Important issues to consider with any open wound are control of bleeding and infection. 

1. The first responder should stay with the patron.
2. Notify other responders to access first aid kit, equipment or emergency medical help if necessary.
3. PPE- Wear gloves (gown/ mask if appropriate) at all times when dealing with blood or other bodily fluids.
4. Provide appropriate care based on patient, injury and training.
5. When treatment is complete, immediately fill out a detailed incident report. 

MINOR WOUNDS

Minor wounds include abrasions, lacerations, punctures, and incisions.

First Aid:

1. Put on PPE
2. Clean the wound with clean water if appropriate
3. Stop the bleeding with a clean, absorbent material. 
4. Apply pressure if needed.
5. Bandage as appropriate

MAJOR WOUNDS

A major wound requires immediate medical attention and may be a sign of serious injury to deeper tissues and organs. CALL 911

Goal: control bleeding, reduce pain, prevent infection and observe for signs of shock. 

First Aid:

1. Put on PPE
2. If bleeding is severe, do not attempt to wash wound -this will remove clotting agents
3. If something is embedded in the wound, do not remove.
4. Stop the bleeding with a clean, absorbent material.
5. Keep pressure on the wound until help arrives
6. If blood soaks through gauze or dressing, do not remove; add more gauze and maintain firm pressure
7. If person becomes pale, cold or dizzy, SHOCK may be occurring- see SHOCK EAP
8. If something is embedded in the wound, do not remove.
9. Communicate with parents as appropriate.

Follow Clean up Procedure for Blood or Bodily Fluids