SJAM First Aid at Workplace key terms
SJAM First Aid at Workplace · Get comfortable with the vocabulary.
- Scene assessment
- Related: Hazard, DRABC, Personal protective equipment (PPE)
A quick, systematic check of the incident area before you approach, looking for hazards, the number of casualties and what help is needed, so that no one else is harmed.
- Hazard
- Related: Scene assessment, Personal protective equipment (PPE)
Anything at the incident that could harm the rescuer, the casualty or bystanders, such as traffic, electricity, fire, fumes or unstable structures; it must be controlled before care begins.
- Chain of survival
- Related: Cardiopulmonary resuscitation (CPR), Automated external defibrillator (AED), Emergency call
The linked steps that give a person in cardiac arrest the best chance of survival: early recognition and calling for help, early CPR, early defibrillation, advanced care, and post-resuscitation support.
- DRABC
- Related: Scene assessment, Agonal breathing
A structured primary survey: Danger, Response, Airway, Breathing, Circulation. It guides a rescuer through safety, checking consciousness, opening the airway, confirming breathing and assessing severe bleeding.
- Consent
- Related: DRABC, First aider
Permission from a conscious casualty before you touch or treat them. When someone is unresponsive, consent is assumed because a reasonable person would want life-saving help.
- Personal protective equipment (PPE)
- Related: Scene assessment, Rescue breath
Barrier items such as disposable gloves, aprons, eye protection and a resuscitation face shield that protect the first aider from blood and body fluids during contact with a casualty.
- Emergency call
- Related: Chain of survival, Stroke, Heart attack
The request for an ambulance and professional help, giving the location, what happened, how many casualties there are, their condition and a call-back number, and staying on the line until released.
- Cardiopulmonary resuscitation (CPR)
- Related: Chest compression, Automated external defibrillator (AED), Hands-only CPR
Chest compressions, with or without rescue breaths, that keep oxygenated blood moving around the body when the heart has stopped, buying time until defibrillation or advanced care arrives.
- Chest compression
- Related: Cardiopulmonary resuscitation (CPR), Hands-only CPR
A downward push on the centre of the breastbone about 5 to 6 cm deep, at 100 to 120 per minute, followed by full recoil, which squeezes the heart and keeps blood circulating.
- Rescue breath
- Related: Cardiopulmonary resuscitation (CPR), Personal protective equipment (PPE)
A breath delivered into a casualty's mouth, ideally through a face shield, when they are not breathing normally; each lasts about one second and should make the chest visibly rise.
- Automated external defibrillator (AED)
- Related: Defibrillation pad placement, Chain of survival, Cardiopulmonary resuscitation (CPR)
A portable device that analyses the heart rhythm and delivers a controlled electric shock when a shockable rhythm is detected in cardiac arrest, with voice prompts guiding the user through each step.
- Defibrillation pad placement
- Related: Automated external defibrillator (AED)
Fixing the two AED pads to a bare, dry chest - one below the right collarbone, one on the left side below the armpit - so the shock current passes through the heart muscle.
- Agonal breathing
- Related: Cardiopulmonary resuscitation (CPR), DRABC
Occasional gasps, snoring or gurgling sounds in the first minutes after cardiac arrest; they are not normal breathing, so CPR and the AED are still needed straight away.
- Recovery position
- Related: DRABC, Seizure
A stable side-lying position for an unresponsive casualty who is breathing normally; it keeps the airway open and lets fluids drain from the mouth while help is on the way.
- Hands-only CPR
- Related: Chest compression, Cardiopulmonary resuscitation (CPR)
Continuous chest compressions without rescue breaths, used by untrained, unwilling or telephone-guided rescuers; it is far better than doing nothing for an adult in cardiac arrest.
- Severe bleeding
- Related: Direct pressure, Tourniquet, Shock
Heavy, rapid blood loss from a wound that can kill within minutes; it is controlled with direct pressure, wound packing and, if needed, a tourniquet, while an ambulance is called.
- Direct pressure
- Related: Severe bleeding, Wound packing
Pressing firmly on or into a bleeding wound with a dressing or clean cloth and not lifting it to peek, so a clot can form and further blood loss is limited.
- Tourniquet
- Related: Severe bleeding, Wound packing
A strap tightened around a limb above a catastrophic bleed, used only when direct pressure and packing fail; the time of application is recorded and it is never loosened once fitted.
- Wound packing
- Related: Severe bleeding, Direct pressure
Firmly pushing gauze deep into a gaping wound, such as in the groin, armpit or thigh, so pressure is applied directly to the bleeding vessels from inside the wound.
