All posts by Ryan Davis Philip

 

Children at risk of anaphylaxis in Victoria soars, study finds

THE number of Victorian children at risk of potentially fatal anaphylaxis has risen by 41 per cent in the last six years.

A study of more than 550,000 pupils from 1500 schools has found the number prescribed with epipens rose from 5269 in 2009 to 7805 in 2014: an increase from 0.98 per cent to 1.38 per cent.

Despite this rise, the rate at which epipens are being used has remained steady.

One of the study’s researchers, Professor Katie Allen, said yesterday this was likely to be due to “people getting better at avoiding allergens”.

The study, reported in the latest Journal of Allergy and Clinical Immunology, follows a recent finding that Victoria is the world’s food allergy capital.

MELBOURNE TOP OF TABLE FOR FOOD ALLERGIES

Murdoch Children’s Research Institute Professor Katie Allen.

Prof Allen, director of the Centre for Food and Allergy Research at the Murdoch Children’s Research Institute, said the increase in anaphylaxis risk was associated with an increase in all food allergies over the last 20 to 30 years.

“There is a tide coming through, and this is the age group leading the epidemic,” she said.

Prof Allen said blanket food bans at school could never be adequately policed, but bans on food sharing were vital.

“Children who have allergies should only eat the food they can eat, and should not share food with others.”

The study shows that epipens are more likely to be used in secondary schools than in primary schools.

Researchers attributed this to “less vigilance in allergen avoidance, decreased parental supervision and increased risk-taking activities”.

The study also found a fall in anaphylaxis risk in secondary school pupils.

But researchers attributed this more to a change in parental reporting, saying: “This is a matter of concern, because it possibly reflects under-reporting of risk and may result in increased risk-taking.”

The number of Victorian children at risk of potentially fatal anaphylaxis has risen by 41 per cent in the last six years.

Prof Allen said the increase in anaphylaxis risk could not simply be put down to an overprescription of epipens.

“Fifteen or 20 years ago everyone with food allergies would get an epipen, but now there are new and very clear guidelines,” she said.

Maria Said, the president of Allergy and Anaphylaxis Australia, said the results were not all that surprising.

“We know that one in ten babies are diagnosed with food allergies and 3 per cent of them have peanut allergies, which are lifelong,” she said.

“So it’s to be expected that there is an increase in the anaphylaxis risk rate in schools.”

Ms Said said it was heartening that students appeared to be managing their allergies successfully.

“Teachers have much better awareness and there is much better access to information,” Ms Said said.

Anaphylaxis as you can see form this article is becoming more and more of a concern so make sure that you are up to date with your first aid training. All school teachers and childcare assistants should be first aid trained on a regular basis so that they are ready for any emergency that may occur. Not only will you receive training in the use of epipens but in asthma, cpr and many more components of first aid. Get trained to with Canberra First Aid.

 

Vitamin D an aid for asthma sufferers

TAKING vitamin D supplements in addition to usual medication can halve the chance of a severe attack and hospital admissions in people with mild to moderate asthma.

Respiratory physicians say the findings published on Thursday in theCochrane Library should prompt asthmatics to get their vitamin D level tested, to improve management of the condition.

Cochrane researchers made their findings based on reviews of seven trials involving more than 400 children, and two studies of almost 700 adults.

They found the supplement reduced the risk of a severe asthma attack needing a hospital visit from 6 to 3 per cent, and also reduced the rate of attacks requiring steroidal treatment.

Professorial Fellow at the University of Tasmania and Cochrane author Professor Haydn Walters said there was evidence vitamin D was beneficial, not just for allergies but also for inflammation type conditions such as type 1 diabetes, rheumatoid arthritis and multiple sclerosis.

“What we need to know more of is what levels of vitamin D are beneficial,” Prof Walters said.

“For anybody that is vulnerable to these diseases, they have a family history or a history of hay fever, they should know what their vitamin D level is and if it’s not in the top half of the normal range, then they should take vitamin D on a regular basis.”

