First aid & emergencies

First aid and emergencies

Clear, referenced first-aid guides — what to do step by step, and when to call 999. 35 topics and growing. Not a substitute for a hands-on first-aid course.

In a life-threatening emergency, call 999 now. Use these guides to know what to do while help is on the way — they do not replace emergency services or a first-aid course.

Emergency

If someone is seriously unwell right now

Call for help first, then start

Call 999 immediately if someone is unresponsive or not breathing normally, is struggling to breathe, has chest pain lasting more than a few minutes, is bleeding heavily, has signs of a stroke (face drooping, arm weakness, slurred speech), is having a seizure that will not stop, has a rash that does not fade when pressed with fever, or is confused or drowsy in a way that is new. For urgent advice when it is not immediately life-threatening, call NHS 111. Do not spend time reading a web page before making that call.

First aid is a small number of actions done early, and getting professional help on the way is one of them. In almost every emergency the sequence is the same: make sure it is safe to approach, check whether the person responds, check their breathing, call for help, then do what you can while help is coming. On a phone, put it on speakerphone so you can act while the call handler guides you — they are trained to talk you through chest compressions and much else.

  • Do not put yourself in danger. A second casualty helps nobody. Traffic, fire, electricity and water are the usual hazards.
  • Not breathing normally means start CPR. Occasional gasping is not normal breathing. Chest compressions done imperfectly are vastly better than none, and the 999 handler will set the rhythm for you.
  • Severe bleeding needs firm, sustained, direct pressure. Keep it on and do not keep lifting to look.
  • If an adrenaline auto-injector has been used for anaphylaxis, still call 999. Symptoms can return after the first dose wears off.
  • Do not move someone with a suspected spinal injury unless they are in danger or you need to open their airway.

What these guides are, and are not

Reading is preparation; training is the real thing

These pages explain what is happening, what to do, what not to do, and when something has crossed the line into an emergency. They are written to be read before you need them. Reading is genuinely useful — knowing that gasping is not breathing, or that a non-blanching rash with fever needs an ambulance, changes what people do — but it is not equivalent to a hands-on course. A few hours with a certified provider such as St John Ambulance or the British Red Cross teaches compressions, choking manoeuvres and recovery positioning in a way no text can, and it is the single most useful thing on this page.

For the reasoning behind acute presentations see our clinical articles, several written as case-based walkthroughs; for the underlying conditions see conditions A–Z; for the deterioration scores clinicians use, such as NEWS2 and the Glasgow Coma Scale, see our calculators.

Reference only, and never a reason to delay. If you are unsure whether something is an emergency, treat it as one and call. Emergency services would far rather attend and find nothing wrong.

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