First Aid during Disaster/ Emergency Situation Condition Symptom I. III. V. VII. IX. XI.

. Bruise Burns Fracture Smoke Inhalation I to VIII Please Note Countervailing Measures II. IV. VI. VIII. X. XII. Bleeding From Cuts, Scrapes, Bullet Wounds Sprain Snake Bites Depression & Fatigue I to IX Caution Interventions for Contraindication

I. *BRUISE A. Local Applications 1. Apply turmeric paste, made after mixing turmeric powder with equivalent mustard oil e.g. 1 tsp each. 2. For bruise, small cut etc. apply a thin coating of honey twice a day after cleaning. 3. Fresh inner bark (soft)/ leaves of neem tree can be mashed to a paste and applied locally II. *BLEEDING FROM CUTS, SCRAPES, *BULLET WOUNDS The responders should take all barrier precautions while handling such cases as a preventive measure. Any one of the options can be used for fresh wound bleedings once only. Pack, fill, stuff and apply pressure till bleeding stops. A. Immediately use any one of the following 1. Pack, fill and stuff in fresh-fluffy-fine ash; 2. Cut a fresh piece of older aloe vera leaf that is size of the wound, slice across length. Apply locally with pulp making contact with the wound and tie with a clean cotton cloth. 3. Fresh inner bark (soft) of neem tree can be mashed to a paste and pack, fill, stuff and applied locally 4. Turmeric powder can be directly packed, filled and stuffed into the injury and bandaged. B. Subsequently any one of the options provided can be availed twice a day. 1. Cut a fresh piece of older aloe vera leaf that is size of the wound, slice across length. Apply locally with pulp area making contact with the wound, after cleaning the affected area, letting the wounds to dry and then tying with a clean cotton cloth. 2. Turmeric powder can be applied after cleaning the affected area, letting the wounds to dry, and bandaging afresh. III. *BURNS tsp = tea spoon = 5 ml A. Immediate: Any one of the following to be used for the initial 15 20 minutes 1. Pour continuously/ flush cold water over the burnt area 2. Apply honey on the affected area 3. Apply/ place the inner skin (soft) of a ripe banana on the affected area and tie it 4. Apply locally, the peeled skin of a potato over the burnt area until the potato skin dries and lifts from the place of contact. 5. Apply a mashed, raw potato paste on the affected area, wrap/ cover with a clean cotton cloth and drip clean water continuously 6. Apply fresh-fluffy-fine ash on the affected area, wrap/ cover with a clean cotton cloth and drip clean water continuously 7. Slit an onion and apply the sliced surface with soft skin, or mashed paste, over the affected area 8. Apply glycerine on the affected area. 9. Apply poultice of curry patta over the affected area. 10. Apply egg white/ albumin as an ointment 11. Best option for burns in the mouth: Maintain continuous contact with raw whole & uncooked milk. The raw milk can be replenished, if retention for a long period is not possible in the mouth. If swallowed in the process, then must be followed by consumption of 1/3 tsp ground cumin seeds or 1/3 tsp of coriander powder or seeds of one green cardamom. B. Later use any one of the following - twice a day 1. Apply honey, maintain continuous contact and do not cover. 2. Apply coconut oil on the affected area and then spread, gently mix the ground ratanjot. 3. Apply liberally and locally the fresh gel/ pulp from the older aloe vera leaf. 4. Mix required quantity of turmeric powder with equivalent mustard oil, e.g. 1 tsp each, to make a poultice and apply. 5. Paste of unripe papaya can be applied twice a day and bandaged to remove dead skin/smoothen scarring of about 6-8 months. IV. *SPRAIN tsp = tea spoon = 5 ml A. Any one of the following options can be utilized 1. Within 24 hours of the injury cold fermentation alleviates the trauma while after 24 hours the hot fermentation is useful. 