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Lesson 69 Performing Common First Aid Procedures

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<strong>69</strong><br />

What You’ll Learn<br />

1. Describe the contents of first<br />

aid kits and where they should<br />

be kept. (p. 709)<br />

2. Distinguish between actual<br />

and implied consent. (p. 710)<br />

3. Explain how to follow<br />

universal precautions. (p. 711)<br />

4. Explain first aid procedures for<br />

sudden illnesses and burns.<br />

(pp. 712–715)<br />

5. Explain first aid procedures for<br />

injuries to muscles, bones, and<br />

joints. (p. 716)<br />

6. Describe first aid procedures<br />

for cold temperature-related<br />

and heat-related illnesses.<br />

(p. 718)<br />

Why It’s Important<br />

When you know first aid<br />

procedures, you can respond<br />

quickly to a situation that calls for<br />

first aid. You will not panic if<br />

someone is injured or ill.<br />

k Key Terms<br />

• first aid<br />

• actual consent<br />

• implied consent<br />

• universal precautions<br />

• burn<br />

• splint<br />

• fracture<br />

• dislocation<br />

• hypothermia<br />

• heatstroke<br />

708 UNIT 11 • Injury Prevention and Personal Safety<br />

Amy Wiley/Wales/Index Stock Imagery<br />

<strong>Performing</strong> <strong>Common</strong><br />

<strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong><br />

• I will be skilled in common first aid procedures.<br />

An emergency exists whenever a person is injured or experiences<br />

sudden illness. The person needs immediate care. <strong>First</strong> aid is the<br />

immediate and temporary care given to a person who has been<br />

injured or suddenly becomes ill. This lesson explains how to respond to<br />

common situations that call for first aid.<br />

Writing About <strong>First</strong> <strong>Aid</strong> Suppose you and a friend are hiking at<br />

a state park. Your friend suddenly falls and hits her knee against a rock.<br />

She is unable to move and complains of having terrible pain. After<br />

reading the information about first aid in this lesson, write a short<br />

paragraph in your health journal explaining how you would respond<br />

to this situation.<br />

Health TEKS covered by <strong>Lesson</strong> <strong>69</strong>: 1A, 1I, 2B, 2C, 2D, 5D, 7F, 12A, 15A, 15C,<br />

16A


It is important to keep first aid kits at home and in the family<br />

car. Carry a first aid kit when you participate in outdoor<br />

activities, such as camping and hiking. When you are away from<br />

home, ask where first aid kits are kept. You can purchase a first aid kit<br />

from a drugstore or the local chapter of the American Red Cross.<br />

What to Know About<br />

<strong>First</strong> <strong>Aid</strong> Kits<br />

Purchasing kits You also can purchase<br />

items and assemble a first aid kit<br />

yourself. In the kit, keep items needed<br />

to follow universal precautions, which<br />

are discussed on page 711. Add any<br />

special medicines you or family members<br />

need. Check the first aid kit<br />

often for items with expiration dates<br />

that have expired. Be certain that<br />

flashlight batteries work.<br />

Kit items Many items are essential in<br />

a first aid kit. A cold pack is necessary<br />

to aid in reducing swelling of an<br />

injured body part. Activated charcoal<br />

is used to absorb toxins in case of<br />

ingestion of a poisonous substance.<br />

Keep antiseptic ointment and antiseptic<br />

hand cleaner on hand to kill germs<br />

on the skin. Wounds should be covered<br />

with adhesive bandages. Gauze pads<br />

and a roller bandage or<br />

adhesive tape also are used for<br />

covering open wounds. Scissors are<br />

used to cut the gauze. Triangular<br />

bandages are used for wrapping covered<br />

wounds as well as giving support<br />

to or immobilizing an arm.<br />

Other useful items in a first aid kit<br />

include plastic bags and disposable<br />

gloves to protect against infection<br />

when exposed to bodily fluids from a<br />

victim. A small flashlight and extra<br />

batteries are necessary to provide<br />

light in case you are working to assist<br />

a victim in the dark. Also included in<br />

the first aid kit should be tweezers,<br />

which are used to remove splinters or<br />

other foreign objects from the skin. A<br />

blanket is included to help keep the<br />

body warm and prevent loss of body<br />

temperature.<br />

Make the<br />

Connection<br />

Health Information<br />

For more information<br />

on accessing valid<br />

health information,<br />

products, and services,<br />

see page 17 in<br />

<strong>Lesson</strong> 2.<br />

A first aid kit<br />

contains many<br />

essential items.<br />

tx.healthmh.com/first_aid_kits LESSON <strong>69</strong> • <strong>Performing</strong> <strong>Common</strong> <strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong> 709<br />

(tt)Photodisc/Getty ImagesPhotodisc/Getty Images, David Crow, Photodisc/Getty Images, (b)Matt Meadows


