General first aid

“ In times of emergency, anyone who has even elementary first aid training, may be able to save a life…”~RED CROSS

DEFINITION OF FIRST AID First Aid is an immediate care given to a person who has been injured or suddenly taken. It includes self-help and home care if assistance is not available or delayed.

INTRODUCTION:First is the immediate treatment administered to a casualty or a victim of injury or illness before the services of a doctor or corpsman can be obtain. Although the medical department has the finest equipment and its personnel have been trained in the most modern methods of saving life and easing pain , there maybe a time when your life or that of a friend will depend on your knowledge of first aid.

You can save a life if you know what to do and what not to do, and if you can act quickly and calmly. If you are injured, you can save your own injuries or by directing others toward proper care. Remember, where medical help is not readily available, apply self-aid and then seek professional help or care. The basic rules for first aid given in this handout are to help yourself and your comrades when it is necessary.

You must remember that when administering first aid, the following should be his primary objectives to save life, to prevent causing further injury and to prevent unnecessary sufferings on the part of the casually.

ROLES OF FIRST AID 1.) It is the bridge that fills can between the victim and the physician.2.) It is not intended to complete with, nor take the place of the place of the services of the physician.3.) It ends when the services of a physicians begins.

OBJECTIVES OF THE FIRST AID1.) To alleviate suffering2.) To prevent added/further injury or danger3.) To prolong life

NEED & VALUE OF FIRST AID1.) To minimize if not totally prevent accident.2.) To prevent added injury or danger3.) To train people to the right thing and right time4.) Accident happens and sudden illnesses are common and often serious5.) People very often harm rather than help6.) Proper and immediate care is necessary to save life or limb

GUIDELINES FOR GIVING EMERGENCY CARE1.) Getting started 1.1 Planning of action 1.2 Gathering of needed materials 1.3 Initial response as follows A- Ask for help I- Intervene D- Do not further harm

ASK FOR HELP- in a crisis, time of essence. The more quickly you organize an emergency, and the faster you call for medical assistance, the sooner the victim will get help. Immediate care can greatly the outcome of an emergency.INTERVENE- To intervene means to do something for the victim that will help achieve a positive outcome to an emergency. Sometimes getting medical help will be all you can do, and this alone may save a life. In other situation, however you may become actively involved in the victim’s initial care by giving first aid. Let the golden rules of emergency care guide your effort.

DO NOT FURTHER HARM- Once you have begun first aid, you want to be certain you don’t do anything that might causes the victim’s condition to worsen. Certain actions should always be avoided by keeping them in mind, you will be able to avoid adding to or worsening the victim’s illness or injuries.

2.) Emergency Action Principles 2.1 Survey the scene 2.2 Do a primary survey of the victim 2.3 Activate medical assistance/transfer facility 2.4 Do a secondary survey of the victim

Survey the scene- - is the scene is safe? - what happened? - how many people are injured? - identify yourself as a trained first aider

Do a primary survey of the victim- Check for vital body functions: BREATHING and CIRCULATION by following the ABC steps- A. – AIRWAY > Is the victim is conscious? > If the victim is conscious, asses breathing as described in B. > If the victim is unconscious, start immediately airway management

B. Breathing - Is the victim breathing? if the victim is breathing – is it shallow or deep? Does he/she appear to be choking? Is he cyanotic, suggesting poor oxygenation? If the victim appears to have any difficulty breathing, immediately support his breathing (maintain adequate open airway) if the victim is not breathing – provide initial ventilation

C. CirculationIs the victim’s heart beating? if it I, then how is it (assess pulse)Provide other care as necessary. if not, perform CPRIs he severely bleeding?If he is, control bleeding

Activate medical assistance (AMA) or Transfer facilityin some emergencies, you’ll have enough time to call for specific medical advice before administering first aid. But in some situation, you’ll need to attend to the victim first.Depending on the situation:- a bystander should make the telephone call for help (if available) - a bystander will be requested to call for a physician - somebody will be asked to arrange for transfer facility

Information to be remembered in activating medical assistance- what happened -number of persons injured - extent of injury and first aid given - the telephone number from where you are calling -person who activated medical assistance must drop the phone last

Do a secondary survey of the victim - interview the victim - introduce your self - get permission to give care - ask the victim’s name - ask what happened ask “do you have any pain or discomfort?” “do you have any allergies?” “are you taking any medication?”

