Recognising an emergency, calling 999 and the first response
How to do the Primary Survey - First Aid Training - St John Ambulance
In a children's home, emergencies may present differently. A child can go suddenly quiet and grey, a young person may become confused and sweaty, someone may collapse after a fall, or a staff member may spot a rapidly developing allergic reaction. Staff do not need to diagnose the exact cause immediately, but they must recognise a serious problem and begin a structured response.
Think safety, response and breathing first
- Check the scene: make sure you, the child and others nearby are not in immediate danger.
- Check for a response: speak to the person, try to wake them and look for purposeful movement.
- Check breathing: normal breathing is more important than guessing the cause.
- Use simple ABCDE thinking: airway, breathing, circulation, disability and exposure help you identify major problems quickly.
- Escalate for help early: do not wait for the whole team to agree on a specific diagnosis.
Call 999 early and use speakerphone
- Call 999 for collapse, unresponsiveness, severe breathing difficulty, choking that does not clear, seizure red flags, suspected anaphylaxis, serious bleeding, major burns or concerning head injury.
- Use speakerphone where possible: this lets the team hear and follow the call handler's instructions.
- Give the exact address and access details: this matters at night, on split sites or where doors are locked.
- Send someone to meet the ambulance: do not leave paramedics searching for the right entrance.
- Keep watching the person: their condition can change while the call is ongoing.
Role allocation helps the whole home
- One person stays with the casualty.
- One person calls 999 and keeps the phone on speaker.
- One person fetches the first-aid kit, rescue medicines or AED if needed.
- One person manages other children and keeps the area calm.
- One person records key times if staffing allows.
In the first minute of an emergency, clear action is safer than perfect certainty.

