Travel Health
First Aid in Bali: What to Do in the First Minutes of an Emergency
Most emergencies on holiday start small: a scooter fall, a jellyfish sting, a dog bite, too much sun. What you do in the first few minutes can prevent a minor problem from becoming a serious one, and in a true emergency it can save a life. Here’s a practical first aid guide for travellers and expats in Bali.
First Steps: Stay Safe and Call for Help
Before helping, check that it’s safe for you: traffic, water, electrical cables or an aggressive animal. Then check whether the person responds and is breathing normally. If you’re in any doubt about how serious it is, call for help first.
Save these numbers now: 112 (general emergency) and 119 (ambulance) in Indonesia, plus our 24/7 team on +62 811 3999 599. Call immediately if someone is unconscious, not breathing normally, bleeding heavily, having chest pain or stroke signs, or struggling to breathe. Put the phone on speaker so you can follow instructions while you help.
Someone Collapses and Isn’t Breathing Normally: CPR
If an adult suddenly collapses, doesn’t respond and isn’t breathing normally, their heart may have stopped. Hands-only CPR keeps blood flowing to the brain until help arrives, and you don’t need formal training to do it.
- Call for help and put the phone on speaker
- Place the heel of one hand in the centre of the chest, other hand on top
- Push hard and fast: 100–120 compressions per minute, at least 5 cm (2 in) deep but no more than about 6 cm
- Let the chest rise fully between pushes, and don’t stop until help arrives or the person starts breathing
- If a defibrillator (AED) is available, switch it on and follow its voice prompts
Choking
If the person can cough forcefully and speak, encourage them to keep coughing. If they can’t speak, breathe or cough effectively, act straight away:
- Give 5 firm back blows between the shoulder blades
- Then give 5 abdominal thrusts: stand behind them, place a fist just above the navel and pull sharply inward and upward
- Keep alternating 5 and 5 until the object comes out; use chest thrusts for pregnant or larger people
- If they become unconscious, call for help, lay them on a firm surface and start CPR
Anyone who needed back blows or abdominal thrusts should be checked by a doctor afterwards.
Heavy Bleeding and Scooter Accidents
- Press firmly on the wound with a clean cloth or dressing and keep pressing; add more layers on top if blood soaks through
- If a limb is bleeding, raise it while keeping pressure on it
- After a crash, don’t remove a rider’s helmet and don’t move them if a neck or back injury is possible, unless they’re in immediate danger
- Clean minor grazes thoroughly with clean water; tropical heat and humidity make infection more likely
Read more in our guides to scooter accidents in Bali and coral cuts and infected wounds.
Burns and Sunburn
- Cool the burn under cool running water for at least 20 minutes, starting as soon as possible
- Remove jewellery or clothing near the burn, unless it’s stuck to the skin
- Cover loosely with cling film or a clean plastic bag
- Don’t use ice, butter, toothpaste or creams
Seek medical care for burns on the face, hands, feet or genitals, burns larger than the person’s palm, any burn on a child, and severe sunburn with widespread blisters, fever or vomiting.
Jellyfish stings, cuts and grazes are among the most common beach injuries in Bali.
Heat Exhaustion vs. Heat Stroke
Bali’s heat and humidity, plus long days in the sun, surfing or hiking, can overwhelm the body’s cooling system. Heat exhaustion can progress to heat stroke, which is life-threatening.
| Heat Exhaustion | Heat Stroke (Emergency) | |
|---|---|---|
| Signs | Heavy sweating, headache, nausea, dizziness, weakness, thirst | Confusion, slurred speech, collapse or seizures, hot skin, very high body temperature |
| What to do | Move to shade or air-con, remove extra clothing, cool the skin, give frequent sips of water | Call for help immediately, then cool the whole body fast with cold water, wet cloths, fanning and ice packs |
See also our guide to dehydration and heat exhaustion in Bali.
Jellyfish and Marine Stings
- Get out of the water and remove any tentacles with a gloved hand, a stick or a card, never bare fingers
- Rinse with seawater, not fresh water
- Bluebottle stings: soak in hot water around 45°C (test it first) for up to 20 minutes to ease pain; skip vinegar, which may make the pain worse
- Box jellyfish or an unknown species with severe pain or many stings: pour vinegar over the area and call for help immediately
- Stonefish or venomous fish spines: wash the wound and soak in hot water around 45°C, then see a doctor
Call for emergency help if the person has trouble breathing, chest pain, confusion or collapses.
Animal Bites and Scratches: Act Fast for Rabies
Rabies is present in Bali, and dogs cause the vast majority of human cases worldwide. Once symptoms appear, rabies is almost always fatal, but it is preventable with prompt treatment after a bite or scratch.
- Wash the wound with soap and running water for at least 15 minutes
- Don’t wait to see whether the animal looks sick; see a doctor the same day
- You may need a course of rabies vaccine and, for deeper wounds, rabies immunoglobulin
- This applies to dogs, cats and monkeys, including the monkeys at temples and tourist sites
Learn more about our Rabies Vaccination service.
Severe Allergic Reaction (Anaphylaxis)
Watch for swelling of the throat or tongue, difficulty breathing or wheezing, a hoarse voice, dizziness or fainting, and a widespread rash, often within minutes of a food, sting or medication.
- Use an adrenaline auto-injector (such as an EpiPen) if the person has one
- Call for emergency help and say it’s anaphylaxis
- Lie them down with legs raised, or sit them up if breathing is difficult; don’t let them stand or walk
- If there’s no improvement after 5 minutes, give a second auto-injector if available
Pack a Simple First Aid Kit
- Sterile dressings, plasters, gauze, crepe bandage and medical tape
- Antiseptic wipes or solution, and clean disposable gloves
- Paracetamol, antihistamines and oral rehydration salts
- Sunscreen, insect repellent and after-sun gel
- Your regular medications, a written list of them, and any adrenaline auto-injector you’ve been prescribed
- Your travel insurance details and these emergency numbers saved in your phone
Upset stomach on your trip? Read our guide to Bali Belly.
How Asia Pacific Medical Centre Can Help
Our team is available 24/7 for wound care, burns, stings, bites, heat illness and more. If you can’t come to us, our on-call doctors can visit your hotel or villa, and our ambulance service provides medically accompanied transfer when hospital care is needed.
Learn more about our On-Call Service and Ambulance service, or book a Doctor Consultation.
Sources
American Heart Association: Frequently Asked Questions About CPR Guidelines
https://news.heart.org/frequently-asked-questions-about-new-cpr-guidelines/
MedlinePlus (U.S. National Library of Medicine): Choking, Adult or Child Over 1 Year
https://medlineplus.gov/ency/article/000049.htm
British Red Cross: First Aid for Burns
https://www.redcross.org.uk/first-aid/learn-first-aid/burns
CDC / NIOSH: Heat-related Illnesses
https://www.cdc.gov/niosh/heat-stress/about/illnesses.html
Australian Family Physician (RACGP): Marine Envenomations
https://www.racgp.org.au/afp/2015/januaryfebruary/marine-envenomations/
World Health Organization: Rabies
https://www.who.int/news-room/fact-sheets/detail/rabies
NHS: Anaphylaxis
https://www.nhs.uk/conditions/anaphylaxis/
This guide is general information and does not replace professional medical care or a certified first aid course.