An interesting theory into asthma medication and prevention. Get out and enjoy the sun but make sure you slip slop ad slap. Learn more about asthma and the treatment of an asthma attack by doing a first aid course in Canberra with us at Canberra First Aid. We will teach you about not only asthma bu anaphylaxis, how to stop bleeding, how to do slings and much much more so book in to one of our first aid courses now.

 

Importance of first aid highlighted

One person in every household should be trained in first aid, enabling them to respond to medical emergencies quickly and safely, says New Zealand Red Cross.

It’s made the call because Saturday is World First Aid Day.

Knowing what to do in an emergency is often the difference between life and death, says secretary-general Tony Paine.

“The first people at an accident aren’t doctors or paramedics. They’re mums and dads, your workmates and your friends, the supporters on the sideline at the rugby match.

World First Aid Day this year focuses on first aid for and by children.

“Getting children involved is so important. Even something small, like teaching your child how to call for help, could save your life,” Mr Paine says.

New Zealand Red Cross reaches more than 60,000 Kiwis every year through its NZQA-approved first aid training.

100% every family should at least have one first aid trained member. i would suggest two knowing that it could be that person who needs first aid help. Get yourself in to a first aid course in Canberra today with Canberra First Aid and Training. And Happy first Aid Day.

 

More than 50% of pre-hospital deaths preventable with simple first aid

Written by Agnes Chambre on 8 September 2016 in News

Dozens of MPs from across party lines turned up to the launch of the new British Red Cross report this week and showed their support for mandatory first aid education.

Last year, Labour MP Teresa Pearce presented a Private Members’ Bill to the House of Commons. Had it passed, it would have made Emergency First Aid education a statutory requirement for all state-funded secondary schools in England. Whilst, like mostPMBs, it failed to make it through the Commons, Pearce has not stopped campaigning for the cause.

 

This week, the British Red Cross launched a new report which shows the lifesaving potential of first aid at an event in the House of Commons, which saw the attendance of over 40 MPs from across party lines and representing constituencies across the UK.

The research conducted by the University of Manchester, revealed that up to 59 per cent of pre-hospital deaths from injury were potentially preventable if simple first aid had been used. While 93 per cent will call for an ambulance if they find someone with an injury, first aid intervention of any kind was infrequent.

Yet simple actions, such as turning someone on their side and tilting their head back to open the airway and applying pressure to stem blood flow, could have made all the difference.

The Red Cross is calling for more opportunities to learn first aid throughout one’s lifetime, starting at school, but also through the driving test and public health initiatives. MPs agreed that ensuring the next generation is first aid capable simply makes sense and could save countless lives.

“It’s just a no brainer,” Ms Pearce explained during her speech at the event. She said that after her PMB, “people would stop me in the street and say they couldn’t believe this isn’t a law already”.

Labour MP Liz McInnes told PoliticsHome it is “absolutely important” to introduce this mandatory education. “I think it’s absolutely key that we get this instilled in people at an early age that there are just very simple things that they can do. Nobody’s asking them to perform complicated medical operations but just putting somebody in the recovery position is something that everybody should be aware of.”

Conservative MP Will Quince, who hosted the event and proposed a 10 minute rule bill last year which would have required first time drivers to have first aid training prior to getting their licences, said: “It is quite shocking that people are dying when their lives could potentially have been saved through simple actions. This highlights a serious need for our population to be more widely educated in first aid.”

Supporters of the campaign also pointed out that educating the public in first aid allows people to ‘take control’ of situations and could potentially alleviate pressure from the NHS.

Conservative MP Peter Aldous, head of APPG on First Aid, said: “Our NHS, our public services, are under an awful lot of pressure, financial pressure, ageing population, limited funds and a whole host of needs which are all very well deserving and if we can ourselves take a little bit of that pressure off them, well it’s going to save them valuable money and it’s also going to save a life.”

