1fundamental principles
Humanity,Impartiality,Neutrality,Independence,Voluntary Service,Unity,Universality
2check
check:Is the scene safe for you, the ill or injured person, and any bystanders? What happened? How did it happen?What is your initial impression of the ill or injured person?Check the person to see if he or she is responsive:
• Does the person respond when you talk to him or her (e.g.,
does the person open his or her eyes, move, moan, or talk to
you)?
• Does the person respond when tapped on the shoulder?
A person who does not respond at all is considered to be
unresponsive.
2. Check the person’s ABCs: Airway, Breathing, and Circulation
4Chocking
IMMEDIATLY PROVIDE CARE IF SUSPECT OF CHOCKING
alternate between back thrust and abdominal thrusts
weelchair lock whees chest and abdominal thrusts
baby immediatly call sit or kneel support arm with leg do back thrusts and chest thrusts 5 times
unresponsive start CPR and compressions 30 not matter age then two breaths chin lift tilt head if air no g in try again still no then go to compressions
5circluatory emergencys
heart attack: look fot short breath cool pale sweat dizzy unresponsive
ACT NOW Arm pain Chest pain Throat pain Nausea Oxygon lack Weak and fatigue
CALL EMS and AED
Have them chew ASA tablets (Tylonol or advil do not work)
Stroke
FAST
Face week droop one side Arm can not stay straight one side Speech is slurred and abnormal Time CALL EMS and AED
Rest in comfratble postion
NOTE SYMPTOMS START TIME and LAST TIME THEY WERE WELL
6quality of vitals and SAMPLE
level of responsivness breathing and SKIN (SHARP)
Signs symptom
Alergies
Medication
Previous history
Last intake (oral)
Events prior
7External and internal bleeding
EXTRENAL:bigger then 10% and unable to stop
IMMEDIATLY WEAR GLOVES AND APPLY DIRECT PRESSURE Call EMS
APPLY dressing then bandage then tounaquet (5 above wound 2 away joint)
NOTE THE TIME IF USING
INTERNAL
look for:bruiding soft tissuw that is swollen or hard blood in saliva severe thirst nausea anxiety
CALL EMS IMMEDIATLY GET AED
rest quietly and NOOOOO WATERRRR
8CPR AND AED
CPR
CALL EMS AND GET AED
Unresponsive and not breathing
ALL AGES get a 30 to 2 ratio
ADULTS; call ems get aed then start compression 5 cm in
kids and baby: do two minutes of cpr(5 rounds) if unresponsive call ems after goes 1/3 of childs depth
put hand on center chest sternum area chin up head back annd 2 breaths
AED
for kids if touch put in front and back start doing cpr and deliver shock
remove person from water and place on dry skin remove clothes jewlrey and med patch
place 1inch from pace maker
9circluatory emergencys (HEART ATTACK AND STROKE)
Astma
trouble breathing cant speal tightness in ches
CALL EMS and get AED just in case
move person to nice enviroment and ask if they have astma and grab meds go over 5 RS
shake inhaler breath out then put mouth on inhaler presss top ehile breath in hold the breath
ANAphylaxis
SEVERE alergic reaction
look for:rash and swelling and high pitch noise
CALL EMS AND GET AED
remove saftey cap blue part put orange in for 10 sec then rub for 30 sec then re asesss for 5 min before re doing
10Wound care (CUTS< SPLINTS < BURNS< BRUISES < NOSE BLEED< KNOCKED TEETH< EYE INJURYS< IMPALED OBJECT< CHEST INJURY
cuts scrape
apply direct pressure rinse wound 5 min in running water and apply oinment and bandage wound
for head apply direct pressure if life threatining or around area of wound
Splinta take twezers and pull out treat like cuts
Burns
CALL EMS IF
burn is caused by chemical electricity or explosion hard to breath full thickness covers big area or face neck hands
superficial or partial treat with cool still water
remove jewlrey and clothing from burn but not if stuck cover with dry dressing
electrical burns
MONITER ABC CLOSLEY
make sure current is off keep still and treat both burns (entry and exit)
bruises
if in severe pain and cant move body part may be internal bleeding so call EMS if not then apply coolpack fot 20 min then remove for 20 min and repeat till no pain
