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First Aid & EmergencyAdvanced

Expert-level topics and analysis

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Written by senior engineers. Reviewed for technical accuracy.· Updated 2025 · SynfraCore First Aid & Emergency Team
Expert Content

First Aid — Advanced Guide

Advanced First Aid Topics

Advanced Airway Management

RECOVERY POSITION:
  Use when: unconscious but breathing normally
  1. Kneel beside casualty
  2. Nearest arm out at right angle, palm up
  3. Far arm across chest, back of hand on near cheek
  4. Bend far knee up, roll towards you
  5. Tilt head back to keep airway open
  Monitor breathing every minute

ANAPHYLAXIS MANAGEMENT:
  Signs: sudden rash, swelling (throat/tongue), difficulty breathing,
         drop in blood pressure, fast weak pulse
  Action:
    1. Call emergency services immediately
    2. Administer adrenaline auto-injector (EpiPen) outer thigh
    3. Lay flat with legs elevated (sit up if breathing difficult)
    4. Second EpiPen after 5–15 min if no improvement
    5. CPR if cardiac arrest

SPINAL INJURY PRECAUTIONS:
  Mechanism of injury: fall from height, diving, RTA, sports collision
  Maintain manual inline stabilisation of head and neck
  Do NOT move unless immediate danger (fire, drowning)
  Log roll with 4+ people if movement essential
  Jaw thrust (not head-tilt) for airway opening

CHEST INJURIES:
  Tension pneumothorax: absent breath sounds, tracheal deviation, distended neck veins
    Action: needle decompression (trained) | 999 immediately
  Open chest wound: seal 3 sides with chest seal or plastic (flutter valve effect)
  Flail chest: multiple rib fractures, paradoxical breathing — support and O2

Paediatric First Aid Differences

INFANT CPR (under 1 year):
  2-finger compressions on sternum | depth 4cm
  Gentle puffs (see chest rise) | 30:2 ratio same
  AED: use paediatric pads/mode if available

CHILD CPR (1 year to puberty):
  One-hand or two-finger compressions | depth 5cm
  30:2 ratio | 100-120/min

INFANT CHOKING:
  Hold face-down on forearm, support head
  5 firm back blows between shoulder blades
  Turn face-up, 5 chest thrusts (2 fingers, sternum)
  Check mouth — only remove visible obstruction
  If unconscious: start infant CPR

FEBRILE CONVULSIONS (children):
  Do not restrain | protect from injury
  Place in recovery position after seizure ends
  Cool gently if feverish (remove excess clothing, tepid water)
  Seek medical attention for first-time convulsion

Revision Notes

RECOVERY POSITION: unconscious + breathing → stable side position
ANAPHYLAXIS: EpiPen outer thigh → flat legs up → second EpiPen at 5-15min
SPINAL: don't move, manual stabilisation, jaw-thrust airway
INFANT CPR: 2 fingers, 4cm depth | CHILD: one hand, 5cm
PAEDIATRIC CHOKING: 5 back blows + 5 chest thrusts (NOT abdominal)
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