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What are the four golden rules of first aid?

Published in First Aid Principles 2 mins read

The four golden rules of first aid are fundamental principles that guide appropriate and effective response in emergency situations. They are: Preserve Life, Prevent Further Harm, Promote Recovery, and Assess the Situation.

Here's a breakdown of each rule:

  • Preserve Life: This is the highest priority. Focus on immediate threats to life, such as:

    • Ensuring an open airway.
    • Restoring breathing (CPR if necessary).
    • Controlling severe bleeding.
    • Managing a casualty in cardiac arrest.
    • Address any immediate danger to the life of the casualty.
  • Prevent Further Harm: Once immediate life threats are addressed, prevent the situation from worsening. This includes:

    • Making the area safe (e.g., removing hazards, controlling traffic).
    • Protecting the casualty from the elements (e.g., providing shelter).
    • Handling the casualty gently to avoid exacerbating injuries.
    • Immobilizing injuries, if necessary.
    • Maintaining infection control measures.
  • Promote Recovery: Focus on actions that aid the casualty's recovery. These may include:

    • Providing reassurance and comfort.
    • Positioning the casualty appropriately.
    • Keeping the casualty warm and dry.
    • Administering first aid treatment for specific injuries or conditions.
    • Offering pain relief where appropriate and permitted.
  • Assess the Situation: Before and during providing first aid, continuously assess the situation. This involves:

    • Determining the number of casualties.
    • Identifying the nature of the injury or illness.
    • Identifying potential hazards.
    • Gathering information about what happened.
    • Calling for appropriate help (e.g., emergency services).
    • Continuously monitoring the casualty's condition.

These four golden rules provide a framework for prioritizing actions and ensuring the best possible outcome for the casualty. They are not necessarily sequential; the situation dictates which rule takes precedence at any given moment. Remember to act quickly, calmly, and decisively.

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