Essential First Aid Principles and Steps

CHAPTER 16

First Aid

16:1 Providing First Aid

•

Immediate care given to the victim of an accident or

illness to minimize the effect of injury or illness until

experts can take over

•

Reasons for providing correct first aid

Basic Principles of Providing First Aid

•

Remain calm and avoid panic

•

Evaluate situation thoroughly

•

Have a reason for anything you do

•

Treatment you provide will vary depending on type of

injury or illness, environment, others present, equipment

or supplies on

hand, and availability of medical help

First Steps

•

Recognize that an emergency exists

•

Use all senses to detect problems

•

Sometimes signs of emergency are obvious and at other

times they are less obvious

Next Steps

•

Check the scene and make sure it is safe

to approach

•

What to observe

•

If not safe, call for medical help

•

If safe, approach the victim

•

Call emergency medical services (EMS)

as soon as possible

(

continues

)

Next Steps

(

continued

)

•

If possible, obtain the victim’s permission before

providing any care

•

Triage if necessary

•

Check for other injuries

•

Obtain as much information as possible before you

proceed

General Principles

•

Obtain qualified help

•

Avoid any unnecessary movement of

the victim

•

Reassure the victim

•

Use a confident, calm attitude to help relieve victim’s

anxiety

•

Avoid giving the victim anything to eat

or drink

(

continues

)

General Principles

(

continued

)

•

Protect the victim from cold or chilling,

but avoid overheating

•

Work quickly in an organized and

efficient manner

•

Do not make a diagnosis or discuss

condition with observers at scene

(

continues

)

General Principles

(

continued

)

•

Maintain confidentiality and protect the victim’s right to

privacy while providing treatment

•

Make every attempt to avoid further injury

or harm

•

Provide only the treatment you are qualified

to provide

CPR

16:2 Performing CPR

•

Cardiopulmonary resuscitation (CPR):

•

Cardio: the heart

•

Pulmonary: the lungs

•

Resuscitation: to remove from apparent death or unconsciousness

•

When performing CPR, you breathe for the patient and

circulate blood

(

continues

)

 Performing CPR

(

continued

)

•

Purpose: keep oxygenated blood flowing

to the brain and other vital body organs

•

Performed until the heart and lungs start working

again or until medical help

is available

•

Clinical versus biological death

(

continues

)

 Performing CPR

(

continued

)

•

ABCDs of CPR

•

A stands for airway

•

B stands for breathing

•

C stands for circulation

•

D stands for defibrillation

(

continues

)

 Performing CPR

(

continued

)

•

Evaluate victim’s condition before

starting CPR:

•

Check if patient is conscious

•

If unconscious, check for breathing

•

If not breathing, place victim on back

•

Open the airway by using the head-tilt/chin lift

or jaw-thrust maneuver

(

continues

)

 Performing CPR

(

continued

)

•

Look

 for chest movement

•

Listen

 for breathing

•

Feel

 for movement of air from the nose

or mouth

•

If not breathing, give two breaths

•

Make sure breaths are effective

•

Then check the carotid pulse

(

continues

)

(

continues

)

 Performing CPR

(

continued

)

•

Correct hand placement is needed before performing

chest compressions

•

Various methods of CPR used

•

One-person adult rescue for adult

•

30 compressions followed by 2 ventilations (30:2 ratio)

(

continues

)

 Performing CPR

(

continued

)

•

Two-person adult rescue for adult

•

30 compressions by one rescuer followed with

2 ventilations by the second rescuer (30:2 ratio)

•

CPR for infants (birth to one year)

•

30 compressions followed by 2 ventilations for one rescuer

(30:2 ratio)

•

15 compressions followed by 2 ventilations for two rescuers

(15:2 ratio)

 Performing CPR

(

continued

)

•

CPR for children (1 year to puberty)

•

30 compressions followed by 2 ventilations for one rescuer

(30:2 ratio)

•

15 compressions followed by 2 ventilations for two rescuers

(15:2 ratio)

•

CPR for choking victims

•

Reasons for stopping CPR

STROKE– Act FAST

•

F

•

Face-Ask the person to smile.

