Workplace First Aid: What to Do Before an Ambulance Arrives

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What to Do Before the Ambulance Arrives: A Workplace First Aid Guide

A Workplace First Aid Guide

A workplace emergency can happen without warning. An employee may collapse, suffer a serious injury, experience an electric shock, or develop symptoms of heat stroke. In such situations, knowing what to do before the ambulance arrives can make a critical difference.

Although emergency medical services are essential, reaching the hospital may take time because of traffic, distance, or delays in locating the workplace. During this period, workplace first aid, trained responders, and an effective emergency response plan can help protect the injured person and reduce the risk of further harm.

For businesses, having proper on-site medical support is an important part of workplace health and safety management. Here is a practical guide to handling the first 10 minutes of a workplace medical emergency.

Minute 0–1: Assess the Situation and Check Responsiveness

Before approaching an injured person, check whether the surrounding area is safe. Electrical hazards, chemical leaks, fire, and moving machinery can put other employees at risk.

Once the scene is safe, check whether the person responds when you speak to them and gently tap their shoulder. Look for normal breathing.

  • Do not enter an unsafe area without appropriate protection.
  • Avoid moving the injured person unless there is an immediate danger.
  • If the person is unresponsive and not breathing normally, treat it as a possible cardiac arrest and begin CPR if you can do so safely.

A quick assessment helps you decide what assistance is needed and prevents further injuries.

Minute 1–2: Call Emergency Services and Alert First Aiders

Call 112 or 108, as applicable in your location, and provide clear information about the emergency. Assign specific responsibilities instead of asking everyone to help at once.

The caller should communicate:

  • The exact workplace address, building, floor, and entry gate.
  • The type of emergency and the number of injured people.
  • Whether the person is conscious and breathing normally.
  • A contact number for further communication.

Ask another employee to guide the ambulance from the main gate to the incident location. At the same time, alert the workplace first aider, occupational health nurse, or on-site medical team, if available.

Clear communication and quick coordination help reduce avoidable delays.

Minute 2–5: Provide First Aid According to the Emergency

The correct first aid response depends on the injury or medical condition. Employees should follow their training, workplace emergency procedures, and instructions from emergency call handlers.

1. Cardiac Arrest or Unresponsiveness

If a person is unresponsive and not breathing normally, call for emergency assistance, begin CPR, and ask someone to bring an automated external defibrillator (AED), if available.

For an adult, chest compressions should generally be performed at a rate of 100–120 compressions per minute and a depth of approximately 5–6 cm. Follow the AED’s instructions and continue until trained responders take over or the person shows clear signs of recovery.

2. Severe Bleeding

Apply firm, direct pressure to the wound using a clean dressing or cloth. If blood soaks through, place additional material on top without removing the original dressing.

Life-threatening bleeding may require a tourniquet applied by someone trained to use one. Seek emergency medical assistance immediately.

3. Burns

Cool the burn under cool running water for approximately 20 minutes, where practical. Do not apply ice, toothpaste, butter, or other home remedies.

Remove jewellery and loose clothing near the affected area if they are not stuck to the skin. Cover the burn loosely with a suitable clean dressing and seek medical attention for serious burns.

4. Choking

If an adult cannot speak, cough effectively, or breathe, provide appropriate choking first aid according to your training and emergency call-handler instructions. For severe choking, this generally involves back blows and abdominal thrusts where appropriate.

If the person becomes unresponsive, lower them safely and begin CPR, following emergency guidance.

5. Electric Shock

Switch off the electricity supply before approaching the person. Never touch someone who may still be in contact with a live electrical source.

Once the area is safe, check responsiveness and breathing, call emergency services, and provide CPR if required and you are able to do so.

6. Chemical Exposure

For chemical splashes on the skin or in the eyes, immediately flush the affected area with plenty of clean running water, following the chemical’s safety data sheet and workplace emergency procedure. Remove contaminated clothing when safe to do so.

Inform medical responders about the chemical involved and provide its safety data sheet, if available.

