DEALING WITH A CASUALTY
Casualties are often frightened because of
what is happening to them, and what may
happen next. Your role is to stay calm and take
charge of the situation – be ready to stand back
if there is someone better qualified. If there is
more than one casualty, use the primary survey
(pp.44–45) to identify the most seriously injured
casualties and treat in the order of priority.
It is important to consider the age and
appearance of your casualty when you talk to
him, since different people need different
responses. Always respect people’s wishes;
accept that someone might want to be treated
in a particular way. Communication can be
difficult if a person speaks a different language
or cannot hear you. Use simple language or
signs or write questions down. Ask if anyone
nearby speaks the same language, knows the
person and/or saw the incident and can describe
what happened.
SPECIAL CASE TREATING CHILDREN
BUILDING TRUST
DIVERSITY AND COMMUNICATION
Establish trust with your casualty by
introducing yourself. Find out what the person
likes to be called, and use his name when you
talk to him. Crouch or kneel down so you are
at the same height as the casualty. Explain
what is happening and why. You will inspire
trust if you say what you are doing before you
do it. Treat the casualty with dignity and respect
at all times. If possible, give him choices, for
example, whether he would prefer to sit or lie
down and/or who he would like to have with
him. Also, if possible, gain his consent before
you treat him by asking if he agrees with
whatever you are going to do.
You will need to use simpler, shorter
words when talking to children. If
possible, make sure a child’s parents
or carers are with him, and keep
them involved at all times. It is
important to establish the carer’s
trust as well as the child’s. Talk first
to the parent/carer and get his or
her permission to continue. Once
the parent/carer trusts you, the child
will also feel more confident.
Reassure the casualty
When treating a casualty, remain calm and do not do
anything without explaining it first. Try to answer any
questions he may have honestly and clearly.
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