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Coronary Artery Disease

How to Respond to a Medical Emergency

Knowing what to do if someone you're with is bleeding profusely or appears to be having a heart attack could save the person's life.

Taking a standard first-aid and CPR class can help prepare you for most medical emergencies. The National Safety Council, the Red Cross and many hospitals offer classes.

The following suggestions can help you respond appropriately.

Burns

First-degree burns are red and painful but don’t have blisters. For a first-degree burn, put the injured area under cool water. Second-degree burns are deeper, painful and have blisters. They should be washed with soap and water and treated with an antibiotic ointment. If the blisters are severe, the skin looks white or charred, cover the burn with a non-stick sterile gauze bandage, if you have one, and seek medical attention.

Seek immediate emergency treatment if the burn is on the face, hands, feet or genitals; covers more than one square inch of skin; or causes respiratory problems because of smoke inhalation, indicated by coughing, wheezing, soot-tinged spit or red sores in the mouth.

Choking adult

Stand up and hold the person from behind. Wrap your arms around his or her waist and put one fist against the abdomen. Make sure your fist is slightly above the navel but below the rib cage. Holding your other hand over your fist, quickly thrust in and up with both hands four to 10 times. Call for emergency medical help if the person continues to choke.

Heart attack

If you suspect someone is having a heart attack, follow these American Heart Association guidelines:

  • Call 911 or your local access number for emergency medical service. Tell the dispatcher where you are. Don't hang up until you're told to do so.

  • Push hard and fash in the center of the person's chest, aiming for 100 chest compressions a minute. Continue the compressions until emergency medical help arrives. You can also give rescue breaths if you are trained in conventional CPR (chest compressions plus mouth-to-mouth breaths) and you are confident in your ability to give this type of CPR.

If the person regains consciousness before emergency help arrives:

  • Give the person an aspirin if he or she able to swallow.

  • If possible, get the person into a relaxed sitting position, with the legs up and bent at the knees, to ease strain on the heart. Loosen tight clothing around the neck and waist. Stay calm and reassuring.

Poisoning

If someone has been poisoned, call a poison-control center or 911. Try to determine what the person has swallowed by finding the product container. Don't induce vomiting unless instructed to do so by medical personnel.

Severe bleeding

Elevate the injured area, support it, then use a sterile pad to apply pressure to the wound. If blood seeps through the pad, place additional clean pads on top of each other. Wear rubber gloves or place plastic bags over your hands to prevent hepatitis or HIV infection. Call for emergency medical assistance.

Stroke

If someone is having a hard time breathing, talking, seeing or moving one side of his or her face or body, the person could be having a stroke. Call 911 or seek emergency medical help right away.

Publication Source: Vitality magazine
Author: Floria, Barbara
Online Source: Circulation http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.189380
Online Source: American Heart Association http://handsonlycpr.eisenberginc.com/
Online Source: American College of Emergency Physicians http://www.acep.org
Online Editor: Sinovic, Dianna
Online Medical Reviewer: Godsey, Cynthia M.S., M.S.N., APRN
Online Medical Reviewer: Keyes, Linda MD
Online Medical Reviewer: Lambert, J.G. M.D.
Date Last Reviewed: 6/19/2006
Date Last Modified: 5/23/2008