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Emergency Medical Service

Introduction
Content : 1.Apoplexy
a.Slightly lift the back of the patient.
b. Loosen his clothes.
c. Alleviates shock symptoms.
d. In case that patient loses his conscious, apply bloodletting to her/him till she/he regains consciousness.
e. Go to hospital as soon as possible, if it is blood deficiency apoplexy, treatment of thrombus solvent should be applied to the patients.

2.Heart attack
a. Comfort the patient and ease her/his anxiety.
b. Keep the patient sitting or laying and in warmth, and go to hospital as soon as possible. Check for patient’s medical contraindications.

3.Fainting from diabetes
a.Take sugar water and sugar powder.
b. Set the patient into resuscitation posture and apply treatments to him as a normal fainting patient. 
c. Go to hospital as soon as possible, check patient’s contraindications.

4.Epilepsy
a. Prevent the patient from self-injuring and clear the surrounding area.
b. Do not force to restrain or place blunt object between teeth.
c. See a doctor, and check for the contraindications.

5.Shock
a.Lay on back and rest comfortably.
b. Keep patient ’ s feet lower than his head to supply the brain with enough blood.
c. Loosen the clothes and restrains, do not provide food or beverage.
d. Go to hospital immediately.

6.Fracture
a.Fracture injury should be fixed up and hospitalized .
b. If having no splint at hand, use hard cardboard, newspaper, magazine, crutch and door-board alternatively.
c.Use the body and healthy body side as a fixer .
d. One fixing should contain two or more joints.

7.Piercing in eye
a. Do not try to remove the eye winker or wash the injured eye.
b. Apply appropriate bandage to the eye.
c. Cover the healthy eye with pledget.

8.Nosebleed
a. Nip the nosewing to give local pressure .
b. Put pledget between upper lip and gum, lean the body slightly forward.
c. Apply ice bag to the injury.

9.Wound treatment
a.Stanch the bleeding if it is severe.
b. Clean the skin around light wounds with water or soap, clean the wound with cold water or physiological saline.
c. If the wound is deep and wide, pay special attention to the cleanness when do cleaning, and go to hospital as soon as possible.

10.Limb break
a. Separate the broken limb with other hangovers , clean it with physiological saline.
b. No dipping in.
c. Sip up the water with asepsis pledget.
d. Cover the broken limb with pledget and put it into a clean plastic bag, then put the plastic bag in to an ice bag.

11.Emergency treatment for heat illness
a. Move the patient immediately into a cool place, out of direct sunlight. Remove the person's unnecessary suppressing clothing, and cool the person's entire body by ice pack, ice pillow and wet towel, and fan the person with fans.
b. When the patient is awake, taking slightly salted water will be the best for him, alternatively soda and cool tea. the patient should rest for a period, even if he already regain consciousness.
c.The continual spasms denotes a severe symptom that should be hospitalized immediately.

12.Emergency treatment for feet sprain and fracture
a. Make no attempt to move sprained parts and apply cold compress to them.
b. Severe twist sprain and fractures should be attended to by orthopedists.
c. If haematoma phenomenon exists in joints, use bandage to bind them up.
d. After 2 or three days, treat the injure with fomentation or take warm bath.

13.Fall wounded
a. Refer to the bleeding and fracture first aid method, if bleeding and fracture exists.
b. If vomit and fainting exists, do not shake to wake the patient, go to hospital immediately.
c. If neck is hurt, fix the neck, make the patient lie low and call an ambulance.

14.First aid to snakebites
a. Keep calm and avoid limbs from unnecessary moving to prevent venom from spreading rapidly.
b. Try to identify offending snake by remembering its size, color and other appearance. do not attempt to kill the snake when you are single. remove the accouterment, say, rings and watches.
c. Always keep the bitten wound lower than heart level. Apply pressure bandage to wounds with elastic bandage or clothes, and use splints to prevent motions of wounded limb.
d. Do not use plastic bandage, it will worse the circulation around wound.
e. It is not appropriate to suck the bitten wounds because venom will spread to rescuer in case that he has wounds in mouth, and it may cause bacteria infection to the bitten wounds. do not cut into the local wounds: The venom usually was injection deep into tissue, whereas the cut will not bring the venom out but lead to a further infection and indolence.
f. Ice or fomentation will worsen the circulation environment and aggravate the tumefaction, resulting in tissue death.
g. Take no alcohol and other pungent substance to avoid accelerating circulation which will result in an earlier outbreak.

15.Gas poisoned first aid
a. On finding the leakage of gas, do not rush into the room. Open the windows from outside, cover the mouth and nose with wet towel, and then enter the room and shut the gas .
b. Place the patient in a board.
c. Keep the patient warm. Feed the patient a small amount of warm drink when he or she became sober. Send the patient to hospital as soon as possible.

16.Fever
a. Clean the body with warm water.
b. Clean the body with 1:2 alcohol and water.
c. Try ice pillow or bag, apply it to neck.

17.Burn
a.Slight pain and reddening should be treated with clean cold water.

b.In case that charring and reddening exists, the wound should be immediately washed by clean water. Cover the burn wound with dry antiseptic gauze and should be hospitalized as soon as possible.

Burn-First aid tips
a.F: Water flushing.
b.R: remove the clothes.
c.D: dunk.
d.C: cover and dressing
e.Do not apply viscous dressing. Do note apply latex, ointment and grease to the wound. Do not break the blebs .
f. Call help from 119 and get hospitalized .
Data:2013-07-29

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