Emergency care comes first
In an accident, suspected heart attack or any medical emergency, call 911 or your local emergency number first. Follow the dispatcher’s instructions and do not move someone when a head, neck or spinal injury may be involved, unless there is immediate danger. Reiki is never a substitute for emergency first aid or medical care.
If the person is awake and welcomes it, a calm presence can be supportive while qualified help is on the way. Speak gently, give them room to breathe, and avoid touching an injury or moving their body. If touch is not appropriate, you can simply remain nearby and focus on steadiness and reassurance.
Some Reiki traditions use gentle, hands-near positions for comfort and quiet attention. Always ask permission before touching someone, respect a no, and follow the direction of trained emergency responders.

Calm, consent-led approaches
For a calm presence
If the person consents and it does not interfere with care, sit nearby and use a quiet, relaxed hand position. A hand near the forehead or the back of the head can be used as a contemplative Reiki position, without pressure or movement.
When touch is not appropriate
Keep a respectful distance and offer calm verbal reassurance. You can maintain a quiet, centered intention without touching the person or the affected area.
When medical care is underway
Stay out of the way of medical responders. If you are invited to remain, focus on supporting a calm environment rather than attempting to assess, diagnose or treat the injury.
When urgent care is needed
Insect bites, burns, wounds or bruises
Follow established first-aid guidance and seek medical care when needed. Do not place hands on damaged skin, an open wound or a burn. Reiki may be practiced only as a quiet companion to appropriate care.
Chest pain or possible heart attack
Call 911 immediately. Do not delay for Reiki, do not drive the person yourself, and follow emergency instructions. If you remain nearby, keep your attention on calm support while help is arranged.
Sprains, suspected broken bones or serious pain
Do not try to straighten, set or move the affected area. Seek an appropriate medical assessment. A quiet hands-near Reiki practice can wait until it is clearly safe and welcome.
Headaches, migraines or tooth pain
These symptoms can have many causes. Seek timely advice from a qualified health professional, especially for sudden, severe or unusual symptoms. Reiki should not delay diagnosis or care.
A Reiki practitioner’s most useful role in an emergency is to stay composed, respect consent and help the person reach appropriate care.
