How can first aid be a common practice ???
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First g.
Running: or other forms of exercise.
Massage: this can increase swelling and bleeding.
The person can take analgesia as needed. However, it is generally suggested that oral non-steroidal anti-inflammatory drugs (NSAIDs) be avoided for the first 48 hours after injury as there is some evidence that they may delay healing[11].
Despite the common guidance of putting an ice pack on injuries, there is some evidence from animal studies that it can delay healing[12]and some researchers in the field suggest the evidence base for putting ice on an injury should currently be thought of as equivocal[13].
Rehabilitation
After a sprain, flexibility exercises can be started as soon as pain allows.
After a strain, active mobilisation can start after a few days if there is pain-free basic muscle movement.
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First aid advice; St John Ambulance
Epistaxis (nosebleeds); NICE CKS, February 2015 (UK access only)
Teymoortash A, Sesterhenn A, Kress R, et al; Efficacy of ice packs in the management of epistaxis. Clin Otolaryngol Allied Sci. 2003 Dec28(6):545-7.
Mulla O, Prowse S, Sanders T, et al; Epistaxis. BMJ. 2012 Feb 23344:e1097. doi: 10.1136/bmj.e1097.
Enoch S, Roshan A, Shah M; Emergency and early management of burns and scalds. BMJ. 2009 Apr 8338:b1037. doi: 10.1136/bmj.b1037.
Burns and scalds; NICE CKS, July 2015 (UK access only)
Epilepsy; NICE CKS, June 2015 (UK access only)
Guidelines on Diagnosis and Management of Syncope; European Society of Cardiology (2009)
Current developments in interim transport (storage) media in dentistry: avulsed tooth guidance; British Dental Association
Sprains and strains; NICE CKS, March 2016 (UK access only)
Orchard JW, Best TM, Mueller-Wohlfahrt HW, et al; The early management of muscle strains in the elite athlete: best practice in a world with a limited evidence basis. Br J Sports Med. 2008 Mar42(3):158-9. doi: 10.1136/bjsm.2008.046722.
Takagi R, Fujita N, Arakawa T, et al; Influence of icing on muscle regeneration after crush injury to skeletal muscles in rats. J Appl Physiol (1985). 2011 Feb110(2):382-8. doi: 10.1152/japplphysiol.01187.2010. Epub 2010 Dec 16.
van den Bekerom MP, Struijs PA, Blankevoort L, et al; What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults?
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