I became interested in health and wellness along time ago
when I was in Girl Scouts. I decided to study for a badge on First Aid. First
aid techniques change over the years and often what we do is really based on
bad information, “old wives tales,” so I decided to check out the Red Cross
website and see what is up to date information.
I remember my mother always said put butter on a burn 1st
degree burn---Do Not Do This. (I read somewhere oils trap the heat in causing
the skin to continue to burn--maybe true.) Sorry Mom, the Mayo Clinic tells us:
For minor burns:
- Cool
the burn to help soothe the pain. Hold the burned area under cool (not
cold) running water for 10 to 15 minutes or until the pain eases. Or apply
a clean towel dampened with cool tap water.
- Remove
rings or other tight items from the burned area. Try to do this quickly
and gently, before the area swells.
- Don't
break small blisters (no bigger than your little fingernail). If blisters
break, gently clean the area with mild soap and water, apply an antibiotic
ointment, and cover it with a nonstick gauze bandage.
- Apply moisturizer or aloe vera lotion or gel, which may provide relief in some cases.
Major burns:
- Until
an emergency unit arrives, take these actions:
- Protect
the burned person from further harm.
- But
don't remove burned clothing stuck to the skin.
- Check
for signs of circulation. Look for breathing, coughing or movement. Begin
CPR if needed.
- Remove
jewelry, belts and other restrictive items, especially from around burned
areas and the neck---burned areas swell rapidly.
- Don't
immerse large severe burns in cold water--doing so could cause a serious
loss of body heat (hypothermia) or a drop in blood pressure and decreased
blood flow (shock).
- Elevate
the burned area. Raise the wound above heart level, if possible.
- Cover the area of the burn. Use a cool, moist, bandage or a clean cloth.
Every home should have a well-stocked first-aid kit.
The Mayo Clinic recommends a basic first-aid kit that
includes:
- Adhesive
tape
- Elastic
wrap bandages
- Bandage
strips and "butterfly" bandages in assorted sizes
- Nonstick
sterile bandages and roller gauze in assorted sizes
- Eye
shield or pad
- Triangular
bandage
- Aluminum
finger split
- Instant
cold packs
- Cotton
balls and cotton-tipped swabs
- Disposable
nonlatex examination gloves, several pairs
- Duct
tape
- Petroleum
jelly or other lubricant
- Plastic
bags, assorted sizes
- Safety
pins in assorted sizes
- Scissors
and tweezers
- Soap
or hand sanitizer
- Antibiotic
ointment
- Antiseptic
solution and towelettes
- Eyewash
solution
- Thermometer
- Turkey
baster or other bulb suction device for flushing wounds
- Breathing
barrier
- Syringe,
medicine cup or spoon
- First-aid manual
The kit should include medications appropriate to your
family such as: Aloe vera gel, Calamine lotion, Anti-diarrhea medication, Laxative,
Antacids, Antihistamine, Pain relievers, Cough and cold medications, and
Auto-injector of epinephrine, if prescribed by your doctor.
An emergency items kit includes: Emergency phone numbers,
contact information for your family doctor, Medical consent forms for each
family member, Medical history forms for each family member, Small, waterproof
flashlight or headlamp and extra batteries, Waterproof matches, Small notepad
and waterproof writing instrument, Emergency space blanket, Cell phone with
solar charger, Sunscreen, Insect repellant,
Whistle. I would include a hat or scarf. Check your
first-aid kits regularly to be sure the flashlight batteries work and to
replace supplies that have expired or been used up.
There are many resources for medical information and advice
including the Internet, magazines, and television. The Red Cross tells us to
seek health and safety recommendations from credible sources and disregard
popular myths. Their website lists some of the most common first aid mistakes
They recommend enrolling in a first aid class to learn how to respond correctly
in an emergency situation.
- Myth: Soothe a burn by applying butter. Reality: If you apply butter or an oily substance to a serious burn, you could make it difficult for a doctor to treat the burn later and increase risk of infection. The right approach: Treat a burn with cool water. If a burn is severe and starts to blister, make sure to see a doctor. Keep the affected area clean and loosely covered with a dry, sterile dressing.
- Myth: If a child swallows a poisonous substance, induce vomiting with syrup of ipecac. Reality: Inducing vomiting is not recommended for certain poisonous substances and may be harmful. The right approach: Never give anything to eat or drink unless directed to by the Poison Control Center or a medical professional. If an accidental poisoning occurs, immediately call the Poison Control Center at (800) 222-1222) or your doctor for advice.
- Myth (bad advice): The best way to treat a bleeding extremity is by applying a tourniquet. Reality: Tourniquets stop the flow of blood, which could cause permanent damage to a limb. They should be used only as a last resort in the case of severe bleeding. The right approach: Pad the wound with layers of sterile gauze or cloth, apply direct pressure and wrap the wound securely. Seek medical help if the bleeding doesn't stop or if the wound is gaping, dirty or caused by an animal bite
- Myth: Apply heat to a sprain, strain or fracture. Reality: Heat actually increases swelling and can keep the injury from healing as quickly as it could. The right approach: Apply ice to reduce swelling for about 20 minutes. Place a thin barrier between the ice and the bare skin.