Knowing first aid can<br />

assist you in helping<br />

someone who is injured.<br />

710 UNIT 11 • Injury Prevention and Personal Safety<br />

(tt)Photodisc/Getty Images, (b)John Evans<br />

You must have consent to give first aid. Consent means permission. There are two types<br />

of consent: actual and implied. There also are laws that protect people who give first<br />

aid in good faith.<br />

What to Know About Consent to<br />

Give <strong>First</strong> <strong>Aid</strong><br />

Actual consent Oral or written permission<br />

from a mentally competent<br />

adult to give first aid is called actual<br />

consent. Tell the victim who you are,<br />

what you plan to do, and the first aid<br />

training that you have had. If the<br />

person gives you permission, this is<br />

actual consent.<br />

A parent or guardian must give<br />

actual consent if the victim is a child<br />

or is not mentally competent. A supervising<br />

adult with legal permission<br />

from parents to care for the child also<br />

can give actual consent. Do not give<br />

first aid if the victim is a child or is not<br />

mentally competent when a parent or<br />

guardian or supervising adult with<br />

legal permission to care for the child<br />

says “no.”<br />

Implied consent Assuming the victim<br />

would grant permission to give<br />

first aid if he or she was capable is<br />

implied consent. Implied consent<br />

is given when the victim is a mentally<br />

competent adult who is unconscious;<br />

or a child or an adult who is<br />

not mentally competent, when no<br />

adult who can grant actual consent<br />

is present.<br />

Good Samaritan Laws<br />

Many states have Good Samaritan<br />

laws, which are laws that protect<br />

people who give first aid in good faith<br />

and without gross negligence or misconduct.<br />

Good Samaritan laws cannot<br />

provide complete legal protection.<br />

Anyone giving first aid should be<br />

properly trained and should apply<br />

the correct procedures and skills.


You must protect your health when giving first aid to another person.<br />

A victim’s bodily fluids might contain harmful pathogens. For<br />

example, blood and certain other bodily fluids might contain<br />

HIV or HBV. HIV is found in blood, semen, vaginal secretions, and urine. A<br />

person who is infected with HIV might develop AIDS. HBV also is found in<br />

blood. A person who is infected with HBV might develop hepatitis B. You still can<br />

help a victim without putting yourself at risk of infection with these pathogens.<br />

What to Know About Universal<br />

Precautions<br />

Universal precautions Follow universal<br />

precautions in any situation in<br />

which you might have contact with<br />

blood and other bodily fluids. Universal<br />

precautions are steps taken<br />

to prevent the spread of disease by<br />

treating all human blood and bodily<br />

fluids as if they contained HIV, HBV,<br />

and other pathogens when providing<br />

first aid or health care.<br />

TABLE <strong>69</strong>.1 Universal Precautions<br />

Precaution and Explanation<br />

Wear disposable latex gloves. Your hands and fingers may have tiny cuts or openings you cannot see.<br />

Pathogens in a victim’s blood or other bodily fluids may enter your bloodstream through these tiny cuts or<br />

openings. Latex gloves are made of a special rubber through which many pathogens cannot pass under normal<br />

conditions. Do not wear the same gloves more than once. Cover any cuts, scrapes, or rashes on your body with a<br />

plastic wrap or sterile dressing. Avoid touching objects that have had contact with the victim’s blood.<br />

Wash your hands. Use waterless, antiseptic hand cleanser after removing gloves. This provides extra<br />

protection. Do not eat or drink anything while giving first aid. Wash hands after giving first aid and before<br />

eating or drinking. This will prevent pathogens from entering your body. Do not touch your mouth, eyes, or<br />

nose while caring for a victim.<br />

Use a face mask. Use a face mask or a shield with a one-way valve when performing first aid for<br />

breathing emergencies. You may have tiny cuts or openings in your lips or mouth. There may be blood in the<br />

saliva or vomit in the victim’s mouth. The victim may be bleeding from the mouth or nose. The face mask<br />

protects you from the victim’s blood. Follow the instructions provided with the face mask. Do not use the<br />

face mask to give first aid to more than one victim without sterilizing it.<br />

tx.healthmh.com/universal_precautions LESSON <strong>69</strong> • <strong>Performing</strong> <strong>Common</strong> <strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong> 711<br />

(tt)Morton & White Photographic, Photodisc/Getty Images, Aaron Haupt, (t)Photodisc/Getty Images, (c)Matt Meadows, (b)Aaron Haupt


