Part 14: First Aid

The past and present standard first aid for skin and eye exposures is to flush the affected areas with copious amounts of water for 15 min and then seek medical attention. It should be noted that over the years very little research in first aid has been conducted, and one should therefore recognize that there may be limitations to the present practices. Aware of the lack of evidence, the National First Aid Science Advisory Board was established to review and evaluate current first aid interventions. This paper presents updated evidencebased procedures for skin/eye decontaminations.

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Rigour of development does not AGREE with recommendations in practice guidelines on the use of ice for acute ankle sprains

Velde¹,

Heselmans

Donceel

et al. 2011

BMJ Quality & Safety

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OBJECTIVE This study evaluated whether the Appraisal of Guidelines Research and Evaluation (AGREE) rigour of development score of practice guidelines on ice for acute ankle sprains is related to the convergence between recommendations. DESIGN The authors systematically reviewed guidelines on ice for acute ankle sprains. Four appraisers independently used the AGREE instrument to evaluate the rigour of development of selected guidelines. For each guideline, one reviewer listed the cited evidence on ice and calculated a cited evidence score. The authors plotted the recommended durations and numbers of ice applications over the standardised rigour of development score to explore the relationships. DATA SOURCES Three reviewers searched for guidelines in Medline, Embase, Sportdiscus, PEDro, G-I-N Guideline Library, Trip Database, SumSearch, National Guideline Clearinghouse and the Health Technology Assessment database, and conducted a web-based search for guideline development organisations. ELIGIBILITY CRITERIA Eligible guidelines had a development methodology that included a process to search or use results from scientific studies and the participation of an expert group to formulate recommendations. RESULTS The authors identified 21 guidelines, containing clinically significant variations in recommended durations and numbers of ice applications. The median standardised rigour of development score was 57% (IQR 18 to 77). Variations occurred evenly among guidelines with low moderate or high rigour scores. The median evidence citation score in the guidelines was 7% (IQR 0 to 61). CONCLUSIONS There is no relationship between the rigour of development score and the recommendations in guidelines on ice for acute ankle sprains. The guidelines suffered from methodological problems which were not captured by the AGREE instrument.

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Part 14: First Aid

Abstract: The single most important information for a first aid provider is to know how to get help. Rescuers should learn how and when to access the EMS system, how to activate the on-site

Cited by 7 publications

References 127 publications

Chirurgie avec ou sans garrot : état des lieux

Chirurgie avec ou sans garrot : état des lieux

First aid for skin/eye decontamination: Are the present practices effective?

Rigour of development does not AGREE with recommendations in practice guidelines on the use of ice for acute ankle sprains

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