Correctly assessing a casualty
in first aid could help you save the life of someone you love, as well as
others.
What is a casualty? According to dictionary.com, the word casualty commonly
refers to war victims, as “a member of the armed forces lost to service through
death, wounds, sickness, capture or because his or her whereabouts or condition
cannot be determined”. In day-to-day life, casualty also refers to individuals
in life threatening situations.
How can you assess a casualty
appropriately? What you need to do in terms of assessing a casualty in first
aid, initially depends upon the situation at hand. Each situation will be unique.
The accuracy of your assessment skills in first aid may be critical in life and
death situations.
The web site “Firstaid.ph”
offers some important guidelines
for assessing a casualty in
different kinds of situations.
Consider these basic factors
with respect to assessment in first aid.
Safety
Assess the situation for your
own safety, but do not panic. Being able to assist anyone in an emergency
depends upon how safe you are in the situation. Thus, your first assessment in
an emergency should be with respect to whether or not it is safe for you to try
to act or intervene. It is important to ensure the safety of others as well, so
taking immediate control of the situation may prove crucial.
Assistance
Your initial assessment of an
emergency should include an immediate call for help. Call 911, or designate
someone else to call for assistance. Alerting others to what is happening is
important, as while you may be able to assist another person, it may prove too
precarious alone. You may be able to instruct others, so they can assist
you.
Airway, breathing and
circulation first aid measures
Once you know that intervention
on your part is safe, approach the casualty cautiously. Is he or she conscious?
Check the casualty’s airway, breathing and circulation. If necessary, start CPR
(cardio pulmonary resuscitation) and apply pressure if the casualty is
hemorrhaging. He or she may be in a state of shock and need a blanket to keep warm. Elevation of the casualty’s head may help his or her
breathing.
Information
Identify the casualty and note
pertinent information for medical personnel. Is there contact information with
respect to family members? Check the casualty’s current medication and note any
medical treatment he or she may be receiving. The information that you obtain
is vital with respect to appropriate medical treatment. Does he or she have
allergies? Is he or she a diabetic?
Stabilization
Stabilization of vital signs
and the general medical status of the casualty is important, so document his or her
heart rate, pulse and breathing rate at regular intervals, as well as any
changes. Check his or her blood pressure regularly. Ensure that he or she is in
a stable condition before attempting to move him or her to a more appropriate
location. Use caution and appropriate splinting with respect to moving anyone
with head or spinal injuries and other fractures. Record burns, bruises or
abrasions.
Evidence
If the cause of the casualty is
undetermined, there may be other issues to consider. When there appears to be
evidence of criminal activity, like the use of weapons or drug abuse, focus on
the status of the casualty first, but note what appears to have happened without
removing any of the evidence.
Report
Accurate documentation and
reporting your observations and first aid measures you have taken, will help
ensure continuity of care when the casualty goes to an emergency facility for
further medical treatment.
Remember that upgrading your
first aid assessment skills on a regular basis will prove beneficial in any
emergency.