The following information has been extracted from a range of authoritative sources and covers the main situations that may arise on our walks.
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Calling for emergency help
Use a mobile phone to call 999 (or 112) and ask for an ambulance or the
police, then mountain rescue as appropriate. Remember, even if your mobile
phone has no signal make the call to the emergency services as other networks
may transmit the call.
When calling the emergency services remember:
* Stay calm
* Describe the nature of the emergency
* State the location accurately
* Answer any questions clearly
* Be patient – your call will be prioritised and handled as quickly as possible.
If there is no mobile signal send others (two recommended) for help.
OR
give 6 whistle blasts (or torch flashes) in quick succession - repeated
after 1 minute
Message understood response is 3 whistle blasts (or
torch flashes) in quick succession - repeated after 1 minute
First aid for a heart attack
Key skill: Ensure they
are sitting and call 999 immediately
1. The person may have persistent, vice-like chest pain, which may spread to their arms, neck, jaw, back or stomach.
2. Call 999 immediately or get someone else to do it.
3. Ensure they are sitting e.g. leaning against a tree or the legs or back of another walker.
4. Give them constant reassurance while waiting for the ambulance.
First aid for a stroke
Key skill: Carry out
the FAST test
1. Think FAST. Face: is there weakness on one side of the face? Arms: can they raise both arms? Speech: is their speech easily understood? Time: to call 999.
2. Immediately call 999 or get someone else to do it.
First aid for shock
Signs and symptoms: A rapid pulse
Pale grey skin, especially inside the lips
Sweating and cold clammy skin
The most common cause of shock is severe blood loss. This life threatening condition occurs when vital organs do not get enough oxygen due to reduced blood circulation.
1. Treat the cause (i.e. if due to severe blood loss apply pressure on the wound)
2. Help them lie down
3. Raise and support the legs
4. Loosen any tight clothing
5. Reassure them, but do not give anything to eat or drink
6. Call 999 (or 112) and prepare to resuscitate if necessary
First aid for someone who’s bleeding heavily
Key skill: Put
pressure on the wound
1. Put pressure on the wound with whatever is available to stop or slow down the flow of blood.
2. Check whether there is an object embedded in the wound
3. If there is an object embedded in the wound, take care not to press on the object, instead press firmly on either side of the object and build up padding around it before bandaging to avoid putting pressure on the object itself
4. As soon as possible call 999 (or 112) or get someone else to do it
5. Keep pressure on the wound until help arrives.
First aid for someone who’s unconscious and
not breathing
Key skill: The
delivery of chest compressions
1. Check breathing by tilting their head backwards and looking and feeling for breaths.
2. Call 999 as soon as possible, or get someone else to do it.
3. Push firmly downwards in the middle of the chest and then release.
4. Push at a regular rate until help arrives.
First aid for someone who’s unconscious and breathing
Key skill: Place the
person on their side and tilt their head back
1. Check breathing by tilting their head backwards and looking and feeling for breaths.
2. Move them onto their side and tilt their head back.
3. As soon as possible, call 999 or get someone else to do it.
First aid for a head injury
1. Ask them to rest and apply a cold compress to the injury.
2. If they become drowsy or vomit, call 999 or get someone else to do it.
First aid for strains and sprains
Strains and sprains should be treated initially by the ‘RICE’ procedure.
R – rest the injured part
I – apply ice or a cold compression
C – comfortably support
E – elevate the injured part
This treatment may be sufficient to relieve the symptoms, but if you don’t know how severe the injury is, treat as a fracture and seek medical advice.
First aid for a broken bone
Key skill: Immobilise
the affected part
1. Encourage the person to support the injury with their hand, or use a cushion or items of clothing to prevent unnecessary movement.
2. As soon as possible, call 999 or get someone else to do it.
3. Continue supporting the injury until help arrives.
First aid for burns
Key skill: Cool the
affected area
1. Cool the burn under cold running water for at least ten minutes.
2. Loosely cover the burn with cling film or a clean plastic bag.
3. If necessary, call 999 or get someone else to do it.
First aid for seizures (epilepsy)
Key skill: Make them
safe and prevent injury
1. Do not restrain them but use a blanket or clothing to protect their head from injury.
2. After the seizure, help the person rest on their side with their head tilted back.
First aid for choking
Key skill: The
delivery of back blows
1. Hit them firmly on their back between the shoulder blades to dislodge the object.
2. If necessary, call 999 or get someone else to do it.
First aid for poisoning and harmful substance
Key skill: Establish
what? When? And how much?
1. Establish what they have taken. When? And how much?
2. As soon as possible, call 999 or get someone else to do it.
3. Do not make the person sick.
First aid for diabetes
Key skill: Give them
something sweet to drink or eat
1. Give them something sweet to eat or a non-diet drink.
2. Reassure the person. If there is no improvement, call 999 or get someone else to do it.
First aid for an asthma attack
Key skill: Help them
take their medication
1. Help the person sit in a comfortable position and take their medication.
2. Reassure the person. If the attack becomes severe, call 999 or get someone else to do it.
First aid for heat exhaustion
Heat exhaustion is
caused by an abnormal loss of salt and water from the body. It is more likely
to affect people who are not used to hot and humid conditions and those who are
already ill.
1. Call 999 (or 112) or get someone else to do it
2. Help them into a cool place in the shade, get them to lie down and raise their legs
3. Give water in small amounts frequently until they recover
First aid for hypothermia
Hypothermia onset usually begins with shivering and continues with
other mental and physical symptoms: exhaustion, slurred speech, memory loss,
confusion, drowsiness
1. Call 999 (or 112)
2. Your aim is to warm them up gradually
3. Take them to a sheltered place, remove and replace any wet clothing
4. Wrap them in an emergency blanket or use any other insulating material, dry leaves, heather, remember to cover their head and put insulating items underneath them
5. Give them warm drinks and high energy foods
6. If you have a source of warmth, use it to warm the centre of the body: chest, neck, head, and groin (not the arms and legs, as this will push cold blood back toward the heart, lungs and brain).
7. DO NOT give alcohol .
8. DO NOT rub or massage the victim; doing so can increase risks of cardiovascular problems.