injuries and poisoning
Emergency First Aid Priorities
Introduction
 (the ABCs). A problem in any of these areas may be fatal if not corrected quickly. The airway, which is the passage through which air travels to the lungs, can become blocked (for example, by choking on or inhaling a piece of food). Many disorders, such as Chronic Obstructive Pulmonary Disease (COPD) and Maneuvers to relieve Choking (for example, abdominal thrusts, also called the Standard CPR (CPR) for people in cardiac arrest Stop any visible bleeding with direct pressure The next priority is to get medical assistance by calling for emergency medical care. In the United States, emergency medical care can be accessed by calling 911. The caller should give the dispatcher as full a description as possible of the person's condition and how the injury or illness developed. The caller should not hang up until told to do so. If several laypeople (rescuers) are present, one should call for help while another begins assessment and first aid. After calling 911 or the local emergency service, rescuers, when necessary, can also give people: , by intramuscular injection, for severe allergic reactions ( Anaphylactic Reactions ), such as after a bee sting , in the nose or by intramuscular injection, if a person stops or nearly stops breathing after an Emergency treatment None If many people are injured, the most seriously injured person should be treated first. Assessment should take less than 1 minute per injured person. In each case, the rescuer should consider whether the situation is Life threatening Urgent but not life threatening Not urgent Determining who is in most urgent need of treatment may be difficult, because someone screaming in pain may be less seriously injured than someone who cannot breathe or who is in a coma and, therefore, is quiet. Difficulty breathing and massive bleeding are life threatening, but a broken hand or foot can almost always wait for treatment, no matter how painful. When there are many people with serious injuries and resources are limited, rescuers may need to provide treatment only to those people who rescuers believe have a chance of surviving. When injured people are unable to convey medical information because they are confused or unconscious or because of the severity of their condition, the information should be obtained in other ways. For example, if an unconscious person is found near an empty bottle of pills, the bottle should be given to the emergency medical personnel. A description of how a person became injured and other information from bystanders, family members, or rescuers can be essential to the person's treatment. People who do not need urgent treatment are provided reassurance and simple measures, such as having a blanket supplied and being kept calm and warm, while they wait to be treated. To prevent the spread of blood-borne infections, rescuers should protect themselves by following universal precautions, an infection control concept that regards all human blood and body fluids as if they were known to be infectious. For example, serious diseases, such as Human Immunodeficiency Virus (HIV) Infection and hepatitis B and hepatitis C (see After first aid is completed, rescuers should cleanse their skin of any contaminants. For example, they should wash their hands—including the area under the fingernails— vigorously with soap and water or a mild solution of bleach (about 1 tablespoon of bleach per quart of water, or about 15 milliliters of bleach per liter of water) as soon as possible. If neither is readily available, an alcohol-based hand sanitizer can be used. 