First Aid Goals: Preserve Life, Prevent Deterioration, Promote Recovery

The three core aims of first aid form a hierarchy:

1. Preserve Life

  • Immediate threats: airway obstruction, respiratory arrest, cardiac arrest, severe hemorrhage, shock, anaphylaxis.
  • Actions: CPR, AED, Heimlich, tourniquet, recovery position, epinephrine auto-injector.

2. Prevent Further Harm

  • Stabilize: spinal immobilization, splint fractures, cool burns, cover wounds, remove from danger.
  • Prevent complications: infection control, pressure relief, glucose for hypoglycemia.

3. Promote Recovery

  • Comfort: analgesia, reassurance, warmth, positioning.
  • Facilitate professional care: clear handoff (MIST: Mechanism, Injuries, Signs, Treatment), documentation.
  • Aftercare guidance: wound care, follow-up, red flags.

Guiding Principles

  • Do No Harm: Don't exceed training.
  • Act Within Scope: Legal protection (Good Samaritan) requires reasonableness.
  • Continuous Assessment: ABCDE repeat until handoff.

First aid bridges the gap between incident and definitive care. Training saves lives.

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