Ms Pearce said this sense of empowerment gained by first aid education is essential, not only for the victim, but for the bystander. She recounted the story of one MP “who spoke about being a teenager when his father collapsed in front of him in a department store…he said the terror he felt, that he had absolutely no idea what to do, and had it been a fatality, he would have lived the rest of his life with the thought that he stood by while his father died.”

Anne McColl, Director of Education at the Red Cross, echoed these sentiments, saying that if people do not have the skills and confidence to help they may end up “effectively watching while a person is dying.”

“In the Red Cross, we all have a vision of society where we all have lifesaving skills, the confidence and the willingness to act and to step forward to help someone in a crisis. A society where everyone is ready to save a life, not just the trained few

“Don’t stop at 999, simple actions save lives. I can save a life and so can you.”

The research, which analysed data from coroners’ offices in Cheshire and Manchester, was last carried out 22 years ago by Professor Anthony Redmond who also oversaw this latest project.

Please note this article was taken from the UK where the emergency first aid phone number 999, here in Australia please dial 000 for emergency services.

This information is alarming. We know how important completing regular first aid courses are but we did not imagine that the statistics were so high in regards to saving lives. Make sure you book in to a first aid course in Canberra and get the training we all require. 

 

EXCLUSIVE: Myleene Klass: ‘My daughter would have died without first aid training’

MYLEENE KLASS opens up about the importance of first aid training at this year’s St John Ambulance Everyday Heroes Awards.

She has many strings to her bow including music, presenting and fashion designing to name but a few.
But Myleene Klass told Express.co.uk one of her most valuable skills is first aid training after finding herself in a terrifying situation with her daughter years ago.

The mother of two has daughters Ava, nine, and Hero, five, and revealed the unthinkable almost happened when she was a new mum to her youngest.

She opened up about the harrowing experience at tonight’s St John Ambulance Everyday Heroes Awards and discussed why first aid needs to be on the national curriculum.

She said: “I know from personal experience how scary it is when you’re faced with a first aid emergency. When I found out I was going to be a parent for the first time I decided to do a first aid course.

“I didn’t have to use those skills for five years but I’m so grateful I had them. My daughter Hero choked when she was a baby after swallowing a plastic star. First aid skills are so important and could save a persons life.

“I really believe because of the first aid training I’d had, I was able to save my daughter’s life. We need to fight to tell our schools and our government to get first aid on the national curriculum.”

The 38-year old was the host of this evening’s event, honouring everyday heroes who have made big contributions.

Myleene was hosting tonight's St John Ambulance awardsSPLASH

Myleene was hosting tonight’s St John Ambulance awards

She walked the red carpet in a bold red lace dress and kept her eyes shaded from the summer sunshine in big black shades.

She accessorised her look with nude heels and a simple gold chain.

Myleene gushed: “I feel very privileged to be hosting the St John Ambulance awards.

“I’m looking forward to meeting all of the inspiring finalists and hearings their stories.”

Myleene opened up to Express about balancing motherhood with her busy careerGETTY

Myleene opened up to Express about balancing motherhood with her busy career

Myleene opened up to Express in May about the constant trials of motherhood.

She said it can often be a struggle striking that balance between parenting and a busy career.

She said: “It’s a juggling act. And I’m not perfect. But I really think it’s important for my girls to see me balancing a career and motherhood.

“I want them to be raised in the generation where women can have it all. That’s not to say it doesn’t get exhausting and challenging.”

Hopefully more high class celebrities can get behind the first aid course world. We need all participants in our first aid courses to spread the word also and download our new app. Chat about our courses on facebook and start teaching their kids the basics form our first aid courses.

 

BACK TO SCHOOL? DON’T FORGET ABOUT FIRST AID

The long summer holiday is over – it’s time to head back to school. What’s the most important thing you think pupils will learn this year?

Perhaps they will conquer equations, master French, or triumphantly learn the periodic table off by heart.

But what if they learnt how to save a life?

ANMOL’S STORY

When 16-year-old Anmol saw an elderly man collapse in a shopping centre car park, she stopped to help.

