1. Dr. S. Nishan Silva (MBBS)
First
Aid
Part Three
Dr. S. Nishan Silva
(MBBS)

2. Strokes

3. Stroke - Video

4. Do’s in Strokes Lie down Assess – “FAST” Vital signs – also pulse rate
Recovery position
Call for help
Take to the hospital with records
Ideally before 3 hours!

5. Dont’s in Strokes
No Aspirin
Nothing to eat or drink
Don’t waste time

6. Asthma

7. Asthma - Video

8. Do’s in Asthma Calm down – autonomics Sit / Prop up Check vitals
Ventilation
Slow/ deep breathing
Inhaler
Take to the hospital

9. Dont’s in Asthma Don’t lie down No walking
Do not wait if the inhaler doesn’t improve in 2 attempts

10. Fits

11. Fit - Video

12. Do’s in fits
Protect the person from injury - (remove harmful objects from nearby) 
Cushion their head
Look for an epilepsy identity card or identity jewellery
Aid breathing by gently placing them in the recovery position once the seizure has finished Stay with the person until recovery is complete 
Be calmly reassuring
Take to hospital soon
If first attack
If an attack lasts more than 5 minutes

13. Dont’s in fits Restrain the person’s movements
Put anything in the person’s mouth 
Try to move them unless they are in danger 
Give them anything to eat or drink until they are fully recovered / even drugs
Attempt to bring them round
Metal in hand????

14. Poisoning

15. Poisoning - Video

16. Do’s in poisoning Call for help Remove poison
Remove contaminated clothes
Wash eyes/ skin if contaminated; wash with soap and water.
Take to hospital – Take poison/ information
If too much time till hospitalizing; call poison center
Sri Lanka – National Poison Information Centre, National Hospital of Sri Lanka, Tel – , ext 2430

17. Dont’s in poisoning Do not induce vomiting
Do not give anything to drink or eat unless indicated
Do not give any drugs

18. Foreign Body - Ear

19. Foreign body in ear Do not probe the ear
Remove if seeing clearly; ideally with a forecep
Look under a light
Try to dislodge using gravity
In case of an insect; use olive / or palm oil, or water
Take to an ENT surgeon

21. Foreign Body - Nose

22. Foreign body in nose Do not probe in Do not inhale it in
Blow the nose out
Take it out carefully if possible
Use a torch / forecep
If bleeding ; local compression and ice

23. Foreign Body - Ingestion
In children specially
What did they ingest?
Dangerous? Like disc batteries
Sharps / pointed?
If so; keep fasting and take
Swallowed? Aspirated?
If small and smooth ; wait.
? Stool softners
More than 2 days – seek help
Throat?

24. Electrical Injury

28. Do’s in Electrical injury
Look first. Don't touch
Turn off the source of electricity, if possible.
Move the source away from you and the person, using a nonconducting object 
Check for signs of circulation (breathing, coughing or movement).
Treat Burns, fits accordingly

30. Dont’s in Electrical injury
Don't touch the person with your bare hands
Don't get near high-voltage wires 
Don’t use water / stay away from water.
Don’t give anything to eat or drink - aspiration