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Barriers to First Aid

In an emergency situation, people are sometimes reluctant to act. Let us explore the four most common barriers to first aid and strategies for mitigating such barriers.

Presence of Other People

The presence of other people in an emergency situation requiring first aid can cause confusion and inaction due to the bystander effect. The bystander effect is a psychological effect wherein all bystanders assume that someone else will handle the situation. It is critical that you do not let this effect take hold in a stress-filled situation.

Do not be afraid to jump into action in front of other people. Instead, use these bystanders to delegate tasks, such as contacting EMS or retrieving supplies. Studies show that people are more likely to assist in an emergency situation if you make eye contact and make a direct request rather than indiscriminately shouting for someone to assist.

Do not assume that someone will administer first aid until you observe otherwise. Even if someone is already rendering first aid, ask how you may assist, such as retrieving supplies, keeping the crowd back, or comforting the victim.

Uncertainty Surrounding the Victim

The person requiring first aid may be a stranger, someone much older or much younger than you, or someone of a different gender or race. Regardless, any concerns or emotions must be put aside in order to properly administer first aid. If the victim reacts negatively either due to stress, emotions, or intoxication, do not take it personally - distress can cause a person to react in an uncharacteristic way.

Nature of the Illness or Injury

An illness or injury may be particularly unpleasant due to the presence of blood, vomit, unpleasant odors, or torn or burned skin. In situations like this, turn away for a few movements, breathe deeply, collect your thoughts, and then decide to act. Remember that in an emergency first aid situation, you are just doing what you would want anyone else to do for you.

Fear of Disease Transmission

Some first aid responders may hesitate to act out of fear they may catch an infectious disease from the victim. The risks of a disease passing from the victim to the responder are relatively minimal. This risk is further lessened by the proper use and implementation of PPE, such as gloves or protective eyewear.

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