Mini Review - Journal of Primary Care and General Practice (2025) Volume 8, Issue 4
Effective first aid: Improving emergency outcomes
Ahmed Al-Farouq*
Department of Clinical Safety, King Saud University, Riyadh, Saudi Arabia
- *Corresponding Author:
- Ahmed Al-Farouq
Department of Clinical Safety
King Saud University, Riyadh, Saudi Arabia.
E-mail: ahmed.alfarouq@ksu.edu.sa
Received : 03-Nov-2025, Manuscript No. aapcgp-216; Editor assigned : 05-Nov-2025, PreQC No. aapcgp-216(PQ); Reviewed : 25-Nov-2025, QC No aapcgp-216; Revised : 04-Dec-2025, Manuscript No. aapcgp-216(R); Published : 15-Dec-2025 , DOI : 10.35841/aapcgp-8.4.216
Citation: Al-Farouq A. Effective first aid: Improving emergency outcomes. aapcgp. 2025;08(04):216.
Introduction
In emergency situations, the timely and appropriate application of first aid interventions is crucial for patient survival and mitigating long-term complications. These initial actions by bystanders or immediate responders can dramatically alter outcomes in various critical scenarios. For instance, the practice of bystander Cardiopulmonary Resuscitation (CPR) is paramount in improving survival rates for out-of-hospital cardiac arrest. This holds true even during unprecedented public health crises like the COVID-19 pandemic, underscoring the continuous need to maintain and promote robust CPR training and public engagement. Adapting these training strategies ensures both safety and effectiveness across diverse public health contexts, making timely intervention a cornerstone of emergency response [1].
Controlling severe hemorrhage is another vital component of initial emergency care, where preventing significant blood loss can be life-saving. Tourniquets, now a firmly established principle in first aid protocols, have proven remarkably effective in controlling life-threatening hemorrhage from extremity injuries. Their utility extends across both civilian trauma and combat zones, highlighting the critical importance of their early and correct application to staunch severe blood loss [2].
Similarly, rapid response to airway obstructions, such as those caused by choking, is essential. Current evidence-based guidelines emphasize a clear sequence of back blows and abdominal thrusts. The ability to quickly recognize a choking emergency and intervene with proper technique is paramount for clearing the airway and preventing severe, potentially fatal, consequences [4].
Beyond immediate life threats, the prompt and correct management of specific injuries significantly influences patient recovery and prevents complications. For burn injuries, immediate and appropriate first aid fundamentally impacts patient outcomes, directly affecting severity and subsequent complications. Best practices in initial burn management emphasize crucial steps, including cooling the burn with water, covering it cleanly to prevent infection, and recognizing when professional medical attention is imperative [3].
Musculoskeletal injuries, ranging from common sprains to more severe fractures, particularly prevalent in sports, demand a structured first aid approach. The RICE principle – Rest, Ice, Compression, Elevation – is central to initial management, focusing on early assessment, stabilization, and pain control to minimize further damage and facilitate optimal recovery [7].
Furthermore, comprehensive out-of-hospital wound care is fundamental not only for preventing infection but also for promoting effective healing. Initial first aid steps like thorough wound cleaning, effective bleeding control, and the application of suitable dressings are crucial for reducing complications and enhancing the recovery process [10].
First aid also encompasses a range of critical medical emergencies requiring swift and decisive action. Anaphylaxis, a severe allergic reaction, necessitates prompt recognition and the immediate administration of adrenaline using an auto-injector. First aid providers bear a critical responsibility in quickly administering this life-saving medication, accurately identifying the signs of a severe allergic reaction, and initiating further medical care without any delay to improve patient prognosis [5].
In the event of a seizure, providing appropriate first aid is paramount for ensuring the patient's safety and comfort. Educational interventions play a significant role in teaching individuals to remain with the person, protect them from potential injury during the seizure, and carefully monitor its progression, thereby dispelling common myths and fostering supportive, informed actions [6].
