ANAPHYLAXIS(Severe Allergic Reaction) SYMPTOMS Itching rash, hives, runny nose, wheezing, paleness, cold sweats, low blood pressure, coma, cardiac arrest. TREATMENT If Victim is Unconcious, Not Breathing: 1. Yell for help. Don't leave victim. 2. Begin mouth-to-mouth breathing immediately 3. If there is no heartbeat, give external cardiac massage. 4. Have someone call 911 for medical help. 5. Don't stop CPR until help arrives. If Victim is Unconcious and Breathing: 1. Dial 911 for help 2. If you can't get help immediately, take patient to nearest emergency room or other facility with adequate equipment and personnel to care for medical emergencies. BLEEDING SYMPTOMS Bleeding caused by any serious injury should be treated in an emergency facility. There is usually a lot of bright-red blood pumping from an injured artery, or darker blood if vein is larger. TREATMENT 1. Call for ambulance or take to emergency room. In the meantime, render first aid yourself. 2. Cover entire injured area with cloth or bare hands if no cloth is available. 3. Aplly strong pressure directly on injured area for 10 minutes while awaiting ambulance or transporting to emergency room. 4. If direct pressure doesn't control brisk bleeding and emergency assistance will not be available within 5 minutes, use a tourniquet as a last resort to prevent death from bleeding. Make a tourniquet from a length of cloth or similar material. Wrap and tie the tourniquet around extremity above the wound. Place a stick or other rigid object between cloth and extremity. Twist the rigid object several times until tight pressure has been applied and bleeding stops. Note how long the tourniquet is in place so the medical team will know. BURNS SYMPTOMS First and second-degree burns are not usually life-threatening. First-degree burns cause only red skin and mild swelling. Second-degree burns cause blisters, pain and oozing. Extensive third-degree burns can be life-threatening. Skin turns white or appears to be charred. TREATMENT FOR FIRST AND SECOND-DEGREE BURNS: 1. Apply lotion to cool first degree burns. However, if marked swelling develops, seek medical care. 2. Immerse small second or third-degree burn areas in cold water for 10 minutes to reduce pain and swelling. 3. Keep the burn area clean. Soak in a tub or use warm compresses once a day. You may add 2 tablespoons of powdered detergent to the tub to help soak off crusting areas. Use plain water for compresses. 4. If possible, prop the burn area higher than the rest of the body. 5. If you wish, use dressings on the burnt area. FOR THIRD-DEGREE BURNS: 1. Don't use ice to relieve pain. 2. Keep patient lying flat and lightly covered to prevent shock. 3. Remove clothes and jewelry unless they are sticking to burned skin. 4. Take to emergency room. SPECIAL INSTRUCTIONS: ELECTRICAL BURNS -- Turn off the source of electricity, if possible. If not, use a non-conductive material, usch as a board or wooden chair, to pull the victim away from the electrical source. Don't use your bare hands. If the victim is not breathing, begin mouth-to-mouth breathing. CHEMICAL BURNS OF THE EYE OR SKIN -- Hold the victim's head or other burned area beneath a faucet. Turn on cool water at medium pressure. Rinse for at least 15 minutes, directing the water away from the unaffected area. FOR BURNS OF LARGE AREAS -- Prepare a solution for the victim to drink on the way to the emergency room. Mix 1 quart of water with 1/3 teaspoon of salt and 1/3 teaspoon of baking soda. This may help prevent kidney failure. CHOKING SYMPTOMS Clutching at throat. Gagging or gasping for air. Sudden collapse without previous illness. Unable to speak. Breathing labored and wheezing if breathing is possible at all. TREATMENT 1. Stand behind person, bend patient forward and give 3 or 4 sharp blows to back between shoulder blades. 2. If this doesn't dislodge obstruction, perform the Heimlich Maneuver as follows: HEIMLICH MANEUVER 1. Stand behind person, place both arms around his upper abdomen and grasp your wrists halfway between bottom of ribs and waistline, just above navel. 2. Give 3 or 4 quick forceful squeezes, pushing in and up. NOTE: If you are alone and are choking, lean forward on your abdomen against back of a chair and push forcefully. FRACTURES OR DISLOCATIONS SYMPTOMS Extreme pain and tenderness in any injured area; change in appearance of injured part, such as swell, protruding bone or blood under skin. Extremity, such as finger, arm or leg, may be bent out of normal alignment. TREATMENT 1. Immoblize any injured area and keep movement to minimum. For obvious fractures of fingers, wrists, arms, legs, ankles or feet, improvise a splint from stiff rolled-up paper, scrap wood or metal. 2. Attach splint firmly to injured extremity with strips of cloth, twine or similar material to prevent movement. 3. If leg, back or neck is severly injured and possible fractured or dislocated, keep patient warm and still until ambulance arrives. Don't move the victim. HEART ATTACK SYMPTOMS Chest pain lasting more than 2 minutes that radiates into jaw or arm. Heavy sweating without obvious other cause. Weakness, nausea, pale skin. Irregular pulse. TREATMENT IF VICTIM IS UNCONCIOUS, NOT BREATHING: 1. Yell for help, don't leave victim 2. Immediately begin mouth-to-mouth breathing. 3. If there is no heartbeat, give external cardiac massage. 4. Have someone call 911 for help. 5. Don't stop CPR until help arrives. IF VICTIM IS CONCIOUS AND BREATHING 1. Dial 911 for help 2. If there is no immediate help, then take victim to nearest emergency room.