Personal Safety
Assess scene safety
Obtain consent
Use barrier devices
Get support from others
Scene Safety
Responding when unsafe:
DO NOT ENTER
Activate EMS
Prevent others from entering
Responding when safe:
Approach, Identify, and Get Permission to Treat the Victims(s)
1. Identify yourself (my name is . . .)
2. Explain you know First Aid/CPR
3. Ask permission to treat (can I help?)
Good Samaritan Laws
“ A helper of those who are in trouble”
Obtaining Consent
“To give formal permission”
Keep victim informed of your actions
Responsive:
State name
Level of experience
Ask if you can help
Unresponsive
Consent is implied
Assume that victim would want help
Children
Attempt parent/guardian consent
Consent is implied if no parent/guardian present
Disease Transmission
Risk of Disease Transmission is Low
Barrier Devices: Face mask or shield, gloves, clothing
Wash Immediately after giving care with soap and water or other cleansing method
Avoid bodily fluids: Treat all bodily fluids as if they are infected
Use ¼ c bleach + 1 gal water to clean spills
Breathing Devices
Face Mask
Face Shield
First Aid Kit
Wall Dispenser
II. Primary Survey
Life - Threatening? Treat the things that are going to kill the victim first . . .
Possible head, neck, spinal injuries
** Activate EMS (911) if it hasn’t been done already **
Initial Assessment (A,B,Cs) To examine something in order to judge or evaluate it.
Airway
Choking
Asthma
Drowning
Breathing
Circulation
Heart Attack
Bleeding
Look for Life Threatening Emergencies
When to Activate EMS
Unresponsiveness
Severe Bleeding
Shock
Threat to A,B,Cs
How to Call EMS
1st choice
Send bystanders
2nd choice
Call yourself
Provide Care
Assess conditions and needs
Respond with proper skill
III. Patient Exam
Treat injuries that are not life - threatening next . . .
A. Total Body Survey (TBS) brief head to toe examination of victims body
B. Vital Signs pulse, respirations, LOC (level of consciousness)
C. History Questions
S - signs and symptoms
A - allergies
M - medications
P - past medical problems
L - last intake (food/liquid)
E - events prior to accident
IV. Continued Care
Continuation of what you’ve already been doing
- monitor vitals
- shock treatment
- re-do secondary assessment
- evaluate interventions such as bleeding control and shock treatments, etc.
** continue to do all of this until EMS arrives to relieve you **
Mock Scenario
Instructions: Working individually, create an imaginary emergency situation . . . Then, using your notes and new knowledge of the Emergency Action Principles, explain the steps that would need to be taken if you were the first person to arrive on the scene. List everything that would need to be done to maintain the victim(s) lives until EMS arrived.
Use scenarios, such as the following, to facilitate a large group discussion about how first aid could be applied. Have students listen for the type of injury, the environmental context (e.g., cold, fire, remote location) personal safety concerns (e.g., hazards such as explosive material) and sources of assistance available to them. Teachers may choose to complete with the class for one of the scenarios. Remember your Emergency Actions – 4 steps)
You are walking down a grid road. An operator has been thrown from an overturned tractor, or riding lawnmower –(depending on the students and their environment). When you arrive at the scene, the casualty is lying downhill from the still running tractor. You smell gas. Describe what steps you would take to help the operator and why you would take these actions.
While at the park with friend you see a child on the ground bleeding from his nose. He is crying loudly and other children are watching him. There are no adults in the area. Several dogs are gathering around the scene. Describe what steps you would take to help the child and why you would take these actions.
You are at a restaurant, eating lunch with several friends. One of your friends begins clutching her throat. Her face begins turning red and her eyes are watering. She is obviously panicking. Describe what steps you would take to help your friend and why you would take these actions.
You are babysitting your three-year-old cousin. While playing in the living room he trips and strikes his head against the coffee table. A bump begins to form immediately and the child is crying. Describe what steps you would take to help your cousin and why you would take these actions.
