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American Red Cross First Aid/CPR/AED For Schools & the Community Lay Responder (non-professional) Deciding to Act Consent to give first aid Actual consent Implied consent- Good Samaritan Law Article 1. 2. 3. 4. 5. How many states have enacted this law? Why was it DEVELOPED? What does the law protect you from? What doesn’t the law protect you from? List the 5 things you must do so the law will protect you? Do No Further Harm Article 1. 2. 3. List the 3 reasons you would have to move an injured victim? What should you AVOID when you are moving an injured victim? What is the proper technique called to move an unconscious or severely injured victim. Universal Precautions p. 711 Universal Precautions1. 2. 3. Follow any situation with possible contact with blood and other bodily fluids. Emergency Action Principles Check Scene Safe? Clues # of victims Bystanders to help Victim Injuries Life threatening conditions Unconscious Trouble breathing Chest pain or pressure Call 911 or local emergency # for ambulance & get an AED if available Give Exact location Telephone # What happened # and condition of victims What help is being given DON’T HANG UP TILL DISPATCHER DOES! Care for victim Life threatening injuries 1st Less severe Help victim stay calm, relaxed Checking Conscious Adult State your name, certifications,obtain consent and ask what happened. Check for life threatening injuries, from head to toe. (A,B,C,S) Do not ask the victim to move and do not move the victim. Look for a medical alert tag and ask questions. Call 911 or have someone call if serious. Position Terms: Supine - On their back Prone- Face down Recovery- On the side( roll as one unit, no twisting. Checking Unconscious Adult See 1. Check the scene text pg 723 2. Tap & Shout“Are you alright?” 3. “Go call 911.” & get AED 4. Check for Signs of Life (A, B, C’ S) Open airway Head Tilt Chin Lift (tilt head back, lift chin) listen for breathing no more than 10sec. If suspect back, neck or head injury Do not Tilt Neck Breathing: recovery position Choking Terms P.725 Partial Airway Obstruction- when a victim can partially move air to and from the lungs, cough, & speak. Complete Airway Obstruction- When a victim can no longer speak, cough, breath. Universal distress Signal- Conscious Choking Adult ( Breathing Emergencies) 1. GET CONSENT 2. Give 5 Back Blows 3. Give 5 Abdominal thrusts 4. Alternate until choking stops or they become unconscious. Stand behind victim Find belly button Make fist with other hand Place thumb side of fist against middle of victims abdomen (just above belly button) Grab fist with other hand Quick upward thrusts CONTINUE UNTIL- object is up, victim can breath, coughs on own, or victim becomes unconscious * Chest Thrusts- obese, pregnant females If you are alone & Choking 1. 2. 3. Give yourself abdominal Thrusts Use the back of a tall chair to perform the thrusts for you. Call 911 from a land line phone( they will trace call) Unconscious Choking Adult -Find hand position 5. 30 chest compressions ( at least 2in. Deep)) 6. 2 rescue breaths 7. If don’t go in continue RE-TILT & TRY AGAIN 8. Continue with 30 compressions 9. Look for object - if you see one remove it 10. 2 more breaths 11. Continue with cycles How to Give A Rescue Breath 1. Head Tilt Chin Lift (open airway) and pinch nose. 2. Give a slow breath with a complete seal (each breath should last 1 sec.) 3. Watch the chest rise Gastric Distention- when you ventilate( breath) too hard and the air skips the lungs and goes into the stomach. Unconscious Choking Adult Stop cycles if Object removed Chest rises with rescue breaths Check for signs of circulation If none continue with compressions and breaths Victim starts breathing on own EMS arrives & takes over Someone else takes over If you are too exhausted to continue After 5 Cycles Re-check for SIGNS OF LIFE If you DO NOT know they are choking After the first set of rescue breathes for an ADULT & the breaths DO NOT go in -YOU REPOSITION & TRY THE BREATHS AGAIN! Cardiopulmonary Resuscitation (CPR) See text pg 734 No Signs of Life, No AED, Unconscious Adult- 12 years or older Place yourself midway between the head & chest (kneeling) CPR 1. Give 30 Chest Compressions 1 1/2 -2 inches deep Takes about 18 sec (rate of approx 100 per min) 2. Give 2 rescue breaths Lasts about 1 sec each Continue sets of 30 compressions & 2 breaths for 2mins or 5 cycles then re-check for signs of life. Once CPR is started continue until See signs of life Scene is unsafe AED available Too exhausted Someone takes over Cardiac Chain of Survival 4 links 1. Early recognition and access to emergency system - call 911 2. Early CPR - keeps blood and oxygen flow to organs, prevents brain damage and death 3. Early Defibrillation - Automated External Defibrillator (AED) - Electronic shock to heart 4. Early Advanced Life support - Paramedics Automated External Defibrillator (AED) Child (1-8 or less than 55lbs) pediatric pads Do not use on metal, water Cell phone at least 