
1. Types of safety accidents in amusement accidents:
a. Falling from height: refers to the casualties and property losses caused by falling from a height of more than 2m (including 2m) on the height datum.
b. Impact (falling object) accident: refers to the collision of people with fixed objects, moving objects with people, mutual collisions, falling objects with collisions, and flying objects
c. Overturning accident: refers to the collapse of equipment, resulting in casualties and property losses.
d. Electric shock accident: refers to the direct contact of the human body with the power supply, and a certain amount of current passes through the human body, resulting in casualties.
e. Contact (high-temperature moving parts) accident: refers to the human body coming into contact with high-temperature moving parts, resulting in casualties.
f. Fire accident: refers to the casualties and property losses caused by uncontrolled combustion in time and space.
2. First aid for all kinds of accidents
2.1 First aid for persons injured in fall accidents
2.1.1 Remove loose objects and other sharp objects from the vicinity to avoid further injury.
2.1.2 Remove the utensils and hard objects from the pockets of the wounded.
2.1.3 If the scene is dangerous, the injured person should be transported in time. In the process of handling and transferring, the neck and trunk should not be bent forward or twisted, but the spine should be straightened, and it is absolutely forbidden to lift the shoulders and legs, so as not to cause or aggravate paraplegia.
2.1.4 If there is no danger at the scene, try not to transport the injured person if the first responder is available immediately.
2.1.5 The wound should be properly bandaged, but the injured person with suspected basilar skull fracture and cerebrospinal fluid leakage should not be tamponade to avoid intracranial infection.
2.1.6 The maxillofacial casualty should first keep the airway open, remove the dentures, remove the displaced tissue fragments, blood clots, oral secretions, etc., and loosen the neck and chest buttons of the casualty. If the tongue has fallen back or the foreign body in the mouth cannot be removed, the cricothyroid membrane can be punctured with a 12-gauge coarse needle to maintain breathing and perform a tracheotomy as soon as possible.
2.1.7 Compound injuries require lying on the back with the airway unblocked and the collar buttoned unfastened.
2.1.8 Peripheral vascular injury, compressing the arterial trunk above the wound to the bone. Placing a thick dressing directly on the wound and compressing the bandage is appropriate to not bleed and not affect the blood circulation of the limbs, which is often effective. When the above methods are ineffective, the tourniquet can be used with caution, in principle, the use time should be shortened as much as possible, generally not more than 1 hour is appropriate, and the time of the tourniquet can be marked.
2.1.9 Intravenous fluids should be given promptly when available to replenish blood volume.
2.1.10 In the event of a casualty accident, the person in charge shall immediately call the 120 medical emergency number, explain the situation of the wounded, the driving route, contact the duty bus to be on standby at any time, and arrange personnel to direct the driving route of the ambulance at the entrance fork.
2.1.4 The person in charge arranges inspectors to protect the accident site and avoid other irrelevant personnel from approaching the scene
2.2 First aid for persons injured in impact (falling objects) accidents
In the event of a person impact (falling object) injury, the project leader will carry out necessary medical treatment according to the injury of the injured person and the actual situation on the spot, and the focus of rescue will be on head injury, chest fracture, spinal fracture and hemorrhage.
2.2.1 First observe the injury, location and nature of the injury, and bandage the bleeding person with bandages or cloth strips to stop the bleeding.
2.2. 2 If the casualty is in shock, the shock should be treated first. In case of respiratory and cardiac arrest, artificial respiration should be carried out immediately, and the heart should be squeezed outside the chest. The injured person in a state of shock should be quiet, keep warm, lie flat, move less, and elevate the lower limbs about 20 degrees, and send them to the hospital for rescue treatment as soon as possible
2.2.3 In the case of head injury, the airway must be maintained. A person who is unconscious should lie flat with his face turned to one side to prevent laryngeal obstruction due to the fall of the base of the tongue or the inhalation of secretions and vomit.
2.2.4 If there is a fracture, it should be carried after preliminary fixation, if it is a spinal fracture, do not bend or twist the neck and body of the injured person, do not touch the wound of the injured person, relax the body of the injured person, and try to put the injured person on a stretcher or flat plate for handling
2.2.5 In case of depressed fractures, severe basilar skull fractures and severe brain injury symptoms, cover the wound with sterilized gauze or cleaning cloth, wrap it with bandages or cloth strips, and send it to the nearest qualified hospital for treatment in time.
2.2.6 In the event of a casualty accident, the person in charge shall immediately call the 120 medical emergency number, explain the situation of the wounded, the driving route, contact the duty bus to be on standby at any time, and arrange personnel to direct the driving route of the ambulance at the entrance fork.
2.2.7 The project leader arranges inspectors to protect the accident site and avoid other irrelevant personnel from approaching the scene.
2.3 First aid for persons injured in capsizing accidents
When a person is injured in overturning, the project leader will carry out necessary medical treatment according to the injury of the injured person and the actual situation at the scene, and the focus of rescue will be on head injury, fracture, drowning, internal organ injury, and electric shock.
2.3. 1. First observe the injury, location, and nature of the injury, and bandage the bleeding person with bandages or cloth strips to stop the bleeding.