The teenager calmly observed the situation, called 999 and stayed with the man, providing reassurance until the emergency services arrived.

“I was surprised no one else was willing to stop,” she said.

“People should help each other.”

Anmol knew what to do because she had recently learnt first aid at her school. But first aid is not a statutory part of the school curriculum.

The British Red Cross believes educating young people in first aid is important – and we’re not the only ones.

An overwhelming 95 per cent of parents, 84 per cent of teachers and 97 per cent of pupils want it to be part of the curriculum, too.

That’s why we are calling for first aid to be taught in schools.

But we also provide an array of resources to help schools and anyone working with young people. Together we can make sure that young people don’t miss out on these life-saving skills.

And it’s thanks to these resources that Anmol’s school – Seven Kings School in east London – was able to teach its students first aid.

ADDING FIRST AID TO THE TIMETABLE

Seven Kings School wanted to develop a new learning module for their sixth form students. So they asked young people to share their ideas.

Following a survey, it became clear that first aid was a popular choice.

The then co-ordinator of sixth form citizenship, Christina Servante, set out to incorporate first aid into the school’s enrichment programme.

But where could she get first aid information from?

Fortunately, Christina came across our First aid learning for young people website where we provide a host of free resources to support educators – from teachers to club leaders.

A group of young people learning first aid.

A group of young people learning first aid.

“I found the resources really useful and easy to use,” Christina said.

“I could follow step-by-step instructions for each first aid skill. I also loved how the videos, quizzes and suggested activities led to interactive and engaging sessions.”

ANMOL PUTS HER LEARNING INTO ACTION

But what really got the pupils talking was an activity about the bystander effect.

They explored the qualities that motivate and enable someone to stop and help a person in distress – and just weeks after the session, Anmol overcame the bystander effect to help that elderly man.

Christina is immensely proud of her student and has found teaching first aid a really rewarding experience.

“Our young people have the potential to be caring and proactive citizens, they just need to be taught the skills to give them the confidence,” she said.

Anmol agreed: “I think all students should have the opportunity to learn first aid skills, especially in the sixth form when we are about to embark on new experiences such as further education or work.”

“It’s been a really enjoyable experience for both teachers and students,” Christina added.

“There’s a real buzz in the classroom when first aid is taught – with lots of participation. I would encourage other schools to go for it.”

Please note that this article was taken from the UK and that the phone number to dial fro Emergency Services in Australia is 000 and not 999.

What an interesting read on the bystander affect and also how schools can start to introduce first aid courses into the curriculum at their school. It is essential that schools start to take up the first aid challenge by either getting companies like Canberra First Aid Courses in to help train or by becoming qualified themselves. If you want to learn more about first aid then book in to a first aid course with Canberra first aid in teh near future. We have cheap, fun and great first aid courses held in Canberra every week.

 

Boy, 9, revives his brother who fell into swimming pool on first-aid instructions over phone

First Aid in Canberra with Canberra First Aid will makes you not need to take the instructions over the phone because you will have excellent first aid skills and knowledge when you leave the day long training session.

Boy, 9, revives his brother who fell into swimming pool on first-aid instructions over phone. He followed first-aid instructions over the phone

Berlin: German authorities are lauding a 9-year-old boy as a hero after he followed first-aid instructions over the phone and revived his 2-year-old brother who had fallen into a swimming pool.

Kassel police say the toddler, Rudolf, was briefly left by his grandmother in the living room Saturday as she went to the bathroom to get a fresh diaper, and he ran outside and fell into the pool.

The older brother, Markus, pulled the motionless body from the pool and called for help because his grandmother understands little German.

When rescue crews arrived, Markus already had his brother’s breathing restored. Rudolf received hospital treatment and is out of danger.

Police said Monday they had no further details. Only first names are provided under German privacy laws.

Make sure you get into a first aid course in Canberra as soon as possible, this week we have a limited amount of positions going at the discounted rate of $100. So book in now for the cheapest rate of all first aid courses in Canberra.

