17/02/2017
Intermediate Level of First Aid
Once you know the essentials of , you can proceed to a bit more difficult cases: fractures, severe bleeding, head injury, heart attack, etc. Note that this piece of content is intended to be informative, rather than educating. Every first aid skill should be acquired at certified courses from experienced ER personnel.
Head Trauma
An head injury is any trauma to the scalp, skull or brain. They vary from a minor bump on the skull to a serious brain injury. They can be either closed or open:
- Closed means you received a hard blow to the head from striking an object, but the object did not break the skull.
- Open/penetrating occurs when the object broke the skull and entered the brain.
The other classification you may apply to head injuries:
- Concussion
- Scalp wounds
- Skull fractures
Head injury can cause bleeding in either the brain tissue or the layers surrounding the brain.
Symptoms
Those can occur right away or develop over several hours or even days. Even if the skull is not fractures, the brain might be bruised and swell or start bleeding inside the skull.
Being able to recognize a serious head injury and give basic first aid can save someone's life. For a moderate to severe head injury, call you local emergency number.
- Bleeding from nose, mouth, or ears
- Visible injuries (distorted facial features, facial bruising, fracture in the skull, swelling at the site of injury)
- Changes in size of pupils
- Impaired hearing, smell, taste or vision (double, blurred)
- Lightheadedness, dizziness, clumsiness or lack of coordination
-Severe headache
-Stiff neck or vomiting
-Inability to move one or more limbs, convulsions
-Sudden worsening of symptoms after initial improvement
First Aid
1) Call 911, 999, 112
2) Check for breathing/heart beat
3) If the person is breathing and heart rate are normal. Stabilize the head and neck by placing your hands on both sides of the person's head. Keep the head in line with the spine and prevent movement.
4) Stop any bleeding by firmly pressing a clean cloth on the wound. If the injury is serious, be careful not to move the person's head. If blood soaks through the cloth, place another cloth over the first one.
5) If you suspect a skull fracture, do not apply direct pressure or remove any debris from the wound. Cover the wound with sterile gauze dressing.
6) If the person is vomiting, roll the person's head, neck, and body as one unit onto their side. Treat as if they have the spine injury, which is likely in the case of a head injury.
NB!
1) Do not wash head wound
2) Do not remove any object sticking out of the wound
3) Do not move or shake the person, unless absolutely necessary
4) Do not remove helmet if you suspect a serious head injury
5) Do not pick up a fallen child with any sign of head injury
6) Do not drink alcohol within 48 hours of a serious head injury
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