What is the first step when a child's intestines are protruding from their abdomen?

When a child's intestines are protruding from their abdomen, the first step is to cover the protruding organs with sterile gauze. This action is crucial to protect the intestines from infection and further injury. By using sterile gauze, you create a barrier that helps maintain moisture and prevents contamination, which is vital in such an emergency scenario.

It is important not to attempt to press the organs back into the abdomen or remove them, as this can cause additional damage or lead to complications. Providing coverage with gauze should be prioritized to stabilize the situation while waiting for emergency medical personnel to arrive and provide advanced care. A bandage around the waist would also not be appropriate as it could cause pressure on the protruding organs, potentially worsening the condition.