMPS
HEAT EXHAUSTION
~
Pale and clammy skin, perspiration.
SIG NS/SYMPTOMS
1. Pale and clammy skin
2. Profuse perspiration
Affects people who work or do strenous exercises in
a hot environment.
SIG NS/SYMPTOMS
1. Painful muscle cramps in legs and abdomen.
2. Faintness
3. Profuse perspiration
HEATSTROKE
muscle
PREVENTION
1. Men at hard work in high temperatures
37
raised.
2. Reduce the high body temperature as quickly
3. Apply cold applications to the body and head.
4. Use ice and fan if available.
5. Watch for signs of shock and treat accord-
ingly
6. Get medical aid as soon as possible.
I
.___
__J
L.~~.
---,,'" -. - - -~
- - ---- ~- ..
..--~."
, ,
""""
I .."" - - - ~ - ~ --~ - )
-....~
~.~
",
Qi
I
..Q..
(from bees, wasps, yellow jackets, hornets, mosqui-
HYPOTHERMIA
( Exposure)
SIG NS/SYMPTOMS
1. Entire body affected
2. Shivering
3. Numbness
4. Low body temperature
5. Drowsiness, mumbling, incoherence
6. Muscular weakness
38
Open wounds
WOUNDS
FIRST AID TREATMENT
OPEN
1. Stop bleeding.
Puncture
Abrasion
:: '\ ""
Do not remove imbedded objects.
Laceration
::t\ ,.
Stabilze object with bulky dressings.
l 3;
Incision
40
41
.
PRINCIPLES OF BANDAGING
4 Impaled Objects .
. a. Do not remove embedde~ o)JJects:
b. Cut clothing away from inJury sit.e.
it
.
4. Loosen bandages immediately if victim
complains of numbness or a tingling sensa-
tion.
5. Once a dressing is in place do not remove. If
blood saturates the dressing, put another on
top of it. 43
POISONS
RIB FRACTURES
SIG NS/SYMPTOMS
PROTRUDING INTESTINES
FIRST AID TREATMENT
1. Do not try to replace intestine.
2. Leave organ on the surface.
3. Cover with non-adherent material (alumi-
tion.
SKULL FRACTURE
SNAKEBITES
( suspected)
SIG NS/SYMPTOMS
1. Unconsciousness
SIG NS/SYMPTOMS
1. Puncture marks
2. Severe burning, pain and spreading swellng
3. Nausea and vomiting
4. Respiratory distress
5. Shock
~ =
4. If
retained.
SIG NS/SYMPTOMS
1. Pain in back or neck
2. Paralysis
3. Deformation
49
sharp.
50
-~.
51
airway.
2. Apply traction to the head, supporting head
in line with the body. The head should be held until
the victim is secured to the splint.
adequate.
cravat bandages.
52
53
SPRAINS
Overstretching of a muscle or tendon
SIG NS/SYMPTOMS
1. Intense pain
2. Moderate swelling
SIG NS/SYMPTOMS
1. Pain on movement.
2. Swellng
STROKE
3. Discoloration
~~
this factor,
STRAINS
brain)
SIG NS/SYMPTOMS
1. Usually unconscious.
2. Face flushed and warm but may sometimes
appear ashen gray.
the body.
TRANSPORTATION
After receiving first aid care, a seriously injured
person often requires transportation from a mine,
to a hospital, to a physician's offce or to his home.
his body,
57
58
59
~
THREE OR FOUR MAN LIFT
CARRY
AND
rollng.
60
if
--
.
Types of stretchers.
Robinson
Stokes
Long board
o
Short board
63
~
IMPROVISED STRETCHERS
A stretcher may be improvised with a blanket,
brattice cloth of similar size, a rope, or a strong
.;;
i.
y.
~
Stretcher Board (with foot rest)
STRETCHER BOARDS
Stretcher boards can be made from a wide board,
65
-BIBLIOGRAPHY
1. The American National Red Cross. Standard
First Aid and Personal Safety. Doubleday &
Company, Inc., New
York, 1st
Ed., 1973,
268
pp.
334 pp.
Linda H. Byers
Mrs. Byers is an instructor with Education and
Training, Mining Enforcement and Safety Administration pf the U.S. Department of the Interior at
Arlington, Virginia and holds a BS degree from
pulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC). v. 227, No.7, Feb.
18, 1974, pp. 833-851.
66
Notes
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