Tip of the Day

There are twenty-seven in game tips that appear during loading screens. There are general operator tips as well as general emergency instructions. These are incomplete as any sort of actual emergency advice, but can aid real help to people in need in real life.

## Use headphones or speakers!

Use headphones or speakers to improve your experience! Listening to voice-over dialogues and the background sounds helps you to resolve cases more efficiently.

## How do you talk to a 911 operator?

* Try to remain calm.
* Describe the situation briefly (facts only!).
* Try to answer all the questions.
* Execute commands of 911 operator.
* Don’t argue with 911 operator.
* Don’t disconnect too early.

After the end of the conversation don’t use that phone to make another call. The operator might need to contact you again.

## 4W Rule

These are the common questions asked during an emergency call:

* **Where** are you?
* **What** happened?
* **When** did it happen? Is it still in progress?
* **Who** is involved in accident?

Possibly: Does someone have any weapons?

## Don’t call 911 unnecessarily!

Remember, 911 number is for **emergencies** only! When you call 911 to report irrelevant case, you block the line for the people in real danger.

Don’t call 911 to get map directions for your trip, make a complaint about public service or check if your phone works properly! When you deliberately make an unnecessary 911 call, you might face serious legal consequences.

## Don’t be afraid to call 911!

If you have any doubts if you should call 911, better do it!

The operator will help you to the best of their ability, and will decide if your case require an emergency response. In any other case the operator will provide you with necessary instructions or information.

## First Aid: Heavy bleeding

1. Find something which can be used to dress the wound (e. g bandage, a clean cloth or piece of clothing).
2. Put pressure on the on the wound.
3. As soon as possible, call 911 or ask someone else to do it.
4. Keep pressure on the wound when waiting for emergency units to arrive.

## First Aid: Fractures

Call 911 if:

* Injured person is not responding, breathing or cannot move.
* Fracture is open/compound and the bone pierced the skin.
* There is a suspicion of a neck, spine or head.
* Even the slow, careful movement causes unbearable pain.
* Injured person is bleeding heavily.
* Injured area (e.g. leg) looks significantly deformed.

In other cases, immobile the injured bone by something stiff to prevent movement. Then visit a hospital on your own.

## Signs of a heart attack

1. Chest pain: The most common warning sign, but a person can experience a heart attack without chest pressure (especially women). Typically lasts more than a few minutes. The pain might go away and come back.
2. Pain or discomfort in areas of the upper body: One or both arms, back, neck, jaw or stomach.
3. Shortness of breath
4. Cold sweat
5. Nausea
6. Light headed
7. Unusual fatigue
8. Feeling of doom

## First Aid: Heart Attack

1. Call 911 immediately.
2. Find the comfortable position for the person who experience the heart attack (e. g. sitting on the floor, leaning against a wall).
3. Wait for the medical emergency services.

## How do you recognize a stroke?

If you suspect that there could be a stroke, use **FAST** method:

**FACE**: Can the person smile? (a part of face could droop during stroke)

**ARMS**: Can the person raise both arms? (one arm could drift downward)

**SPEECH**: Can the person repeat a simple phrase? (understanding or producing speech could be interfered)

**TIME**: Call the 911 immediately, if you observe any of these signs. In case of a stroke, a prompt medical intervention is of utmost importance.

## Tornado Survival

In a house with a basement:

* Head to the basement.
* Stay under a solid protection.
* Use head protection.
* Avoid windows.
* Do not stay under heavy objects (they may fall down and crush you).

## Earthquake Survival

* Drop to the ground.
* Find a solid hideout (e.g. under a table, against the back of a couch/sofa.)
* Just after the quake stops, carefully leave the building.
* Get away from walls and electric cables, as they may collapse.
* Stay on guard, as after-shocks may occur.

## First Aid: Seizure (epilepsy)

1. Do not try to restrain seizures and do NOT put anything in the person's mouth.
2. Clear the surroundings to protect the person from hitting something.
3. Use a blanket or clothing to protect the head.
4. Call 911 if:
	* The seizure lasts more than 5 minutes.
	* The person is not breathing after the seizure.
	* The person is heavily injured, because of the seizure.
	* It is the person’s first seizure.
5. After the end of seizures, make sure the person’s airway is open.