 

First Aid Training Could Prevent 60% Of Deaths From Injury

Half of people surveyed said they would not attempt first aid if they stumbled across an accident or injured person.

Nearly six out of every 10 deaths from injury could be prevented if the British public knew even the most basic first aid, new research has revealed.

A study by the University of Manchester found that 93% of people would call 999 if they stumbled across an accident or an injured person.

But first aid intervention was more infrequent – with around half of people saying they would not attempt any while waiting for emergency services to arrive.

Joe Mulligan from the British Red Cross, which commissioned the research, said: “The good news is that most people are calling 999.

Half of people surveyed by the University of Manchester would not attempt first aid if they came across an injured person

Half of people surveyed by the University of Manchester would not attempt first aid if they came across an injured person

“But after calling 999 we want people to then do something in those crucial minutes before the ambulance arrives, every person needs to recognise that in an emergency, you are part of the ‘chain of survival’.

“Sadly in the majority of deaths we looked at, the simplest intervention could have helped keep someone alive until they got to hospital.

“For example something as simple as turning someone on their side and tilting their head back to keep their airway open – could be all it takes to make that difference between life and death in certain situations.”

The Royal College of Emergency Medicine has called for more opportunities for people to learn first aid, starting in school, but also through the driving test and public health initiatives.

It said: “Opening the airway by turning the unconscious person on their side and reducing blood loss by pushing hard on the site of the bleeding can buy precious minutes until help arrives.

“These two simple actions are the very same that a trained doctor or paramedic would perform. Minutes really count – so these actions save lives.”

Please note this article was taken from the UK where the emergency services number is 999. Here in Australia please call 000 for emergency services.

Its scary to think that this many people would not attempt first aid in a country with so many people. Here in Australia we haven’t seen the statistics but I would hope that more people would help in a first aid situation. Make sure you are prepared for the worst by completing a first aid course in Canberra with Canberra First Aid. Our first aid courses are fun, fast and effective teaching you all the skills that will help save a life. So book in today for a first aid course in Canberra.

 

Know basic first-aid

A working knowledge of first-aid can empower you to save lives.

In the summer of 2010, A.N. Venkatesh, senior consultant and head of department, emergency services, at the Apollo Hospital in Bengaluru, was taking swimming lessons when he sensed panic and unrest around him. Instructors had pulled an unconscious student out of the 17m-deep pool, and no one knew how long he had been under water.

“I elbowed my way through the crowd, introduced myself as a doctor and tried to resuscitate him,” says Dr Venkatesh. “The crowd had already wasted precious seconds milling around and pressing down on his tummy—a useless technique to revive a drowning person,” he says.

The young man died. Dr Venkatesh rues the fact that there was absolutely no first-aid equipment at hand. “In the case of drowning, oxygen supply to the brain is cut off. If such a condition exceeds 4-5 minutes, it can result in irreversible brain damage,” he says.

What could have helped save the young man’s life was a simple machine called Automated External Defibrillator (AED). “An AED is a portable electronic device that administers a small electric pulse that helps revive the rhythm of the heart and restores blood circulation. Anyone can operate it. It’s a simple push-button device that needs to be placed over the chest to be activated. If someone had been more alert at the pool that day and an AED was available, it could have helped us save a life,” says Dr Venkatesh.

CPR, or cardiopulmonary resuscitation, can be used on a drowning victim if he or she is pulled out of the water immediately. If the time submerged under water exceeds 5-7 minutes, CPR will not revive the victim. In such a case, an AED might help. The device can also help those with sudden cardiac arrest.

While AEDs can be purchased easily on online portals like Amazon and eBay, they can cost up to Rs.25,000, making them an expensive proposition for individuals. Placing an AED in public spaces like swimming pools, shopping centres, schools and corporate offices, as is done abroad, should be made mandatory, believes Dr Venkatesh.