Mini-Review<br />

1. When should first<br />

aid be given?<br />

2. What is actual<br />

consent?<br />

712 UNIT 11 • Injury Prevention and Personal Safety<br />

Laura Sifferlin<br />

An illness that occurs without warning signals is called a sudden illness. Signs of<br />

sudden illness may include dizziness and confusion, weakness, changes in skin color,<br />

nausea, vomiting, and diarrhea. Seizures, paralysis, slurred speech, difficulty seeing,<br />

and severe pain also may indicate sudden illness.<br />

<strong>First</strong> <strong>Aid</strong> for Sudden Illness<br />

What to do for sudden illness Call the<br />

local emergency number and obtain<br />

medical care immediately. Give first<br />

aid if the illness poses a threat to the<br />

victim’s life. Try to keep the victim<br />

calm. Help the victim rest comfortably.<br />

Cover the victim with a blanket<br />

if he or she is chilled. Prevent the victim<br />

from getting overheated. Monitor<br />

the victim for changes in consciousness.<br />

Do not give an unconscious victim<br />

anything to eat or drink.<br />

What to do for fainting Put the victim<br />

on his or her back and elevate<br />

the victim’s legs 8–12 inches above the<br />

level of the heart. Do not elevate the<br />

legs if you suspect a head, neck or<br />

back injury. Loosen tight clothing. Do<br />

not splash water on the victim, slap<br />

the victim’s face, or use smelling salts.<br />

What to do for vomiting Turn the victim<br />

on his or her side. Allow the victim<br />

to complete the vomiting process.<br />

The victim may be given small sips of<br />

clear liquids, such as water or broth.<br />

Increase the amount of fluids if they<br />

can be tolerated without vomiting.<br />

Have the victim relax until strength<br />

is regained. If vomiting continues,<br />

seek medical care.<br />

What to do for seizures Place something<br />

under the victim’s head to cushion<br />

the head from injury. Remove any<br />

nearby objects that might injure the<br />

victim. Loosen the clothing around<br />

the victim’s neck. Do not restrain the<br />

victim. Do not place anything in the<br />

victim’s mouth or between the teeth.<br />

Look for a medic alert tag that would<br />

indicate a chronic illness. If you think<br />

the victim may have been poisoned,<br />

try to identify the source and call the<br />

poison control center. If the seizure is<br />

related to a high fever, lower the body<br />

temperature with cool compresses.<br />

Observe the victim until he or she is<br />

fully awake.<br />

One way to assist the victim of a sudden illness is to<br />

keep the person as comfortable as possible.<br />

tx.healthmh.com/illnesses


Teens Talk About Health<br />

Nathan Washatka<br />

Getting <strong>First</strong> <strong>Aid</strong> Training<br />

When people ask Nathan Washatka, “Why take a first<br />

aid course?” he’s got an answer for them. “I think<br />

the question should be ‘why not?’” he explained.<br />

Before he took the course, Nathan said he knew what he called<br />

the “common sense” stuff to do, “like putting a bandage on a<br />

cut.” But after completing the course, he felt confident he’d be<br />

ready for most kinds of emergencies. He would soon find out.<br />

Into the pool The first aid course Nathan took was<br />

aimed at lifeguards, his summer job. It included general<br />

first aid techniques, as well as cardiopulmonary resuscitation<br />

(CPR). The class, sponsored by the local Red Cross,<br />

met for four hours a day, on Saturdays and Sundays, for<br />

one month. The class included both class time and time<br />

practicing techniques in the pool. Class learning featured<br />

the use of artificial “victims,” life-size mechanical dolls<br />

who need CPR and other emergency first aid. “I was one<br />

of the younger people in the course,” Nathan said.<br />

“Some were college kids, while others were adults taking<br />

refresher courses to maintain their certification.”<br />

Crunch time As it turned out, within a few weeks of completing<br />

the course, Nathan got the chance to put his first<br />

aid skills to the test. “This little girl fell and bumped her<br />

head in the wading pool. She got this enormous bruise on<br />

her forehead—the largest bruise I’ve ever seen.” Nathan<br />

knew from his course that applying ice to the bruise was<br />

the right treatment. Later that same summer, Nathan’s<br />

class training allowed him to help another child in need.<br />

Nathan described a time when he had to put what he knew about<br />

first aid to the test. Describe a situation when you were under<br />

pressure to perform in a serious situation. How did you handle it?<br />

“ Knowing you’d be able<br />

to help save someone’s life<br />

is the greatest feeling in<br />

the world. ”<br />

“This little boy cut his head open against a jagged brick<br />

wall,” he explained. “It was scary because there was blood<br />

everywhere. He came up to me crying.” Again, Nathan<br />

knew what to do—apply pressure to the wound, bandage<br />

it, and apply ice. Nathan also kept a cool head himself.<br />

“The hardest part,” he said, “was dealing with all the people<br />

around, trying to tell me what to do. But I<br />

was confident from my class that I was<br />

doing the right thing.”<br />

The greatest feeling In the<br />

future, Nathan would like to<br />

attend medical school. “Saving<br />

people, fixing broken bodies,<br />

sounds like a cool profession,” he<br />

said. Does Nathan recommend taking<br />

a first aid course? “Definitely!” he<br />

answered. “A lot of high schoolers<br />

complain that they can’t see the application<br />

of the classes they take. But this is<br />

something you walk away from<br />

knowing you’ve definitely<br />

learned something practical.<br />

Knowing you’d be<br />

able to help save<br />

someone’s life is the<br />

greatest feeling in<br />

the world.”<br />

LESSON <strong>69</strong> • <strong>Performing</strong> <strong>Common</strong> <strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong> 713<br />

