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When to call an ambulance:

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The NHS is struggling to cope. It has stretched funds and increasing demand, and the UK’s ambulance service and Accident and Emergency Departments need your help to avoid total overload. The national target for an ambulance is 8 minutes, but most patients wait far longer than this, even in life-threatening emergencies. This means that first aid skills are more important than ever and can be key to survival.

It is important both to be able to prioritise appropriately and only use these limited resources when absolutely necessary and to equip yourself with the skills to be able to administer first aid whilst waiting for the emergency services to arrive.

To avoid overloading the emergency services, it is vital to be able to have the skills and knowledge to recognise when someone is seriously ill or hurt and whether it is better to call an ambulance, go straight to A&E or calmly visit your GP.

The following information aims to help you with this critical decision:

If the casualty is particularly vulnerable, for example an elderly person, baby or very young child and you are seriously concerned – always call an ambulance. Children and older people often mask serious symptoms and their condition can then quickly deteriorate and therefore it is important they receive immediate medical attention. 

The decision you make will vary from case to case, but we would strongly advise you to administer First Aid and call an ambulance if someone:

  • Appears not to be breathing.
  • Is having chest pain, difficulty breathing or feeling weak, numb or struggling to speak.
  • Is experiencing severe bleeding that you are unable to stop by applying direct pressure on the wound.
  • Is struggling for breath, possibly breathing in a strange way appearing to ‘suck in’ below their rib cage as they use their accessory muscles to help them breathe.
  • Is unconscious or unaware of what is going on around them.
  • Has a fit for the first time, even if they seem to completely recover.
  • If they are having a severe allergic reaction accompanied by difficulty in breathing or collapse – always get an ambulance to come to you.
  • If a child is burnt and the burn is severe enough to need dressing – treat the burn under cool running water and call an ambulance. Keep cooling the burn until the paramedics arrive and look out for signs of shock.
  • If someone has fallen from a height, been hit by something travelling at speed (like a car) or been hit with force and there is a possibility of a spinal injury.

You don’t get seen any faster in A&E if you arrive by ambulance – you will undergo the same triage assessment in the same way, as anyone else entering the department.

Take someone straight to A&E if they have:

  • A fever and are floppy and lethargic.
  • Severe abdominal pain.
  • A cut that is gaping or losing a lot of blood, if they have amputated a finger or if there is something embedded in the wound.
  • A leg or arm injury and can’t use the limb.
  • Swallowed poison or tablets and are not showing any adverse effects (calling 111 can also give you advice from the poisons database – if they are behaving strangely or experiencing any symptoms from the poison; call an ambulance immediately).

Go to your Family Doctor:

For less serious and non-life-threatening medical concerns, you contact your GP or phone 111 for medical advice.

Most importantly – trust your instincts. If you are seriously worried, administer First Aid and get medical help quickly.

It is strongly advised that you attend a practical or online First Aid course to understand what to do in a medical emergency. Please visit firstaidforlife.org.uk, email emma@firstaidforlife.org.uk or telephone 0208 675 4036 for more information about our courses.

First Aid for life provides this information for guidance and it is not in any way a substitute for medical advice. First Aid for Life is not responsible or liable for any diagnosis made, or actions taken based on this information.

talkhealth Blog

Call the Midwife episode featuring a character with Down’s Syndrome

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Being a regular viewer of the BBC One drama ‘Call the Midwife’, I noticed last week during the preview for this weeks episode that there was to be a character with Down’s Syndrome appearing.

I was intrigued and a little apprehensive. Mainly though, I was excited that there was someone with Down’s Syndrome being represented on such a well loved show with high viewing figures. I wondered how well the part would be incorporated into the existing premise of the show and also what the storyline surrounding the character would be.  And bearing in mind when the show is set (early 1960’s) and the very different attitudes that existed in society towards people with any kind of disability, I wondered whether it may be too sad or upsetting to watch.

