Life Saving First Aid, Knowledge that matters
Yesterday I wrote about tornado preparedness. What to do before, during, and after a tornado strike on your home or vicinity. I left out one important topic. First aid and trauma treatment.
If you are unfortunate enough to be in the path of a direct hit by a tornado, chances are you or someone close by will need some level of first aid treatment. This could range from minor treatment of cuts and bruises to treating major cuts, breaks, and shock.
One important note: Always call for an ambulance if injuries are more than minor cuts and bruises. Any major first aid that you perform is only to stabilize a person until professional help arrives.
Basic First Aid
Basic first aid for minor cuts and bruises is easy. The following is excerpted from the Mayo Clinic website at http://www.mayoclinic.com/health/first-aid-cuts/FA00042.
- Stop the bleeding. Minor cuts and scrapes usually stop bleeding on their own. If they don’t, apply gentle pressure with a clean cloth or bandage. Hold the pressure continuously for 20 to 30 minutes and if possible elevate the wound. Don’t keep checking to see if the bleeding has stopped because this may damage or dislodge the clot that’s forming and cause bleeding to resume. If blood spurts or continues flowing after continuous pressure, seek medical assistance.
- Clean the wound. Rinse out the wound with clear water. Soap can irritate the wound, so try to keep it out of the actual wound. If dirt or debris remains in the wound after washing, use tweezers cleaned with alcohol to remove the particles. If debris still remains, see your doctor. Thorough cleaning reduces the risk of infection and tetanus. To clean the area around the wound, use soap and a washcloth. There’s no need to use hydrogen peroxide, iodine or an iodine-containing cleanser.
- Apply an antibiotic. After you clean the wound, apply a thin layer of an antibiotic cream or ointment such as Neosporin or Polysporin to help keep the surface moist. The products don’t make the wound heal faster, but they can discourage infection and help your body’s natural healing process. Certain ingredients in some ointments can cause a mild rash in some people. If a rash appears, stop using the ointment.
- Cover the wound. Bandages can help keep the wound clean and keep harmful bacteria out. After the wound has healed enough to make infection unlikely, exposure to the air will speed wound healing.
First Aid for Severe Cuts
For injuries that are more serious? A severe cut or puncture wound can cause significant blood loss and worse. A broken bone is very painful at the very least and dangerous in some situations. Untreated shock can cause death. According to the Mayo Clinic at http://www.mayoclinic.com/health/first-aid-severe-bleeding/FA00038 to treat severe bleeding you should take the following steps:
If possible, before you try to stop severe bleeding, wash your hands to avoid infection and put on synthetic gloves. Don’t reposition displaced organs. If the wound is abdominal and organs have been displaced, don’t try to push them back into place — cover the wound with a dressing.
For other cases of severe bleeding, follow these steps:
- Have the injured person lie down and cover the person to prevent loss of body heat. If possible, position the person’s head slightly lower than the trunk or elevate the legs. This position reduces the risk of fainting by increasing blood flow to the brain. If possible, elevate the site of bleeding.
- While wearing gloves, remove any obvious dirt or debris from the wound. Don’t remove any large or more deeply embedded objects. Don’t probe the wound or attempt to clean it at this point. Your principal concern is to stop the bleeding.
- Apply pressure directly on the wound until the bleeding stops. Use a sterile bandage or clean cloth and hold continuous pressure for at least 20 minutes without looking to see if the bleeding has stopped. Maintain pressure by binding the wound tightly with a bandage (or a piece of clean cloth) and adhesive tape. Use your hands if nothing else is available. If possible, wear rubber or latex gloves or use a clean plastic bag for protection.
- Don’t remove the gauze or bandage. If the bleeding continues and seeps through the gauze or other material you are holding on the wound, don’t remove it. Instead, add more absorbent material on top of it.
- Squeeze a main artery if necessary. If the bleeding doesn’t stop with direct pressure, apply pressure to the artery delivering blood to the area of the wound. Pressure points of the arm are on the inside of the arm just above the elbow and just below the armpit. Pressure points of the leg are just behind the knee and in the groin. Squeeze the main artery in these areas against the bone. Keep your fingers flat. With your other hand, continue to exert pressure on the wound itself.
- Immobilize the injured body part once the bleeding has stopped. Leave the bandages in place and get the injured person to the emergency room as soon as possible.
Treatment for Shock
Shock is a result from loss of blood. The following steps excerpted from http://firstaid.about.com/od/bleedingcontrol/ht/shock.htm and written by Rod Brouhard should be taken to treat shock in a victim.
Uncontrolled bleeding may lead to a condition known as shock. Shock is essentially a decrease in blood flow to the brain and other important organs.
Untreated, shock from bleeding will almost always cause death.
The most important step in treating shock is to control bleeding. However, if the victim is already showing signs of shock, it’s important to take the necessary steps to stabilize the victim until help arrives.
- As with all emergency treatment, make sure you remain safe. Follow universal precautions and wear personal protective equipment if you have it. You cannot be helpful to a victim if you allow yourself to be injured in the process.
- Call for an ambulance. Remember that 911 works differently on a wireless phone than it does from the home or office.
- Make sure the victim is breathing. If not, begin rescue breathing.
- Before any other treatments for shock are done, bleeding must be stopped.
- If you do not suspect a neck injury, lay the victim on his or her back (supine) and elevate the legs.
- If you suspect a neck injury, do not move the victim. Car and other vehicle accidents often lead to neck injuries. Neck injuries are also common in falls, especially falls from a height taller than the victim.
- Keep the victim warm.
- Continue to check on the victim. If the victim stops breathing, begin rescue breathing. If the victim vomits, roll the victim to one side and sweep the vomit from his or her mouth with your fingers.
Helping someone who is injured is part of our humanity. To save a life after a disaster is to be the best of that humanity.



vegetable and flower garden every year. It was always a vibrant and healthy garden. It was a beautiful example of the art of the green thumb. The harvest was always bountiful enough that my grandparents would can and pickle much of what they grew and would still have some left over to sell locally to supplement their income. My grandmother’s true claim to fame was the meals she cooked from the bounty of their hard work. Her meals were works of art to my taste buds.