- Shock
- Related: Severe bleeding, Fracture
A life-threatening state in which blood flow is inadequate for the body's needs, shown by pale clammy skin, a fast weak pulse, thirst and anxiety; keep the casualty lying down and warm.
- Burn
- Related: Cool running water, Chemical splash to the eye
Damage to skin and deeper tissue caused by heat, chemicals, electricity, friction or radiation; its treatment depends on size, depth and which parts of the body are affected.
- Cool running water
- Related: Burn, Chemical splash to the eye
The standard first treatment for a thermal or chemical burn: hold the area under cool running water for at least 20 minutes to stop the burning process and reduce pain and damage.
- Fracture
- Related: Splint, Shock
A break or crack in a bone caused by force or disease, recognised by pain, swelling, deformity and difficulty moving; support it in the position found and never try to straighten it.
- Splint
- Related: Fracture
Any rigid support, such as a padded board, sling or rolled magazine, secured around an injured limb and the joints above and below to keep the fracture still during movement.
- Spinal injury
- Related: Concussion, Fracture
Damage to the neck or back that may also injure the spinal cord; suspect it after falls, diving, road crashes or head injury, keep the head and neck still and move the casualty only if in danger.
- Concussion
- Related: Spinal injury
A temporary disturbance of brain function after a blow to the head, causing headache, confusion, dizziness, memory loss or vomiting; the person should stop activity and be medically assessed.
- Sprain
- Related: Fracture, Splint
Stretching or tearing of the ligaments around a joint from a twist, causing pain, swelling and bruising; managed with rest, ice, compression and elevation in the first 48 hours.
- Chemical splash to the eye
- Related: Cool running water, Burn
A corrosive substance in contact with the eye, needing immediate irrigation with clean, cool water for at least 20 minutes while the eyelids are held open, then urgent medical assessment.
- Stroke
- Related: Heart attack, Emergency call
A sudden interruption of blood flow to part of the brain; use FAST - Face droop, Arm weakness, Speech problems, Time to call an ambulance - and record when the symptoms began.
- Heart attack
- Related: Stroke, Emergency call, Shock
A blockage of the blood supply to heart muscle causing central chest pain that may spread to the arm, neck or jaw, with sweating, nausea and breathlessness; sit the person down and call for help.
- Anaphylaxis
- Related: Adrenaline auto-injector, Asthma attack
A severe, rapidly developing allergic reaction with airway swelling, wheezing, widespread hives and a fall in blood pressure; it needs adrenaline from an auto-injector and an ambulance immediately.
- Adrenaline auto-injector
- Related: Anaphylaxis
A pre-filled device that delivers a measured dose of adrenaline into the outer thigh for anaphylaxis; the casualty's own device is used, and a second dose may be given after five minutes if there is no improvement.
- Hypoglycaemia
- Related: Seizure
Low blood sugar in a person with diabetes, causing hunger, sweating, trembling, confusion and sometimes aggression; if they are conscious and can swallow, give fast-acting sugar followed by a starchy snack.
- Seizure
- Related: Recovery position, Hypoglycaemia
A burst of abnormal electrical activity in the brain causing jerking, stiffness or loss of awareness; protect the head, do not restrain the person or put anything in the mouth, and time the episode.
- Choking
- Related: Cardiopulmonary resuscitation (CPR), Asthma attack
A blocked airway, usually by food, with coughing, difficulty speaking and struggling to breathe; encourage coughing, then give back blows and abdominal thrusts, and call an ambulance if it does not clear.
- Asthma attack
- Related: Anaphylaxis, Choking
Tightening of the airways with wheeze, cough and difficulty breathing; the casualty sits upright and uses their reliever inhaler, usually with a spacer, and help is called if there is no improvement.
- First aid needs assessment
- Related: First aider, First aid kit
A review of workplace hazards, workforce size, shift patterns and distance from medical help that decides how many first aiders, what equipment and what training the site needs.
- First aid kit
- Related: First aid needs assessment, Personal protective equipment (PPE)
A clearly marked, regularly checked box of dressings, bandages, gloves, scissors and other supplies suited to the workplace's risks, kept stocked and accessible to trained staff.
- Accident record
- Related: First aid needs assessment
A written entry describing the incident, the care given and the outcome, kept for legal and insurance purposes and used to help the workplace prevent similar injuries.
- First aider
- Related: First aid needs assessment, Consent
A trained employee responsible for giving immediate care, with the level of training - emergency first aider or full first aider - set by the workplace first aid needs assessment.