If you notice symptoms that may indicate dengue, it is important to get an immediate assessment of your condition and get timely diagnosis.

The Dengue antigen (NS1) test is available for rapid diagnosis. It can be performed at home. The result is available the same day.

If you need help with dengue, please contact HealthBali Contact Center: https://wa.me/6282236647340

• We are ready to provide the information you need and organize the services you need:
• Calling a medical team at home
• IVs
• Taking tests (in the laboratory and at home)
• Clinic appointments and examinations

In case of severe symptoms or if you are unsure of your condition, seek emergency care immediately.

Home health care is available in a variety of locations. The medical team usually consists of a general practitioner and a nurse practitioner.

The following services can be provided at home:

• IV administration
• Examination and basic diagnostics
• Taking tests, conducting rapid tests
• Prescribing and administering medications
• Wound care
• Ear washing

You can call a medical team through the contact center: https://wa.me/6282236647340

We provide the opportunity to make appointments with proven and qualified doctors at various clinics on the island:

• See the catalog for prices and available specialists: https://healthbali.info/doctors/en

Book a visit online or in our call center: https://wa.me/6282236647340

Explore our survey programs and choose what best suits your needs and preferences: https://healthbali.info/checkup/en

Book an examination program online or request a personalized selection from our contact center: https://wa.me/6282236647340

Encourage the casualty to cough
If it becomes easier for the person to cough, talk or make any other sounds, ask them to keep going.

If the adult or child has severe choking - give up to 5 strong strokes on the casualty's back:

• Stand behind the person.
• Put one hand on the person's sternum for support. Tilt the person forward.
• Give up to five strong blows with the open inside of the palm of your hand to the back between the shoulder blades.
• After each blow, check to see if the airway is clear.

If back blows are ineffective, deliver up to 5 blows to the abdomen area:

• Stand behind the person.
• Wrap your arms around the person's waist.
• Clench your hand into a fist and place it on the abdomen between the navel and the base of the ribs.
• Wrap your fist around the palm of your other hand.
• Make sharp movements simultaneously toward yourself and upward, pressing down on your abdomen up to 5 times.
• After each blow, check if the victim's airway is clear.

If the shocks have no effect - call the emergency service 112

Continue alternating 5 back strokes with 5 abdominal presses until:

• Breathing is restored
• The person is no longer responsive.

Если у человека пропадает реакция, начните сердечно легочную реанимацию.

If the child cannot clear the airway by coughing, call the emergency service 112 immediately

If the child cannot cough or breathe - give up to 5 strokes on the back:

• Sit or kneel with the child in your arms.
• Place the child face down on your lap (head should be lower than the body) and support the chin with your hand. Be careful not to squeeze the area under the chin.
• With the palm of your other hand, give up to five sharp strokes on the back between the shoulder blades.
• After each blow, check to make sure the airway is clear.

If back kicks are ineffective, turn the child over and give up to 5 kicks to the sternum:

• While supporting the child's head, turn him face up. In this case, his back should be on your forearm or knees, with his head lower than his body.
• Place two fingers on the middle of the chest just below the nipple line and give up to five chest thrusts, pressing about one-third of the depth of the chest.

Continue alternating 5 back strokes with 5 sternum presses until:

• Breathing is restored.
• The child becomes unresponsive

If the baby is unresponsive, begin the steps outlined in "Cardiopulmonary Resuscitation - Unconscious, No or Abnormal Breathing (Infants)".

If the casualty is bleeding from the wound, apply direct pressure to the wound.
Ask the person to apply pressure with their hands or apply pressure to the wound yourself using a barrier between your hands and the casualty's wound.

Contact emergency services

• Help the person to lie down.
• Contact the emergency services 112
• Stay with the victim until an ambulance arrives.

Apply the dressing

• Apply a bandage and continue to apply pressure.
• Apply a second dressing over the first dressing if blood has leaked out.
• Provide more direct pressure to the wound.

Apply a hemostatic tourniquet

• If direct pressure on the wound is ineffective and the wound is on the arm or leg, apply a 5 to 10 cm tourniquet around the wound.
• Tighten the tourniquet until the bleeding stops.
• Secure the tourniquet. Record the time the tourniquet was applied.

Place all objects in the wound, if any, in a stationary position

• If there is an object in the wound, apply pressure around it.
• Try to stabilize the object.

Help the injured person immobilize the injury site:

• Provide a comfortable position to prevent the possibility of dislocation.
• If the person has an open fracture, first stop the bleeding and then fix the limb.
• If it is not causing the injured person pain, keep the limb elevated if possible to prevent swelling.

Apply ice or something cold for no more than 20 minutes:

• To avoid damaging the skin, wrap the source of the cold with a cloth.
• Apply cooling for no more than 20 minutes to avoid damaging the skin.
• Stop cooling if it causes the person pain.
• Continue cooling when the skin temperature returns to normal.
• Ask the person to rest.

Seek medical attention if you are not sure if the injury is a fracture, sprain, or strain.
Write down the time of the injury. This information may be helpful to health care providers when comparing the injured limb to the healthy limb.

If the injured person must be transported by himself, protect the limb by applying a splint:

• A splint can be applied using improvised materials (boards, sticks, strips of cardboard) attached to the wounded part of the body with bandages, rope or clothing.
• When applying a splint, it is necessary to ensure immobility of at least two joints - one above and one below the fracture site. The center of the splint should be at the fracture site.
• The splint should not compress large vessels, nerves, or bone protrusions.
• Continue to reassure the person and make sure they are comfortable.
• To help with shock, help the victim lie down and keep warm.

Allergies and anaphylaxisFirst aid - severe allergic reaction/anaphylaxis
Stop exposure to the allergen, such as washing it off the skin or helping the victim to leave the area where the allergen is present.
If the person has an epinephrine auto-injector, help them use it.
The best place to inject is the center of the outside of the thigh.
The injection can be given through clothing if it is not thick.