## First Aid: Choking

1. Encourage the person to cough if their airway is still open.
2. If not, stand behind the person.
3. Wrap your arm around the waist of the choking person to support them.
4. Give 5 back blows between the shoulder blades.
5. Grasp your fist with the other hand just at the bottom of the front of the ribcage at the sternum.
6. Press hard into the stomach/sternum area to do abdominal thrusts.
7. Repeat quick, upward thrusts, up to 5 times.
8. Call 911.

## First Aid: Fainting

1. If a person feels light-headed and looks pale, help them lay down.
2. If possible elevate their feet and loosen clothing.
3. Apply a cool cloth to his/her forehead. If the person vomits, roll them on their side to prevent choking.
4. Call 911 if the person does not recover with 5 minutes.

## Cardiopulmonary Resuscitation (CPR)

1. Place the person on their back on flat ground.
2. Make sure their airway is open and nothing is blocking it.
3. If you're alone, call 911 immediately, otherwise have a bystander call 911.
4. Put your hands, one covering the other, on person’s breastbone, with one hand over the other, between the normal position of nipples.
5. Keep your arms straight, do not bend your elbows.
6. Using your body weight, perform 30 strong compressions: press down about 2 inches in a fast rhythm (about 2 compressions per one second).
7. Continue compressions until the help arrives (if you need to take a break, try to make it no longer than 10 seconds).

## DRS ABCD Action plan

When you find an unconscious person:

* Check for **DANGER**: Make sure that area is safe for both you and unconscious person (look out for fire, live electrical wires, gas (vapor or fluid) and broken glass)
* Check for a **RESPONSE**: Ask for their name, tap them on the shoulder. If there's no response:
* **SEND** for help: Call 911 or ask someone to do it.
* Open the **AIRWAY**: Use the head tilt and chin lift technique to open airway.
* Check for **BREATHING**: Look, listen and feel to see if the person is breathing.
* Check for pulse at the wrist or side of their neck using two fingers, NOT your thumb.
* If there's no pulse, start doing **CPR**; continue until help arrives or the person recovers.
* Use a **DEFIBRILLATOR** if available.

## First Aid: Poisoning or harmful substance

1. Try to get as much information as possible:

* What was the type of poison?
* When did that happen?
* How much of the poison was taken?
* How much does the person weight?

2. Call 911 or Poison Control Center.

3. Don’t give anything to eat or drink to the poisoned person.

4. Don’t try to induce vomiting. However, if the person vomits, save some of the vomit in a clean container.

## Car Accident

1. Park your car off the road.

2. Turn on hazard lights.

3. Turn off the car engine.

4. Call 911. Give the precise location of the accident. (the number of the road, direction of travel, mile etc.)

5. Put warning triangle on the road. (at least 10 meters away)

6. Check for hazards (fire, live electrical wires, gas-spilled fuel, broken glass)

7. If the vehicle is still running, turn it off. If it's not running, make sure the ignition key is in the off position.

8. Check for casualties. (start from those who are quiet and not moving) Are they breathing?

9. **Do not** pull out an unconscious person from the car if there is no risk of fire or explosion.

## First Aid: Burning Oil

1. Turn off the heat or stove element.

2. Put a lid on the pot but only if it's metal. Do not put a glass lid on fire, it may shatter. If you don't have a lid, soak a cloth under tap water.

3. Cover a pot with the cloth, while keeping your head away from fire.

4. Wait until its cool down.

**DO NOT THROW WATER OVER THE FIRE**. Adding water to burning oil will cause an explosion!

Don’t try to move a burning pot!

## Job of 911 Operator

In reality, an operator receives about 150 call during a duty. **Almost 3/4 of those calls are ignorable.** Those are empty calls, mistaken calls, unreasonable questions or pranks in most of the cases. Out of all the others, only about 25% actually needed a intervention of the emergency units. The most popular incidents are car collisions, domestic violence, loud behavior and health problems. Although we’ve tried to represent the routine of the operator’s job, we’ve decided to change the real proportions of calls in order to make the game more enjoyable.

## Panic in a crowd

* Don't panic! Staying calm allows you to control the situation!
* If you need to get out of the crowd, DON'T MOVE in the direction opposite the crowd's movements, instead, try to move to the edge of the stream.
* If you need to weaken pressure of the crowd keep your fists clenched on your chest and widen your elbows a bit. Pull your head in the shoulders and push with your hands
* If you have a child with you, take them on your hands. DO NOT EVER drag a baby along
* If you're carrying heavy things (suitcase, stroller, etc) it is better to drop them.
* If someone next to you starts to fall, try to take them by the collar and put them up to their feet.
* If you fall, grab someone on your right and try to stand up. Grab them by their pants, belt, or pockets.

