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First Aid Minor Wounds

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First Aid

One of the first matters to address with minor wounds is cleansing the wound.^[3,8] Cleansing is important for incisions that are caused by sharp objects, such as knives or broken glass. However, it is even more critical in abrasion injuries, in which the skin’s outer layers have been scraped away by abrasion against a rough object, such as when elbows and arms scrape against pavement during a skateboard fall. If the abrasion occurred on a surface that contains loose materials, the wound is likely to be contaminated with gravel, dirt, grass, and other foreign substances. Each foreign object remaining may serve as a source of infection and should be removed.

The wound can be washed with tap water under enough pressure to thoroughly cleanse the wound of foreign materials. Wound Wash Saline is a pressurized sterile 0.9% sodium chloride product that can accomplish this cleansing for minor wounds.

Problems Backpacks Can Pose

Although many factors can lead to back pain — increased participation in sports or exercise, poor posture while sitting, and long periods of inactivity — some kids have backaches because they’re lugging around their entire locker’s worth of books, school supplies, and assorted personal items all day long. But most doctors and physical therapists recommend that kids carry no more than 10% to 15% of their body weight in their packs.

To help understand how heavy backpacks can affect a kid’s body, it helps to understand how the back works. The spine is made of 33 bones called vertebrae, and between the vertebrae are discs that act as natural shock absorbers.

When a heavy weight, such as a backpack filled with books, is incorrectly placed on the shoulders, the weight’s force can pull a child backward. To compensate, a child may bend forward at the hips or arch the back, which can cause the spine to compress unnaturally. The heavy weight might cause some kids to develop shoulder, neck, and back pain.

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The common fall is more dangerous than it may seem. While the majority leave behind no more than a few bumps, bruises, or scratches others can be the injury behind a concussion, broken bone, seizure and other unpleasant situations.

When a person falls, the first thing to do is make sure there are no serious and obvious injuries- no broken bones, heavy bleeding, seizures, and that the person is conscious. If the fall was ‘bad’ do not allow them to move until you are sure no injuries have been done to their head, neck, back, or hips.

If there seems to be a serious injury, like any of the ones listed above and more, call 911 for aid. Also call if you see any of these signs

Unconsciousness- even if it is very brief (concussion)

Becomes very sleepy or is difficult to wake up (concussion)

Walking in an abnormal fashion- off balance, dizzy (concussion)

Difficulty breathing

No breathing -begin CPR

Clear fluid or bleeding coming from nose, ears or mouth.

Complains of intense or increasing pain

Vomiting

Deep or large wounds

Trouble focusing eyesight, distorted vision. (concussion)

Odd behavior or symptoms

Irritable and oddly moody, nonstop crying.

If the fall does not seem to be an emergency, but the child is young, keep watch over them closely for the next 24 or so hours, to make certain that no symptoms of injury or strange behavior develop. If you fear a concussion, due to a fall involving the head, even if there are no symptoms always go see a doctor.

Prevention

Preventing falls, especially with young children is tough, but it there are ways to minimize risks. With very young children or infants, always trap them securely into strollers, car seats, high chairs, and onto changing tables. Discourage children from playing on furniture or jumping on beds. Active children should be taught to wear helmets and other safety pads when biking, skating, skiing, and climbing.

*** Before administering any first aid to anyone outside your family, be aware of your rights and responsibilities: The Good Samaritan Law. ***

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Nosebleeds Overview

Nosebleeds can be dramatic and frightening. Fortunately, most nosebleeds are not serious and usually can be managed at home, although sometimes medical intervention may be necessary. Nosebleeds (epistaxis) are categorized based on where they originate, and are described as either anterior (originating from the front of the nose) or posterior (originating from the back of the nose).

• Anterior nosebleeds make up more than 90% of all nosebleeds. The bleeding usually originates from a blood vessel on the nasal septum. Anterior nosebleeds are usually easy to control, either by measures that can be performed at home or by a doctor.

• Posterior nosebleeds are much less common than anterior nosebleeds. They tend to occur more often in elderly people. The bleeding usually originates from an artery in the back part of the nose. These nosebleeds are more complicated and usually require admission to the hospital and management by an otolaryngologist (an ear, nose, and throat specialist).

One out of every seven people will develop a nosebleed at some time in their lives. Nosebleeds tend to occur more often during winter months and in dry, cold climates. They can occur at any age, but are most common in children aged 2-10 years and adults aged 50-80 years. For unknown reasons, nosebleeds most commonly occur in the morning hours.

Next Kamloops First Aid Course January 09.2010 ( Standard / Emergency / Child Care / CPR )

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