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Am Fam Physician. 2026;113(3):287-290

This clinical content conforms to AAFP criteria for CME.

Author disclosure: Dr. Nelson disclosed stock ownership in Eli Lilly. This relevant financial relationship was mitigated when she sold her shares in May 2024, before her work on this content began.

• When providing first aid, the responder should calmly approach the person who may need help from the front, introduce themself, state their intentions, and ask for consent, which will give information about the need to call EMS.
• A stroke scale such as the FAST (face drooping, arm weakness, speech difficulty, time to call 911) mnemonic should be used to recognize acute stroke.
• EMS should be activated after a seizure lasting longer than 5 minutes or associated with breathing difficulty, traumatic injury, choking, or water immersion.
• For opioid overdose, EMS should be called, high-quality cardiopulmonary resuscitation provided in unconscious individuals, and naloxone administered.
From the AFP Editors

Physicians are often asked to speak to groups about providing first aid and are sometimes bystanders during an acute emergency, in or out of the office. This guideline from the American Heart Association and American Red Cross provides guidance on administering first aid.

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Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Michael J. Arnold, MD, MHPE, Assistant Medical Editor.

A collection of Practice Guidelines published in AFP is available at https://www.aafp.org/afp/practguide.

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Copyright © 2026 by the American Academy of Family Physicians.

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