!Establish Calm and Control

When an emergency happens
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When an emergency happens, having a step-by-step approach to the problems
facing you can help you think clearly and care for the most important problems
first.

1. Take a deep breath. Emergencies can be scary. But the calmer you are, the
   more useful you will be. Being calm will also comfort and help the injured
   person or people around you.
2. Ask yourself: is this place safe? Move the person and yourself away from
   fires, busy streets, or other dangers.
   (If the person might have a neck or back injury, move him carefully so you
   do not move his neck.)
3. Treat the most dangerous problems first. No matter what caused the injury,
   check breathing immediately. It is the most important function needed for
   life. See about difficulty breathing.
4. After breathing, check for bleeding. Heavy bleeding can kill.

   Protect yourself
   ---------------
   Try to keep blood and body fluids off yourself when caring for people who
   are bleeding. Avoid touching with bare hands anything soiled by blood.

    * Wash your hands often. Also flush out any blood that gets in your eyes
      or into a cut in your skin to help prevent you from getting an
      infection.
    * Cover your skin and eyes. Wear glasses and clean gloves if you can.
      Plastic bags worn on your hands work too.

5. When the person is breathing and heavy bleeding is controlled, check the
   whole body for other injuries and broken bones. Start at the head and
   check every part of the body, front and back, down to the toes. Gently ask
   questions, look the person over, and carefully touch the body to see if
   there are hidden injuries that may be hard to see at first. It is common
   to have more than one injury.
6. Try to be as gentle and comforting as you can. Injured people are often
   scared and in pain. When a person calms down, this helps their
   fast-beating heart and fast breathing return to normal.

Check breathing often and make sure bleeding is under control. Also check
blood pressure, if you can. An injured person may seem fine at first and then
suddenly get worse. Regularly re check these important signs until you are
sure the person is OK. Keep talking to an injured person. This will help you
see if they are confused or if their confusion gets worse.
a woman speaking to a man in a crowd while she helps an injured man.
Please keep the people back. I'll try to help him.

The people who gather after an accident should be encouraged to help. Ask
loud, assertive people to clear a space around you and the injured person.
Tell someone to go for medical help and someone else to get supplies like
cloth (for bandages), or blankets. Giving out tasks will keep people calm and
help the urgent tasks get done.

The injured person can also help herself. People can put pressure on their own
wounds to stop bleeding. This can focus the person and allows you to check for
other injuries or to care for other injured people.

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When someone needs help:
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? Ask if the person has         These are signs of
  pain, numbness, or      ==>   sprains, broken ribs or
  difficulty moving.            broken bones. If there
                                is numbness or
                                difficulty moving the
                                lower body or the whole
                                body, there may be a
                                spine injury.
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? Ask or notice if they         The person may be
  are having trouble     ==>    choking if he cannot
  breathing.                    cough or talk.

                                Stabbing pain with
                         ==>    breathing may be a
                                broken rib.

                                Shortness of breath and
                         ==>    wheezing are signs of
                                asthma. Trouble
                                breathing can also be
                                caused by chemical
                                poisoning or drug
                                overdose.
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? Notice if they seem           Many people become
  confused or have trouble      confused after an
  speaking clearly. This  ==>   accident. But unclear
  can help you to assess        speech, losing
  how badly injured they        consciousness, and
  are.                          lasting confusion can be
                                signs of head injury or
                                intoxication from drug
                                or alcohol use.

                                Slurred speech can also
                         ==>    be a sign of stroke. Is
                                one side of their face
                                or body drooping or
                                weak? Hospital treatment
                                within a few hours is
                                needed.

                                Confusion or changes in
                         ==>    consciousness can also
                                be a sign of a diabetic
                                emergency.
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? Look carefully: Is there      Bruising, swelling, and
  bleeding, swelling,    ==>    redness can be signs of
  bruises, redness, or          bleeding inside the
  disfigured body parts?        body. Watch for shock.
  Compare one side of the
  body to the other. For
  example, if one leg
  looks shorter, it may be
  broken.
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? Feel gently along the         If you suspect there may
  head, face, neck, back, ==>   be an injury to the
  front, arms, and legs.        head, neck, or back, see
  Is there pain, numbness,      the "Spine and Neck
  or bones out of place?        Injuries" section before
  If there may be a back        you move the person.
  or neck injury, feel
  every vertebra (the
  knobs of the backbone)
  from the head to the
  space between the
  buttocks.

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from NEW WHERE THERE IS NO DOCTOR ©
Hesperian Health Guides 1919 Addison St Ste 304 Berkeley CA 94704
1.510.845.1447 [email protected]
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