2. Steep boil 5 glasses of water [approx 1 litre] with 2 table spoons [10gms] of Rock Salt/ Saendha Namak and 1 tablespoon [15 ml] of mustard oil. Cool till tolerable, apply/ tie a thick clean cotton cloth/ towel on the affected area, pour the boiled mix continuously till it gets to normal temperature. Avoid direct contact with air flow. Frequency is twice a day. 3. A paste made from e.g. turmeric powder 1tsp, 1 onion about 25-30gms, lemon juice 1tsp, black pepper 1/2tsp and 1/2tsp salt, can be applied to the sprained area and bandaged. Once a day 4. Cook approx 150 gm of brinjal in 1 table spoon (approximately 15ml) of mustard oil till it turns into a soft paste. Apply with a clean cotton cloth and bandage once a day. Pain might increase before subsiding. 5. Mix 1 tsp Turmeric, 1 tsp fresh onion juice & 1 tsp mustard oil. Apply this poultice on the affected area with a clean cotton cloth and tie/ bandage once a day. 6. Make a paste of 1 tsp of honey with 1 tsp of slaked lime-calcium hydroxide [choona/ chuna -used in paan/ betel leaf]. Apply locally twice a day, without any covering/ bandage. 7. Make a poultice of mud/ clay with water. Apply about 3 inches thick layer of this poultice and remove when dry. Frequency of application is thrice a day. V. *FRACTURE tsp = tea spoon = 5 ml 1. Methi Dana 1/2 tsp & Saunf 1/2 tsp, FennelBig Variety, can be taken orally/swallowed with lukewarm water once a day Praveen Kumar Amar email: pkindconsul@hotmail.com mobile no: 8010174998 Disaster Management Consultant *Home Remedies Expert, **Convener Drinking Water Evolution of Guidelines on Minimum Standards NDMA, ***Member IAG NSSP NDMA GOI, DM EMR HC Consultative Process CD CBDM 5/22/2012

tsp = tea spoon = 5 ml VI. *SNAKE BITES A. Any one of the modes can be used for local application 1. Fresh inner bark (soft) of neem tree can be mashed to a paste and pack, fill, stuff and applied locally 2. Powder of tulsi holy basil root can be applied to the affected area. 3. Turmeric powder can be directly packed, filled and stuffed into the bitten area/ wound and bandaged. B. *Simultaneous oral consumption must be followed by utilizing either of the given viable 1. Mix fresh onion juice [mashed] 15ml & mustard oil 15ml and drink every half an hour 2. Grind tulsi holy basil leaves and extract the juice [or mashed], swallow 1 tsp of this juice every hour 3. To neem leaves, juice 15ml or a fine grind paste of a wrist full, add a table spoon of ghee and swallow. It shall induce vomiting. Repeat every hour till neem leaves taste bitter. Sweet taste or tastelessness of neem leaves - sign of poison present in the body. VII. *SMOKE INHALATION tsp = tea spoon = 5 ml 1. Mix of turmeric powder 1/3 tsp & black pepper powder 1/5 tsp must be taken orally [swallowed] with lukewarm water. Frequency would be twice a day, around 8.00AM & 8.00PM, for 3 days. VIII. DEPRESSION & FATIGUE tsp = tea spoon = 5 ml A. *Oral Consumption Frequency SOS, then twice a day for a maximum of three days 1. 1 tsp water and 1/2 tsp sugar to be heated till sugar dissolves. Add 2-3 crushed cloves, heat for 15-20 seconds and consume while tolerably hot. 2. Coriander seeds powder 1/2 tsp can be swallowed with lukewarm water. 3. Seeds of 1-2 green cardamom(s) can be chewed and swallowed. 4. Crush 4 cloves, seeds of 1-2 green cardamom(s), mix and swallow. 5. Juice [mashed] tulsi leaf [holy basil] equivalent to about approx 1 tsp can be taken. 