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Legal aspects of first aid and emergency care: 3.

The first and second articles in this series considered whether there was a duty in law to volunteer help when there was no pre-existing duty to do so and discussed the standard of care that should be followed. This article examines the volunteer's rights if he/she is injured while assisting at an accident.

Emergency Medical Services↗

First aid in disasters.

If you are first on the scene of a disaster, approach safely and liaise with police and ambulance officers. Carry out triage, identifying those victims who need urgent treatment and those who do not--because they are not ill enough, too ill or dead. Establish priorities of treatment within the urgent group in the airway (A), breathing (B), circulation (C) sequence. Record assessment and treatment given.

Adult↗

Life supporting first aid (LSFA) teaching to Brazilians by television spots.

Accidents in developing countries are frequent and have high mortality and morbidity rates. In Brazil, in 1995-1996, the year of this study, life supporting first aid (LSFA), which includes cardiopulmonary resuscitation (CPR) basic life support (BLS) was not taught in schools. With the population of 165 million, the only way to teach the adult population on a large scale would be by television (TV), that is widely viewed. This study compares two groups of factory employees - 86 controls without TV exposure to LSFA and 116 exposed to brief LSFA skill demonstrations on TV. Their ability to acquire eight LSFA skills was evaluated: external hemorrhage control; immobilization of a suspected forearm fracture; treatment of a skin burn by cold flush; body alignment after a fall; positioning for shock and coma; airway control by backward tilt of the head; and CPR (steps A-B-C). Simulated skill performance on the evaluating nurse or manikin was tested at 1 week, 1 month, and 13 months. In the control group, 1-31% performed individual skills correctly; as compared to 9-96% of the television group (P<0.001). There was excellent retention over 13 months. Over 50% of the television group performed correctly five of the eight skills, including positioning and hemorrhage control. Television viewing increased correct airway control performance from 5 to 25% of trainees, while it remained at 3% in the control group. CPR-ABC performance, however, was very poor in both groups. We conclude that a significant proportion of factory workers can acquire simple LSFA skills through television viewing alone, except for the skill acquisition of CPR steps B (mouth-to-mouth ventilation) and C (external chest compressions) which need coached manikin practice.

Adult↗

Health education for the preadolescent: basic first aid.

Accidents are the leading cause of death and disability in the preadolescent age group. For this population, the State of California now recommends specific accident and emergency health education. This article discusses the American Red Cross' self-paced Basic First Aid course which can meet the needs of the student as suggested and integrate the student-teacher-nurse in a health education experience profitable for all.

California↗

A systematic review of the impact of Mental Health First Aid on medical, nursing and allied healthcare professional students.

BACKGROUND: Healthcare professional (HCP) students are at high risk of mental health problems, but stigma and fear of career repercussions often deter them from seeking help. Mental Health First Aid (MHFA) is a globally disseminated course teaching the public to identify and respond to people experiencing mental health problems. MHFA training may address some of the challenges faced by HCP students, by improving mental health knowledge and by enhancing well-being and peer support. AIMS: To systematically review the available literature regarding the impact of MHFA training on HCP students' mental health literacy, confidence and intentions to provide help, stigma, peer support and self-care. METHOD: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (International Prospective Register of Systematic Reviews ID: CRD42024589509), five databases were searched. Primary studies evaluating the above outcome measures in HCP students were included. Two authors independently screened references and extracted data. Quality was assessed using the Modified Medical Education Research Study Quality Instrument and Cochrane Risk of Bias tools. A narrative synthesis was performed. RESULTS: Of 2367 records screened, 26 met inclusion criteria. Confidence in supporting others and mental health literacy showed the most consistent improvements following MHFA training, whereas evidence for changes in stigma was mixed. Peer support, self-care and student well-being were infrequently examined, although qualitative data suggested that MHFA had improved openness to help-seeking. CONCLUSIONS: MHFA shows promise in enhancing mental health literacy, confidence and intentions, and in reducing stigma, particularly when supplemented with experiential learning. HCP students may benefit from tailoring of such courses to their specific needs, fostering a culture of peer support, enhancing well-being and introducing basic concepts in mental health.

MHFA↗

A first-aid preparation for burns and scalds.

A report of a laboratory evaluation of a mousse comprising a mixture of paraffin oils and waxes containing chlorofluorocarbons (CFCs) (this product has since been reformulated and no longer contains CFCs). The product has been marketed for the first-aid treatment of burn injuries. The cooling abilities of this product are measured and compared with those of other aerosol preparations. The results show that the mousse provides local cooling for at least 10 minutes after application in laboratory conditions.

Administration, Topical↗

Emergency first-aid treatment of gunshot and stab wounds.

The number of violent crimes in Great Britain is on the increase and therefore there is a possibility that nurses will encounter a casualty with stab or gunshot wounds. On encountering a casualty with stab or gunshot wounds, the first aider must immediately assess the scene to avoid personal injury or risk to life. No matter how ugly or bad the injuries look, the basic principles of first aid still apply. Never attempt to remove any penetrating object still in situ as this may cause more serious bleeding. Any penetrating injury to the chest may result in instant respiratory distress. Make use of people present at the scene of the injury. Always ensure that the emergency services are notified immediately.

Emergencies↗