Aaron Haupt


Make the<br />

Connection<br />

Sunburn For more<br />

information about how<br />

repeated sunburns can<br />

increase the risk for<br />

skin cancer, see page<br />

535 in <strong>Lesson</strong> 49.<br />

12A (covered on page<br />

714): Identify situations<br />

requiring professional<br />

health services...such as<br />

primary, preventative, and<br />

emergency care.<br />

Quick Quiz:<br />

What kinds of burns<br />

require professional<br />

emergency care?<br />

714 UNIT 11 • Injury Prevention and Personal Safety<br />

James N. Westwater<br />

An injury caused by heat, electricity, chemicals, or radiation is a burn. The seriousness<br />

of a burn depends on the cause of the burn, the length of time the victim was<br />

exposed to the source of the burn, the location of the burn on the body, the depth of<br />

the burn, the size of the burn, and the victim’s age and health condition.<br />

What to Know About <strong>First</strong> <strong>Aid</strong><br />

for Burns<br />

Burns are usually described as firstdegree<br />

burns, second-degree burns,<br />

or third-degree burns. These descriptions<br />

help explain the seriousness of<br />

the burn.<br />

What to do for first-degree burns A<br />

burn that affects the top layer of skin<br />

is a first-degree burn. Most sunburns<br />

are first-degree burns. The<br />

skin becomes red and dry. The area<br />

may swell and be painful to touch.<br />

<strong>First</strong>-degree burns usually heal in six<br />

days without permanent scarring.<br />

<strong>First</strong> aid for a first-degree burn<br />

1. Stop the burning. Get the victim<br />

out of the Sun. Remove the victim<br />

from the source of the burn.<br />

2. Cool the burned area with cool, running<br />

tap water or water from a garden<br />

hose, or have the victim get into<br />

the bath or shower.<br />

3. Use sheets or towels soaked in cold<br />

water to cool a burn on the face or<br />

other areas that cannot be soaked.<br />

Keep adding cool water.<br />

4. Wear latex gloves. Loosely cover<br />

the area with dry, sterile bandages.<br />

What to do for second-degree burns<br />

A burn that involves the top layers of<br />

skin is a second-degree burn. The<br />

skin becomes red. Blisters form and<br />

may open and discharge clear fluid.<br />

The skin appears wet and blotchy.<br />

Second-degree burns usually heal in<br />

two to four weeks. Slight scarring<br />

may occur.<br />

<strong>First</strong> aid for a second-degree burn<br />

1. Call the local emergency number<br />

and obtain medical care immediately<br />

if the burns are larger than<br />

2–3 inches, or on the face or hands.<br />

2. Stop the burning. Remove the victim<br />

from the source of the burn.<br />

3. Cool the burned area with cool<br />

water or cool cloths.<br />

4. Do not break blisters or remove<br />

tissue.<br />

5. Loosely cover the area with dry,<br />

sterile bandages.<br />

6. Elevate the burned area above<br />

heart level.<br />

7. Loosely cover the victim with<br />

clean, dry sheets if burns cover<br />

large parts of the body. This helps<br />

prevent infection and reduces<br />

pain. Treat the victim for shock<br />

(explained in <strong>Lesson</strong> 70).