 Look to see if it's uneven

•

A=

•

Arms-Ask the person to raise both arms.

Check if one arm is weak

•

S=

•

Speak-Ask the person to speak.

Listen for slurring

•

T=

•

Time-Call 911 at the first sign of stroke.

Providing First Aid for

Bleeding and Wound

16:3 Providing First Aid for

Bleeding and Wounds

•

Wound is an injury to soft tissues

•

Open: break in skin or mucous membranes

•

Closed: no break in skin or mucous membranes,

but injury occurs to underlying tissues

•

Wounds can result in bleeding, infection,

and/or tetanus

Classifications of Open Wounds

•

Abrasion

•

Skin is scraped off

•

Incision

•

Cut caused by a sharp object- knife, razor , blade

Classification of Wounds

•

L

a

c

e

r

a

t

i

o

n

•

Cut with tearing of tissue by a sharp object

•

Puncture

•

Cut caused by a pointed object

Classifications of Open Wounds

•

Avulsion

•

Tissue is torn or separated from the victims body

•

Amputation

•

Body part is cut off and separated from the body

Controlling Bleeding

•

First priority because victim can bleed to death quickly

•

Bleeding can come from arteries, veins,

or capillaries

•

Observe standard precautions

(

continues

)

Controlling Bleeding

(

continued

)

•

Direct pressure

•

Pressure applied with gauze- use a clean cloth if sterile gauze

not available

•

Elevation

•

Above the level of the heart- gravity helps to stop bleeding

•

Pressure bandages

•

Direct pressure and elevation are used

•

Pressure on pressure points

•

Main blood supply to the affected area helps minimize blood

loss

Controlling Bleeding

•

Do not disturb clots

•

Clots are a natural defense in the bodies attempt to stop bleeding

•

Do not remove dressings

•

May result in additional bleeding

•

Do not clean wound

•

May also lead to further bleeding

Pressure Point for Hemorrhage

Minor Wounds

•

First priority—

•

prevention of infection

•

Wash your hands thoroughly before caring

for wound

•

Put on gloves

•

Wash the wound with soap and water

•

Rinse the wound

•

Use sterile supplies

Signs of Infection

•

Swelling

•

Heat

•

Redness

•

Pain

•

Fever

•

Pus

•

Red streaks

•

Seek prompt medical care if any of the above occur

Tetanus

•

Tetanus bacteria can easily enter an

open wound

•

Tetanus is a serious illness caused by Clostridium bacteria

•

The infection causes painful tightening of the muscles, usually

all over the body. It can lead to "locking" of the jaw. This makes

it impossible to open your mouth or swallow. Tetanus is a

medical emergency. You need to get treatment in a hospital

•

Most common in puncture wounds

•

 Assess for last tetanus shot

•

Serious illness

•

Get tetanus shot or booster as needed

Objects Embedded in Wound

•

Examples such as splinters, pieces of glass,

or small stones

•

If superficial, gently remove

•

Objects embedded in tissues should be left and removed

by physician

Closed Wounds

•

Can occur anywhere on body

•

If bruise, apply cold application to

reduce swelling

•

Observe for signs of internal bleeding

•

Get medical help

•

Check breathing and treat for shock

•

Avoid unnecessary movement

•

No food or fluids

What should you do?

•

You are slicing carrots and cut off the end of your finger---

-

What should you do??????

What Should You Do?

•

You are watching TV with your parents. Suddenly your

father c/o

•

Severe chest pain radiating down his left arm

•

Shortness of breath

•

Lips are cyanotic

•

Skin is diaphoretic

•

What should you do?

SHOCK STATES

Inflammatory Response

•

INJURY 

(bacteria, physical trauma, heat) – injured cells

release chemicals (like histamine, kinins) – blood vessels

dilate and capillaries become leaky- injury attracts WBC’s

and phagocytes- dilation of blood vessels causes

increased blood flow to area ( ie. redness)- swelling

caused by fluid leaking out of capillaries

W

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16:4 Providing First Aid for Shock

•

Also called 

hypoperfusion

•

Can exist with any injury or illness

•

Shock: 

clinical set of signs and symptoms that are

associated with an 

inadequate

 supply of 

blood

 to body

organs, especially 

brain

and 

heart

•

Just 4-6 minutes of hyoperfusion can cause brain damage

•

Causes of shock

•

Can you name some???