Nosebleed
CALL if exceeds 15min
have head tilt fprward and pinch for 10-15 min
Knocked out teeth
CALL EMS if knocked by forcefull blow or suspect injury
bite down dressing
oick up by croown
put in egg whites or milk get to dentist
Eye Injury
CALLL EMS if impalled is near on eye or eposed to chemical or out of socket
Avoid touching eye
blink sevral times flush out eye with water
chemical: flush out eye for 15 min or untikl EMS arrives if flash burned cover eye with cool wet cloth and get medical attension
Impaled object
CALL EMS
STABILIZE no direct pressure
leave object in place
put lots of dressing 2/3 of impaled object and cover
Chest injury
deformity in chest guarding and shallow breath bruising coughing blood
CALL EMS
have in comfy postion apply direct pressire if bleeding LOTS or otherwise no
if no penatrating injury give bulky item to hold against chest
if penatrated change dressings
11HEAD NECK SPINE INJURY
CALL EMS and get AED
stabalize until ems arrives
Concoussions
call ems if memory loss loss of responsivness seizure vison changes
other than advise to seek medical help
12Bone muscle joint injury
4 types strain sprain dislocate or fractures
deformity swelling or bruising roms not working bone sticking out
CALL EMS In bone out of skin if femur if area under has no circulation or cannot safey move peson
IMMEDIATLY STABILIZE
treat using RICE
use splints or slings
remove jewels
IMMOBALIZE JOINTS ABOVE AND BELOW INJURY
long enough for under and over
pad sling or splint
tube sling support arm of injured side and corner to elbow use anotomical sling
13Breathing emergency (ASTMA AND ANAPHLAXISIS)
Diabetic emergency
look for level of responsivness confussion or agression rapid breathing cool pale sweaty skin LOOKS INTOXICATED seizure
CALL EMS of not awake has seizure do not approve in 10 min
CAre if swallow safley to ingest sugar 10 min after mroe sugar and EMS
siezure
foaming in mouth uncontrolable movment muscle spazmes call ems of dont know med history last more them few min pr has many in a row or long time unresponsive
remove all objects neae protect head with soft object roll imto recovery postion
Mental health crisis
cant think clearley cant focus task hallusatnation (accept it) depression s sudden swings call support person or EMS if they could harm
provide reassurance encourage to sit down keep calm talk empathically speak quiet but firm
Suiside
expresses negative thoughts on intent to die and has plan expresses final wishes
CALL EMS and try to keep calm and away from danger
14Wound care m(heat and cold)
heat exaustion is moist warm skin hedaches weekness normal breathing call ems if nausea vommiting anxiety dizzy
heat stroke CALL IMMEDIATLY WHEN SEEING dry hot sizure coma severe headach altered behavior irratated aggresive behavior rapid shallow breathing
care heat exaustion by pouring water on torso and fanning sxin
heat stroke by immersing person in bathtub of water forearms in cool water water on torso fan skin offer water if alert
frostbite
superfical hardened skin pale pain stinging numbness
deep hard tissue is white blue or black comple loss of feeling in area
remove anyrthin restricting blood flow to area thaw area only oif no frozen again use wark water protect with loose and dry dressing and indivisual for toes anf finger provide fluods and encourage medical attention
hypothermia
if responsive and movment normal shivering and alert increace heat production
if resposnsive impared movment shivering and alert then no standing 30 min keep horizantle insulate call EMS if no improvment
if responsive impared movment not shiviring CALl ems no food or drink and insulate
if cold unresponsive call ems if no ovious vital signs then 60 second breathing check no breathing start cpr
15poisons (poison ivy , parsnips, icects, animal spider, tick , snake, marine life
CALL EMS if altered level of responsivmes or difficult breathing call ems 911 and GET AED or otherwise poison control