7. Suspected Fractures

Do not attempt to straighten the injured limb or force it back into position. Keep the affected area still and supported in the position found. Arrange medical assistance, particularly if there is severe pain, deformity, or an open wound.

8. Heat Stroke

Move the person to a cooler area if it is safe to do so and begin rapid cooling using cool water, wet cloths, or other available cooling methods. Call emergency services immediately.

Do not give food or drinks to a person with altered consciousness. Suspected heat stroke requires urgent medical attention.

Minute 5–8: Monitor the Person and Continue First Aid

While waiting for the ambulance, continue monitoring the person’s condition. A person’s breathing, responsiveness, or symptoms may change within minutes.

Important steps include:

  • Recheck breathing and responsiveness regularly.
  • Continue CPR when indicated, following emergency guidance.
  • Maintain direct pressure on severe bleeding.
  • Keep the person comfortable and protect them from unnecessary movement.
  • Avoid giving food, drinks, or medicines to an unconscious or seriously injured person.
  • Keep bystanders away and provide enough space for responders.
  • Record the incident time and any significant changes in the person’s condition.

Stay with the injured person whenever it is safe to do so. Calm communication and continuous observation can help until professional medical assistance arrives.

Minute 8–10: Prepare for Ambulance Handover

When emergency medical personnel arrive, provide a brief and accurate account of the incident. This helps them understand the situation and continue treatment.

Share the following information whenever available:

  • The time and circumstances of the incident.
  • The person’s symptoms and changes in condition.
  • The first aid provided and the approximate time it began.
  • Any known medical conditions, allergies, or medicines relevant to the emergency.
  • Details of any chemical, electrical, or other workplace hazard involved.

Avoid delaying the handover to search for non-essential information. Let the emergency medical team assess the person and take over care.

Why On-Site Medical Support Is Important for Workplaces

An effective workplace emergency response should not depend on employees improvising under pressure. On-site medical support helps businesses establish clear procedures, improve emergency preparedness, and provide a coordinated response while professional medical assistance is on its way.

Employers should consider the following measures:

  • Trained first aiders: Ensure adequate trained personnel are available across shifts and work areas.
  • First aid and medical rooms: Maintain suitable facilities and regularly inspect first aid supplies.
  • Emergency equipment: Make appropriate equipment, including AEDs where suitable, accessible and ensure relevant staff know how to use it.
  • Emergency response plans: Display emergency numbers, define responsibilities, and establish clear ambulance access routes.
  • Regular safety drills: Practise emergency scenarios so employees understand their roles.
  • Occupational health services: Arrange appropriate medical support based on workplace hazards, workforce needs, and applicable requirements.
  • Hospital coordination: Establish suitable emergency referral and transport arrangements where possible.

These measures help create a workplace where employees understand how to respond instead of losing valuable time deciding what to do.

Workplace Emergency Preparedness Checklist for Employers

Use this checklist to review your organisation’s emergency readiness:

  • Are trained first aiders available on every shift?
  • Can employees quickly locate first aid kits and emergency equipment?
  • Are emergency contact numbers clearly displayed?
  • Does the workplace have a documented emergency response plan?
  • Can an ambulance enter the premises and reach the incident location without unnecessary delays?
  • Are emergency drills conducted and reviewed regularly?
  • Is appropriate occupational health and medical support available for the workplace’s risks?

Reviewing these areas regularly can help identify gaps and improve workplace emergency preparedness.

Conclusion

The first few minutes of a workplace emergency require a calm, organised, and appropriate response. Assessing the scene, calling emergency services, providing suitable first aid, monitoring the injured person, and communicating clearly with paramedics are essential steps.

However, an effective response begins long before an incident occurs. Regular training, accessible first aid facilities, a clear emergency response plan, and appropriate occupational health and on-site medical support can help businesses prepare their employees for unexpected situations.

PARS Medipride supports workplace healthcare and occupational health requirements, helping organisations strengthen their approach to employee health, medical preparedness, and workplace safety.

Need on-site medical support for your workplace? Contact PARS Medipride to discuss occupational health services and workplace medical support for your organisation.

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