6ft. away Can use with a pace maker Remove clothing on chest & wipe chest Remove nitroglycerin pads AED will talk you through procedures **FOR EVRY MINUTE THE AED IS NOT IN USE IT DECREASES THE CHANCE OF SURVIVAL BY 10% Recognizing a heart attack Heart Attack- deathp.739 of cardiac muscle to the heart due to a blockage Signs ( most people ignore or deny) Chest discomfort or pain (may spread to other body areas) Sweating Nausea Shortness of breath General ill feeling Deaths are reduced by recognizing early symptoms of heart attack Cardiac Arrest Cardiac Arrest- when the heart stops following a heart attack/blockage Sudden Cardiac Arrest- is when the heart stops beating suddenly & unexpectedly, when this happens bloods stop flowing to all vital organs Respiratory Arrest- when breathing stops Each year there are approx. 300,000 cardiac arrests outside of the hospital. 2000 of those occur under the age of 25 & lead to premature death. Clinical & Biological Death The best chance of survival is within the first 4 mins. Clinical Death- after breathing & circulation have stopped you have 4-6 minutes of stored oxygen before your cells begin to die. Biological Death- after 10 minutes, brain activity stops. Injuries Check Scene Victim Life threatening Head to toe Call 911 Care Give care until help arrives Types Injuries Wounds/ Burns (Soft Tissue) Muscle, Bone, & Joint Muscles, Bones, & Joints pg. 716 Muscles Strain: tearing or stretching of muscles or tendons Tendons- strong fibers that attach muscle to bone Bones Fracture: a break, chip, or crack in a bone Types: Open (compound) Closed (simple) Deformity, snap, and pain may be present Muscles, Bones, & Joints Joints Sprain: tearing of ligaments at a joint Wrist, knee, ankle, & finger Ligaments- strong, tough, soft tissue bands that attach bone to bone Dislocation: the movement of a bone out of its position in the joint. Usually caused by a violent force tearing the ligaments that hold the bone in place. Finger Apply ice, immobilize and go to doctor **** Do not try to pull it out Muscles, Bones, & Joints Signs of severe injury: Can not move or use body part A snap or a pop is heard Bone is visible Significant bruising, swelling, or deformity Care for Muscle, Bone & Joint Injuries R- Rest I- Immobilization C- Cold Apply ice for up to 72 hours 20 min on 20 min off E- Elevate ** Keep part immobile, if have to move victim, 1st splint injury. Do not elevate a severe injury unless it has been splinted Immobilizing Muscle, Bone & Joint Injuries Splint: Types Anatomical- Splinting an uninjured body part to an injured body part. Ex’s Soft Ex’s Rigid Ex’s- Guidelines to Splinting Only if victim must be moved Only if you can do without causing more pain Splint in position you found it Splint above and below site of injury Check for proper circulation before and after splinting (feeling, warmth, & color) Steps to Splinting 1.Support injured area 2.Check circulation 3.Place splint 4.Tie splint in place 5.Recheck circulation Care for Wounds (External Bleeding) Minor Wounds Pg. 740 Cleaned & covered Open Wounds Control bleeding Prevent infection Clean & cover Closed Wounds Apply cold Major Wounds Call “911” and control bleeding Wounds 740 Bruise Incision Laceration Abrasion Avulsion Puncture Infection- Bleeding Use Latex Gloves Arterial- bright red (oxygenated) Venous- darker blood ** Approximately 2 pint per 25 pounds Clues to Internal Bleeding Tender, swollen, bruised or hard areas of the body Cool, moist, pale or bluish skin Vomiting or coughing up blood Excessive thirst Confused, faint, drowsy, or unconscious ** Serious Internal Bleeding- Call “911” immediately Control Bleeding Pg. 742 1. Cover with a dressing and press firmly using Direct Pressure Elevate Injury 2. 3. If bleeding doesn’t stop Add additional dressings over top Shock (see text pg 733) Circulatory system fails to deliver blood to all parts of the body Life threatening condition Types Insulin Traumatic (sudden injury) Anaphylactic (sting, medication, seafood etc.) Shock Signals of Traumatic Shock Restlessness or irritability Altered consciousness Pale, cool, moist skin Looks disoriented Rapid breathing Rapid pulse Dilated pupils Caring for Shock Lie down and rest Control external bleeding Maintain normal body temp Elevate legs if injuries allow Only water at room temperature Make sure advanced help is on the way Seizure P. 712 Seizure Do not hold or restrain victim Do not place anything in their mouth ( unless trained) Remove objects that may cause injury Cushion head/place something under head Sudden Illness Pg. 712 Stroke Diabetic Emergency Help victim remain calm & get medication Poisoning/ Allergic Reactions Call 911 & Poison Control # Caring for Sudden Illnesses Care for life threatening conditions Have victim rest in comfortable position Keep from getting chilled or over heated No food or water Reassure victim Send someone to meet EMS Ask about medical conditions & medications Monitor, try to minimize risk of shock Watch for changes in consciousness or breathing