1. SCENE ASSESSMENT AND PPE: Confirm the scene is safe and move the patient away from any ongoing hazard such as traffic or machinery. Open the kit and immediately don one pair of nitrile gloves before making any patient contact.
2. INITIAL PATIENT ASSESSMENT: Visually inspect all injuries to identify wound types, swelling, and deformity. Communicate calmly with the patient to determine the primary source of pain and establish whether injuries fall within the kit's operational scope.
3. WOUND DECONTAMINATION: Clean intact skin around abrasions or lacerations using a BZK antiseptic wipe for sensitive skin or iodine wipe if tolerated. Do not apply alcohol or iodine directly into deep or open wound beds, as this damages tissue and delays healing.
4. WOUND CLOSURE AND DRESSING: Pat the wound dry with a sterile gauze pad. Cover large abrasions with the 5"x9" ABD pad secured by the conforming gauze roll and medical tape. Cover smaller cuts and abrasions with appropriately sized adhesive bandages, using knuckle or fingertip bandages for high-mobility joints and butterfly strips to approximate edges on small, clean lacerations.
5. BLEEDING CONTROL VIA DIRECT PRESSURE: For wounds too large for adhesive bandages, apply a sterile gauze pad or ABD pad directly to the wound and hold firm, direct pressure. If bleeding is not controlled within 5 to 10 minutes, call 9-1-1 immediately and maintain continuous pressure until emergency services arrive.
6. COLD THERAPY FOR MUSCULOSKELETAL INJURY: Firmly strike or squeeze the instant ice pack to activate the chemical reaction. Wrap the pack in an elastic wrap or gauze pad as a skin barrier before applying it to the injured area. Hold in place for 10 to 15 minutes to reduce swelling and pain.
7. COMPRESSION WRAP FOR SUSPECTED SPRAIN OR STRAIN: After cold therapy, use an elastic wrap to apply a firm compression wrap around the injured joint using a figure-eight or spiral technique. Do not wrap so tightly as to restrict circulation; check distal sensation and capillary refill after application.
8. TOPICAL TREATMENT FOR BURNS AND BITES: For first-degree thermal burns showing redness only on clean, intact skin, apply a burn cream packet as a barrier and soothing agent. For insect bites and stings, apply an after bite wipe for symptomatic relief. Do not apply burn cream to blistered, broken, chemical, electrical, or large-area burns; those injuries require immediate professional medical attention.
9. MEDICATION ADMINISTRATION PROTOCOL: Before providing any pain reliever pack, confirm the patient has no known allergies to the specific medication and check for contraindications. Do not administer oral medication to any patient who is unconscious, confused, or has difficulty swallowing.
10. POST-CARE ACTIONS AND DISPOSITION: Dispose of all contaminated materials properly. Advise the patient or guardian to monitor for infection signs including redness, increasing swelling, pus, and fever. Any suspected fracture, wound requiring sutures, or injury beyond the kit's scope requires professional medical evaluation; communicate this clearly before releasing the patient.
11. IMMEDIATE RESUPPLY: Restock the kit immediately after any use, regardless of how minor the incident. An incomplete kit provides a false sense of readiness and fails its primary mission at the next point of injury.
