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HOME
EMERGENCY
GUIDE
HOME
EMERGENCY
GUIDE
DK Publishing
LONDON, NEW YORK,
MUNICH, MELBOURNE, AND DELHI
C ONTRIBUTORS
Dr. Vivien Armstrong • Dr. Sue Davidson • Professor Ian Davis
David Holloway • John McGowan • Tony Wilkins
David R.Goldmannn MD FACP • Allen R.Walker MD • John Cunningham
D ORLING K INDERSLEY
Senior Managing Editor • Jemima Dunne
Managing Art Editor • Louise Dick
Senior Art Editor • Marianne Markham
DTP Designer • Julian Dams
DK P UBLISHING
Senior Editor • Jill Hamilton
Senior Art Editor • Susan St. Louis
Editorial Assistant • Kate Hamill
Every effort has been made to ensure that the information contained in this book is complete and
accurate. However, the publisher is not engaged in rendering professional advice or services to the
individual reader. The ideas, procedures and suggestions contained in this book are general and not
intended as a substitute for consulting a relevant specialist in individual cases. The publisher would in
any event always advise the reader to consult his or her doctor or other health professional for specific
information on personal health matters. The publisher cannot accept any legal responsibility for any
loss or damage allegedly arising from any information or suggestion contained in this book.
00 01 02 03 04 05 10 9 8 7 6 5 4 3 2 1
All rights reserved under International and Pan-American Copyright Conventions. No part of this
publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written
permission of the copyright owner.
A catalog record for this book is available from the Library of Congress.
ISBN 0-7894-9346-2
4
NATURAL DISASTERS
Planning for disaster....................220 Tsunami.........................................242
Severe storm.................................226 Post-disaster survival....................244
Flood .............................................228
Extreme cold.................................230
Wildfire .........................................232
Hurricane ......................................234
Tornado.........................................236
Earthquake ...................................238
Volcanic eruption .........................240
Useful addresses
and online listings........................250
Index .............................................253
Acknowledgments .......................256
1
FIRST
AID
Knowing what to do in a medical emergency, such as when someone
suffers a heart attack, a deep chest wound, or a snake bite, could save
the victim’s life. This section tells you how to recognize important
symptoms and give appropriate first-aid treatment in a wide range
of situations, with full details on resuscitating an unconscious person.
Action in an emergency
When faced with an emergency, try to remain calm and controlled so that you
can act effectively. Before assessing the victim’s condition and carrying out
the appropriate first aid, make sure that you are not putting yourself in danger.
You will not be able to help anyone else if you become a victim yourself.
If possible, have someone else dial 911 while you deal with the situation.
ACTION PLAN
No No
CALLING AN AMBULANCE
1 Dial
•
911
Check the victim’s breathing
3 Give first aid
• Give the appropriate first-aid to
before calling for help. the victim.
• possible, send someone else to
If • Stay with the victim until medical
make the call and ask him or her help arrives.
to confirm that help is on the way.
• Monitor the victim’s breathing
• you are alone with a child who
If (p.68 for an adult, p.71 for a child),
is unconscious or an adult who pulse (p.68 for an adult, p.70 for
has drowned, choked, or been a child), and consciousness (p.12)
injured, give rescue breaths until the ambulance arrives.
(pp.16–17) and/or CPR (pp.18–20)
for 1 minute before making the call.
• you are alone with an adult who
If
is not breathing and you suspect a
heart attack, dial 911 immediately.
Monitor the victim’s
• you have to leave a victim who
If condition while
is breathing, place him in the waiting for the
recovery position (pp.14–15). ambulance
2 Give
•
information
Tell the ambulance dispatcher
where you are, your telephone
number, what has happened, the
age, sex, condition, and injuries of
the victim(s), and whether any
hazards are still present, such as
a fire or gasoline on the road.
12 FIRST AID
Resuscitation techniques
The techniques on the following pages, used in sequence, can help maintain a
victim’s oxygen supply until help arrives. Upon finding an unconscious person,
you need to open and, if necessary, clear the victim’s airway so that air can enter
the lungs. If the victim is not breathing, give rescue breaths to maintain the oxygen
supply, thereby sustaining the victim’s vital organs. If the victim also has no
circulation, give cardiopulmonary resuscitation (CPR) – rescue breaths with chest
compressions – to ensure that air enters the body and is circulated by the blood.
An unconscious victim who is breathing should be placed in the recovery position,
a secure position that keeps the airway open and the head, neck, and back aligned.
!Important
• Never shake a baby or child. Instead,
• there is no reaction at all, open
If
the victim’s airway (p.13).
gently tap the shoulder or flick the
sole of the foot.
3 Monitor
•
victim
During first-aid treatment, you
Shake an adult will need to repeat steps 1–2
victim gently by
the shoulders to
every 10 minutes to check the
see if he responds victim’s level of consciousness.
• Note any changes in the victim’s
responses to speech or gentle
shaking (adult victims only),
and whether these indicate an
improvement or a deterioration
in his condition, then pass this
information on to the paramedics
when the ambulance arrives.