What to do for third-degree burns A<br />

burn that involves all layers of skin<br />

and some underlying tissues is a<br />

third-degree burn. A third-degree<br />

burn may affect fat tissue, muscle tissue,<br />

bones, and nerves. The skin<br />

becomes darker and appears charred.<br />

The underlying tissues may appear<br />

white. A third-degree burn is painless<br />

if nerve endings are destroyed. It<br />

also can be very painful. Thirddegree<br />

burns may take months or<br />

years to treat. Permanent scarring<br />

often occurs. Some victims require<br />

skin grafting and plastic surgery.<br />

<strong>First</strong> aid for a third-degree burn<br />

1. Remove the victim from the source<br />

of the burn and obtain medical<br />

care immediately.<br />

2. Treat the victim for shock.<br />

3. Determine if the victim is breathing.<br />

Give rescue breathing if<br />

necessary.<br />

4. Do not remove clothing stuck to<br />

the burn. Do not break blisters or<br />

remove tissue.<br />

5. Do not apply anything cold to the<br />

burn.<br />

6. Loosely cover the area with dry,<br />

sterile bandages or clean cloth.<br />

What to do for electrical burns A<br />

burn that occurs when electricity<br />

travels through the body is an electrical<br />

burn. The cause may be lightning<br />

or contact with faulty electrical<br />

equipment or a power line. The seriousness<br />

of an electrical burn depends<br />

on the strength of the electrical current<br />

and the path the current takes<br />

through the body. There may be<br />

wounds where the electrical current<br />

enters and leaves the body.<br />

tx.healthmh.com/burns<br />

<strong>First</strong> aid for an electrical burn<br />

1. Call the local emergency number<br />

and obtain medical care immediately.<br />

All electrical burns must be<br />

examined by a doctor. They may<br />

appear minor, but may be very deep.<br />

2. Do not go near the victim until the<br />

source of electricity is turned off.<br />

3. Treat the victim for shock.<br />

4. Do not move the victim.<br />

5. Loosely cover the area with dry,<br />

sterile bandages.<br />

6. Do not use cool water or compresses,<br />

as the victim may be in shock.<br />

What to do for chemical burns A burn<br />

that occurs when chemicals in a laboratory<br />

or in products get on the skin<br />

or into the eyes or body is a chemical<br />

burn. The burn continues as long as<br />

there is contact with the chemical.<br />

<strong>First</strong> aid for a chemical burn<br />

1. Remove the victim from the chemical<br />

causing the burn. If the chemical<br />

is dry or solid, brush it off the<br />

skin with a cloth. Have the victim<br />

remove any clothing with the<br />

chemical on it.<br />

2. If the exposure is serious, call the<br />

local emergency number and<br />

obtain medical care immediately.<br />

3. Flush the skin or eyes with cool,<br />

low-pressure running water for<br />

15–30 minutes. Take special precautions<br />

if only one eye is<br />

involved. Have the victim turn the<br />

head and run the water from the<br />

nose away from the eye. This<br />

keeps water with the chemical in<br />

it from running into the other eye.<br />

4. Loosely cover the area with dry,<br />

sterile bandages.<br />

Burns Never remove<br />

clothing or anything<br />

else that is sticking to<br />

a severe burn.<br />

LESSON <strong>69</strong> • <strong>Performing</strong> <strong>Common</strong> <strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong> 715


<strong>First</strong> <strong>Aid</strong> Perform<br />

only the first aid skills<br />

you have been trained<br />

to give. Do not<br />

perform skills beyond<br />

your knowledge, such<br />

as those you may<br />

have seen on a<br />

television show.<br />

A splint is used to<br />

immobilize a body part.<br />

716 UNIT 11 • Injury Prevention and Personal Safety<br />

Photodisc/Getty Images<br />

There are 206 bones in the body and more than 600 muscles.<br />

A joint is the point where two bones meet. Ligaments are the fibers that connect<br />

bones together. Tendons are tough tissue fibers that connect muscles to bones. Injuries<br />

involving muscles, bones, and joints are common in teens. The most common injuries are<br />