There’s no denying that greater education in, and awareness about, first-aid is needed in India. “In 1992, during the stampede that occurred at Mahamaham, a religious festival in Kumbakonam in Tamil Nadu, it was reported that 40 people were killed. What wasn’t reported was that our trained field workers were able to save 13 lives that day,” says K.J. Suryanarayanan, 52, a first-aid and basic life support trainer at Chennai’s St John Ambulance, the first-aid education and training wing of the Indian Red Cross Society (IRCS), with multiple centres in every state.

The good news is that it is possible for people of all ages to get first-aid training, regardless of where they live or their educational qualifications.

Help at hand

Even if you don’t have any medical or science background, you can take one of two courses in first-aid, depending on your needs. The first is a basic first-aid course, also referred to as the Emergency First Responder course. This will equip you with the essential life skills required to respond quickly to medical emergencies. The second is an advanced first-aid course, which will help you survive under harsh conditions in the wild. The former is far more commonly offered and would be sufficient for most.

A basic first-aid course involves CPR training and use of an AED device, and dealing effectively with emergency medical situations, including suffocation, head injury, stroke, wounds, bleeding, fracture, muscular and joint injury, burns, heart attack, snake and scorpion bites, allergic reactions, heat stroke and diabetic emergencies.

“Usually conducted over two days, you will learn life-saving techniques (in the basic course), such as CPR, how to use a defibrillator device, and the basics of first- aid (dressing cuts, scrapes, wounds and fractures). It also teaches you how to identify an unconscious person, how to check if the neck has a pulse, treat snake and scorpion bites, and what to do to resuscitate people in different circumstances, ranging from choking accidents to household fires,” says G. Rajesh, supervisor (disaster management), at the IRCS in Chennai.

Deepak Mudaliar, a 31-year-old physiotherapist based in Chennai, attended first-aid classes offered by St John Ambulance in his city in 2005. “We were given a mannequin with a deflated lung and were taught resuscitation techniques. We practised by blowing air into it,” he says. “Proper hand placement while giving chest compressions is important. These are things that you need practical training for.”

If you have an ailing parent or a young child at home and find yourself in the role of a caregiver often, a basic first-aid course can come in handy.

Swapna Kishore, 59, runs Dementiacarenotes.in, a website for caregivers of dementia patients. Kishore took a basic first-aid course in December 2008 while caring for her mother, who suffered from dementia. “I did the course to confirm what I already knew about first-aid and to make sure I had retained a grasp of key skills,” she says. “I considered it necessary because I was caring for my mother, who was becoming increasingly dependent and immobile. The practical training and demonstrations in the course helped a great deal. We were given a booklet at the end and a card with information on CPR techniques.”

Kishore advises family members and caregivers to attend a course at least once and to keep first-aid books and supplies handy at all times.

“If you have elderly parents or young children, the basic first-aid course will be extremely beneficial,” says Suryanarayanan. “You may be confronted with day-to-day challenges and emergencies such as choking, nose bleeds and convulsions. The basic first-aid course will help you face any traumatic situation more effectively and with a greater sense of confidence.”

Advanced knowledge

If you are someone who likes to trek or camp outdoors, often in harsh, demanding conditions, consider an advanced wilderness first-aid course. It usually includes a written test and provides information on how to survive in harsh conditions in the wild, managing wounds, treating injuries to the spinal cord or surviving extreme weather conditions, which a basic first-aid course won’t address.

Ashna Bhel, a 32-year-old, Delhi-based mountaineer and freelance instructor for adventure camps, took a Wilderness First Responder course from the National Outdoor Leadership School (Nols) in the US. Nols India offers the same course in Ranikhet, Uttarakhand (see Learn To Help).

“I learnt how to treat blisters and ankle sprains and deal with wounds and dehydration issues,” says Bhel. This training differs from basic first-aid training courses because it helps you become aware of your surroundings and helps you deal with emergency situations that you would not normally face in day-to-day life, she adds. “Learning how to identify AMS (acute mountain sickness), for instance, was a very important part of my training because as a mountaineer, I needed to be aware of the health issues that could crop up as a result of high altitudes,” says Bhel.