2.3.2 If the casualty is in shock, the shock should be treated first. In case of respiratory and cardiac arrest, artificial respiration should be carried out immediately, and the heart should be squeezed outside the chest. The injured person in a state of shock should be quiet, keep warm, lie flat, move less, and elevate the lower limbs about 20 degrees, and send them to the hospital for rescue treatment as soon as possible.
2.3.3 In the case of head injury, the airway must be maintained. A person who is unconscious should lie flat with his face turned to one side to prevent laryngeal obstruction due to the fall of the base of the tongue or the inhalation of secretions and vomit.
2.3.4 If there is a fracture, it should be preliminarily fixed before handling, if it is a spinal fracture, do not bend or twist the neck and body of the injured person, do not touch the wound of the injured person, relax the body of the injured person, and try to put the injured person on a stretcher or flat plate for handling.
2.3.5 In case of depressed fractures, severe basilar skull fractures and severe brain injury symptoms, cover the wound with sterilized gauze or cleaning cloth, bandage it with bandages or cloth strips, and send it to the nearest qualified hospital for treatment in time.
2.3.6 If there is a drowning person, the drowning person should be first organized to salvage the drowning person out of the water, and in case of suffocation, the sludge and other substances in the mouth of the injured person should be cleaned up in time, the chest should be squeezed to discharge the water in the lungs, and then artificial respiration should be carried out, and the patient should be sent to the hospital for treatment as soon as possible.
2.3.7 In case of internal organ injury to a person who falls from an overturned device, he or she should be allowed to lie flat as much as possible, keep his breathing smooth, and send him to the hospital for treatment as soon as possible.
2.3.8 In case of electric shock, the power supply must be cut off first, and the injured person must be removed from the scene of the accident. In the case of asphyxiation, artificial respiration should be carried out as soon as possible, and the chest heart should be compressed. The burned area of the skin should be bandaged with gauze and taken to the hospital for treatment as soon as possible.
2.3.9 In the event of a casualty accident, the project leader shall immediately call the 120 medical emergency number, explain the situation of the wounded, the driving route, contact the duty bus to arrive at the scene, and be on call at any time, and arrange personnel to direct the driving route of the ambulance at the entrance fork.
2.3.10 The project leader arranges inspectors to protect the accident site and avoid other unrelated personnel from approaching the scene.
2.4 First aid for persons injured in electric shock accidents
2.4.1 Quickly disconnect from the power supply
a. Cut off the power switch, or cut off the wire with electrician pliers or a wooden axe to disconnect the power supply. Because the longer the current is in action, the more damage it will do.
b. If it is far away from the gate or it is difficult to disconnect the power supply, you can use dry wooden sticks, bamboo poles, etc. to pick up the wires or charged bodies on the electrocuted person; Or put the insulation to pull the electrocuted person apart.
2.4.2 First aid for injured persons
2.4.2.1 When the person is disconnected from the power supply, different first aid measures should be taken according to the severity of the electric shock.
a. If the injury of the electrocuted person is not serious, the consciousness is still awake, but the limbs are numb, the whole body is weak, or although he has been in a coma, but he has not lost consciousness, he should be made to rest quietly on the spot for 1~2 hours, and closely observe.
b. If the electrocuted person is seriously injured, unconscious, and unable to breathe, but the heart is beating, artificial respiration should be carried out immediately. If you are breathing but your heart stops beating, chest compression should be done.
c. If the injury of the electrocuted person is very serious, the heartbeat and breathing have stopped, the pupils are dilated, and the person is unconscious, then two methods of artificial respiration and chest heart squeezing must be taken at the same time.
d. Be patient with artificial respiration and chest extrusion, and insist on rescuing until the person is rescued or diagnosed as dead.
e. On the way to the hospital for rescue, the first aid work cannot be interrupted.
2.4.2.2 Mouth-to-mouth (nasal) artificial respiration
Before mouth-to-mouth artificial respiration, the collar, shirt and trouser belt of the person who is electrocuted should be quickly unfastened, and the food that obstructs breathing, dentures, blood clots, mucus, etc. should be quickly removed from the mouth of the electrocuted person, so as not to block the respiratory tract.
When performing mouth-to-mouth (nose) artificial respiration, the person should be placed on his back and his head should be tilted back sufficiently, (preferably with one hand on the back of the neck of the person who has been electrocuted), so that the nostrils are facing upwards to facilitate the smooth airway.
The steps for mouth-to-mouth (nasal) artificial respiration are as follows:
a. Close the nostrils (or mouth) of the electrocuted person, and the ambulance personnel take a deep breath and blow inward against the mouth (or nose) of the electrocuted person for about 2 seconds.
b. After blowing, immediately leave the mouth (or nose) of the electrocuted person, and release the nostrils (or lips) of the electrocuted person, and let him exhale on his own for about 3 seconds.
c. If the mouth of the electrocuted person cannot be opened, mouth-to-nose artificial respiration can be used instead.