- Myth: You should move someone injured in a car accident away from the scene. Reality: A person with a spinal-cord injury won't necessarily appear badly injured, but any movement could lead to paralysis or death. The right approach: Move an injured victim only if The scene becomes unsafe (the vehicle is threatened by fire or another serious hazard) or if you have to reach another victim who may have a more serious injury or illness. You need to provide proper care (CPR needs to be performed on a firm, flat surface. Otherwise, it's best to stabilize the victim, and leave the person in place until paramedics arrive.
- Myth: Rub your eye when you get a foreign substance in it. Tears will wash the substance out. Reality: Rubbing could cause a serious scratch or abrasion to the eye. The right approach: Rinse the eye with tap water.
- Myth: Use hot water to thaw a cold extremity. Reality: Avoid any extreme temperature change- hot water can cause further damage. The right approach: Gradually warm the extremity by soaking it in lukewarm water.
- Myth: To reduce a fever, sponge rubbing alcohol on the skin. Reality: Alcohol can be absorbed by the skin, which can cause alcohol poisoning, especially in young children. The right approach: Lower a fever by taking ibuprofen. If a high fever continues for several days, see a physician or go to a hospital emergency room for treatment.
- Myth: Allergic reactions to bee stings can be treated at home. Reality: Delaying professional treatment to a respiratory allergic reaction to a bee sting could be fatal. The right approach: For symptoms such as breathing problems, tight throat or swollen tongue, call an ambulance immediately.
- Myth: If you get a cut or scrape, apply first-aid ointment, cover it with a bandage, and leave it untended to heal for a few days. Reality: Exposure to fresh air is the quickest way to allow wounds to heal, and thus it is generally best not to apply creams or ointments, since they keep the wound moist. Bandages should also be changed to keep the wound clean. The right approach: The first and best thing to do with a wound is wash it with soap and cool water. All dressings should be changed twice a day. At bedtime, the bandage should be replaced with a looser dressing so air can circulate around the wound. Upon waking, a slightly tighter bandage should be applied, but not so tight that it cuts off circulation. Bandages should be changed even if it means pulling off a part of a scab that's forming, experts say. Also, try to keep the wounded area dry.
The Mayo clinic tells us for a broken bone or fractured
bone, where bone has torn through the skin, this requires emergency medical
attention---call for help to come to you. Also call for emergency help if:
- The
person is unresponsive, isn't breathing or isn't moving. Begin CPR if
there's no breathing or heartbeat.
- There
is heavy bleeding.
- Even
gentle pressure or movement causes pain.
- The
limb or joint appears deformed.
- The
bone has pierced the skin.
- The
extremity of the injured arm or leg, such as a toe or finger, is numb or
bluish at the tip.
- You
suspect a bone is broken in the neck, head or back.
- Don't
move the person except if necessary to avoid further injury. Take these
actions immediately while waiting for medical help:
- Stop
any bleeding. Apply pressure to the wound with a sterile bandage, a clean
cloth or a clean piece of clothing.
- Immobilize
the injured area. Don't try to realign the bone or push a bone that's sticking
out back in. If you've been trained in how to splint and professional help
isn't readily available, apply a splint to the area above and below the
fracture sites. Padding the splints can help reduce discomfort.
- Apply ice packs to limit swelling and help relieve pain. Don't apply ice directly to the skin. Wrap the ice in a towel, piece of cloth or some other material.
According to the Mayo Clinic, shock may result from trauma,
heatstroke, blood loss, an allergic reaction, severe infection, poisoning, severe
burns or other causes. A person in shock is not getting enough blood or oxygen
to their organs. This can lead to permanent organ damage or even death if left untreated.
Signs and symptoms of shock vary depending on circumstances and may include:
- Cool,
clammy skin
- Pale
or ashen skin
- Rapid
pulse
- Rapid
breathing
- Nausea
or vomiting
- Enlarged
pupils
- Weakness
or fatigue
- Dizziness
or fainting
- Changes in mental status or behavior, such as anxiousness or agitation
Seek emergency medical care if you suspect a person is in
shock. Then immediately take the following steps:
- Lay
the person down and elevate the legs and feet slightly, unless you think
this may cause pain or further injury.
- Keep
the person still and don't move him or her unless necessary.
- Begin
CPR if the person shows no signs of life, such as breathing, coughing or
movement.
- Loosen
tight clothing and, if needed, cover the person with a blanket to prevent
chilling.
- Don't
let the person eat or drink anything.
- If the person vomits or begins bleeding from the mouth, turn him or her onto a side to prevent choking, unless you suspect a spinal injury.
Now that I have reviewed this basic information, I feel more
prepared. I know what I can do and what I should not do. First Aide is HUGE
topic. A web search shows there are varieties of online first aide courses. My
recommendation would be to contact the Red Cross because first aide is their
primary mission.
http://www.firstaidforfree.com/