First aid has been simplified

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Cardiac massage and burns are in the foreground

In order to lower the inhibition threshold of providing first aid in an emergency, there have been repeated changes in the guidelines for its use in recent years. A lot has happened especially in the case of cardiopulmonary resuscitation. The abundant confusing recommendations for cardiopulmonary resuscitation should be put to an end.

Anyone who attended a first aid course years ago should now check their knowledge. Because things have also changed in the first aid for accidents. "Studies have shown that many are reluctant to give first aid, especially when it comes to CPR," explains Rico Kuhnke, team leader for emergency services at the Johanniter Academy in Münster.

30 cardiac massages make sense For Raik Schäfer from the German Society for Interdisciplinary Emergency and Acute Medicine (DgiNA), clear instructions for first-aiders are an important prerequisite for action. In order to be able to provide an optimal first aid for cardiac massage at the accident site, 30 cardiac massages are now necessary, then two breath donations must be made. In the past, ventilation followed after 10 to 15 heart massages. According to Schäfer, this is too early. "It takes 10 to 15 repetitions to build up pressure." If the first-aider stops breathing again, enough blood has not yet flowed. “The aim is to interrupt the massage as little as possible,” explains Schäfer. Ventilation must therefore take place as quickly as possible. The first aider is disgusted by vomit on the lips of the unconscious, even if it is okay not to ventilate in between. The most important thing is the heart massage, says Schäfer.

No water in the case of severe burns But there was also a change in primary care in the case of burns. It is a common misconception that burns need to be well and persistently cooled with water. Cooling for a long time can cause hypothermia, which may even have a counterproductive effect on further treatment. "Cooling" only has a positive effect on the wound and pain in the first ten minutes. “But you can't dissipate deep-seated heat,” notes Schäfer. Even severe burns cannot tolerate cooling. This can be seen from the fact that the blister base is white. (fr)

Image: Michael Raab /

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