Types of Shock

•

See Table 16-1 in text

•

A

n

a

p

h

y

l

a

c

t

i

c

•

Allergic reactions causing histamine release = massive

vasodilatation (hives, wheezing, coughing, chest tightness)= give

epinephrine

•

C

a

r

d

i

o

g

e

n

i

c

•

Heart can not pump

•

H

e

m

o

r

r

h

a

g

i

c

•

Excessive blood loss

•

R

e

s

p

i

r

a

t

o

r

y

•

Gas exchange is altered

(

continues

)

Types of Shock

•

P

s

y

c

h

o

g

e

n

i

c

•

Severe emotional distress- anger, fear, grief cause dilation of

blood vessels (fainting)

•

S

e

p

t

i

c

•

Infections or poisoning causing severe vasodilatation

•

M

e

t

a

b

o

l

i

c

•

Causing changes in normal balance or homeostasis of the

body

•

Loss of fluids from extreme 

vomiting

, 

diarrhea

, and 

heat

•

N

e

u

r

o

g

e

n

i

c

•

Sympathetic nervous system can’t control the size of blood

vessels

•

Injury and/or trauma to the spinal cord, general anesthesia,

Signs and Symptoms of Shock

•

S

k

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p

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b

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-

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•

Diaphoresis

•

R

a

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•

Respirations rapid, shallow, and may

be irregular

•

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)

(

continues

)

Signs and Symptoms of Shock

(

continued

)

•

G

e

n

e

r

a

l

w

e

a

k

n

e

s

s

•

Anxiety and extreme restlessness

•

Excessive thirst

•

Nausea and/or vomiting

•

Blurred vision or changes in appearance

of eyes

Treatment for Shock

•

Goals of treatment- Shock states are life threatening

•

S

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K

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*

*

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Shock

•

Positioning of victim

•

Best position is supine with legs elevated 12 inches

•

DO NOT

 move Pt if neck or  spine injuries are suspected unless pt

in danger

•

Put on side if mouth bleeding or vomiting

•

Raise head and shoulders if respiratory problems

•

Maintain body temperature

•

 cover the  victim  with blankets to prevent chilling and exposure to

cold– avoid overheating the victim

•

Avoid food or drink

•

D

O

N

O

T

G

I

V

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a

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First Aid for Shock

•

Other principles of care-

•

S

t

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b

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!

•

Check the scene

•

Move victim only if absolutely necessary

•

C

A

L

L

9

1

1

•

Provide care to the victim

•

Control bleeding

•

Observe for signs of shock

First Aid for Shock

•

T

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•

Control bleeding by applying pressure to sites

•

Provide O2 if possible

•

Attempt to ease the pain through position

changes and comfort measures

•

Give emotional support

Poisoning

16:5 Providing First Aid for Poisoning

•

Poison: any substance that causes a 

harmful reaction to

the outside or inside of the body

•

Immediate action is needed

•

First aid varies depending on 

type of poison

, 

injury

involved, and the 

method of contact

•

Are they breathing? Are they breathing but unconscious?

Ways Poisoning Occurs

•

Ingesting various substances

•

Inhaling poisonous gases

•

Injecting substances

•

Contacting the skin with poison

First Aid for Poisoning

•

I

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w

a

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•

Immediate attention before what occurs??

•

 Call poison control center (PCC), 911,  or go to ER immediately

•

Save the label or container to give to PCC or MD

•

How much was ingested?

•

Save a sample of vomitus if patient happens to vomit

•

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o

•

DO NOT INDUCE VOMITING on a unconscious  victim!!

