Basic firstaid
- 1. Basic First Aid 29 CFR 1910.151 By: Chou Lor, Safety Coordinator Facilities Planning & Management UW-Eau Claire
- 2. Basic First Aid Training Objectives • • • • • Chain of Survival What is First Aid? Scene Survey Initial Assessment Victim Assessment Sequence • Bleeding Control • Shock • Burns Facilities Planning & Management UW-Eau Claire • • • • • • • • • Choking Fractures Heart Attack Basic First Aid for Wounds Dressing and Bandages Amputation Checking for Spinal Injuries Stroke (Brian Attack) Bites and Stings
- 3. Chain of Survival • In order for a person to survive Early Early Early Access “9-911” First Aid/CPR Defibrillation You EMS on Scene Facilities Planning & Management UW-Eau Claire Early Advanced Care Hospital
- 4. Basic First Aid • What Is First Aid? – The immediate care given to an injured or suddenly ill person. – DOES NOT take the place of proper medical treatment. – Legal Considerations • Implied Consent involves an unresponsive victim in a lifethreatening condition. • It is assumed or “implied” that an unresponsive victim would consent to lifesaving help. • Only perform First Aid assistance for which you have been trained. Facilities Planning & Management UW-Eau Claire
- 5. Scene Survey • When confronted with an accident or illness on duty it is important to assess the situation to determine what kind of emergency situation you are dealing with, for your safety, the victim’s safety and that of others. • Do a quick survey of the scene that includes looking for three elements: – Hazards that could be dangerous to you, the victim, or bystanders. – The cause (mechanism) of the injury or illness. – The number of victims. Note: This survey should only take a few seconds. Facilities Planning & Management UW-Eau Claire
- 6. Initial Assessment • Goal of the initial assessment: – Visually determine whether there are life-threatening or other serious problems that require quick care. • • • Breathing Bleeding Shock • Burn • Choking • • Heart Attack Fractures – Determine if victim is conscious - by tap and shout. Check for ABC as indicated: • A = Airway Open? – Head-tilt/Chin-lift. • B = Breathing? – Look, listen, and feel. • C = Circulation? – Check for signs of circulation. Note: These step-by-step initial assessment should not be changed. It takes less than a minute to complete, unless first aid is required at any point. Facilities Planning & Management UW-Eau Claire
- 7. Victim Assessment Sequence • Assessment Sequence Components: – If victim is responsive • Ask them what injuries or difficulties they are experiencing. • Check and provide first aid for these complaints as well as others that may be involved. – If victim is not responsive (Unconscious or incoherent). • Observe for obvious signs of injury or illness: – Check from head to toe • Provide first aid/CPR for injuries or illness observed. Facilities Planning & Management UW-Eau Claire
- 8. Bleeding Control • Control Methods For External Bleeding: – Direct pressure stops most bleeding. • Wear medical exam gloves (if possible) • Place a sterile gauze pad or a clean cloth over wound – Elevation injured part to help reduce blood flow. • Combine with direct pressure over the wound (this will allow you to attend to other injuries or victims). – If bleeding continues, apply pressure at a pressure point to slow blood flow. • Pressure point locations: – Brachial (Top of elbow) – Femoral (Inside upper thigh) Facilities Planning & Management UW-Eau Claire
- 9. Bleeding Control Cont. • Control Methods For Internal Bleeding: – Signs of internal bleeding: • • • • Bruises or contusions of the skin Painful, tender, rigid, bruised abdomen Vomiting or coughing up blood Stools that are black or contain bright red blood – What to Do: For severe internal bleeding, follow these steps: • Monitor ABC’s (Airway Breathing Circulation) • Keep the victim lying on his/her left side. (This will help prevent expulsion of vomit from stomach, or allow the vomit to drain and also prevent the victim from inhaling vomit). • Treat for shock by raising the victim’s legs 8” – 12” • Seek immediate medical attention Facilities Planning & Management UW-Eau Claire
- 10. Shock • Shock refers to circulatory system failure that happens when insufficient amounts of oxygenated blood is provided for every body part. This can be as the result of: – Loss of blood due to uncontrolled bleeding or other circulatory system problem. – Loss of fluid due to dehydration or excessive sweating. – Trauma (injury) – Occurrence of an extreme emotional event. Facilities Planning & Management UW-Eau Claire
- 11. Shock Cont. • What to Look For – Altered mental status • Anxiety and restlessness – Pale, cold, and clammy skin, lips, and nail beds – Nausea and vomiting – Rapid breathing and pulse – Unresponsiveness when shock is severe Facilities Planning & Management UW-Eau Claire
