PRIOR PROPER PLANNING · 7 P's

+ FIRST AID QUICK REFERENCE

CALL 911 FIRST
If unresponsive, severe bleeding, breathing trouble, chest pain, or major trauma — call now, then return to care.
▲ CALL 911
IMPORTANT: This is a quick reference for trained personnel — it does not replace certified first-aid / CPR training, your site's emergency action plan, or your formal SDS. When in doubt, call 911 and follow dispatcher instructions. Do only what you are trained to do.
Bleeding Burns H2S Exposure Chemical Splash Heat Illness Cold/Hypothermia Eye Injury Fall / Back Electrical Shock CPR / AED Choking Snake Bite

SEVERE BLEEDING

CRITICAL
  1. Call 911 if blood is spurting, soaking through cloth, or won't stop.
  2. Apply direct firm pressure with a clean cloth or hand. Don't lift to peek — just keep pressing.
  3. If cloth soaks through, add more on top — don't remove the first one.
  4. If pressure alone isn't stopping it on a limb: apply a tourniquet 2–3 inches above the wound (not over a joint). Tighten until bleeding stops. Note the time.
  5. Keep the person warm, talking to them. Treat for shock if pale/clammy.
Do NOT remove embedded objects — stabilize them in place and let EMS handle removal.

THERMAL BURNS

SERIOUS
  1. Stop the burning — remove from heat source, smother flames, get clear of hot metal.
  2. Cool the burn under cool (not cold) running water for at least 10 minutes. No ice.
  3. Remove jewelry / watches / belts before swelling starts. Do not peel off stuck clothing.
  4. Cover with a clean, dry, non-stick cloth. No butter, no oil, no toothpaste.
  5. Call 911 if: burn is bigger than the person's palm, on face/hands/feet/groin, white/charred, or electrical/chemical in origin.

H2S EXPOSURE (HYDROGEN SULFIDE)

CRITICAL
  1. Don't become the second victim. Do not enter the area without SCBA.
  2. If equipped and trained: SCBA on, retrieve victim — move upwind and uphill to fresh air.
  3. Call 911 immediately. H2S can cause delayed pulmonary edema even after victim seems recovered.
  4. If not breathing — start CPR. If breathing but unconscious — recovery position, monitor airway.
  5. Activate site H2S contingency plan. Notify supervisor and operations.
  6. Even "minor" exposures need medical evaluation — symptoms can return hours later.
RULE: If you can smell H2S, that means concentrations are detectable but olfactory fatigue can also kick in fast — at high concentration you stop smelling it. Trust your monitor, not your nose.

CHEMICAL SPLASH (SKIN)

SERIOUS
  1. Flush with copious water for at least 15 minutes (longer for caustics/acids). Use the safety shower if available.
  2. Remove contaminated clothing while flushing.
  3. Pull the SDS for the substance. Note: chemical name, concentration, time of exposure, body area.
  4. Call 911 for any acid, caustic, or unknown chemical exposure to large area or sensitive skin.
  5. Do not apply ointments or neutralizers unless the SDS specifically directs it.

HEAT EXHAUSTION / STROKE

SERIOUS

Heat exhaustion: heavy sweating, weakness, nausea, headache, cool/clammy skin.

Heat stroke (life-threatening): hot/red/dry skin, confusion, fast pulse, altered consciousness. Call 911 now.

  1. Move to shade or A/C immediately.
  2. Loosen clothing, remove gear.
  3. Cool with water — wet cloth, ice packs to neck/armpits/groin, fan.
  4. If alert and not nauseous, sip water (not gulp).
  5. For stroke: aggressive cooling until EMS arrives. Do not give fluids if confused.

COLD / HYPOTHERMIA

SERIOUS

Signs: shivering (early), confusion, slurred speech, drowsiness, loss of shivering (late, dangerous).

  1. Get to shelter / vehicle / warm space.
  2. Remove wet clothing. Wrap in dry blankets, including head.
  3. Warm the core (chest, neck, groin) — not extremities first.
  4. Warm sweet drinks if alert. No alcohol, no caffeine.
  5. Call 911 for severe symptoms (confusion, no shivering, unconscious). Handle gently — rough movement can trigger cardiac arrest.

EYE INJURY

SERIOUS

Chemical splash: flush at eyewash station for at least 15 minutes, holding eye open. Get to ER after.

Foreign object: if it's loose, blink and try gentle flushing. Do not rub. If embedded, do not remove — cover with paper cup, get to ER.

Blow to eye: apply cold pack (not pressure). Loss of vision, blood in eye, or pain on eye movement → ER immediately.

FALL / SUSPECTED BACK INJURY

CRITICAL
  1. Don't move them unless they're in immediate danger (fire, traffic).
  2. Call 911. Stay with them.
  3. Keep head/neck still. Hold the head between your hands if needed.
  4. Watch breathing. Be ready to do CPR if they go unresponsive.
  5. Cover with blanket, talk calmly until EMS arrives.

ELECTRICAL SHOCK

CRITICAL
  1. Do NOT touch the person if still in contact with current.
  2. Cut power at the source if possible. If not, use a non-conductive object (dry wood, dry rope) to separate.
  3. Call 911. Electrical injuries often have internal damage you can't see.
  4. If unresponsive — start CPR.
  5. Treat any burns at entry/exit points.
  6. Even if they "feel fine" — they need ER evaluation. Cardiac arrhythmias can develop.

CPR / AED (ADULT)

CRITICAL
  1. Check responsiveness. Shout, tap shoulder. If no response → call 911 (or have someone call) and get the AED.
  2. Check breathing for ≤10 seconds. If not breathing or only gasping — start CPR.
  3. Push hard, push fast. Center of chest, 2 inches deep, ~100–120 per minute (beat of "Stayin' Alive" or "Another One Bites the Dust").
  4. Don't stop unless: AED is ready, EMS takes over, person revives, or you physically can't continue.
  5. AED: turn it on, follow voice prompts. Pads on bare dry chest as shown. Stand clear when it shocks.
Compressions only is fine if you can't or don't want to do rescue breaths. Don't let that stop you from helping.

CHOKING (CONSCIOUS ADULT)

SERIOUS
  1. Ask: "Are you choking?" If they can cough or speak, encourage coughing — don't intervene yet.
  2. If they can't speak/cough/breathe: stand behind, fist above the navel, grasp with other hand, 5 quick inward-and-upward thrusts.
  3. Repeat until object clears or person becomes unresponsive.
  4. If they go unresponsive: lower carefully, call 911, start CPR. Check mouth before each rescue breath.

SNAKE BITE

SERIOUS
  1. Move away from the snake. Don't try to catch or kill it — note color/markings if safe.
  2. Call 911 / poison control: 1-800-222-1222.
  3. Keep the person calm and still. Position the bite area at or below heart level.
  4. Remove rings/watches/tight clothing — swelling will start.
  5. Mark the edge of swelling with a pen, write the time.
DO NOT: cut the wound, suck out venom, apply ice, apply tourniquet, or give alcohol.