What I wish I had known about handling emergency situations
Easy tips on what to do when encountering the most common emergency situations during your holiday.
As ER24 coastal regional manager Clinton Britz explained, the best thing to do in a medical crisis is to remain calm and call for emergency assistance.
“Before rushing to assist anyone, assess your personal safety,” he said. “Don’t rush across busy roads or enter hazardous zones unnecessarily.”
He gave some tips on how to handle emergency situations you might encounter during holidays.
1. Chest pains
If you think someone is having a heart attack, immediate action could save their life. Although there are many causes of chest pain, including acid reflux and anxiety, it is crucial to take the symptoms seriously.
A heart attack is a sudden interruption of the blood supply to part of the heart muscle. The heart is still sending blood to the body, and the person remains conscious and is still breathing. The patient very often experiences the sudden onset of acute, unresolving, severe chest pain, central in nature, and possibly radiating to the arm or neck. The patient may also present with nausea, and have cool, clammy greyish skin.
DON’T wait to see if the symptoms subside.
DON’T let the person walk around.
DON’T lie the person down flat on the floor if they are still conscious as this makes it harder to breathe. A semi-seated position with their head and shoulders supported is best if conscious.
Cardiac arrest occurs when the heart suddenly stops pumping blood around the body. Someone who’s having a cardiac arrest will suddenly lose consciousness and will stop breathing, or stop breathing normally. Unless immediately treated by cardiopulmonary resuscitation (CPR), this leads to death within minutes.
“Most people know to do mouth-to-mouth resuscitation straight away, but you don’t always have to use this method,” said Clinton. “Chest-only compressions can be just as effective.”
To carry out hands-only CPR:
Position the person’s head with his/ her chin up, lying on his/ her back, preferably on a hard, flat surface
Place the heel of your hand on the breastbone at the centre of the person’s chest
Place your other hand on top of your first hand and interlock your fingers
Using your body weight (not just your arms), press straight down by 5–6cm on the chest
Try to do 100 to 120 compressions per minute
Continue until the ambulance arrives
2. Choking
“If someone is coughing and talking, it means he/ she is still breathing,” Clinton explained. “If the person isn’t making any noise and his/ her face is getting red, usually with his/ her hands around his/ her throat, it’s an emergency.”
Stand behind the person and wrap your arms around his/ her waist. (If it is a child, kneel down behind him/ her). Make a fist with one hand and position it just above the person’s belly button. Grab your fist with your other hand and press hard into the abdomen, as if you are trying to lift the person up. Repeat until the obstruction is dislodged, or the person loses consciousness.
DON’T just hit them on the back. This can worsen the situation by forcing the food back into the windpipe.
3. Bleeding
Always protect yourself against blood and body fluids of others with a barrier such as gloves. Assess where the blood is coming from, and remove clothing only if necessary and appropriate. Adequate direct pressure for at least 3–5 minutes is the most effective way to stop bleeding.
If you can’t find a clean, bulky pad for compression, put strong, heavy pressure on the wound with the palm of your hand.
DON’T apply a tourniquet (belt, scarf or backpack cord wound tightly just above the injury) unless the bleeding is profuse. Keeping a tourniquet on for too long can result in permanent nerve and muscle injury, but may be the only solution to save a life.
DON’T remove a foreign body that is causing bleeding. Rather apply padding on either side of the object.
4. Burns
Remove hot or burnt clothing from the victim. If clothing sticks to the skin, DON’T pull it off. Remove all jewellery and belts as burns can swell quickly.
Immerse the burned skin in cool (not cold) running water for at least 10 minutes.
DON’T apply ice directly to a burn wound as it could cause more pain and damage.
DON’T break blisters as this will lead to infection.
DON’T apply ointment not indicated for the treatment of burns, as this will lead to infection.
DON’T use coffee, toothpaste or butter in the first aid treatment of burns, these are old wives tales and may worsen the recovery for a patient.
5. Fainting
This means someone has lost consciousness because his/ her brain has temporarily not received enough blood supply. Position the person on his/ her side in the recovery position.
DON’T let them get up too quickly.
6. Stroke
If you suspect someone has had a stroke, assess it with the FAST acronym. “ ‘F’ is for facial drooping, ‘A’ is for arm weakness, ‘S’ is for slurred speech or difficulty speaking and ‘T’ is for time to call the medical professionals,” Clinton explained.
“The sooner a stroke victim gets professional medical help, the more likely paramedics and doctors will be able to restore blood flow to the affected areas and save brain cells. Stay with the patient until help arrives.”
“Keep ER24’s emergency number, 084 124, in your cellphone and on your fridge for ease of access,” Clinton said. “Remember, it is always better to cancel the emergency services, once you’ve established the injury isn’t life-threatening, than to make the call when it is too late.”
“The Contact Centre will need to know your exact location in order to ensure an ambulance arrives timeously. Provide your street address and the name of the nearest cross road. It’s always good to confirm which province you’re in as there may be two identical street addresses in different provinces. Remember to send a runner outside to wait for the ambulance. If you live in a complex, alert your security that an ambulance will be coming.”
Do you perhaps have more information pertaining to this story? Email us at krugersdorpnews@caxton.co.za (remember to include your contact details) or phone us on 011 955 1130.
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