Lecture 1 (Emeregency action plan-1) (1)
- 2. Course name: Emergency procedures and primary care in physical therapy. Course code: EPPCPT882 Teacher name: Dr. Alishba Mustansar
- 3. Organization and Administration of Emergency Care-1 Learning objectives: Emergency Medical Emergency Important management strategies Emergency Action Plan Emergency care preparations Factors of Organization and Administration of EAP
- 4. Emergency A serious, unexpected, and often dangerous situation requiring immediate action. Sudden, unexpected, or impending situation that may cause injury, loss of life, damage to the property, and/or interference with the normal activities of a person or firm and which, therefore, requires immediate attention and remedial action.
- 5. General consideration Those who are trained to perform first aid can act within the bounds of the knowledge they have, whilst awaiting the next level of definitive care. Those who are not able to perform first aid can also assist by remaining calm and staying with the injured or ill person.
- 6. General consideration A common complaint of emergency service personnel is the propensity of people to crowd around the scene of victim, as it is generally unhelpful, making the patient more stressed, and obstructing the smooth working of the emergency services. If possible, first responders should designate a specific person to ensure that the emergency services are called.
- 7. General consideration Another bystander should be sent to wait for their arrival and direct them to the proper location. Additional bystanders can be helpful in ensuring that crowds are moved away from the ill or injured patient, allowing the responder adequate space to work.
- 9. Medical Emergency ‘A medical emergency is an injury or illness that is acute and poses an immediate risk to person’s life or long term health’.
- 11. Important management strategies Basic life support (BLS) Basic life support is a level of medical care which is used for victims of life-threatening illnesses or injuries until they can be given full medical care at a hospital. It can be provided by trained medical personnel, including emergency medical technicians, paramedics, and by qualified bystanders.
- 12. Important management strategies Advanced Life Support (ALS) Advanced Life Support (ALS) is a set of life- saving protocols and skills that extend Basic Life Support to further support the circulation and provide an open airway and adequate ventilation (breathing).
- 13. Components of ALS These include: Tracheal intubation Cardiac monitoring Cardiac defibrillation Intravenous cannulation (IV) Surgical cricothyrotomy Needle cricothyrotomy Needle decompression of tension pneumothorax
- 14. Continue…. Advanced medication administration through parenteral and enteral routes Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) or Pediatric Education for Pre-Hospital Providers (PEPP) Pre-Hospital Trauma Life Support (PHTLS), Basic Trauma Life Support (BTLS) or International Trauma Life Support (ITLS)
- 15. Emergency Action Plan EAP is a proper plan in a place to provide the best possible care to the person with potential life threatening injuries or illness. Quality of care depends upon the development and implementation of EAP. Aim of EAP is to minimize the time required for immediate response to a potentially life threatening situation or a medical emergency.
- 17. Emergency care preparations Formation of EAP. Proper coverage of events and practices. Maintenance of emergency equipment and supplies. Utilization of appropriate personnel involved in the team. Continuing medical team education.
- 19. Factors of Organization and Administration of EAP Development and implementation of EAP. Medicine staff and emergency team. Initial pt. assessment and care. Emergency communication. Emergency equipment and supplies.
- 20. Factors of Organization and Administration of EAP Venue locations. Emergency transportation. Emergency care facilities. Legal need and documentation.
- 21. Development and Implementation of EAP EAP’s should be developed by organizational or institutional personnel in consultation with local emergency medical services. Safety of personnel, team and victim. Both should be concise and detailed enough to facilitate prompt and appropriate action.
- 22. Development and Implementation of EAP Explain what is going to work and how! Separate plan depend upon individual need. A copy of the EAP specific to the venue should be posted by an available phone or some other prominent marked position at that site. Rehearsals.
- 24. Medical staff and emergency team Implementation of EAP is not possible without a team. Any member of the emergency team can act as a first responder who is a person who has been trained to provide emergency care before EMS ( EMERGENCY MANAGEMENT SYSTEM) arrives on the scene.
- 25. Continue…. All members of the emergency team should be trained and certified in first aid, cardiopulmonary resuscitation (CPR), automatic external defibrillation (AED), and prevention of disease transmission. In any emergency situation the roles of the members of the emergency team will vary depending on how many people are on the team, the venue that is being used, and the preferences of the trainer (who is usually in charge of executing the EAP).
- 26. Medical staff and emergency team The four roles within the emergency team are as follows. 1. Immediate care of the person. 2. Emergency equipment retrieval. 3. Activation of the EMS system. 4. Direction of EMS to the scene of the emergency.
- 28. Initial patient assessment and care CHECK-CALL-CARE. Properly stocked first aid kit with a working AED available at the site of emergency. Determine Septic conditions.
- 30. Emergency communication Communication is the key to quick and effective delivery of emergency care in any situation. Communication prior to an event is a good way to establish a positive working relationship between all groups of professionals.
- 31. Emergency communication If EMS is not available on site during a particular event, then direct communication with then emergency medical system at the time of injury or illness is necessary.
- 32. Emergency Communication Access to working phone, mobiles or other telecommunication services. Communication system is check prior to events. Back up communication plan. List of all appropriate numbers.
- 35. REFERENCE 1. Emergency Care in Athletic Training by: Keith M.Gorse, Robert O. Blanc, Francis Feld, Matthew Radelet, 1st edition, 2010, F.A Davis Company.
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