First aid management

Sicherer SH, Simons FER Quandaries in prescribing an emergency action plan and self-injectable epinephrine for first-aid management of anaphylaxis in the community J Allergy Chn Immunol 2005 115 575-583. 

While there has been a similar improvement in the capability of emergency rooms in providing better care for the poisoned patient, there continues to exist a fair amount of variation among emergency rooms. Therefore, based upon the present state of the art, it is reasonable to advise a patient to seek additional care first from a poison center, then an emergency room and finally a physician, after the initial first aid management has been instituted. 

It was then decided that there should be a large main room and two smaller rooms, one for instruments and another for future microbiological work. The latter was hard to justify to management, so it was planned as a utility room for testing laundry products and working with dusty samples. It could be converted if the microbiological work came about. Meanwhile, the room was there, complete with utilities. In addition, there was to be an office, a closet area, and the first aid room mentioned above. 

First aid at work. Approved Code of Practice and guidance A guide to the Gas Safety (Management) Regulations 1996 A guide to the Pipelines Safety Regulations 1996... 

Each biological agent chapter has a Response on Scene by First Responders section that includes Caution, Field First Aid, Drugs, Antibiotics, Medical Management, Fire, Personal Protection, Spill/Feak Control, Symptoms, and Vaccines. Also, spread over other chapters, will include basic duties of various first responders including Fire Departments, Emergency Medical Services, Law Enforcement, and Hazardous Materials Response Teams. 

There are several stakes in the management of first aid, depending on circumstances. The ideal is to be able to protect the eye by preventing any penetration of a corrosive agent. If action is taken after penetration has begun, the objective becomes to stop penetration and remove the chemical to be able to administer care according to the symptoms observed. 

Students, workers, supervisors, managers, and administration should comply with the chemical safety management group/team. This is applicable to laboratories, university departments, factories, and industrial units where exposure to chemical substances is likely and precautions are necessary. People should be fully informed of the hazards involved and trained in appropriate safe working practices, globally harmonized system (GHS) for classification and labeling of chemicals, and first-aid measures. 

In terms of self-care, NIOSH (Centers for Disease Control and Prevention, 2002) has published a Traumatic Incident Fact Sheet for emergency workers that is educational and, at the same time, offers numerous suggestions for managing traumatic stress on-site at an incident and later after a disaster worker has returned home. Still, more research is needed to determine whether early interventions such as psychological first aid can deter the onset and progression of traumatic stress disorders in disaster personnel (National Child Traumatic Stress Network, 2005). 

Chapter 7 describes the harmful effects of pesticides and the recommended first aid treatments. In addition, heat stress and ways to manage work activities to minimize heat illness are also discussed. 

First aid for ingestion victims would be to induce vomiting, keeping in mind the possibility of aspiration of solvents. Gastric decontamination should be performed within 30 min of ingestion, to be the most effective. Initial management of acute toxicity is the establishment and maintenance of adequate airway and ventilation. Atropine sulfate in conjunction with pralidoxime chloride can be administered as an antidote. Atropine by intravenous injection is the primary antidote in severe cases. Test injections of atropine (Img in adults and 0.15 mg kg in... 

Management depends on the route of exposure and proper first aid treatment must be performed. There is no antidote available. 

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