2.4.2.3 Chest heart squeeze essentials
The electrocuted person should be placed in a relatively solid position in the same position as mouth-to-mouth (nose) artificial respiration. The essentials of the action are as follows:
a. The ambulance personnel kneel on the side of the electrocuted person or kneel on both sides of his waist, with his hands folded, the base of his palms above the heart socket, and one-third to one-half of the lower sternum.
b. The palm root should be squeezed vertically downward (in the direction of the back), and it should be depressed 3~4 cm for adults, and it is advisable to squeeze once per second and 60 times per minute.
c. After squeezing, the palm root is quickly lifted to allow the chest of the electrocuted person to recover automatically. Each time you relax, the palm root doesn't have to leave your chest completely.
2.4.3 In the event of a casualty accident, the project leader shall immediately call the 120 medical emergency number, explain the situation of the wounded, the driving route, contact the duty bus to be on standby at any time, and arrange personnel to direct the driving route of the ambulance at the entrance fork. The person in charge of the project shall immediately report to the emergency response leading group of the special inspection center.
2.4.4 The project leader arranges inspectors to protect the accident site and avoid other irrelevant personnel from approaching the scene.
2.5 Rescue of injured persons in contact (hot moving parts).
2.5.1 In the event of a personal contact (high-temperature moving parts) accident, the project leader shall carry out necessary medical treatment according to the injury of the injured person and the actual situation on site, and organize personnel to carry the injured person and move him to a safe place if the injury allows
2.5.2 When a passenger has a contact (hot moving parts) accident, the first aid personnel should rush to the accident site as soon as possible, and call the surrounding personnel to notify the medical department in time, and quickly remove the burned person from the scene, if possible, cut off the clothes on the body. Check for damage, such as damage to the brain, chest and abdomen, poisoning, fractures, etc. Pay attention to prevent the wounded from shock, suffocation, and wound infection, and if necessary, use analgesics and drink light salt water. Note: In addition to chemical burns at the scene, the wound surface is generally not treated, do not break the blisters, cover them with clean clothes, and send the wounded to the hospital for treatment in time. For first-degree burns or small area of minor burns, immediately rinse or soak the wound with cold water, reduce the surface temperature, and then apply egg white, sesame oil, etc., generally 3~5 days to heal. If the blisters of second-degree burns are not broken, you can first rinse the wound with cold water and wipe it dry, then use a wine cleaning disinfection needle to pick up the blisters, release pus, apply Jingwanhong and badger oil scald ointment locally, and then use gauze to press and bandage, replace it once every 2~3 days, and heal it in about a week. Adhesive gauze is forbidden for first- and second-degree burns, and it is forbidden to apply grease and purple potion to the wound. Third-degree burns or burns on the head, face, hands, feet, and perineum that exceed 1% of the total body surface area should be covered with a clean cloth sheet, and you should immediately call 120 for emergency treatment from medical personnel. When a person encounters a low-temperature object, such as initial frostbite, the frostbitten area should be placed in a warm place, such as putting your hands under your armpits, or putting your feet against the stomach of your companion, but do not stay with your companion for too long. Pain can occur when recovering. If you have deep frostbite, you should prevent the injury from worsening in time after detection, and the best way is to put the frostbite area in warm water about 28-28.5 degrees Celsius to recover slowly, but never rub it with snow or bake it with fire. In addition, if you are seriously injured, you should call 120 immediately and ask medical personnel for emergency treatment.
2.5.3 In the event of a casualty accident, the person in charge shall immediately call the 120 medical emergency number, explain the situation of the wounded, the driving route, contact the duty bus to be on call at any time, and arrange personnel to direct the driving route of the ambulance at the entrance fork. The person in charge of the project shall immediately report to the emergency response leading group of the special inspection center.
2.5.4 The project leader arranges inspectors to protect the accident site and avoid other irrelevant personnel from approaching the scene.
2.6 Rescue of injured persons in fire accidents
2.6.1 Cut off the power supply immediately after a fire to prevent electric shock during the extinguishing process.
2.6.2 If a fire breaks out in a precision instrument, a carbon dioxide fire extinguisher should be used to extinguish it.
2.6.3 If there is a fire in oil or liquid glue, a foam or dry powder fire extinguisher should be used, and it is strictly forbidden to use water to extinguish the fire.
2.6.4 When extinguishing a fire that burns and produces toxic substances, the firefighters should wear gas masks before extinguishing the fire.
2.6.5 In the process of fighting fires, always adhere to the principle of saving people first, and it is strictly forbidden to disregard life for the sake of saving materials.
2.6.2 First aid for the injured person, immediately according to the injured person's injury, combined with the actual situation of the scene, the necessary medical treatment should be carried out, the burned part should be washed with a large amount of clean cold water, and if the injury allows, the rescue team is responsible for organizing personnel to carry the injured person and move him to a safe place.
2.6.3 In the event of a casualty accident, the project leader shall immediately call the 120 medical emergency number, explain the situation of the wounded, the driving route, contact the duty bus to be on call at any time, and arrange personnel to direct the driving route of the ambulance at the entrance fork.
2.6.4 The person in charge arranges inspectors to protect the accident site and avoid other irrelevant personnel from approaching the scene.