If you don’t travel or work outdoors, however, this course may not be as useful as a basic course.

Critical moments

The most important benefit of a first-aid course is the ability to identify and distinguish between different kinds of ailments and medical emergencies. “Not only can this save lives, but timely identification and treatment will help make recovery quicker and easier,” says Amutha Senthivel, a physician specializing in family medicine and diabetology at the Apollo Clinic in Chennai. “There is a greater need for emergency first-aid training in a country like India where, often, even if you have access to an ambulance, medical aid can’t be availed of right away,” she says.

“We’ve often heard doctors speak of the golden hour (when a patient must be treated within an hour of the appearance of symptoms) but, in reality, in most emergency situations, we often have only minutes to revive a patient and ensure that there is no lasting brain damage,” says Dr Venkatesh. “Since emergency care must be administered immediately, often the caregiver/bystander is the only person in a position to act right away. In my practice in India, I have found that 95% of the caregivers have no awareness of basic medical aid,” he adds.

According to Dr Senthivel, precious time is often wasted in taking a patient to the wrong specialist or hospital.

Training and awareness of first-aid, say the experts, should ideally begin early, preferably around the age of 15.

There is a growing need to empower communities to respond effectively to health problems. Emergency training must consider factors such as the trainee’s place of living. Preeti Kumar, director of training at the Public Health Foundation of India, a public-private initiative of the Union government to strengthen training, research and policy development in the area of public health, says: “If you live by a highway, your training should involve a better responsiveness to road accidents. If you live in a rural community, far away from a big hospital, your emergency training needs will differ.”

Learn to help

First Aid courses in Canberra are offered by many providers however our first aid courses offer you a good basic level knowledge that is not too over the top and that you wont forget. With all of our first aid courses you will receive a free first aid manual to keep and you will also receive a free cpr keyring facemask. Book into one of our first aid courses at www.canberrafirstaid.com

 

Are Your First-Aid Skills Up to Date?

Closeup of a first-aid kit box.

Do you know what’s the best way to treat a burn or nosebleed? (ISTOCKPHOTO)

While you’re enjoying the last barbecues, picnics, Frisbee games and other summer adventures, it’s a good time to make sure your first-aid skills are current. After all, some of the guidelines for what to do and what not to do have changed in recent years.

“As our understanding of physiology and anatomy has evolved, strategies that may have been based on old wives’ tales have either been supported or changed by evidence-based medicine,” says Dr. Michael Carius, an emergency physician in Connecticut and past president of the American College of Emergency Physicians.

In some cases, the old-fashioned advice is still pretty solid; in others, not so much.

Here’s a look at the best (and worst) ways to treat various injuries:

Bruises

Do: Apply ice right away.

Don’t: Take a hot bath or shower or apply a heating pad.

If you get whacked in the knee by a line drive during a softball game, fall on the pavement while in-line skating or suffer another blow to your body, applying ice to the area of impact will help constrict the blood vessels that are leaking and causing the bleeding under the skin that leads to a bruise, Carius says. For the first 48 hours, apply ice packs (or a bag of frozen vegetables) to the area for 20 minutes every hour; place a lightweight towel or cloth between your skin and the ice. It also helps to elevate the injured area above your heart to reduce swelling. “After 48 hours, you want to start the repair process, so that’s when you should bring heat in to stimulate circulation and promote healing,” Carius says.

Burns

Do: Place the burn under cool running water.

Don’t: Apply vitamin E, aloe vera or butter to a burn.

If you burn yourself while, say, grilling, your priorities are to a) stop the burning and b) cool the area, says Dr. Seth Podolsky, an emergency physician at Cleveland Clinic. “If the skin blisters or it’s a deep burn, see your doctor or go to the emergency room.” Otherwise, place the burned area under cool running tap water or apply ice wrapped in a towel to the area to decrease swelling and pain; continue this at regular intervals for 24 to 48 hours.