This is the second time an actor with Down’s syndrome has appeared in the show. The lovely Sarah Gordy starred a few years ago alongside an actor with cerebral palsy in a heartbreaking storyline which was a difficult watch but very well executed by the actors and writers involved.
Call the Midwife is a show that has proved time and time again not to be afraid to tackle difficult or sensitive issues of a time in the past and a time in society that many people alive can still remember today.
This weeks story explored some more of those difficult issues.  The young character with Down’s Syndrome (Reggie) is left alone early in the episode when his constant and protective mum dies suddenly.
He is taken in by his cousin (Fred) and his wife (Violet) and although things get off to a rocky start – Violet isn’t at all sure about having him around because they dont know anything about ‘people like him’.  Then, after Reggie is left alone and tries to cook his own breakfast he leaves the gas on and manages to get locked out.  What follows are the most heart-wrenching scenes of him being bullied in the street and called names before we see him finding his way back to the home he shared with his mum, banging on the door calling for her and not understanding why she isn’t coming to the door to let him in.
The options for Reggie are a stark reminder of the time – to stay with Fred and Violet his only relatives or to be placed in an institution (asylum) and locked away from society and the life, places and people he knows.  Out of sight and mind, alongside others with mental and physical disabilities.   After Fred visits the asylum he is thankfully appalled at the mere thought of sending Reggie there and we are then left wondering whether he will stay with Violet & Fred to become a regular character in the show (yes please shouts the nation!).
We see Reggie flourish helping Fred out in the garden at Nonnatus House but he is very aware that he doesn’t really fit in there as he wants the company of people his own age. In the end there is a happy outcome.  Reggie is found a place in a community village where he can live with other people his age whilst being a gardener – the job he has come to love while being with Fred.  And Violet, like the rest of us became very fond of Reggie – I really hope he makes another appearance in a future episode. Daniel Laurie, the actor who played him was just fantastic and has been shown an outpouring of love and appreciation on twitter and in reviews of the show.
All the way through the episode, even with it’s twists and turns and the sometimes difficult insight into life at the time for someone with a disability, I felt that we were in the hands of a writer who knew what they were doing with this character.  The way the story moved and the topics covered in such a short time made me realise quite early on that someone behind this episode had some life experience relating to the issues unfolding on the screen.  I was later informed that the writer of the episode, Andrea Gibb, has a sister with Down’s Syndrome which explained why it was all stitched together so well.
I loved the ending – the community village for people with disabilities, where Reggie could be independent after so many years living under his protective mother.  Where he could be around people his own age while doing a job he loved.  A nod to the future and a very forward thinking enterprise at the time and something that many people may not be aware of even existing, either then or now.  I know I wasn’t aware of these initiatives until both our grandmothers died a few years ago.  Our grans had both been nurses at some point in their lives and though they never knew each other, they both requested that donations at their funerals should be given to the Camphill Village Trust – a cause they had both supported for a long time, long before Ella was born.  The trust provides somewhere where all abilities of people can be supported to learn, live and grow within small supported communities across the country.
I am glad that Ella is growing up in a society that has come a long way since the ‘Call the Midwife’ era of poor social integration, institutions and a lack of support for adults with disabilities.  It doesn’t make being the mum of a child with a disability any easier though or stop me worrying about the future – It is one of my biggest fears, to not be around for either of my children.
I don’t know where Ella will want to be when she is older – I know I’d keep her at home forever if I could but knowing how independent and determined she is now then maybe assisted living or even living independently will be options for her future.  We will have to wait and see.  I do know that I want her to continue to be an active member of society and to be able to get a job doing something that she enjoys.

 

talkhealth Blog

Would you call these healthy food choices?

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A couple of weeks ago, my 6 year old daughter brought a letter home from school.  It was one of those promotional letters that so often make it into school bags.  This time it was a Department of Health leaflet promoting healthy eating via their ‘Change 4 Life’ campaign.  Now although we do have lots of treats in our house, food is something that we take quite seriously, as we have a history of severe eczema and food allergies.  So when Miss T asked if she could send off the form at the bottom of the leaflet, I was very proud of the fact that she was taking an interest in what foods she should be eating to stay healthy.

The idea behind this particular promotion is to make it easier for your family to choose healthier options.  They send out money off vouchers so that you can start swapping your unhealthy food habits for more healthy alternatives.

A week later Miss T was very excited when she got back from school and found a letter personally addressed to her.  Ripping it open she pulled out the letter and the attached money off vouchers.  As she can read quite well now I asked her to tell me what they had sent us.

Looking a little puzzled she said, “Mummy I think they have sent us the wrong things!”

Our money off vouchers

Wondering what she was talking about I took a look at the vouchers.  Here is the list of ‘healthy alternatives’ that we received money off vouchers for:

  • 600ml of Pepsi Max
  • Uncle Ben’s microwave in the pot snacks
  • Robinson’s Fruit Squash
  • Flora Light margarine
  • A tin of sweet corn

Ingredients for Pepsi Max:

U.K Ingredients: Carbonated Water, Colour (Caramel E150d), Sweeteners (Aspartame, Acesulfame K), Phosphoric Acid, Flavourings (Including Caffeine), Preservative (Potassium Sorbate), Citric Acid.Contains a source of Phenylalanine.

Now I realise that they are trying to promote a diet with a lower sugar and fat content but REALLY?!!!  This is such a dumbing down of a ‘healthy’ diet it makes me very sad.  How can they honestly promote Pepsi Max as a healthy choice?  Why is there no money off fresh foods with maybe a link to a quick and easy recipe?  Aiming this promotion at primary school children and their families and then implying that these are healthy choices just seems absolutely bizarre.

To be honest I’m not that keen on a ‘low fat’ option anyway, especially when it’s aimed at children.  Admittedly there are good fats and bad fats, but the fat in food makes you feel fuller and so it takes you longer before you are hungry again.  Certain fats are important for everything from making hormones to absorbing fat-soluble vitamins.  When manufacturers strip fat from foods to make them ‘low fat’ they are usually left with quite a tasteless product.  So what do they do?  They add more sugar so that the food is palatable.  So in fact many low fat foods actually end up containing the same, if not more calories than the ‘normal’ version.

I do really appreciate that this promotion is aimed at families who may not be making the right food choices, which can be for many reasons – from lack of money to time constraints and that these vouchers are there to help us all make a step in the right direction towards making healthier choices.  It would have just been so much nicer to have seen this opportunity being taken to promoting fresh, REAL food.


 

 

 

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