## First Aid: Burns

In case of severe burns:

* Call 911 or your local emergency number.
* Remove jewelry, belt or other body constraining items.
* Don't break the small blisters which forming on the skin.
* In case of extensive, severe burns **DO NOT use cold water**. It can lead to shock or hypothermia.
* Elevate the burned area. Raise the wound above heart level, if possible.
* Use cool, moist bandage or a clean cloth to cover the area of the burn.

## First Aid: Electrical Shock

1. Turn off the power source.
2. If step 1 is not possible, use by, non-conductive object (made of plastic, wood, cardboard) to move the source of power from the injured person. **DO NOT TOUCH THAT PERSON IF THEY ARE STILL IN CONTACT WITH ELECTRICAL CURRENT!**
3. Check if the victim is conscious and breathing.
4. Call 911 or local emergency number.
5. Cover any burned areas with a sterile gauze, bandage or clean cloth. DO NOT use a blanket or towel because loose fibers can stick to the skin.

Don't move an injured person unless he/she is in immediate danger.

If the electrical shock was caused by high-voltage wire stay **AT LEAST 6 METERS AWAY.**

## Evacuation from a burning building

Never ignore a fire alarm - do not assume it is a trial or a false one!

* Do not waste time looking for things you do not have in an immediate reach.
* Find the escape route signs and follow them.
* Use the stairs, **NOT** the elevator.
* If there is a lot of smoke in the air, you should move near the walls in a bent position, or even on your knees.
* **DO NOT OPEN THE WINDOWS!**
* If the emergency exit is blocked, close the door and seal it with a wet towel to open the window. Wait for the firemen's arrival or take the fire escape stairs if available.

## First Aid: Hypothermia

* Move the person to a warm room. Caution! Rapid movements can lead to cardiac arrhythmias.
* Wet clothes should be removed as soon as possible and changed.
* Cover the person with a blanket.
* If you cannot do the above, cover the person with a jacket or any other material.
* Cover the frostbites with a sterile dressing.
* If the victim shows no sign of life, perform a heart massage (CPR).

AVOID:

* Rapid change of temperature (eg radiator, hot water, very warm room).
* Rubbing a severe frostbite.
* Use of alcohol.

## Venomous snakes

Recognizing whether a snake is venomous is very difficult, therefore **ALWAYS,** when you see a snake be careful and keep a safe distance. **DO NOT** approach the snake to identify it. Discover the species and characteristics of venomous snakes in your area,

General rules for the appearance of venomous snake:

* Very broad head with a much narrower neck.
* Pointed nose.
* Elliptical pupils.

Both poisonous and venomous snakes may have a triangular head.

In case of a bite, contact the doctor ASAP and **DO NOT** try to suck out the venom.

## MISSING CHILD

First **48 hours** are crucial for a safe recovery of the child.

* At first, make sure your child is **in fact missing**.

Search in areas that your child could hide in, check with their friends etc.

* If you cannot find your child, **immediately call the law enforcement**.
* If your child goes missing in a store, shopping mall, museum etc, **notify the security or manager right away**.
* Prepare to **describe your child** - their age, height, weight, key physical attributes, clothes they were wearing etc.

It's useful to always keep **up-to-date photo** of them. Try to **remain calm** and focus on **cooperating with the police**, so they can do their best to find your child.

## SEXUAL VIOLENCE STATISTICS

According to RAINN (Rape, Abuse & Incest National Network), in the USA alone:

* a person is sexually assaulted **every 98 seconds**
* **1 out of every 6 women** is a victim of rape or rape attempt
* out of every 1000 sexual assaults, **only 310 are reported to the police.**

If you're a victim of sexual assault, completed or attempted, don't be afraid to call 911.

## CALL OR CARE

If you see someone who needs help and:

* There are other people near: ask a **specific** person to call 911 and proceed to give first aid.
* There's **no one** else around:

**Call 911 before giving care** for:

* Any unconscious adult or child who's around or over 12 years old
* A child or an infant who suddenly collapsed
* An unconscious child or infant with heart issues

**Care before calling 911** for:

* An unconscious child under 12 years old who you did not see collapse
* A drowning person.