“Even if the heat source isn’t there anymore, the skin and tissues are still angry and inflamed – coolness will help,” Podolsky adds. After 48 hours, applying an antibiotic ointment to the burn can help moisturize the area, soothe damaged tissue and allow the skin cells to regenerate, Carius says.

Splinters

Do: Use tweezers or a small needle to get it out ASAP.

Don’t: Ignore it or soak it in water.

That splinter is a foreign body that your body will recognize within minutes, Carius says. “White blood cells will be sent to fight off the invader, and the longer it stays in there, the more likely it is to get infected because of the bacteria that enter with it. You can get a pretty nasty infection with a splinter.”

If you can see the splinter, use tweezers to pull it out; if you can’t, see a doctor. (If you soak a wood splinter in water first, it can absorb water, become softer and break apart under your skin, which can lead to infection, Carius warns.) Once you get the splinter out, wash the area in soap and water and apply an antibacterial ointment.

 

Cuts and lacerations

Do: Wash them carefully with soap and running water.

Don’t: Use alcohol or hydrogen peroxide.

To prevent a cut from becoming infected, the most important thing to do is flush it out with running water to remove bacteria and dirt. “The act of irrigating it is more effective in preventing infection than what you actually use,” Podolsky says, so it doesn’t matter if you use tap water, sterilized water or a saline solution to wash it out. Alcohol can burn the injury, Carius says. And “hydrogen peroxide can actually inhibit some of the wound healing – it kills bacteria by rupturing the cell membranes; it can do the same to your cells,” warns Dr. Kurt Smith, an assistant professor of emergency medicine at the Vanderbilt University Medical Center in Nashville.

After rinsing the cut with soap and water, pat it dry and apply an antibiotic ointment; cover it with a bandage if it’s bleeding or oozing. If the cut is longer than half an inch, jagged or deep and bleeding a lot, “it may need to be closed with stitches, glue or staples,” Carius says, so go to the ER.

Nosebleeds

Do: Apply compression to stop the bleeding.

Don’t: Tilt your head back or shove a tissue into your nose.

If you get whacked in the nose by a Frisbee or badminton shuttlecock and it starts bleeding, you’ve probably ruptured blood vessels in the front of the nose along the cartilage. Your best bet is to grab some tissues or a paper towel, pinch the soft parts of your nose behind both nostrils, and lean forward to stop the bleeding. Keep the pressure steady for five to 10 minutes; applying ice also can help constrict the blood vessels and stop the bleeding.

It’s a mistake to lean your head back while applying pressure because this just sends the blood down your throat and into your stomach. “If you swallow enough blood, you’re going to throw up and that could make things worse,” Smith warns. Once the bleeding stops, allow the clot to remain in place (that means don’t blow your nose!) for a few hours. If you can’t stop the bleeding within 30 minutes, go to the ER, especially if you’re taking an anticoagulant drug, Carius advises.

Sprains and strains

Do: Apply ice and elevate the injured area.

Don’t: Put heat on it right away.

Whether it happened while you were playing a sport or you tripped while walking on the beach, spraining or straining your ankle or wrist hurts. And it’s because “you’ve stretched a muscle, tendon or ligament beyond its natural tensile strength and torn fibers in those tissues,” Carius explains. This can lead to some leakage of blood and fluid into the surrounding area, which can contribute to the swelling.

“You want to decrease the inflammatory response and leakage of fluid,” Carius says, and the best way to do that is to rest the injury, apply ice packs (keep a towel between your skin and the ice) and elevate the injured area above your heart at regular intervals for 48 hours. (Applying heat actually can increase inflammation in the short term – the opposite of what you want!) Taking an anti-inflammatory drug (such as ibuprofen) also can help reduce pain and swelling in the first 24 hours, Carius says. After that, resume normal activities as you feel up to it.

First Aid skills are very important in life. Make sure your skills are up to date by completing a first aid course with Canberra First Aid as soon as you can. We are coming up to spring and summer and now is the time to get trained in first aid so you are prepared.