What is the PECH rule?

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For acute injuries one should use the proven PECH rule, because the first minutes after an accident are crucial in order to minimize the consequences for the person concerned.

The PECH rule is an easy to remember rule for sports injuries and consists of the following measures:

  • P = Break
  • e = Ice
  • C = Compression
  • H = High camp

P = break

S o f o r t stop exercising. The injured body should be immobilized and no longer moved unnecessarily to limit internal bleeding and swelling, and to prevent injuries from getting worse.

E = ice

Then cool the injured area with ice (do not use ice spray). If there is no ice nearby, you can also use running cold water or cold compresses. The ice causes by the constriction of the blood vessels, a reduction of bleeding and swelling - it can no longer leak more blood, the affected body part swells no further.

C = compression

The next step is to apply a pressure bandage with moderate tension. Compressing the tissue reduces further bleeding. The compression should be used together with the cooling if possible.

H = high altitude

The injured body region should be higher than the heart so that the blood from the injured region can flow venously to the heart. This causes the swelling and associated pain to diminish. Also in the further course of the treatment, it makes sense to regularly store the injured body part.

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