1. ENSURE SCENE SAFETY: Confirm the immediate environment is safe before approaching the casualty. Address hazards such as spills or unstable surfaces, then verbally assess the individual's alertness and identify all chief complaints.
2. DON PPE BEFORE PATIENT CONTACT: Retrieve the black nitrile gloves from the kit and put them on before touching the casualty or any wound. This step is non-negotiable and must be completed prior to all treatment actions.
3. ACCESS AND INVENTORY EQUIPMENT: Place the kit on a stable surface near the casualty. Identify all required components for the injuries present before opening packaging, to avoid cross-contamination and wasted sterile items.
4. CONTROL LACERATION BLEEDING: Apply direct pressure to the wound using a sterile 4-inch by 4-inch gauze pad. Once bleeding is controlled, clean the surrounding skin with a BZK antiseptic wipe, wiping away from the wound edges, not toward them.
5. DRESS AND SECURE THE LACERATION: Place a fresh sterile gauze pad over the wound as a primary dressing. Wrap with a conforming gauze roll at 50 percent overlap, snug enough to secure the dressing but not tight enough to restrict circulation. Secure the wrap with medical tape.
6. TREAT SPRAIN OR STRAIN WITH COLD THERAPY: Firmly squeeze the inner pouch of the instant ice pack, then shake to activate the chemical reaction. Place the pack over the point of pain with a cloth barrier between the pack and bare skin to prevent cold injury.
7. APPLY COMPRESSION WRAP TO SPRAINED JOINT: Wrap the affected joint with the 6-inch elastic bandage using a figure-eight pattern, starting at the ball of the foot for ankle injuries. Secure the end of the bandage with the included clips or safety pins.
8. FLUSH EYE OR SKIN CONTAMINATION: If foreign bodies, debris, or chemicals are present in the eye or on the skin, use the sterile eye and skin wash to flush the affected area. Note that the included volume is sufficient for particulate matter but may be inadequate for significant chemical exposures requiring 15 to 20 minutes of continuous flushing at a dedicated eyewash station.
9. APPLY BURN CREAM TO FIRST-DEGREE BURNS ONLY: Open the burn cream packet and apply to intact, unbroken skin affected by a minor first-degree burn. Do not apply to broken skin, open wounds, or blisters.
10. OFFER PAIN RELIEF IF APPROPRIATE: If the casualty is conscious, alert, and able to self-administer, offer pain relievers from the kit after confirming there are no allergies or contraindications. Do not place the medication directly into the individual's mouth or administer it yourself.
11. CONDUCT POST-TREATMENT DISPOSITION: Advise the casualty to seek professional medical evaluation regardless of injury severity. Dispose of all contaminated materials in a biohazard container or sealed plastic bag.
12. LOG CONSUMED ITEMS AND RESUPPLY: Record every item used immediately after the incident. Notify the designated safety officer or manager and procure identical medical-grade replacements before returning the kit to service.
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