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Updated Monday June 30, 2008

First aid for burns

Click here to go to: First Aid Kit Information

Stop, drop, and roll
If your clothing catches fire, do not run. STOP where you are, DROP to the ground, cover your face with your hands, and ROLL over and over to smother the flames. If someone else's clothes catch fire, push them to the ground and roll them over and over, or smother the flames with a flame-resistant blanket or carpet.

Cool the burn:  
For first- and second-degree burns, cool the burned area - preferably with cool running water for 10 to 15 minutes. This lowers the skin temperature, which stops the burning process, numbs the pain, and prevents or reduces swelling. Third-degree burns require immediate medical attention.

Remove burned clothing:  
Lay the victim flat on his or her back. Burned clothing may be stuck to the victim's skin. Unless material is on fire or smoldering, do not attempt to remove it. Remove jewelry or tight-fitting clothing from around burned areas before swelling begins and, if possible, elevate the injured areas.

Cover the burn:  
After a first- or second-degree burn has been cooled, apply a clean, dry dressing to the burned area.

Don't apply butter or any other grease 
(including medicated ointments) on a burn. Grease holds in heat, which could make the injury worse.

Don't break blisters:  
This could allow germs to enter the wound.

Treat for shock:  
To reduce the risk of shock, keep the victim's body temperature normal. Cover unburned areas with a dry blanket.

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First Aid Kits

first aid kit graphicFirst Aid kits are available in a prepackaged form. These can be found at your local drug store or pharmacy. Some of the larger retail stores have them also. If you wish to purchase one, look closely at the contents listed on the outside wrapping or container. The complexity of the contents varies and is priced accordingly. However, you may wish to make up one of your own or purchase additional items to supplement the prepackaged kits. In most kits, a small booklet contains instructions on how to apply bandages and so forth. Take time to read these instructions. Further training on first aid and cardio- pulmonary resuscitation is available through the American Red Cross.

First aid kits are handy, but they need to be assembled and ready for use before an accident occurs. It is helpful to be prepared with training and equipment. Below is a list of some basic first aid supplies that would be helpful beyond that of the simple band-aid.

Keep these additional items in a separate container so they don’t get used for any other purpose. Place the first aid kit in your home or your automobile and away from small children. Some of these items listed below are potentially dangerous for children, so keeping the box locked or out of reach is also a good idea. The items must be left alone until they are needed, but you should check the supplies periodically to see if all the items are still present, clean and useable.    

Acetaminophen or ibuprofen
These medications are not only for fever but also are good for pain control. Pack a dosing chart with these so that the appropriate amount can be given. Read the instructions on dosages and uses before administering. If administrating to someone other than your immediate family member, make sure that the person is asked if they are allergic to either of these before giving it to him or her. Aspirin should be avoided in children. Liquid forms are available, however, if you are putting this kit in your car, this liquid could freeze and break the container.

Gauze and adhesive tape
For larger cuts and scrapes, gauze pads or rolls certainly come in handy. You will need adhesive tape to keep the gauze in place. Band-aids are good for small cuts and abrasions.

Elastic and adhesive bandages
The elastic bandages are good for wrapping sprained joints or making a sling in the case of a broken arm. Be careful when wrapping an extremity with an elastic bandage. These can restrict blood flow if applied too tight. Check frequently for swelling in the extremity as this may make the bandage become too tight also. As for adhesive bandages, have several sizes on hand to take care of a variety of cuts.

Ice packs
Ice packs help reduce swelling and some what reduce localized pain. Chemical ice packs are convenient. They have separate chemicals in two compartments within the bag. When the liquid chemical bag is squeezed and broken, it mixes with the other chemical and it produces a chemical reaction that makes the bag cold. Again, this should be stored at room temperatures; they should not be placed in an automobile first aid kit. At home, a conventional ice pack can be made with ice cubes placed inside a plastic sandwich bag. Cover the bag with a thin clean cloth and apply as needed.

Petroleum jelly (Vaseline)
Pack this to lubricate the rectal thermometer. DO NOT apply Vaseline or any other product  to any burn.

Calamine lotion
This is great stuff to relieve the itching of poison ivy and bug bites.

1-percent Hydrocortisone ointment
This is also helpful for rashes that itch.

Diphenhydramine (Benedryl)
An antihistamine is helpful in handling any minor allergic reactions. This product is available under many different product names. It is available in pill and liquid form. As with any medication, read the instructions first. Be sure that the person getting this medication is not allergic to it. One of the side effects of Benedryl is that of drowsiness. Adults taking this are cautioned not to drive or operate machinery.

Antibiotic ointment
Good for certain cuts that are at risk for infection. For minor cuts and abrasions, it is advisable to clean the wound with tap or bottled water and soap. Rinse the area thoroughly and pat dry with a clean cloth or gauze before applying antibiotic ointments and dressings. If a cut or scrape appears to be infected already, consult the doctor before administering the antibiotic ointment.

Self-injectable epinephrine
This is a prescription medication limited to those at risk for life-threatening allergic reactions from bee stings, certain foods, etc. Smaller doses are available in some areas in an over the counter “bee sting” kit. Read the instructions prior to use. Further medical assistance should be obtained if someone that is allergic has been given this medication.

Small sharp scissors
These will be needed to cut the tape, gauze, or whatever. Be careful that sharp scissors do not puncture any other containers in your first aid kit. If you use the scissors for a first aid treatment, be sure to clean them before returning them back to the kit.

Alcohol pads
Individually wrapped alcohol pads can be purchased separately at your drug store or pharmacy. A bottle of rubbing alcohol along with cotton balls will work just as well to clean tweezers, scissors, thermometer, etc. Never use rubbing alcohol in a bath to help control fever. Do not apply alcohol to an open wound. Rubbing alcohol is poisonous if taken internally. Be sure to keep bottles of rubbing alcohol away from children.

Thermometer
Old style glass mercury thermometers have been replaced with disposable types. 

Tweezers
These are essential for removing ticks, splinters, etc. It is recommended that tweezers not be used to pull out stingers. Tweezers will squeeze more venom into the sting making it worse. A flat object like the edge of a credit card brushed against the stinger should remove it.

Penlight
A regular flashlight will do, but may be too big to fit in the first-aid box. Don't forget extra batteries.

Syrup of ipecac  
This over-the-counter medication causes vomiting and may be helpful in certain poison ingestions. Never give this medication unless directed by the Poison Control Center or the doctor. Vomiting in some poison cases will make conditions worse. See below for contact information on poison control.

List of important phone numbers
Include the pediatrician, Family Doctor, Poison Control Center, a friend or relative you can call in an emergency, and emergency services if "911" is not available in your area. An idea would be to place these numbers on the inside lid or on the outside of the box with a permanent marker. Another suggestion would be to tape enough coins to make an emergency phone call to the inside of the lid.

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Safety Tips from the Heart of America Metro Fire Chiefs Council

The Heart of America Metro Fire Chiefs Council provides these safety tips for Greater Kansas City area residents:

 

Bicycle Safety Candle Safety Carbon Monoxide Flash Flooding
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Yard and Garden Safety Home Fire Escape Plan High Rise Safety Fire Extinguishers

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