This lesson focuses on the principles of the aims of first aid. It describes the actions a first aider should take when encountering someone who has had an accident or is suffering from a sudden illness and needs help until a doctor, nurse or ambulance officer arrives.
Emergency First Aid - a quick guide.

St John DRABC Action Plan

This Action Plan is a vital aid to the first aider in assessing whether the casualty has any life-threatening conditions and if any immediate first aid is necessary.

D - check for DANGER
* to you
* to others
* to casualty

R - check RESPONSE
* is casualty conscious?
* is casualty unconscious?

A - check AIRWAY
* is airway clear of objects?
* is airway open?

B - check for BREATHING
* is chest rising and falling?
* can you hear casualty's breathing?
* can you feel the breath on your cheek?

C - check for CIRCULATION
* can you feel a pulse?
* can you see any obvious signs of life?

1.Severe bleeding Apply pressure to the wound.
2.Choking in a child aged 1- 8.For a total blockage place child face down across your lap; give 4 sharp blows between shoulder blades.


weak, rapid pulse
cold, clammy skin
rapid breathing
nausea pale face, finger-nails, lips

1 Lie casualty down: protect casualty from cold ground calm casualty.
2 Assess casualty:
follow DRABC.
3 Call for an ambulance.
4 Manage any injuries:
control any bleeding, raise legs (unless fractured) above heart level dress any wounds or burns,
immobilise fractures.
5 Ensure comfort:
loosen any tight clothing around neck, chest or waist, maintain body warmth (do not heat)
if thirsty, moisten lips (but nothing to drink or eat).
6 Monitor breathing and pulse:
maintain a clear and open airway.
7 Place casualty in recovery position:
place in recovery position if casualty has difficulty breathing, is likely to vomit or becomes unconscious.
CPR combines chest compressions with expired air resuscitation (EAR).
CPR is given when casualty is not breathing and has no pulse.


1 Position hands for CPR: place casualty on back
find groove at neck between collarbones find lower end of breastbone by running finger along last rib to centre of body extend thumb of each hand equal distances to meet in middle of breastbone keep thumb of left hand in position andplace heel of right hand below it place heel of left hand on top of the right and interlock fingers of both hands.2 Commence chest compressions: position yourself vertically above casualty chest with your arms straight, press down on breastbone to depress it about 4 to 5 cms release pressure. 3 Continue CPR: complete 30 compressions give two effective breaths (EAR) continue compressions and breaths in ratio of 30:2 at a rate of 4 cycles per minute check pulse about every minute.
CHILD (aged 1 to 8)

use heel of one hand over lower half of breastbone to give chest compressions compress chest approximately 1/3 depth of chest give 5 chest compressions in 3 seconds give 1 effective breath (EAR)
continue compressions and breaths in ratio of 5:1 at a rate of 12 cycles per minute check pulse about every minute
INFANT (under 1 year)
place tips of 2 fingers (index and middle) on lower half of breastbone
compress chest approximately 1/3 depth of chest give 5 chest compressions in 3 seconds give 1 effective breath continue compressions and breaths in ratio of 5:1 at a rate of 12 cycles per minute check pulse about every minute

Ambullence CONTACT

St. John Ambulance, Tollygunge Centre is the premier provider of First Aid Training in WEST BENGAL & INDIA.

Training for the workplace can be undertaken both at our Training Centres and also where applicable at the customer's own premises.

At St. John we believe that training in basic lifesaving skills should be available to everyone and in addition to wokrplace courses we also operate a series of community based courses aimed at a wide range of interest groups.

St. John trainers can have practical experience in the delivery of First Aid through the many duties performed by St. John Ambulance at events throughout West Bengal & India. We believe this to be a significant advantage because our trainers are able to cope with the impact of dealing with First Aid as well as the theoretical aspects. All trainers are also fully competent in the legal requirements of current legislation and are in a position to work with companies to match their individual requirements with course content. At St. John we also offer a complete range of after sales services and certification along with our own First Aiders insurance scheme.

For information on courses, availability and booking please click on the relevant heading above.

ST. JOHN HELPLINE - CALL: 033-2476-1935, 033-24636031, MOBILE: 9830023653