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Health and First Aid | Sudden Illness, Anaphylaxis, Poisoning and Cold Injury, Set 2

1 / 100.0s

Problem 1

After 119 has been called, an unresponsive adult is observed. The chest and abdomen move regularly, and the person is breathing normally. What is the most appropriate care while waiting for emergency services?

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An unresponsive person who is breathing normally should be placed on the side in the recovery position. This position helps prevent the airway from narrowing or becoming blocked by vomit. Keep monitoring rather than leaving the person alone, and switch to CPR if normal breathing stops. Giving water creates an aspiration risk.

Problem 2

A person with asthma is sitting down, making a wheezing sound and looking so distressed that only a few words can be spoken at a time. What is the most appropriate response?

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Wheezing with distress severe enough to limit speech can mean that an asthma attack has dangerously narrowed the airways. Calling 119 immediately takes priority over waiting for spontaneous improvement. Paper-bag breathing is not asthma care, and making the person walk or leaving the person alone delays needed emergency assistance.

Problem 3

A person in front of you is having a generalized seizure. Someone nearby wants to put something in the mouth to prevent tongue biting. What should be done with the person's mouth?

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There is no need to place an object in the mouth or insert a finger to prevent tongue biting during a seizure. Doing so can instead damage the teeth or allow the inserted item to obstruct the airway and cause choking. A spoon, a finger and folded cloth are therefore not safe alternatives; do not force the mouth open.

Problem 4

A person with diabetes is sweating, responds unclearly and cannot safely swallow juice when spoken to. Hypoglycemia is suspected. What is the appropriate response?

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Even when hypoglycemia is suspected, juice or sugar can enter the airway if the person is not fully alert and cannot swallow safely. In this situation, put nothing in the mouth and call 119. A fully alert person who can swallow may be given glucose, sugar cubes or a sweet drink, but giving more insulin would move blood glucose in the wrong direction.

Problem 5

A person standing on a crowded train says, “My vision is going dark, and I feel as though I may faint.” The person can still respond. What should be recommended first to prevent injury from a fall?

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When a person feels about to faint, sitting or lying down helps prevent a fall or collision if consciousness is lost. Fainting can occur when blood flow to the brain temporarily decreases, so continuing to stand or move is not safe. Stairs, marching in place and walking all preserve the fall risk; taking a low position comes first.

Problem 6

After a meal, a person develops hives over the body and difficulty breathing, and 119 is called. All symptoms improve after the person uses their own prescribed epinephrine auto-injector. The person now wants to cancel the ambulance. What is the appropriate response?

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Even after an epinephrine auto-injector improves the symptoms, anaphylaxis can recur several hours later. Do not cancel the emergency response; tell emergency services that the person's prescribed device was used, and obtain medical evaluation. Using someone else's prescription or sending the person home alone merely because the symptoms improved is inappropriate.

Problem 7

A young child may have accidentally swallowed household bleach. The child currently responds when spoken to. What is the appropriate first response?

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If bleach, medicine or a similar substance has been swallowed, do not give water or milk and do not induce vomiting; call 119. Induced vomiting and an improvised attempt to “neutralize” the substance with a drink are not safe universal treatments. A current response to speech does not rule out danger, so connecting with emergency services takes priority.

Problem 8

A person whose clothing is soaked by cold rain is sitting on cold ground in strong wind and shivering severely. Which response best prevents further loss of body heat?

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With hypothermia, preventing any further loss of body heat is important. This situation combines three routes of heat loss—wetness, wind and contact with cold ground—so the best option reduces all three. Exposing the person to wind or leaving wet clothing and ground contact in place can allow cooling to continue despite a partial covering.

Problem 9

After a long time in the snow, a person's fingers look pale and have little sensation, suggesting frostbite. What is the appropriate care for the fingers?

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Do not rub or massage an area when frostbite is suspected in an attempt to warm it. Avoid improvised friction or force on skin with reduced sensation, protect the area and obtain professional assessment. Rubbing with snow, forceful massage and striking all rely on the mistaken idea that stronger stimulation will safely restore circulation.

Problem 10

One of an adult's teeth is knocked out in a fall, and the tooth is recovered. Tooth-preservation solution and milk are available. How should the tooth be handled until the person sees a dentist?

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A knocked-out tooth should be kept from drying by immersing it in tooth-preservation solution or milk and taking it to a dentist. If neither is available, FDMA guidance recommends wrapping the tooth in plastic wrap to prevent drying. The key is to preserve rather than discard the tooth and keep it appropriately moist instead of drying or freezing it.