• If a conscious victim becomes
unconscious, open the airway
(p.13), check breathing (p.14),
and dial 911 or call EMS.
RESUSCITATION TECHNIQUES 13
!Important
• If you suspect that there are head
Using two
fingers, gently
lift up the chin
obstruction
• Pick out any obvious obstruction
in the mouth with your fingertips.
! Important
• Always be very gentle with a baby’s head
when tilting it back.
14 FIRST AID
3 Turn
•
victim
Continue to pull the upper leg
4 Support
•
victim
Adjust the victim’s hand so that it
so that the victim rolls onto supports his head. Bend the hip and
his side. If necessary, support his knee of his upper leg at right angles
body with your knees so that he so that this leg supports his body.
does not roll too far forward. • Check that an ambulance is on
• Leave the victim’s hand supporting the way.
his head, and tilt the head so that • Check and record the victim’s
the airway stays open. breathing (p.68 for an adult,
p.71 for a child), pulse (p.68
for an adult, p.70 for a child),
and consciousness (p.12)
until help arrives.
! Important
• If you suspect a spinal injury, do not move
the victim unless his breathing is impeded
Keep or he is in danger. Maintain his open airway.
leg bent
2 Monitor baby
• Monitor the baby’s breathing
1 Pick up baby
• Hold the baby securely in
(p.71), pulse (p.70), and level
of consciousness (p.12)
until help arrives.
your arms so that his head
is lower than his body.
• Tilt the baby’s head back
to keep the airway open
and to allow any vomit to
drain from his mouth.
Keep the baby’s
• Ensure that you keep the baby’s head tilted
head, neck, and back aligned downward to
and supported at all times. let fluid drain
16 FIRST AID
2 Watch
•
chest
Lift your mouth away from the
• there are signs of circulation,
If
continue rescue breathing, giving
10 breaths per minute for adults
victim’s mouth, keeping your and 20 for children. Recheck for
hands in place to maintain his signs of circulation every minute.
head position. • If the victim starts breathing
again, place him in the recovery
• Glance at the victim’s chest; you
should see his chest fall as the air position (pp.14–15).
leaves his lungs. This is called an • If there are no signs of circulation,
effective breath. Repeat the breath. begin CPR (pp.18–20).
R E S U S C I TAT I O N T E C H N I Q U E S 17
! Important
• If you have a face shield (p.60), use
this when giving rescue breaths to
prevent cross-infection.
Place the
• If the victim has swallowed a corrosive shield on the
poison, use a face shield to protect victim’s face,
yourself from the effects of the chemical. with the filter
over her mouth
• Before giving the first breath, make
sure that the victim’s head is tilted back
and the airway is open.
•
around both the mouth and nose.
Attempt to give about one breath
3 Check
•
circulation
Look for any signs that indicate
per second.
circulation – breathing, coughing,
and movement of limbs – for up
to 10 seconds.
• there are signs of circulation,
If
continue rescue breathing (at a
rate of one breath per 3 seconds).
If there are no signs of circulation,
begin CPR (p.20).
pic
!Important
• When giving rescue breaths to a baby,
be careful not to blow too hard.
18 FIRST AID
1 Find compression
point
• Lay the victim on a firm surface.
• Kneel beside the victim, level with
his chest. Slide your fingers (using 3 Compress chest
the hand farther from his head) • Press downward, depressing the
along the lowest rib to the point breastbone by 11/2–2 inches (4–5 cm)
where it meets the breastbone. on an average adult, then release
• Position your middle and index the pressure but do not remove
fingers at this point. your hands from the chest.
• Place the heel of your other hand • Compress the chest in this way
on the breastbone, just above your 15 times at a rate of about 100
index finger. compressions per minute (roughly
This is the three every 2 seconds), maintaining
area of the an even rhythm.
chest where
you must
apply the
compressions.
Place fingers
where the victim’s
lower rib and
breastbone meet
R E S U S C I TAT I O N T E C H N I Q U E S 19
1 Find compression
point
• Lay the baby on a firm surface.
• Position the tips of two fingers of
one hand on the baby’s breastbone,
a finger’s width below the nipples.
This is the point where you must
apply the compressions. 3 Repeat CPR cycles
• Continue giving cycles of five
chest compressions and one
rescue breath.
• If the baby’s circulation and/or
breathing return, stop CPR
and hold him or her in the
recovery position (p.15).
• Stay with the baby and monitor
his or her breathing (p.71), pulse
(p.70), and level of consciousness
(p.12) until help arrives.
Listen for
Place two fingers breathing
on the breastbone
just below nipple line
!Important
Look for chest
movements
Unconsciousness
An interruption in the normal activity of the brain
SIGNS & SYMPTOMS
results in unconsciousness. This potentially life-
threatening condition requires immediate medical • No response to loud
noise or gentle shaking
help. The aims of first-aid treatment are to check the
• Closed eyes
victim’s level of consciousness, open the airway and • No movement or sound
check breathing, then, if the victim is breathing, to
put him or her in a stable position until help arrives.
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