By American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza
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If there is more than one casualty, attend to those 28 with life-threatening conditions ﬁrst. If possible, treat casualties in the position in which you ﬁnd them; move them only if they are in immediate danger or if it is necessary in order to provide life-saving treatment. Enlist help from others if ACTION AT AN EMERGENCY possible. 23). 30), or retrieve equipment while you begin ﬁrst aid. Begin treatment Start life-saving ﬁrst aid as soon as possible. Ask others to call for help and retrieve equipment such as an AED (automated external deﬁbrillator).
42 on or from behind, a speciﬁc pattern of injuries can be suspected. The driver’s body will be suddenly propelled one way, but the driver’s head will lag behind brieﬂy before moving. This results in a “whiplashing” movement of the neck (below). The casualty may also have injuries caused by the seatbelt restraint; for example, fracture of the breastbone and possibly bruising of the heart or lungs. There may be injuries to the face due to contact with the steering wheel or an inﬂated airbag. MECHANISMS OF INJURY FORCES EXERTED ON THE BODY The energy forces exerted during an impact are another important indicator of the type or severity of any injury.
Epilepsy, diabetes, or anaphylaxis), or there may be a number to call. PUFFER/INHALER The presence of an inhaler usually indicates that the casualty has asthma or other diseases that can cause wheezing or diﬃculty breathing. INSULIN PEN This may indicate that a person has diabetes. The casualty may also have a glucose testing kit. AUTO-INJECTOR This contains epinephrine (adrenaline), for people at risk of anaphylactic shock. The pens are color coded for adult and child doses. 47), you should carry out a detailed examination.
ACEP First Aid Manual by American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza