Waikanae Health

First Aid

If you’re bringing the patient to the Health Centre. Please phone ahead, so we can be better prepared for  your arrival. Phone:  04 293 6005  Allergic Reaction (Severe)  Call an Ambulance on 111 if the patient: •	collapses •	has difficulty breathing •	has a red itchy rash or swelling of the chest and back or the face and throat Check if the patient has prescribed medication for anaphylaxis Have the patient rest in a comfortable position until the Ambulance arrives Bee Sting  Avoid squeezing the venom sack Brush or scrape the barb off the skin as soon as possible Apply an ice-pack or cold compress Raise the sting area to minimise swelling Re-apply the ice-pack or cold compress for pain relief Seek medical advice if any of the following occur: •	fine rash over the body •	wheezing, coughing or difficulty breathing •	swelling around the face, eyes or neck. Bleeding Nose  If the patient is a child - ensure there are no foreign objects in the nose cavity causing the bleeding. Any foreign object should be removed by a Health Professional. The patient needs to sit up, with the chin close to the chest and breathe through the mouth. Pinch the soft part of the nose for up to 20 minutes. The patient should rest until the bleeding stops. A cold compress may help. Once the bleeding has stopped, the patient should not blow their nose for at least 12 hours. If the bleeding continues for more than 20 minutes seek medical help. Broken Bone  If the patient can’t be moved - call an Ambulance on 111. Immobilise and support the injured part and make the patient as comfortable as possible using blankets, pillows or towels. The patient may need pain relief medication. If the patient is mobile, support the injured part and take the patient to a hospital. Burn  Cool the burn site with cool (not cold) running water or soak it in cool water for 20 minutes. Remove tight clothing, watches and jewellery from the area in case of swelling. Call an Ambulance on 111 if: •	the patient is badly injured •	the burn is causing significant pain •	the burn area is greater than the size of half the patients arm •	the burn area involves the eyes. See your Doctor if the burn is to the: •	face •	hands •	joints •	genitals. Cat Bite  If the wound is bleeding apply a firm pad. If the wound is minor clean with soapy water or saline solution. Apply an antiseptic ointment and a protective dressing. See your Doctor as the bite may become infected. Chest Pain  Call an Ambulance on 111. Support the patient in a comfortable half-sitting position. Check if the patient is on any prescribed heart medication. Loosen any tight clothing around the neck and waist. Do not give any food or drink or cigarettes. Choking (adult or child)  If the patient is able to breathe - encourage them to cough up the object. If the patient’s airway is completely blocked have them stand or sit and lean forward, using the heel of one hand - give 5 back-blows between the shoulder blades. If the object is not dislodged wrap your arms around the patient from behind them and pressing your clenched fists against the soft area directly below the ribs - give 5 chest thrusts inward and upward. Check if the object has been dislodged before repeating the chest thrusts. If the patient becomes unconscious call an Ambulance on 111 and commence CPR (this may also dislodge the object). Choking (baby or small child)  Place the baby face down on your lap. Supporting the head, give 5 firm but gentle back-blows. If the object is not dislodged, turn the baby over and place the baby face upward across your lap and give 5 sharp chest thrusts just below the nipple line. Check if the object has been dislodged before repeating the chest thrusts. If the baby/child becomes unconscious call an Ambulance on 111 and commence CPR (this may also dislodge the object). Dog bite  If the wound is bleeding apply a firm pad. If the wound is minor clean with soapy water or a saline solution. Apply a antiseptic ointment and a protective dressing. See your Doctor as the bite may become infected. Jellyfish Sting (Blue-bottle)  Do nut rub the sting area Wash gently under warm running water Remove any remaining tentacles Soak in hot water (as hot as the patient can tolerate without burning) Pain is to be expected, but call an Ambulance on 111 if any of the following symptoms occur: •	difficulty breathing •	fainting •	severe swelling Poisoning  If the patient is unconscious - call an Ambulance on 111 Turn the patient on their side and ensure their airway is clear Note any information about the nature of the poisoning (tablets, berries, burns around the mouth) If there are burns around the mouth from a corrosive poison - wipe with a moist clean cloth or tissues Call the Poisons Centre on 0800.764 766 for advice. Seizure  Remove any potential hazards in the immediate area.  Use clothing, a pillow or blankets to protect the patient from walls or hard furniture. Do not try to restrain the patient or put anything in their mouth. Give the patient plenty of space but stay with them until the seizure ends. After the seizure ends - roll the patient on their side (as shown), ensure their airway is clear. Cover with a blanket or coat. Allow them to sleep until fully recovered. Call an Ambulance on 111 if: •	it is their first seizure •	the seizure continues for more than 5 minutes •	the patient is not breathing well the patient does not wake up within 10 minutes. Severed Digit (finger or toe)  Call for an Ambulance on 111. Use a bulky pad and press firmly on the exposed area to stop the bleeding. Raise the limb and keep the patient calm and resting. Place the severed digit in a plastic bag. Seal the bag with a little air inside for cushioning. Place the sealed plastic bag in a bucket of ice water. Make sure the severed digit goes to the hospital with the patient. Scalding  Cool the scald site with cool (not cold) running water or soak it in cool water for 20 minutes. If clothing is wet with hot liquid remove it quickly and carefully. Remove tight clothing, watches and jewellery from the area in case of swelling. Call an ambulance on 111 if: •	the patient is badly injured •	the scald is causing significant pain •	the scald area is greater than the size of half the patient’s arm •	the scald area involves the eyes See your Doctor if the scald is to the: •	face •	hands •	joints •	genitals. Wasp Sting  Brush or scrape the barb off the skin as soon as possible. Apply an ice pack or cold compress. Raise the stung area to minimise swelling. Re-apply the icepack or cold compress for pain relief. Seek medical advice if any of the following occur: •	fine rash over the body •	wheezing, coughing or difficulty breathing swelling around the face, eyes or neck. White-tailed Spider bite  Wash the bitten area to remove any remaining venom. Apply an ice-pack or cold compress. Rest to reduce the toxic effect of the venom. If the bite is on a limb, elevate that limb. Seek medical help if the patient is a young child or baby. Seek medical help if any of the following occur •	the pain becomes severe •	the patient becomes ill with fever, headache, nausea or vomiting •	the swollen area around the bite continues to enlarge. An ice-pack can be made by wrapping a bag of frozen peas in a tea-towel. To call for an Ambulance  dial 111 from anywhere  in New Zealand To call for an Ambulance  dial 111 from anywhere  in New Zealand Recovery position
Waikanae Health

First Aid

Allergic Reaction (Severe) Call an Ambulance on 111 if the patient: collapses has difficulty breathing has a red itchy rash or swelling of the chest and back or the face and throat Check if the patient has prescribed medication for anaphylaxis Have the patient rest in a comfortable position until the Ambulance arrives. Bee Sting Avoid squeezing the venom sack Brush or scrape the barb off the skin as soon as possible Apply an ice-pack or cold compress Raise the sting area to minimise swelling Re-apply the ice-pack or cold compress for pain relief Seek medical advice if any of the following occur: fine rash over the body wheezing, coughing or difficulty breathing swelling around the face, eyes or neck. Bleeding Nose If the patient is a child - ensure there are no foreign objects in the nose cavity causing the bleeding. Any foreign object should be removed by a Health Professional. The patient needs to sit up, with the chin close to the chest and breathe through the mouth. Pinch the soft part of the nose for up to 20 minutes. The patient should rest until the bleeding stops. A cold compress may help. Once the bleeding has stopped, the patient should not blow their nose for at least 12 hours. If the bleeding continues for more than 20 minutes seek medical help. Broken Bone If the patient can’t be moved - call an Ambulance on 111. Immobilise and support the injured part and make the patient as comfortable as possible using blankets, pillows or towels. The patient may need pain relief medication. If the patient is mobile, support the injured part and take the patient to a hospital. Burn Cool the burn site with cool (not cold) running water or soak it in cool water for 20 minutes. Remove tight clothing, watches and jewellery from the area in case of swelling. Call an Ambulance on 111 if: the patient is badly injured the burn is causing significant pain the burn area is greater than the size of half the patients arm the burn area involves the eyes. See your Doctor if the burn is to the: face hands joints genitals. Cat Bite If the wound is bleeding apply a firm pad. If the wound is minor clean with soapy water or saline solution. Apply an antiseptic creme and a protective dressing. See your Doctor as the bite may become infected. Chest Pain Call an Ambulance on 111. Support the patient in a comfortable half-sitting position. Check if the patient is on any prescribed heart medication. Loosen any tight clothing around the neck and waist. Do not give any food or drink or cigarettes. Choking (adult or child) If the patient is able to breathe - encourage them to cough up the object. If the patient’s airway is completely blocked have them stand or sit and lean forward, using the heel of one hand - give 5 back-blows between the shoulder blades. If the object is not dislodged wrap your arms around the patient from behind them and pressing your clenched fists against the soft area directly below the ribs - give 5 chest thrusts inward and upward. Check if the object has been dislodged before repeating the chest thrusts. If the patient becomes unconscious call an Ambulance on 111 and commence CPR (this may also dislodge the object). Choking (baby or small child) Place the baby face down on your lap. Supporting the head, give 5 firm but gentle back-blows. If the object is not dislodged, turn the baby over and place the baby face upward across your lap and give 5 sharp chest thrusts just below the nipple line. Check if the object has been dislodged before repeating the chest thrusts. If the baby/child becomes unconscious call an Ambulance on 111 and commence CPR (this may also dislodge the object). Dog bite If the wound is bleeding apply a firm pad. If the wound is minor clean with soapy water or a saline solution. Apply a antiseptic ointment and a protective dressing. See your Doctor as the bite may become infected. Jellyfish Sting (Blue-bottle) Do nut rub the sting area Wash gently under warm running water Remove any remaining tentacles Soak in hot water (as hot as the patient can tolerate without burning) Pain is to be expected, but call an Ambulance on 111 if any of the following symptoms occur: difficulty breathing fainting severe swelling Poisoning If the patient is unconscious - call an Ambulance on 111 Turn the patient on their side and ensure their airway is clear Note any information about the nature of the poisoning (tablets, berries, burns around the mouth) If there are burns around the mouth from a corrosive poison - wipe with a moist clean cloth or tissues Call the Poisons Centre on 0800.764 766 for advice. Scalding Cool the scald site with cool (not cold) running water or soak it in cool water for 20 minutes. If clothing is wet with hot liquid remove it quickly and carefully. Remove tight clothing, watches and jewellery from the area in case of swelling. Call an ambulance on 111 if: the patient is badly injured the scald is causing significant pain the scald area is greater than the size of half the patient’s arm the scald area involves the eyes See your Doctor if the scald is to the: face hands joints genitals. Seizure Remove any potential hazards in the immediate area. Use clothing, a pillow or blankets to protect the patient from walls or hard furniture. Do not try to restrain the patient or put anything in their mouth. Give the patient plenty of space but stay with them until the seizure ends. After the seizure ends - roll the patient on their side (as shown), ensure their airway is clear. Cover with a blanket or coat. Allow them to sleep until fully recovered. Call an Ambulance on 111 if: it is their first seizure the seizure continues for more than 5 minutes the patient is not breathing well the patient does not wake up within 10 minutes. Severed Digit (finger or toe) Call for an Ambulance on 111. Use a bulky pad and press firmly on the exposed area to stop the bleeding. Raise the limb and keep the patient calm and resting. Place the severed digit in a plastic bag. Seal the bag with a little air inside for cushioning. Place the sealed plastic bag in a bucket of ice water. Make sure the severed digit goes to the hospital with the patient. Wasp Sting Brush or scrape the barb off the skin as soon as possible. Apply an ice pack or cold compress. Raise the stung area to minimise swelling. Re-apply the icepack or cold compress for pain relief. Seek medical advice if any of the following occur: fine rash over the body wheezing, coughing or difficulty breathing swelling around the face, eyes or neck. White-tailed Spider bite Wash the bitten area to remove any remaining venom. Apply an ice-pack or cold compress. Rest to reduce the toxic effect of the venom. If the bite is on a limb, elevate that limb. Seek medical help if the patient is a young child or baby. Seek medical help if any of the following occur the pain becomes severe the patient becomes ill with fever, headache, nausea or vomiting the swollen area around the bite continues to enlarge.
To call an Ambulance, dial 111 from anywhere in New Zealand. If you are transporting the patient to the Health Centre, please call us first on 04 293 6005 so we can be better prepared for your arrival. An ice-pack can be made by wrapping a bag of frozen peas in a tea-towel.