A road accident case is reported every second in India and 1 person dies every 4 second. A lot of these lives can be saved if proper first aid is given to them on time and it should be given as soon as possible without waiting for expert medical help.
As police personals are first people to arrive at the scene of incident, they should have the basic knowledge to provide first aid. As a part of “Sadak Surakha Abhiyan” or “Road Safety Campaign“organized by NTBCL and VIVO Healthcare, police officers and security personnel are aimed to get trained. On Sunday, 22nd March 2015, more than 100 officials were trained in Indra Kala Kendra, Sector 6, Noida.
The training was led by VIVO Healthcare’s internationally certified trainers to extensively train the police personnel in major medical emergencies observed by them in daily routine like Cuts & Wounds, Impaled Object, Fractures & Dislocation, Splinting & Bandaging, Choking, Cardiac Arrest, Cardiopulmonary Resuscitation (CPR), Fainting, Stroke, Diabetic Emergencies, Asthma, Seizures, Burns, Allergic Reaction, etc.
As a result of this training, these police personnel will now be able to provide first aid to road accident victims before any expert medical help arrives or the victim is transported to hospital. Some of the important personalities present in the training included SP (traffic) Rajiv Narayan Mishra, ACP Vijay Dhull, AVP of DND – Anwar Abbasi and SSP Dr. Pritinder Singh. It has also been announced that all the PCR vans and police vehicles will be fitted with first aid box containing all the essential items of minor and major medical emergencies which may include burns, cuts, fractures, etc.
Some of the key highlights of the training were:
Cardio Pulmonary Resuscitation (CPR)
Technique for performing chest compressions:
- Place heel of one hand on lower half of breast bone
- Place heel of second hand on top of first
- Using upper body weight, push hard, at least 2 inches in depth
- Give 30 chest compressions at the rate of at least 100 per minute
- Allow complete chest recoil
- Minimize interruptions in chest
Technique of delivering rescue breaths:
- Open Airway using the Head-Tilt-Chin Lift technique.
- Pinch nose and open your mouth wide to cover the person’s mouth, making a seal.
- Take a normal breath & give first rescue breath over one second to make the chest rise visibly.
- Take a fresh breath and then deliver the second breath. If the chest doesn’t rise, repeat Head-Tilt Chin-Lift technique and then give the second breath.
- Give reassurance to reduce anxiety.
- Alert Emergency Medical Response immediately.
- Help the person breathe better by loosening any tight clothing.
- The person should be allowed to sit in a position most comfortable to him.
- Never force him to lie down.
- Ask the person about prescribed medications. If he is carrying it, help him take it eg. aspirin or sorbitrate.
- These are prescribed drugs and never advisable to be administered without prescription.
- Administer oxygen, if available.
- Ideally the patient should be transported to a nearby cardiac centre in an ambulance. However when ambulance is not available transport patient to a nearby medical facility preferably a cardiac center, ensuring not to make the person walk (any physical exertion can worsen his condition).
- DO NOT give any mental stress. Reassure the person.
- DO NOT make the person walk. Ensure no physical exertion.
- DO NOT force the person to lie down. As a person who has breathing difficulty prefers to sit up and lean forwards.
- DO NOT give anything to eat or drink.
- Help the casualty to lie down if bleeding is severe.
- Wear gloves (if you have) or else use improvised items like polythene bags.
- Remove or cut clothing to expose the wound.
- To control bleeding, apply firm pressure to the wound, with the flats of fingers for atleast 10 minutes. If possible, first ask the casualty to apply direct pressure with his hand. Otherwise, use your gloved hand.
- Bandage pad in place. Make sure that you can pass one finger through the bandage to ensure it is not too tight to hamper circulation. Otherwise remove and tie it again.
- If bleeding continues and the pad is soaked, leave initial pad in place and apply a second pad over the first.
- Ensure your own safety. Follow universal precautions. Wear gloves. Be careful as the impaled object eg. Knife, rod etc. can even cause injury to you.
- Call emergency medical response.
- Stabilize the object in place to prevent movement & pre vent further injury. The movement of the impaled object causes tissue damage and more bleeding. Tape or rolled gauze can be used