A sobbing child approaches you when you are on surveillance duty. She tells you she was just stung by 4 or 5 bees and her left arm really hurts. Describe what steps you would take to help the young child and why you would take these actions.
You are on break in the concession area. A young woman approaches you saying her friend is behaving very strangely. You and the woman approach the friend who is sitting down. She is conscious. Immediately you notice a medical identification bracelet on her wrist. Describe what steps you would take to help the young woman and why you would take these actions.
You are conducting patron surveillance. An older adult has been exercising in about shoulder deep water. As you continue to scan you see him suddenly stop what he is doing; he looks confused and seems to be having trouble with one side of his body. Describe what steps you would take to help this older adult and why you would take these actions.
Facilitate a large group discussion about the scenarios above by asking questions such as:
• What environmental factors influence how you respond to the situation (e.g., distance from help, your knowledge and experience)?
• What personal safety concerns exist? Emphasize never putting yourself in danger.
FIRST AID AT THE SCENE OF AN AUTO ACCIDENT
Assess conditions
Remain calm. Assess the scene and seriousness of the collision. Determine what happened, how many people and vehicles are involved and the exact location
Make safe
Make sure you stay safe: keep off the road. If you need to stop or warn approaching cars, signal to them from the pavement. Wear fluorescent reflective clothing use warning triangles, flashing lights and hazard warning lights. Don’t smoke
If you are in a car and you come across an accident, first park safely and turn off the engine before you get out to help. Use a hazard triangle if necessary.
Consider the safety of others. Immobilize the vehicle/s, look out for hazards - leaking fuel, chemicals, broken glass or shed loads – guide uninjured passengers to a place of safety
Assess casualties
How many casualties are there? What is the severity of the injuries? Is anyone trapped? Is there a danger of fire?
Call for help – 911
FIRST AID: YOU & THE CASUALTY
Your aim is to establish trust and not make assumptions.
Listen to what the person and others are telling you.
Show respect and promote their dignity.
We all react differently to different situations; consider their different needs and risks.
Can they hear you? Do they understand? Consider who else can help. Remember people may have impairment or English may not be their first language.
Think of what support you might need at the time and afterwards.
RESCUING AND MOVING
Only move to protect from further harm or to provide special care (CPR).
Stabilize any suspected bone, neck, or spinal injuries
Shoulder Drag
Short distance over a rough surface
Stabilize victims head with forearms
Ankle Drag
Fastest method for short distance
Over a smooth surface
Blanket Pull
Roll victim onto a blanket
Pull from behind the victim’s head
One-Person Carry 
Human Crutch
Cradle Carry
Firefighters Carry
Pack Strap Carry
Piggy Back Carry
Two Person Carries
Two-Person Assist
Two-Handed Seat Carry
Four-Handed Seat Carry
Extremity Carry
Chair Carry
How Well Prepared for Emergencies Are You?
On a separate piece of paper, answer each question true or false.
1. I have a well-stocked medicine chest (or my family does).
2. I carry a first-aid kit in my car (or my family does).
3. My (my family’s) emergency supplies include waterless antiseptic hand cleansers and gloves to protect us from exposure to blood.
4. I own an up-to-date first-aid manual, and can get my hands on it when I need it.
5. I have taken a first-aid course.
6. I know how to give CPR (cardiopulmonary resuscitation).
7. I know how to perform the Heimlich maneuver.
8. On the scene of an accident, I know what to do first, second, third, and forth.
9. I know the emergency telephone # for my area.
10. I know how to determine whether I should attempt a rescue or whether the attempt might threaten my own life.
Scoring
Give yourself 1 point for each true answer.
8 - 10: Excellent. You are well prepared for emergencies.
6 - 7: Good. You are better prepared than average, but you may want to fill in the gaps in your knowledge.
4 - 5: Fair. You are on your way to becoming a competent manager of emergencies, but need to learn more.
Below 4: Poor. You have much to learn. A good way to begin is to start reading up on basic first-aid in a text book or manual. Or you could take a class on first-aid.
Share with your friends: |