6. Chew raw or equivalent powder of a piece of cinnamon stick [quill] that is half the size of a phalange of the finger of hand. IX. *I to *VIII **Please Note tsp = tea spoon = 5 ml a. People with related allergies, limitations or otherwise restrained by doctors must avoid usage/ consumption to that extent. b. For washing wounds a wrist full of fresh neem leaves can be plucked and added to 1 glass/ 200 ml of clean water. Heat this mix to a rolling boil for about 5 minutes. c. For washing wounds, 1/2 tsp turmeric powder can be added to 1 glass/ 200 ml of clean water. Heat this mix to a rolling boil for about 5 minutes. d. Due care must be taken to maintain the wound clean and dry e. In case of (I) Bruises (II) Bleeding from Cuts, Scrapes And Wounds, Bullet wounds (III) Burns (IV) Sprain (V) Fracture (VII) Smoke Inhalation; mix of turmeric powder 1/3 tsp & black pepper 1/5 tsp; 5 seeds of tree dried pods from drumstick tree/ plant must be swallowed with lukewarm water and can be taken for 3-7 days as per directions provided: Not to be taken on empty stomach; to be taken only after having a light meal/ consumption of 2 biscuits/ equivalent Frequency: During winters & cold days-Twice a day, early morning before 8.00AM & evening after sunset AND in summers, hot days & high humid weather once a day, in the evening after 8.00PM. Maintain an interval of half an hour between consumption and other eatables f. In case of (II) Bleeding from Cuts, Scrapes And Wounds, Bullet wounds; In addition to the mix of turmeric powder 1/3 tsp & black pepper 1/5 tsp; 5 seeds of tree dried pods from drumstick tree/ plant must also be swallowed with lukewarm water for 5-7 days X. *I to *IX **Caution A. Turmeric Powder People suffering from bile duct blockage, blood-clotting disorder and stomach ulcers should avoid Though turmeric is often used by pregnant women, it can be a uterine stimulant People receiving aspirin & warfarin should take turmeric powder with caution, their combination may cause bleeding XI. Countervailing Measures: On taking any of the stated combination(s) as per individual requirements and prudence but continuously not beyond 3 days, either of the mentioned eatables can be immediately consumed, as described hereunder for symptomatic relief especially, in common parlance if gastritis/gas or acidity, burning sensation in stomach, throat or stomach/ intestinal irritation or diarrhoea or dysentery or constipation or itching or rash or fatigue or acid reflux or any other related uneasiness is experienced. This is for use in emergency and then as per necessity, can followed by intake during summers, hot days and in humid weather twice a day, morning around 8.00AM and evening after sunset AND during winters and cold days - once a day, in the morning, preferably 10.00-11.00 AM; 1 tsp = One teaspoon = 5ml Drink 1/2 cup cold milk + 1/2 cup water, after mixing OR chew and swallow seeds of 1 - 2 cardamoms (Elettaria cardamomum), as per needs OR swallow with water, 1/3 tsp of this mixture [2/3 tsp Jeera (Cumin Seeds) Powder and 1/3 tsp Mishri Powder] OR swallow with water 1/3 tsp of dry Dhaniya seeds powder, Coriandrum sativum, during summers, hot days and in humid weather AND 1/4 tsp during winters and cold days OR swallow with water 1/3 tsp of Jeera (Cumin Seeds) Powder OR Swallow a pinch of Meetha Soda [Baking Soda] mixed in a glass of lukewarm water. OR in certain extreme cases filtered water can be drunk, after soaking 5-6 hours/ overnight, 1/3 tsp of Dhaniya - Dry Seeds Whole - Coriandrum sativum in a glass of water OR add 1/3 tsp Mishri (Threaded Rock/ Candy Sugar) powder to this water, boil and reduce to half and drink as palatable. XII. Interventions for Contraindication, if any Immediately and, thereafter as per requirement twice a day Chew raw OR equivalent powder of a piece of cinnamon stick/quill that is half the size of a phalange of the finger of hand OR Swallow with lukewarm water, a pinch of sounth (dry ginger) powder OR Swallow with lukewarm water, mix of turmeric powder 1/3 tsp and black pepper 1/5 tsp OR Swallow with lukewarm water, 3 - 5 seeds from tree dried pods of drumsticks plant/ tree Praveen Kumar Amar email: pkindconsul@hotmail.com mobile no: 8010174998 Disaster Management Consultant *Home Remedies Expert, **Convener Drinking Water Evolution of Guidelines on Minimum Standards NDMA, ***Member IAG NSSP NDMA GOI, DM EMR HC Consultative Process CD CBDM 5/22/2012