If the epinephrine injector is unavailable, knit immediately with the emergency services 112:
While waiting for medical help, alternative medications such as antihistamines or corticosteroids can be used on the advice of a health care provider.

If a person with symptoms of anaphylaxis has received the first dose of epinephrine and does not feel better within 5-10 minutes, consider giving a second dose.

First aid - mild allergic reaction

• Ask the person about confirmed allergies and prescribed medications.
• Help the casualty into a comfortable position and take the medication if they have it with them.
• If instructed and local laws allow, offer the affected person the usual anti-allergy medications - antihistamines or corticosteroid medications.
• In the case of hay fever, flushing the eyes and nasal cavity with saline may provide relief
• If the person has an allergic reaction on the skin, advise against scratching the skin as this may increase the itching.
• In case of eczema, a moisturizing cream or ointment against itching may help.

Continue to monitor the affected person closely, as a mild allergic reaction can develop into a severe one. In case of any doubt, call the emergency services 112.

Contact the 112 emergency services if:

• A seizure in a child
• This is the victim's first seizure
• The victim is pregnant or has diabetes
• The victim has self-harmed
• The seizure lasts for more than five minutes
• The victim does not regain consciousness after a seizure
• The victim is under the influence of alcohol or drugs
• The seizures are recurrent, more frequent, or different in nature from the seizures that the victim normally experiences

First Aid:

• Protect the victim by moving nearby objects or furniture away from him or her that he or she may injure himself or herself.
• Do not attempt to restrain the casualty's movements or insert objects between the teeth.
• If the patient is breathing normally, move him or her to his or her side, making sure the airway remains open.
• Do not move the casualty unless there is an immediate threat.
• Place a soft object, such as a pillow or sweater, under the victim's head.
• If the victim is wearing glasses, remove them.
• Free the neck from tight clothing.
• If a family member or caregiver is present, ask if the victim is taking any anticonvulsant medications.
• Start cardiopulmonary resuscitation if breathing is compromised.

In case of any doubt, call the emergency services 112:

• Note the start and end time of the seizure and its recurrence.
• If possible, be sure to give this information to medical professionals.

In the case of infants and children, be sure to take their temperature:

• If the temperature is too high, remove excess clothing from the victim and take him or her out into fresh air to bring the temperature down.
• Give appropriate medication if necessary.

After the seizure is over:

• Regularly check the casualty's breathing
• Remove a soft object from under the head if it is obstructing breathing

People with epilepsy may experience a characteristic symptom known as an aura before an epileptic seizure. When this symptom occurs, patients experience a hard-to-explain feeling of anxiety or a sensation of a specific taste or smell.

Signs of the onset of the active phase of a seizure:

• Sudden loss of reaction
• Sudden loss of consciousness
• Involuntary muscle movements such as twitching, jerking, spasms, arching of the back, jaw clenching.

After the active phase of a seizure, the victim may:

• Fall into a deep sleep
• Change to normal or deep breathing
• Become unresponsive again, often after a few minutes.
• Become unaware of what is happening

There are three phases of birth:

• The first phase begins with contractions and the breaking of the pregnant woman's waters.
• The second phase is when the pregnant woman pushes the baby outward.
• The third phase of labor is when the afterbirth occurs

Talk to the pregnant woman to try to determine:

• Whether labor has begun, which may take several hours to complete
• Or if it's an emergency labor.

Labor is likely to occur soon if:

• Contractions become more intense and painful
• The contractions are occurring at short intervals, one contraction every five minutes.
• The pregnant woman's water is breaking

If it becomes clear that the baby is about to be born, or if the woman is in too much pain to go anywhere - prepare to support the pregnant woman during an emergency labor.

First aid - phase one:

• Create a private and protected space for the pregnant woman.
• Help her to adopt a comfortable position: sitting, standing or moving.
• Massage her lower back or suggest relaxation techniques such as listening to music.

First aid - phase two:

• An upright position is preferred.
• If she prefers to lie on her back, place a small pillow under her right thigh. This may help prevent the baby from putting pressure on important blood vessels.
• If possible, wash your hands well with soap and water. Put on gloves if you have them.
• Place a clean cloth under the woman, in the area where the baby will be born.
• When the pregnant woman is ready to push, make sure she is in a stable position.
• Watch the baby's head as it comes out and make sure it is supported.
• Do not pull on the baby's head or shoulders.
• There is also no need to push on the belly during or after labor.

If the umbilical cord wraps around the baby's neck during labor:

• Make sure it is not squeezing the neck
• Gently remove it over the head so that the baby does not suffocate
• Do not pull on the umbilical cord
• Check to see if the baby is responding and breathing normally.

It is not necessary to cut the umbilical cord immediately. If possible, this should be done by a health care provider.

If the child is silent, make sure the airway is clear:

• Place one hand on the forehead and the other under the chin.
• Gently tilt the head back to a neutral position.
• Be careful not to tilt the child's head too far back.

Next, check breathing:
If the infant is not breathing or is breathing abnormally, such as taking irregular breaths: Follow the steps outlined in Cardiopulmonary Resuscitation - Unconsciousness, No Breathing or Abnormal Breathing (Infants).

After birth:

• Wrap the baby in a clean cloth to keep him or her warm.
• Put the baby on the pregnant woman's chest or belly as soon as possible.

Third phase:

• Check to see if the woman is bleeding. Mild bleeding from the birth canal is normal.
• If bleeding is heavy, help the woman lie down and stay warm until medical help arrives.
• Save the afterbirth as the health worker will need to check its integrity.
• The afterbirth usually comes out on its own within about 30 minutes after the baby is born.