fractures, dislocations, sprains, and strains.<br />

What to Know About <strong>First</strong> <strong>Aid</strong> for<br />

Muscle, Bone, and Joint Injuries<br />

How to use splints Material or a<br />

device used to protect and immobilize<br />

a body part is a splint. A splint<br />

should only be used when you need to<br />

move a victim without emergency<br />

help and need to keep an injured<br />

body part immobile, and only if it<br />

does not hurt the victim. A folded<br />

blanket, towel, sheet, or bandage<br />

might be used as a soft splint.<br />

Rolled-up newspapers, sticks, or<br />

boards may be used as a rigid splint.<br />

Emergency medical personnel may<br />

use a board as a splint.<br />

<strong>First</strong> aid when using a splint<br />

1. Call the local emergency number<br />

for a life-threatening injury.<br />

2. Attempt to splint the injury in the<br />

position you find it to immobilize<br />

the injured part. A splint for an<br />

injured bone must include the<br />

joints above and below the injured<br />

bone. A splint for an injured joint<br />

must include the bones above and<br />

below the injured joint.<br />

3. Check circulation to ensure that<br />

the splint is not too tight.<br />

What to do for fractures A break or a<br />

crack in a bone is a fracture. A fracture<br />

in which there is a break in the skin is<br />

an open fracture. A fracture in which<br />

there is no break in the skin is a closed<br />

fracture. A fracture can be very serious<br />

if a break in a bone damages an<br />

artery or interferes with breathing. The


signs of a fracture include pain,<br />

swelling, loss of movement, and deformity.<br />

Signs of a fracture of the skull<br />

include bleeding from the head or ears,<br />

drowsiness, and headache.<br />

<strong>First</strong> aid for fractures<br />

1. Call the local emergency number<br />

and obtain medical care immediately.<br />

2. Treat for bleeding and shock.<br />

3. Keep the injured part from moving.<br />

Use a splint when appropriate.<br />

4. Keep a victim with a head injury<br />

immobile.<br />

5. Apply ice to the injured area to<br />

prevent swelling.<br />

6. Follow universal precautions while<br />

controlling bleeding.<br />

What to do for dislocations The<br />

movement of a bone from its joint is a<br />

dislocation. Dislocations often are<br />

accompanied by stretched ligaments.<br />

The signs of a dislocation are pain,<br />

swelling upon movement, loss of<br />

movement, and deformity.<br />

<strong>First</strong> aid for a dislocation<br />

1. Call the local emergency number<br />

and obtain medical care immediately.<br />

2. Splint above and below the dislocated<br />

joint in the position it was<br />

found. Apply cold compresses.<br />

What to do for sprains An injury to<br />

the ligaments, tendons, and soft tissue<br />

around a joint caused by undue<br />

stretching is a sprain. The most<br />

common sprain occurs to the ankle.<br />

Sprains also may affect the knee,<br />

wrist, finger, shoulder, or spine. The<br />

signs of a sprain include pain that<br />

increases with movement or weight<br />

bearing, tenderness, and swelling.<br />

tx.healthmh.com/injuries<br />

<strong>First</strong> aid for sprains<br />

1. Follow the RICE<br />

treatment.<br />

2. The victim should<br />

not be allowed to<br />

walk if there is a<br />

leg injury.<br />

3. Immobilize the area and get<br />

prompt medical help if a fracture<br />

is suspected.<br />

What to do for strains An overstretching<br />

of muscles and/or tendons is a<br />

strain. A strain is commonly referred<br />

to as a pulled muscle. A strain is usually<br />

not as serious as a sprain. One of<br />

the most common strains involves the<br />

muscles of the back. Signs of strain<br />

include pain, swelling, stiffness, and<br />

firmness to the area.<br />

<strong>First</strong> aid for strains<br />

1. Follow the RICE treatment.<br />

2. Get prompt medical help for a<br />

severe strain.<br />

The RICE Treatment<br />

The RICE treatment is described below.<br />

• Rest: Rest the injured part<br />

for 24 to 72 hours. More rest<br />

is required for severe injuries.<br />

Do not exercise the injured<br />

area until healing is complete.<br />

• Ice: Apply cold water, a cold<br />

compress, or an ice pack for<br />

20 minutes as soon as possible<br />

after the injury occurs.<br />

Apply several times a day for<br />

one to three days. Wrap ice in<br />

a cloth before placing on the<br />

skin. Applying cold reduces<br />

pain, swelling, inflammation,<br />

and tissue damage.<br />

One step in the<br />

RICE treatment is<br />

to apply an ice<br />

pack to an injury<br />

as soon as<br />

possible after the<br />

injury occurs.<br />

• Compression: Wrap the<br />

injury with a bandage to limit<br />

swelling. Swelling causes<br />

more pain and slows healing.<br />

The bandage should not be<br />

compressed so tight that it<br />

restricts blood flow. Remove<br />

the wrap periodically and<br />

check the area.<br />

• Elevation: Raise the injured<br />

body part above heart level<br />

to reduce swelling and to<br />

help drain blood and fluid<br />

from the area.<br />

LESSON <strong>69</strong> • <strong>Performing</strong> <strong>Common</strong> <strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong> 717<br />

Richard Hutchings/PhotoEdit


Avoid frostbite<br />

by dressing<br />

appropriately in<br />

cold weather.<br />

718 UNIT 11 • Injury Prevention and Personal Safety<br />

(tt)Debbie Dean, Photodisc/Getty Images, (b)Roy Ooms/Masterfile<br />

Cold temperature-related illnesses are conditions that result<br />

from exposure to low temperatures. The most common cold<br />

temperature-related emergencies are frostbite and hypothermia.<br />

<strong>First</strong> <strong>Aid</strong> for Cold Temperature-<br />

Related Illnesses<br />

What to do for frostbite The<br />

freezing of body parts, often the<br />

tissues of the extremities, is called<br />

frostbite. Frostbite may involve the<br />

fingers, toes, ears, and nose. People<br />

exposed to subfreezing temperatures<br />

or snow are at risk for developing<br />

frostbite.<br />

Signs of frostbite include numbness<br />

in the affected area, a waxy, discolored<br />

appearance to the skin, and<br />

skin that is cold to the touch.<br />

<strong>First</strong> aid for frostbite For mild frostbite,<br />

rewarm the affected area in<br />

lukewarm water. For severe frostbite,<br />

call the local emergency number and<br />

obtain medical care immediately.<br />

Do not attempt rewarming if a medical<br />

facility is near. Take the following<br />

steps if medical help is not available.<br />

1. Remove any clothing or jewelry<br />

that interferes with circulation.<br />

Handle the affected area gently.<br />

2. Soak the affected body part in<br />

water that has a temperature<br />

between 100°F and 105°F. Test the<br />

water by having someone who has<br />

not been exposed to the cold, place<br />

his or her hand in the water.<br />

Water that is too warm for that<br />

person’s hand is too warm to use<br />

on the victim. Warming usually<br />

takes 25 to 40 minutes, until the<br />

tissues are soft.<br />

3. Apply warm, moist cloths to warm<br />

the ears, nose, or face.<br />

4. Do not rub the affected body part.<br />

5. Do not allow a victim to walk on<br />

frostbitten toes or feet, even after<br />

rewarming the area.<br />

6. Place dry, sterile gauze between<br />

the toes and fingers to absorb<br />

moisture and avoid having them<br />

stick together.