Check the vital signs: - determine radial or carotid pulse (pulse rate per minute) adult – 60-90/min child – 80-100/min - determine breathing(respiration rate) - determine skin appearance - look at the victim’s face and lips - record skin appearance - temperature - moisture - color

- Do the head-to-toe examination start with the head. Look and feel for cut bruises and compare pupils of both eyes, dilated pupils involve bleeding and state of shock. Constricted pupils may mean heat stroke or Drug overdose. Unequal pupils may suspect head injury or stroke. -check for fluid or blood in ears, nose and mouth. - check and compare both collar bones and shoulder. - check the chest and rib cage.

- check for the victims abdomen for tenderness by pressing lightly with flat part of our fingers. - check the hip bone by pressing slowly downward and inward for fracture - check one leg at a time - check one arm at a time - check the spinal column by placing the victim into side lying down position and press gently from the cervical region down to the lumbar for possible injury - record all the assessment including the time - keep the injured person lying down, his head level with his feet - keep the injured person warm and guard against chilling

The golden rules of emergency care2.5 What to do:Do obtain consent, when possible.

Do think the worst, it’s best to administer first aid for the gravest possibility.

Do remember and identify yourself to the victim

Do provide comfort and emotional support.

Do respect the victim’s modesty and physical privacy

Do be as calm and as direct as possible

Do care for the most serious injuries first.

Do assist the victim with his or her prescription medicationDo keep onlookers away from the injured person

Do handle the victim to a minimum

Do loosen tight clothing 2.6 What not to do:Do not further harm the victim like the following:

Trying to arouse an unconscious victim.

Administering fluid/alcoholic drink.

Do not let the victim see his/her injury.

Do not leave the victim alone except to get help.

Do not assume that the victim’s obvious injuries are the only ones..

Do not deny a victim’s physical or emotional coping limitation.

Do not make any unrealistic promises.

Do not trust the judgment of the confused victim.

Do not require the victim to make decision.Dos and DON’Ts of First AidWhen giving first aid to casualty, remember the following:DO act promptly but calmly.DO reassure the casualty and gently examine him/her to determine the needed first aidDO give lifesaving measures as requiredDON’T position a victim on his back, if he/she is unconscious or the wound on his/her face or neckDON’T remove clothing from an injured victim by pulling or tearing it off.DON’T touch or try to clean dirty wounds, including burns.DON’T remove dressing and band-ages once they have been put on a wound.

DON’T loosen a tourniquet once it has been appliedDON’T move a casualty who has a fracture until it has been properly splinted, unless it is absolutely necessary.DON’T give fluids by mouth to a casualty who is unconscious, nauseated, or vomiting, or who has an abdominal or neck woundDON’T permit the head of a casualty with a head injury to be lower than his body.DON’T try to push protruding intestine or brain tissue back into a woundDON’T put any medication on a burn.DON’T administer first aid measures which are unnecessary or beyond your ability.

Characteristics of a good first aiderObservant -should notices all signs.Resourceful -should make the best use of thing at handGentle -should not cause painTactful -should not alarm the victimSympathetic -should be comforting

“HURRY CASES” in first aidStoppage of breathing-Critical time is four minutes to restore the victim to normal before brain damage take place:Management of the Casualty: 1. Clean the Airway 2. Inflate the lungs with five quick breaths(proceed to CPR)Severe bleeding- Bleeding and Hemorrhage mean the same thing, namely that blood is escaping from arteries, capillary vessels, or veins.

Types of hemorrhageArterial Bleeding – blood from an open artery. The color of the blood is bright red. The blood spurts which are synchronized with the pulse.Venous Bleeding – blood from an open vein. The color of the blood is dark red. The blood escapes in a slow steady flow.Capillary Hemorrhage – blood from damage capillaries. The color of the blood is intermediate between bright and dark red . The blood only oozes from the wound. This is the common type of hemorrhage.

Controlling external bleeding:Direct pressureDigital pressure (pressure points)-Facial -Temporal-Carotid -Subclavian-Auxiliary -Brachial-FemoralCompress and BandagesLigation – tyingTorsion – TwistingElevate the injured part to lessen the flow of blood.Indirect pressure - tourniquet

C. PoisoningSwallowed – antidote is to dilute with water or milk to lessen the concentration of the poison. Milk coats the lining of the intestinesInhaled – proper ventilation at once(open air).Contacted poison – wawsh at once with soap and water. Bath soap is recommended.Injected as in snake bite

D. Fracture -is a break in the continuity of the boneKinds of fracture:open(compound) fracture – bone has broken through skinClosed(simple) fracture – skin has not been penetrated on both ends.Signs and symptomsDeformity – present when injured limb lies in unnatural position or it is angulated where there is no jointPain at the point of fractureCrepitation (grating sound) -felt and heard when bones rub together -never move the injured extremity to determine crepitation

General first aid

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General first aid