Emergency Situation

Available at:

• Porters & Security Van  
• Outside admissions (Prep School) 
• Sports Centre Reception (behind the front desk
• Quad (by College Office)
• The Boathouse, Tewkesbury  
• In the yellow lock box on main College field near the Grounds Office (CODE C159X) 

Available at:

• Porters & Security Van
• Outside Prep Dining Hall
• Quad (by College Office)
• Health Centre
• Sports Centre Reception (behind the front desk)

Available at:

• Quad (by College Office)
• Porters & Security Van
• Sports Hall Reception (behind the front desk)
• Outside Prep Dining Hall
• Health Centre
• All Large First Aid Kits
• Chapel entrance (on right hand side when entering)
• The Boathouse, Tewkesbury  

Available at:

• Security Vehicle
• Health Centre
• Sports Hall

Symptoms may include:

• Difficulty breathing
• Difficulty swallowing
• Cough
• Swollen lips or tongue
• Sweating
• Rash
• Anxiety and confusion
• Weakness and fainting

What To Do:

As soon as a severe reaction is suspected an AAI must be administered without delay. 

The casualty should lie on the floor with their legs raised, if possible. If they are experiencing breathing difficulties, they should remain upright. The casualty should self-administer their AAI if they are able to do so. If they are unable to administer it themselves, a trained member of staff should administer the AAI on their behalf. Do not attempt to walk the casualty anywhere, stay in situ.

• Remain calm, ensure pupil feels comfortable and supported 
• Prioritise the casualty 
• Attempt to clear other pupils out of the area  
• Remain with the pupil, call for support, health centre, porters & security, 999 
• Where possible remove the trigger (e.g. Insect sting) 
• AAI’s can be administered through clothes into the outer mid thigh in line with the instructions on the outside of the pen 
• IF IN DOUBT GIVE ADRENALINE, IT IS POTENTIALLY LIFE SAVING  
• Record the time it was administered and prepare to give a 2nd dose if required, ensure the defibrillator is en -route. 
• If no improvement after 5 mins, a further AAI should be administered.

New Guidelines following Benedict’s Law mean that it is allowed to give our whole school AAI’s to someone we suspect may be having their first Anaphylactic reaction but who has not been prescribed AAI’s.  This may be required for someone who might have a first allergy to insect stings, foods, or anything else.

Symptoms may include:

• Wheezing
• Persistent cough
• Difficulty speaking
• Gasping
• Anxiety
• Confusion

What To Do:

• Sit the casualty up – try to keep calm. Call for help- nurses mobile, porters & security 
• Do not attempt to walk the casualty anywhere, stay where you are  
•  Give one puff of  blue reliever inhaler every 30-60 seconds up to 10 puffs. (use spacer if one is available) 
•  If there is no sign of improvement after 10 puffs, call 999 for an ambulance and ensure AED on away  
•  If the ambulance has not arrived after 10 minutes and symptoms are not improving repeat 10 puffs  
• If the symptoms are no better after repeating , and the ambulance has still not arrived, contact 999 again immediately. 
• If you do not have have access to reliever inhaler, call 999 straight away. 

What To Do:

• Ensure area is flooded with cool running water for at least 30 minutes  
• Remove any jewellery in affected area if possible  
• Do not remove any clothing stuck to area  
• Seek medical advice  

Symptoms may include:

A break should be suspected if following an injury or accident the area becomes

• Painful 
• Swollen 
• Bruised 
• Visible bone protrusion or broken skin  
• Difficult to move 

It may also change colour, change shape or feel numb. 

It can be hard to tell if a wrist is broken, dislocated or badly sprained. An Xray is gold standard in this situation  

Symptoms may include:

• Sudden pain or discomfort in your chest that does not go away – the pain can feel like squeezing or pressure inside your chest, burning or indigestion 
• Pain that spreads to left or right arm, neck, jaw, stomach or back 
• Sweaty, sick, light headed or short of breath 
• Pale, blue lips, nose, eye area 

What To Do:

• Call 999 and ensure AED is en route  

Symptoms:

• With a partial blockage the casualty may be coughing, spluttering but will still be able to talk and breathe (although may experience some difficulty).
• With a severe or full blockage any attempts at coughing will be silent, they may be clutching their throat, unable to breathe, blue skin and lips and experiencing diminishing levels of consciousness. 

What To Do:

If the casualty is coughing forcefully, encourage them to continue doing so as this may be sufficient to dislodge the object in some cases of partial blockage. 