What to do for hypothermia A reduction<br />

of the body temperature so that<br />

it is lower than normal is called<br />

hypothermia. Hypothermia results<br />

from overexposure to cool temperatures,<br />

cold water, moisture, and wind.<br />

The outside temperature can be as<br />

high as 50°F, and a person can still<br />

suffer from hypothermia. Those most<br />

likely to suffer from hypothermia<br />

when exposed to extreme cold are<br />

older adults, people who are ill, children,<br />

people who are hungry or tired,<br />

and people who consume alcohol in<br />

excess.<br />

Most cases of hypothermia are<br />

mild. The victim will shiver and feel<br />

cold. The pulse rate slows down and<br />

becomes irregular as the body temperature<br />

drops. A drop in body temperature<br />

affects the brain and spinal<br />

cord causing the victim to experience<br />

symptoms such as loss of coordination,<br />

slurred speech, and confusion.<br />

Eventually, a victim can become<br />

unconscious. A victim can die if<br />

hypothermia is not treated.<br />

<strong>First</strong> aid for hypothermia<br />

1. Call the local emergency number<br />

and obtain medical care immediately.<br />

2. Try to raise the body temperature<br />

by getting the victim into a warm<br />

environment.<br />

3. Handle the victim gently.<br />

4. Remove any wet clothing, and<br />

replace it with dry clothing.<br />

5. Place something warm above and<br />

below the victim, such as blankets.<br />

6. Cover the victim’s head.<br />

7. Give the victim warm, sweet liquids<br />

to drink. Never give alcohol to<br />

a victim of hypothermia.<br />

tx.healthmh.com/illnesses<br />

A victim of hypothermia needs to quickly get to a warm environment.<br />

<strong>First</strong> aid for moderate hypothermia<br />

(body temperature from 84°F to 94°F)<br />

1. Warm the victim. Use an electric<br />

blanket, a sleeping bag, or several<br />

blankets to wrap the victim. A person<br />

with normal body temperature<br />

can lay next to the victim to<br />

lend body heat.<br />

2. Place the victim in a tub of water<br />

with a temperature no greater<br />

than 105°F if available.<br />

3. Place hot packs around the victim’s<br />

head, neck, chest, back, and groin.<br />

Be careful not to burn the victim.<br />

<strong>First</strong> aid for severe hypothermia (body<br />

temperature below 84°F)<br />

1. Do not rewarm a victim who can<br />

be transported to a medical facility<br />

within 12 hours.<br />

2. Calm the victim.<br />

3. Avoid unnecessary movement of<br />

the victim.<br />

4. Maintain an airway.<br />

5. Keep the victim lying down.<br />

6. Do not give CPR to the victim<br />

unless there is no pulse. Continue<br />

CPR until the victim is transported<br />

to a medical facility.<br />

Frostbite You should<br />

not rub toes or hands<br />

to try to warm them<br />

up if you think there<br />

is frostbite.<br />

Mini-Review<br />

1. How should a<br />

fracture be<br />

treated?<br />

2. How should<br />

frostbite be<br />

treated?<br />

LESSON <strong>69</strong> • <strong>Performing</strong> <strong>Common</strong> <strong>First</strong> <strong>Aid</strong> <strong>Procedures</strong> 719<br />

Aaron Haupt Photography


<strong>First</strong> aid for heat<br />

cramps includes<br />

resting and drinking<br />

cool water.<br />

What to do for heat cramps Painful<br />

muscle spasms in the legs and arms<br />

due to excessive fluid loss through<br />

sweating are called heat cramps.<br />

<strong>First</strong> aid for heat cramps<br />

1. Have the victim rest in a cool,<br />

shaded area and give him or her<br />

cool water to drink.<br />

2. Stretch the muscle gently.<br />

What to do for heat exhaustion<br />

Extreme tiredness due to the body’s<br />

inability to regulate its temperature<br />

is called heat exhaustion. Heat<br />

exhaustion can be life-threatening.<br />

A victim of heat exhaustion will<br />

have a body temperature that is<br />

below normal. Other signs of<br />

heat exhaustion include cool,<br />

moist, pale, or red skin; nausea;<br />

headache; dizziness;<br />

fast pulse; and weakness.<br />

720 UNIT 11 • Injury Prevention and Personal Safety<br />

Ric Frazier/FoodPix/Getty Images<br />

Conditions that result from exposure to temperatures that are higher than normal are<br />

called heat-related illnesses. Heat cramps, heat exhaustion, and heat stroke are the<br />