•

Some instructions by PCC may be to tickle back of throat, give

warm saltwater to drink, syrup of ipecac/water (can be kept in first

aid kit),activated charcoal

First Aid for Poisoning Victim

•

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•

If entering area- take deep breath- try to hold breath while

rescuing patient

•

Remove victim from the area

•

Check for adequate breathing

•

Provide artificial respiration if necessary

•

Call for help--- 911

First Aid for Poisoning Victim

•

I

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1

5

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2

0

m

i

n

•

Will help to dilute the substance

•

Remove any contaminated clothing

•

Call Dr. or seek medical attention ASAP or PCC

First Aid for Poisoning Victim

•

Contact with poisonous plants

•

Wash well with water and soap

•

If rash develops– apply Calamine or Caladryl lotion as directed

Poisonous Plants

https://youtu.be/1kg-SG-WQTM

Poison Ivy

Poison Oak

Poison Sumac

Poison Ivy Rash

First Aid for Poisoning Victim

•

I

f

p

o

i

s

o

n

i

n

g

b

y

i

n

j

e

c

t

i

o

n

•

Occurs when an insect, spider, or snake bites or stings

•

Remove the stinger if possible

•

Wash the area well with water and soap

•

Apply sterile dressing and cold pack to help reduce swelling

First Aid for Poisoning Victim

•

T

i

c

k

s

•

Wash area with water and soap

•

Apply antiseptic

•

Monitor for signs of infection

•

Seek medical attention

First Aid for 

Poisoning

 Victim

•

 Restrict movement –keep affected area below heart level     to

reduce the flow of venom

•

Wash wound

•

 Remove rings or constricting items

•

Monitor pulse, rate of breathing, and blood pressure -- if

possible. Signs of shock , lay the person flat, raise the feet

about a foot, and cover the person with a blanket

•

Get medical help right away.

•

Do not waste time hunting for the snake

•

Call MD, seek medical advise

First Aid for Poison Victim

•

Don't use a tourniquet or apply ice (tissue damage, frost

bite)

•

Don't cut the wound or attempt to remove the venom

(infection, damage to underlying tissue)

•

Don't try to capture the snake-try to remember color and

shape so that you can describe it

First Aid for Poisoning Victim

•

For any type of injection poisoning---

•

Watch for allergic reactions and or anaphylactic

shock

•

Monitor airway

•

Call for medical assistance ASAP

•

Reassure patient throughout

•

REVIEW- What are the signs of an

allergic/anaphylaxis reaction?

Watch for :

•

Redness at site

•

Swelling or edema at site

•

Itch

•

Hives

•

Pain

•

Swelling of throat

•

Dyspnea

•

Dizziness

•

Changes in LOC

•

hypotension

Burns

16:6 Providing First Aid for Burns

•

Injury caused by fire, heat, chemical agents,

radiation, and/or electricity

•

Classifications of burns

•

S

u

p

e

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f

i

c

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a

l

–

f

i

r

s

t

d

e

g

r

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b

u

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n

•

 least severe type of burn

•

Involves only the top layer of skin

•

Skin is red or discolored, mild swelling or pain

•

Most common cause of sunburn

•

 brief contact with steam or hot object

Classifications of Burns

•

P

a

r

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n

•

Involves injury to the top layers of skin

•

Blister will form

•

Skin is red with mottled appearance, painful, may take 3-4 weeks to

heal

•

Common causes—excessive sub exposure, sunlamp, radiation,

contact with hot or boiling liquids, fire

•

F

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Most severe burn

•

Injury to all layers  and underlying tissue

•

White and or charred appearance, very painful or painless if nerves

damaged

•

Can be life threatening—if infection, shock develops

Treatment Objectives

•

Remove source of heat

•

Cool the skin

•

Do not use ice– may cool skin excessively

•

Cover the burn

•

Relieve pain

•

Observe for and treat shock

•

Prevent infections

Treatment

•

Medical treatment--Usually not required for superficial

and mild partial-thickness burns

•

Rules for when to treat

•

If more than 15 % of the body is burned (adult) or 10% of a

child’s body

•

R

u

l

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o

f

N

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s

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f

i

g

u

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e

1

6

:

2

6

p

.