If the blockage appears more severe: 

• Call 999 and for an AED  
• Lean the casualty forward and support them with one hand. 
• With the other hand, give up to 5 forceful back blows with the heel of the hand, between the casualty’s shoulder blades 
• Stand behind the casualty, place both arms round them and encourage them to lean forward. 
• Abdominal thrusts with one fist placed between the belly button and the bottom of the breastbone, and the other fist clasped on top of the first, pull sharply inwards and upwards. Repeat this up to 5 times. 
• If the casualty is still choking, repeat the cycle of 5 back blows and then 5 abdominal thrusts until help arrives or the casualty becomes unconscious. 
• If the casualty becomes unconscious, and not breathing begin CPR immediately 

N.B. If a casualty has been given abdominal thrusts, they must go to hospital as a precaution even if the choking has been resolved.  

Symptoms may include:

• Sweating
• Hunger
• Drowsiness
• Shaking
• Pale skin
• Glazed eyes
• Irritability
• Headache
• Lack of concentration
• Mood changes (anger and aggression)

 If left untreated diabetics can go into a hypoglycaemic coma.

What to do

• Keep calm, treat the casualty in situ. Call for help. 
• If conscious give a fast acting sugar -Dextrose tablet, Lift drink, jelly babies, water with 3 teaspoons of sugar  
• If unconscious and breathing place in recovery position and call 999 
• Monitor blood sugar and only allow pupil to carry on the day if blood sugar is above 4 mmols. 

Symptoms may include:

• An epileptic fit usually follows a pattern – the casualty suddenly falls unconscious, they become rigid, convulsive movements begin, breathing may become noisy and they may experience loss of bowel or bladder control 

What To Do: 

• Make the space safe and ask others to move away. Call for help  
• Turn casualty on their back 
• Loosen clothing around their neck put something soft under the head 
• Pad any nearby sharp objects to reduce harm, such as desk corners  
• Do not put anything in their mouth 
• Time the seizure, if over 5 minutes call 999 and call for AED  
• If the casualty stops breathing administer CPR  
• When the convulsions stop place casualty in the recovery position and monitor breathing  

Symptoms:

• Brief loss of consciousness
• Slow pulse with pale, cold and clammy skin. 

What To Do:

• Lay the casualty flat on the ground with legs raised and supported. 
• Give them space 
• Open a door or window to provide fresh air 
• As they recover, sit them up gradually, offer water and something to eat  
• When they are ready to move escort them to a place of safety, health centre or house

If a pupil suffers a blow to the head and subsequently loses consciousness (for however short a period of time), appears dazed or confused, or suffers any disturbance of vision: 

• They should not resume any game or other activity in which they might have been engaged. 
• They should be accompanied to the Health Centre as soon as possible.  
• Complete an accident report this must be done by the end of the day. 
• If suspected concussion occurs offsite, then they should be taken as soon as possible to a medical professional for an assessment. 

Symptoms

• Blood coming from the nose (usually only one nostril is affected unless caused by an injury). 

What To Do:

• Sit the person down and tilt their head forward to allow the blood to drain from their nostrils. 
• Ask them to breathe through their mouth and to pinch the soft part of their nose for 10 minutes. 
• If icepacks are able apply to neck /forehead or small coolpack to bridge of nose  
• If the bleeding has not stopped after 10 minutes reapply pressure to the nostrils for two further periods of 10 minutes. 
• If the nosebleed is severe or lasts longer than 30 minutes contact Health Centre  
• If the nose bleed has started as a direct result of an injury please escort to Health Centre  

If a fracture of the neck or back is suspected (one common symptom being pain or `pins and needles’ in the arms or legs):

• The casualty should stay still, laying down with their head supported in a neutral position  
• They should be kept warm (space blankets in First Aid Kit) 
• Call 999 
• Contact the Health Centre immediately to alert them to the situation. 
• Complete an accident report form  

What to do:

• First check that you and the injured person aren’t in any danger, and, if possible, make the situation safe 
• Dial 999 for an ambulance  
• Check for breathing – if not breathing start CPR  

If someone is unconscious but breathing, and has no other injuries that would stop them being moved, place them in the recovery position until help arrives. Call for help and AED  

Keep them under observation to ensure they continue to breathe normally. 

If someone is unconscious and not breathing 

If someone is not breathing normally, call 999 and AED and start cardiopulmonary resuscitation (CPR) straight away.