1. American Red Cross Lesson 1
Before Giving Care

2. Recognizing Emergencies
Types of emergencies –
Sudden illness
Injury
Emergencies are characterized by -
Life-threatening
Non-life-threatening

3. Citizen Responder
Your primary role as a citizen responder in an emergency includes—
Recognizing that an emergency exists.
Deciding to act.
Taking action by calling or the local emergency number to activate EMS.
Giving care until help arrives.

4. Overcoming Barriers to Action
Reasons people give for not helping are called barriers to action. They include:
Presence of bystanders
Uncertainty about the victim
Nature of the injury or illness
Fear of disease transmission
Fear of doing something wrong

5. Emergency Action Steps
Follow the Emergency Action Steps:
CHECK
The scene and the victim.
CALL
9-1-1 or the local emergency number.
CARE
For the victim until EMS arrives.

6. CHECK
Is the scene safe?
Check for anything unsafe, such as spilled chemicals, traffic, fire, and other hazardous items.
Are you putting yourself in danger by helping this person? Make sure you are also taking care of yourself!
Is there anyone around who can also help? Ask others around the scene for as much help as they can offer!

7. Making the Call
Send someone else to call or the local emergency number.
If you are alone:
Call First –
Call 911 before giving care for-
An unconscious adult victim or adolescent age 12 or older.
A witnessed sudden collapse of a child or infant.
An unconscious infant or child known to be at a high risk for heart problems.

8. If you are alone: Care First -
Give 2 minutes of care, then call 911 for-
An unconscious victim younger than age 12.
Any victim of submersion or near drowning.
Situations related to breathing emergencies rather than sudden cardiac arrest.
Call First situations are generally cardiac-related emergencies.
Care First situations are usually breathing-related emergencies

9. CALL
Calling for help is often the most important action you can take to help an ill or injured person.
Call 911 or the local emergency number (If there are other people at the scene, ask someone else to call for you to help!)
Make sure you give the 911 operator the correct information about your location, the emergency, and any other information you are able to give about the emergency!

10. Good Samaritan Laws
Good Samaritan laws that protect people against claims of negligence when they give emergency care in good faith without accepting anything in return.
Good Samaritan laws were developed to encourage
people to help others in emergency situations. They
require the “Good Samaritan” to use common sense
and a reasonable level of skill and to give only the
type of emergency care for which he or she is trained.

11. Good Samaritan Laws
Move a person only if the person’s life were in danger.
Ask a conscious person for permission, also called
consent, before giving care.
Check the person for life-threatening conditions
before giving further care.
Call or the local emergency number.
Continue to give care until more highly trained
personnel take over.

12. Getting Permission to Give Care
Obtaining Consent
Getting Permission to Give Care
People have a basic right to decide what can and cannot be done to their bodies. They have the legal right to accept or refuse emergency care.
Therefore, before giving care to an injured or ill person, you must obtain the person’s permission.
When a conscious person who understands your questions and what you plan to do gives you permission to give care, this is called expressed consent. If the person refuses care or withdraws consent at any time, step back and call for more advanced medical personnel.

13. Getting Permission to Give Care
Obtaining Consent
Getting Permission to Give Care
People who are unconscious or unable to respond, confused, mentally impaired, seriously injured or seriously ill, the law assumes that if the person could respond, he or she would agree to care. This is called
implied consent.
If the conscious person is a child or an infant, permission to give care must be obtained from a parent or guardian when one is available. If the condition is life threatening, permission—or consent—is implied if a parent or guardian is not present. If the parent or guardian is present but does not give consent, do not give care. Instead, call or the local emergency number.

14. CARE
Once you have followed the first two C’s, you may need to give care until EMS personnel arrive. Follow these guidelines:
Do no further harm.
Monitor the person’s breathing and conciousness.
Help the person rest in the most comfortable position.
Keep the person from getting chilled or overheated.
Reassure the person.
Give any specific care needed.

15. The first important steps in giving first aid are….
The three C’s!!
CHECK
CALL
CARE

16. Disease Transmission Prevention
To prevent disease transmission when giving care,
follow what are known as standard precautions:
Avoid contact with blood and other body fluids or objects that may be soiled with blood and other body fluids.
Use protective CPR breathing barriers.
Use barriers, such as disposable gloves, between the
person’s blood or body fluids and yourself.
Before putting on personal protective equipment, such as disposable gloves, cover any of your own cuts, scrapes or sores with a bandage.
Do not eat, drink or touch your mouth, nose or eyes
when giving care or before you wash your hands after
care has been given.

17. Do not touch objects that may be soiled with blood or
other body fluids.
Avoid handling any of your personal items, such as
pens or combs, while giving care or before you wash
your hands.
Be prepared by having a first aid kit handy and stocked with disposable gloves, CPR breathing barriers, eye protection and other supplies.
Wash your hands thoroughly with soap and warm
running water when you have finished giving care, even
if you wore disposable gloves. Alcohol-base hand
sanitizers allow you to clean your hands when
soap and water are not readily available.

19. Before Giving Care Check the scene Is it safe?
Is immediate danger involved?
What happened?
How many people are involved?
Is anyone else available to help?
What is wrong?
Identifying Life-Threatening Conditions
Check Children and the Elderly
Call
Call first
Care first

20. Transporting the Person Yourself
Care
Do no further harm.
Monitor the person’s breathing and consciousness.
Help the person rest in the most comfortable position.
Keep the person from getting chilled or overheated.
Reassure the person.
Give any specific care as needed.
Transporting the Person Yourself
When the trip may aggravate the injury or illness or cause additional injury.
When the person has or may develop a life threatening condition.
If you are unsure of the nature of the injury or illness.

21. Moving an Injured or Ill Person
When you are faced with immediate danger,
such as fire, lack of oxygen, risk of explosion or
a collapsing structure.
When you have to get to another person who may have a more serious problem. In this case, you may have to move a person with minor injuries to reach someone needing immediate care.
When it is necessary to give proper care. For
example, if someone needed CPR, he or she might
have to be moved from a bed because CPR needs
to be performed on a firm, flat surface. If the
surface or space is not adequate to give care, the
person should be moved.

22. Techniques for Moving an Injured or Ill Person
To improve your chances of successfully moving an injured
or ill person without injuring yourself or the person:
Use your legs, not your back, when you bend.
Bend at the knees and hips and avoid twisting
your body.
Walk forward when possible, taking small steps and looking where you are going.
Avoid twisting or bending anyone with a possible
head, neck or spinal injury.
Do not move a person who is too large to move comfortably.

23. Ankle Drag Two-Person Seat Carry Walking Assist Clothes Drag
Blanket Drag
Ankle Drag
Pack-Strap Carry