ingested= burns around mouth open contanor increace salivla burning sensation in mouth trhoat and stomach fare by checking poision package and induce vommiting i f told and take package to hospital
inhaled= breathing diffi ult irratated eyes nose throat unusual smell move to fresh air but dont enter to do so treat like this for CO poisining
absorbed rash hives blisters burns care by brushing of remove clotthing covered in it flush skin with watet for 15 min
injected -one or more puncture wounds seringes on ground wwash puncture site with clear running warer nad keep still
poision ivy sumak and oak
itchy skin redness of skin blisters and bumps
aply itching less cream iif severe see healtcare provider
Gaint hogerrf or parsnip
CALL EMS IF SAP IN EYE FACE OR PARTS
protect from sun in in eyes rinse thoruougly 15 min encourage medical attension
poison by alchol or drugs
clues of drug taken CALL EMS and protect onesseldf since aggresion is common opiods NAloxone will help
incects stings
CALL EMS IF SIGN OF ALERGIC REACTION
If stinger embeded scrape away wrap cold pack in towel pace in affected area watch for anaphlaxisis
ANimal bite
call local animal control in wild or stray
get safley away from animal seek med attention if unknown or stray or might have reigbies watch for infection signs
Spider bites
black widow raised round mark, sweat week cramping pain
brown recluse slight stinging sensation blood filled blister within 2-8 hrs and bulseye pattern around bite sever e reaction in 72 hrs include nausea or vomiting
CALL EMS IF SUSPECTED IS VENOMOUS
have rest quietly and keep bite elevatef apply cold pack by thin dry towel
tick bites
not burrowed then brush off if burrowd use tweezer and grab closest to skin near its head and pull upwards WITHOUT TWISTING if cant remove then seek medical attention wash area with clean watter if removed annd if develops fever or rash seek medical help
SNAkebites
CALL IF VENOMOUS SNAKE
snake no longer there if saw describe keep still with bite level to heart of on limb remove jewlerey and tight clothing and wash wound with water and cover with cleana dn dry dressing
Marine life
pain rash red swell puncture wound or lassartion
CALL EMs AND AED IF having airway breathing proble,s or stung face neck or dont know cause of sting
flush area with vinegar for 30 sec in not available baking soda eater and leave on for 20 min wearign gloves remove peices of animal if there immerse are a in hot watrer as much as person toletatees until releve of pain or 20 min hot or cold packs can be used encourage medical attension and signs of infectiom
16evaluating situation first to last
check scene see if safe is gas leak open wires peice together what happened
If unresponsive yell in both years
check ABC
if unconsious or comprimised abcs call ems
if consious do focused check
call ems as needed
go through sample and quality of vitals
Signs and symtoms (SHARP)
Alergies
Meds
Previous meds
Last oral intake
Events prior
responsivness
drousy alert sleepy confused
breathing
fast slow deep hard to breath
Skin
wet dry? color change
injurt check
point tender temo skin check swelling deformity crepitus
Shock
if in shock call medical cate
provide care reasurance and fix problem causing shock
intervension fixing problem
17when to call ems
if unconsious or comprimised abcs call ems
if consious do focused check
if internal bleeding
big deadly bleed
unknown seizures
if no improvement after astma med
if signs of anapphylaxisis
chemical explosion electric full thickness hard to breath or on face and neck hands burns
impaled objects
eye out socket or exposed to chemicals
chest injury
head neck spine injury
femure fracture below bone injury is numb pale blue or cold
not fully awake diabetic person not improve after 10 min of sugar
suicide mental crisis
child birth
heat stroke heart stroke heart attack
hypothermia when unresponsive not shiviring or impared movment and no improvments happen
poison causes altered level of consisness if poison from sap in eyes or face or trouble breathing
bittin by venomous creature