most common heat-related illnesses.<br />

<strong>First</strong> <strong>Aid</strong> for Heat-Related Illnesses<br />

<strong>First</strong> aid for heat<br />

exhaustion<br />

1. Have the victim<br />

lie down in a<br />

cool place, elevate<br />

the feet,<br />

and drink cool<br />

water.<br />

2. Observe the victim for signs of<br />

heatstroke.<br />

3. If the victim does not recover in<br />

half an hour, or gets worse, call<br />

the local emergency number and<br />

obtain medical care.<br />

What to do for heatstroke (sunstroke)<br />

An overheating of the body that<br />

is life-threatening is heatstroke.<br />

Sweating ceases so that the body<br />

cannot regulate its temperature.<br />

The victim has a high body temperature<br />

and rapid pulse and respiration<br />

rate. The skin becomes hot and<br />

dry. A victim feels weak, dizzy, and<br />

has a headache. A victim may be<br />

unconscious.<br />

<strong>First</strong> aid for heatstroke<br />

1. Call the local emergency number<br />

and obtain medical care.<br />

2. Remove the victim’s heavy clothing;<br />

wrap the victim in cool, wet<br />

towels or sheets; place ice packs<br />

near the neck, armpits, and groin;<br />

and have victim rest in a cool place.<br />

Give sips of water only if the victim<br />

is conscious and can swallow.<br />

3. Continue cooling the victim until a<br />

body temperature of 102°F is<br />

reached.


<strong>69</strong><br />

STUDY<br />

GUIDE<br />

actual consent<br />

burn<br />

dislocation<br />

first aid<br />

fracture<br />

Good Samaritan laws<br />

heat cramps<br />

heatstroke<br />

hypothermia<br />

implied consent<br />

splint<br />

universal precautions<br />

k Key Terms Review<br />

Complete the fill-in-the-blank statements with the lesson Key Terms on the left. Do not write in this book.<br />

1. _____<br />

is oral or written permission from a<br />

mentally competent adult to give first aid.<br />

2. _____ is assuming the victim would grant<br />

permission to give first aid if capable.<br />

3. _____ are steps taken to prevent the<br />

spread of disease by treating all human<br />

blood and body fluids as if they contained<br />

HIV, HBV, and other pathogens.<br />

4. A(n) _____ is a break or crack in a bone.<br />

5. A(n) _____ is the movement of a bone<br />

from its joint.<br />

Recalling the Facts<br />

11. What is frostbite?<br />

12. Identify first aid situations that require professional<br />

health services.<br />

13. Describe treatment for a first degree burn.<br />

14. What first aid should you give for a sprain?<br />

Critical Thinking<br />

19. Why is it important to obtain consent from<br />

a conscious victim before giving first aid?<br />

20. Explain the importance of using universal<br />

precautions when giving first aid.<br />

21. What injury would you suspect if there is<br />

pain, swelling upon movement, and deformity<br />

of the injured body part?<br />

22. What would you do if you were on a riverrafting<br />

trip with someone who has deep<br />

blue lips and is shivering uncontrollably?<br />

Activities<br />

Responsible Decision Making<br />

27. Analyze A friend suggests making a<br />

prank call to 911, saying that you could<br />

report that your neighbor’s house is on fire.<br />

Then you could hide and watch the fire<br />

trucks arrive. Write a response to this situation.<br />

Analyze how your behavior would<br />

affect your health or the health of others.<br />

Refer to the Responsible Decision-Making<br />

Model on page 61 for help.<br />

Visit tx.healthmh.com/study_guide for more review questions.<br />

6. A(n) _____ is a material or device used to<br />

protect and immobilize a body part.<br />

7. A(n) _____ is an injury caused by heat,<br />

electricity, chemicals, or radiation.<br />

8. _____ is immediate and temporary care<br />

given to a person who has been injured or<br />

suddenly becomes ill.<br />

9. An overheating of the body that is lifethreatening<br />

is _____.<br />

10. A reduction of body temperature so that it<br />

is lower than normal is _____.<br />

15. What is a third-degree burn?<br />

16. Explain the RICE treatment for injuries.<br />

17. What causes hypothermia?<br />

18. Explain the difference between actual and<br />

implied consent.<br />

Real-Life Applications<br />

23. What would you do if your friend fainted?<br />

24. Explain what you would need to do before<br />

moving a victim with a broken leg.<br />

25. Explain if you will need actual or implied<br />

consent to give first aid to a conscious child<br />

when there is no adult around.<br />

26. Explain how you may prevent harm to<br />

yourself when you encounter a person who<br />

has received an electrical burn.<br />

Sharpen Your Life Skills<br />

28. Advocate for Health Make a list of<br />

emergency telephone numbers, such as the<br />

Poison Control Center, your physician, the fire<br />

department, the police department, and any<br />

other important emergency telephone numbers.<br />

Place these numbers by the telephones<br />

in your home. Make wallet-sized copies of<br />

these numbers so that you and your family<br />

can carry them with you at all times.<br />

LESSON <strong>69</strong> • Study Guide 721<br />

Aaron Haupt

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