- 12. Shock Cont. • What to Do – After first treating life-threatening injuries such as breathing or bleeding, the following procedures shall be performed: • Lay the victim on his or her back • Raise the victim’s legs 8” – 12” to allow the blood to drain from the legs back to the heart. • Prevent body heat loss by putting blankets and coats under and over the victim Facilities Planning & Management UW-Eau Claire
- 13. Burns • Burns have been described as: – First-degree burns (Superficial) • Only the skin’s outer layer (epidermis) is damaged. – Symptoms include redness, mild swelling, tenderness, and pain. – Usually heals without scarring. • What to Do: – Immerse in cold water 10 to 45 minutes or use cold, wet cloths. » Cold stops burn progression » May use other liquids – Aloe, moisturizer lotion Facilities Planning & Management UW-Eau Claire
- 14. Burns Cont. • Second-degree burns (Partial Thickness) – Epidermis and upper regions of dermis are damaged. • Symptoms include blisters, swelling, weeping of fluids, and severe pain. – What to Do: • • • • Immerse in cold water / wet pack Aspirin or ibuprofen Do not break blisters May seek medical attention Facilities Planning & Management UW-Eau Claire
- 15. Burns Cont. • Third-degree burns (Full Thickness) – Severe burns that penetrate all the skin layers, into the underlying fat and muscle. • Symptoms include: the burned area appears gray-white, cherry red, or black; there is no initial edema or pain (since nerve endings are destroyed) – What to Do: • Usually not necessary to apply cold to areas of third degree • Do not apply ointments • Apply sterile, non-stick dressings (do not use plastic) • Check ABC’s • Treat for shock • Get medical help Facilities Planning & Management UW-Eau Claire
- 16. Burns Cont. • Burn injuries can be classified as follow: – Thermal (heat) burns caused by: • • • • Flames Hot objects Flammable vapor that ignites Steam or hot liquid – What to Do: • Stop the burning – Remove victim from burn source – If open flame, smother with blanket, coat or similar item, or have the victim roll on ground. • Determine the depth (degree) of the burn Facilities Planning & Management UW-Eau Claire
- 17. Burns Cont. • Chemical burns – The result of a caustic or corrosive substance touching the skin caused by: • Acids (batteries) • Alkalis (drain cleaners- often more extensive) • Organic compounds (oil products) Facilities Planning & Management UW-Eau Claire
- 18. • What to Do: Burns Cont. – Remove the chemical by flushing the area with water • Brush dry powder chemicals from the skin before flushing • Take precautions to protect yourself from exposure to the chemical – Remove the victim’s contaminated clothing and jewelry while flushing with water – Flush for 20 minutes all chemical burns (skin, eyes) – Cover the burned area with a dry, sterile dressing – Seek medical attention Facilities Planning & Management UW-Eau Claire
- 19. Burns Cont. • Electrical Burns – A mild electrical shock can cause serious internal injuries. – There are three types of electrical injuries: • Thermal burn (flame) – Objects in direct contact with the skin are ignited by an electrical current. – Mostly caused by the flames produced by the electrical current and not by the passage of the electrical current or arc. • Arc burn (Flash) – Occurs when electricity jumps, or arcs, from one spot to another. – Mostly cause extensive superficial injuries. • True Electrical Injury (contact) – Occurs when an electric current truly passes through the body. Facilities Planning & Management UW-Eau Claire
- 20. • What to Do: Burns Cont. – Make sure the scene is safe • Unplug, disconnect, or turn off the power. • If that is impossible, call the power company or EMS for help. – – – – Do not contact high voltage wires Consider all wires live Do not handle downed lines Do not come in contact with person if the electrical source is live – Check ABCs. (Airway Breathing Circulation) – If the victim fell, check for a spinal injury. – Treat the victim for shock by elevating the legs 8” – 12” if no spinal injury is suspected. – Seek medical attention immediately. Facilities Planning & Management UW-Eau Claire
Editor's Notes
- #6: Speaker’s Notes: Tell the EMS personnel about your findings, so that they can fully recognize the extent of the problem.
- #14: Two layers Epidermis Dermis Epidermis Outer cells are dead Act as protection and form water tight seal
- #17: Determine the extent of the burn Determined by percentage of body area burned Patient’s hand approximately 1% Apply the rule of nines
- #18: May occur from any toxic substance that comes in contact with the skin Mostly caused by Alkaline (alkali) and acid Protect yourself from exposure or injury
- #19: Dry Chemicals Reaction with water can worsen burn (1) “Brush - then flush” (2) Remove victims clothing (shoes & socks)
- #21: Scene Safety Do not contact high voltage wires Consider all wires live Do not handle down lines Do not come in contact with patient if the electrical source is live