Friday, 4 March 2016

First Aid Training – Wednesday 2nd-Thursday 3rd March 2016

Fear
Expectations
Appearing
Real

CPR

Stop
Think
Observe
Protect/Plan

Scene Assessment

 




Level of Response
Alert
Voice
Pain
Unresponsive

 




Help

 




Airway – Head tilt and chin lift

 




Breathing – Normal is 12-20 RPM
Monitor for 10 seconds
1 or none – start CPR
2 or more – don’t need CPR

 




30 compressions at 120 BPM
1/3 deep or minimum 5cm
Adult – 2 hands
1-8 years – 1 hand

Infant – 2 fingers



2 Breaths – Optional
Stop when the patient shows signs of life or you are physically unable to carry on

AED – Automated External Defibrallator (Located in the office)

Asthma
·      Inhalers – treat bronchial constrictions
·      Issues:
o   Not using soon enough – therefore drugs won’t reach into smaller airways
·      Spot it early and use a spacer – the spacer increases effienciency and allows the drug to get to where it needs to go.
·      When using a spacer sacrifice the first spray then do 3-5 breaths per spray
·      Keep using the inhaler until the asthma attack ends

Allergies
·      Allergic reactions affect airways and the blood stream
·      Causes low blood pressure, low fluid and food, low gas (airways blocked)
·      Epipens – treat broncial constrictions (expire every 1-2 years)
o   Remove blue/grey end
o   Hold in fist
o   Inject in thigh
o   Hold for 10 seconds
·      Treatments for stings:
o   Detergent and baking soda
o   Vinegar
o   Stingos
o   Clickit
o   Antihistermines

Cardiac Disease
·      GTN treatment (2 sprays) for Angina - narrowing of the arteries

     Angina – Chest pain, shortness of breath, nauceous
·      Ways to avoid Heart Disease:
o   Fish Oil
o   Flaxseed Oil
o   Grapeseed Extract
·      Use one Asprin/Disprin to treat chest pain – chew it and move around mouth (decreases the adhesion rate of platelets)


Recovery Position
·      Arm closest to you straight above head
·      Leg furtherest away from you bent – heel up close to bottom
·      Grab the patients thumb with your thumb and support head
·      Roll towards you
·      Place arm that is up under the head
·      Place knee and elbow down on the ground to support

Log Roll
·      Spinal Injury (in the event of a fall, slip or crash – sudden disalleration, unresponsive trauma – injured or knocked out, significant injury above the collar bone)
·      Need to have C Spine control (wide hands and hold jaw)
·      4 People –  1 person C Spine Control, crossed arms x3 people, 3rd person holds hand under leg

How To Utilise Outdoor Gear
·      Bed Roll:
o   Split
o   Fire starter
o   Drag mat
o   Bouyancy aid
·      Pack Liner:
o   Shelter
o   Rain coat
o   Sleeping bag
o   Vapour barrier
o   Signal
o   Collect water (basin for burn/drinking water)
o   Something to read/distract
o   Stretcher
·      Pack:
o   Splint
o   Ground layer
o   Pillow
o   Splint for spine (Waist strap round head, arms through and pulled tight)
o   Stretcher (2 packs)
o   Carry a person
·      Survival Blanket
o   Burn (black smoke)
o   Shelter
o   Collect water
·      Raincoat:
o   Stretcher (2 coats)
o   Collect water
·      Tent Fly:
o   Splint
o   Padding
o   Shelter
o   Collect water
o   Ground layer
o   Stretcher
·      Beanie:
o   Pad for wound
o   Padding between splints
o   Cool burns
·      Socks:
o   Ties
o   Padding
o   Cool burns

Burns
·      30 minutes cooling (3x 10 minutes)
o   First 10 – cool with water (running water is best)
o   Second 10 – cool the burn only
o   Third 10 – cover and cool (use gladwrap to stop water absorption)
·      Continue to cover and cool until help arrives
·      Cut around and clothing that is stuck or melted
·      Remove anything constricting e.g. watches, belts
Burns Reporting
·      Cause
·      Size (percentage in terms of your palm)
·      Depth
o   Red/Inflammed/Pain – Superficial
o   Red/Inflammed/Pain/Blisters – Partial thickness
o   White/Waxy/No pain – Full thickness
o   Black/Charred/No pain – Full thickness
·      Location on body

Choking
·      If the airway is fully obstructed and there is no sund the patient has 2 minutes before they become unconcious
·      Can make noise:
o   Encourage to cough
o   Heel of hand – hit middle of back in between shoulder blades
·      Can’t make noise:
o   Reach under left arm – hold them down
o   5 back slaps
o   Place other arm under
o   Make fist and place in the CPR position on chest – 5 chest thrusts 1/3 deep
o   Repeat until the object is out or the patient collapses
o   If the patient collapses let them fall – it could dislodge the object
o   If unconcious and not breathing carry out STOP and CPR
·      Must see doctor after any form of choking and treatment by first aider
·      If a larger person use 2 people
·      If a taller person knock to knees
·      Baby/Infant – 5 and 5 but support the child with chin in hand, lay on arm, complete slaps and then roll over, complete chest thrusts

ANYTIME THERE IS A CHANGE GO BACK AND WORK YOUR WAY THROUGH THE STEPS AGAIN


ALL DRUGS WORK BEST EARLY

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