4

9

0

•

Seek Dr if burns affect face or respiratory tract

•

Burns cover more than one body part

•

Less than 5 or greater than 60 years old

(

continues

)

Treatment

•

All full-thickness burns require

medical treatment

•

How to treat superficial and mild partial-thickness

burns

•

Cool area with large amounts of cool water

•

 dry with sterile gauze

•

Apply sterile dressing

•

Use non-adhering dressing to area

Treatment

•

How to treat severe partial- or

full-thickness burns

•

Call for help immediately

•

Cover with a sterile dressing

•

Elevate affected areas

•

Do no allow victim to walk

•

Do not remove any clothing that may be attached to the burn

•

Watch for sign of shock/ respiratory distress until medical help

arrives

•

How to treat when chemicals splashed

on skin

•

How to treat eyes burned by chemicals

or irritating gases

Chemical Burns

•

How to treat when chemicals splashed

on skin

•

U

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u

t

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s

•

Remove any clothing or jewelry that may still have chemical

•

Watch for signs of shock/respiratory  distress until help arrives

Eyes

•

How to treat eyes burned by chemicals

or irritating gases

•

Flush the eyes with large amounts of water 15-30 minutes

•

Caution not to drain water into the unaffected eye if only one is

affected

•

Flush from the inner to outer eye

•

Watch for signs of shock/ respiratory distress until medical help

arrives

Summary

•

Loss of body fluids can occur very quickly with severe

burns

•

Shock is common in burn victims

•

Be alert and know the signs of shock

•

 remain calm- reassure patient-

•

Call for help ASAP

Heat Stroke

16:7 Providing First Aid

for Heat Exposure

•

Overexposure to heat may cause a chemical

imbalance in the body

•

Occurs when water and salt are lost through

perspiration

•

Also occurs when body cannot eliminate excess heat

Heat Cramps

•

Muscle pains and spasms

•

As a result of water and sodium loss

•

Caused by exposure to heat

•

Loss of water and salt

•

Through perspiration

•

Apply firm pressure on cramped muscle to provide

relief

•

Provide rest and move to cooler area

•

Small sips of water or electrolyte solution (e.g., sports

drink)

Heat Exhaustion

•

Occurs when exposed to heat with loss

of fluids through sweating

•

Excessive exposure to heat or high external

temperature

•

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Signs and symptoms

•

Pale and clammy skin

•

Excessive sweating

•

Headache

•

Muscle cramps

•

Nausea and cramps

•

Fainting  and or dizziness

First Aid for Heat Exhaustion

•

First Aid Care

•

Move to a cooler area

•

Loosen clothing

•

Apply cool- wet cloths

•

Lay the patient down and elevate feet 12 inches

•

Give sips of cool water or a sports drink

•

Watch for shock/ respiratory distress and call for help if

condition worsens

Heat Stroke

•

Prolonged exposure to higher than normal

temperatures

•

Temperature greater that 105F or  40.6 C

•

Medical emergency—needs immediate care and

attention

•

B

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Signs and symptoms

•

First aid care

First Aid for Heat Stroke

•

Signs and symptoms

•

High temperature

•

Red, hot, flushed skin

•

Rapid pulse

•

May lose consciousness

•

First aid care

•

Geared at cooling the body

•

High temp will lead to convulsions

•

Cool  sponge bath

•

Ice or cold packs to groin, armpits

•

Call for medical help ASAP

Cold Exposure

16:8 Providing First Aid

for Cold Exposure

•

Exposure to cold temperatures can cause body

tissues to freeze and body processes

to slow down

•

Needs immediate attention

•

Degree of injury affected by wind velocity, amount of

humidity, and length of exposure to cold

Hypothermia

•

When body temperature is less than

95ºF (35ºC)