Environmental emergencies, such as heatstroke, present another domain where rapid first aid is indispensable. The primary focus for heatstroke is immediate and effective cooling to prevent irreversible organ damage. This involves swift measures like moving the affected individual to a cooler environment, removing any excess clothing, and applying cold packs or even immersion to quickly reduce core body temperature [8].
Finally, effective first aid for poisoning demands immediate assessment and, if possible, identification of the ingested substance, followed by urgent consultation with expert medical advice, typically from a poison control center. Prompt interventions, such as preventing further absorption of the poison or inducing vomiting only under direct medical guidance, are critical for significantly improving patient outcomes [9].
Conclusion
Effective first aid interventions are vital for improving outcomes across a wide range of medical emergencies. Key practices include maintaining and promoting bystander Cardiopulmonary Resuscitation (CPR) training, essential for out-of-hospital cardiac arrest survival, even during public health crises. For severe bleeding, tourniquets are highly effective in controlling life-threatening extremity hemorrhage, requiring early and correct application. Immediate and appropriate first aid for burn injuries, such as cooling and clean covering, significantly impacts patient recovery, while evidence-based guidelines for choking emphasize rapid recognition and intervention with back blows and abdominal thrusts to clear airway obstructions. Managing severe allergic reactions like anaphylaxis necessitates prompt recognition and the swift administration of adrenaline via an auto-injector by first aid providers. During seizures, safe and supportive first aid focuses on protecting the individual from injury and monitoring the event, guided by clear educational interventions. Musculoskeletal injuries, including fractures and sprains, benefit from the immediate application of the RICE principle (Rest, Ice, Compression, Elevation) for stabilization and pain management. For environmental emergencies like heatstroke, rapid cooling is critical to prevent organ damage, involving moving to cooler environments and applying cold packs. Furthermore, effective first aid for poisoning involves immediate assessment, substance identification, and urgent consultation with poison control, with actions like preventing absorption taken only under medical direction. Finally, proper out-of-hospital wound care, encompassing cleaning, bleeding control, and appropriate dressings, is fundamental for preventing infection and promoting optimal healing. Across all these scenarios, timely and informed first aid plays a crucial role in reducing complications and improving patient prognosis.
References
- Toshiaki T, Miki O, Junichi I. Bystander Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. J Clin Med. 2023;12(2):539.
- Andrew WK, Morten B, David L. The Utility of Tourniquets for the Control of Exsanguinating Extremity Hemorrhage: A Position Statement of the European Trauma Course. Eur J Trauma Emerg Surg. 2023;49(1):7-18.
- Julian R, Maria C, Nele B. Update on First Aid and Out-of-Hospital Management of Burn Injuries. J Clin Med. 2022;11(15):4338.
- Anthony H, Rudolf WK, Koen GM. Guidelines for first aid for choking: A systematic review and meta-analysis. Resuscitation. 2021;160:18-29.
- Mona S, Matthew G, Daniel KC. Anaphylaxis: Current consensus and new developments. Ann Allergy Asthma Immunol. 2023;131(3):265-276.
- Hilary O, Stephen H, Elaine PM. First Aid in Epilepsy: A Scoping Review of Educational Interventions. J Neurosci Nurs. 2023;55(6):E3-E13.
- Prateek V, Meenakshi V, Praveen K. First aid and immediate management of musculoskeletal injuries in sports. J Fam Med Prim Care. 2023;12(8):1530-1537.
- Abderrezak B, Fatima A, Mohamed A. Heat-related illness: an update on the emergency care of hyperthermia and exertional heat stroke. Emerg Med J. 2023;40(7):479-487.
- Rudolf WK, Anthony JH, Koen GM. First aid for poisoning - A systematic review. Resuscitation. 2019;134:236-249.
- Vincenzo R, Mirko S, Valerio C. Out-of-hospital wound care: a systematic review and meta-analysis. J Clin Med. 2023;12(18):5971.
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref
Indexed at, Google Scholar, Crossref