•

Caused by prolonged exposure to cold

•

Signs and symptoms

•

Shivering

•

Numbness

•

Weakness or drowsiness

•

Confusion

•

LOC

•

Death can occur if body processes become too slowed

down

•

First aid care

•

Warm up the victim---slowly

•

Remove any wet clothing

•

Warm beverage if patient is conscious and able to swallow

•

Bair hugger devices

Frostbite

•

Freezing of tissue fluids with damage

to the skin and underlying tissues

•

Caused by exposure to freezing or

below-freezing temperatures

•

Early signs 

and symptoms

•

Redness

•

Tingling

•

Other signs and symptoms as frostbite progresses

•

Pale, glossy skin

•

Blisters

•

White- grayish color

•

Pain

•

LOC and death

(

continues

)

Frostbite

•

Objectives of first aid

•

Directed at maintaining respirations

•

Treating shock

•

Warming body

•

Preventing further injury

•

Common sites: fingers, toes, ears, nose, cheeks

•

First aid care

•

Assess for signs and symptoms of shock

and treat as needed

Bone and Joint Injuries

Anatomy Review

•

Bones provide framework for muscles and tendons

•

Bone is living tissue containing nerves and blood supply

•

Red marrow---sternum, ribs, vertebrae humerus, femur----

RBC’s, Plts, some WBC’S

•

 Muscle is directly attached to bone by 

tendons 

(tough,

fibrous connective- tissue cords)--- move bone

•

Ligaments 

fibrous connective tissue connect bones to

bones to hold structures together and provide stability

16:9 Providing First Aid

for Bone and Joint Injuries

•

Frequently occur during 

accidents

 or 

falls

 with variety

of injuries

•

Examples: fractures, dislocations, sprains, and strains

•

May have 

more than

 one type of injury to bones and

joints at the same time

Fracture

•

Break in the bone

•

Closed or simple fracture

•

A bone break that is not accompanied by an external or open

wound of the skin

•

Open or compound fracture

•

Broken bone ends penetrate through skin

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Sign & Symptoms

•

Signs and symptoms

•

Deformity (compare to uninjured limb; shortening, rotation,

angulation)

•

Limited motion or loss of (guarding but not always with minimal

tissue damage)

•

Free Movement

•

Pain & tenderness at the site (point tenderness)

•

Swelling ,bleeding & discoloration (can mask break)

•

Protrusion of bone ends through the skin

•

Hearing a  “snap”

•

Crepitus (grating or grinding sensation sometimes even heard)

•

Abnormal movement of the area

•

Objectives of first aid

•

Seek a doctor whenever a fracture is suspected

Dislocation

•

The 

end of the bone is 

displaced

 from

a joint or 

moved out 

of its normal position 

within

 a joint

•

Tearing or stretching of ligaments, muscles, and other

soft tissues also frequently occurs

•

Fingers, shoulder, elbow, knee

•

Signs and symptoms

•

Deformity

•

Limited or abnormal movement

•

Swelling & discoloration

•

Pain & tenderness

•

numbness

•

First aid care

•

Seek medical attention, sometimes reduces on its own

•

Immobilize affected part in place it was found (sling, splint)

Sprain

•

Injury to tissues surrounding a joint

•

Occurs when 

the joint 

is twisted or stretched beyond its normal

ROM

•

Ligaments stretched or torn

•

Common sites: ankles, knee, and wrists

•

Signs and symptoms

•

Swelling, ecchymosis

•

Pain & discoloration (point tenderness)

•

Impaired motion may also occur

•

Sprains frequently resemble fractures or

dislocations—treat as fracture if any doubt

First Aid for Sprain

•

Apply cold pack to reduce swelling

•

Elevate the affect area

•

Encourage rest of joint

•

Apply elastic bandage for support

•

Seek medical evaluation if the patient has sever swelling,

pain or a fracture is suspected

Strain

•

Overstretching of a muscle

•

Caused by overexertion or by lifting

•

Frequent site: back

•

Signs and symptoms

•

Sudden pain

•

Swelling

•

bruising

•

First aid treatment

•

Rest

•

Cold pack application

•

Warm pack after cold reduces swelling

•

Seek medical evaluation

Assessment

•

Perfusion, motion, sensation?

•

Distal pulse, Cap refill, temp

•

Many important blood vessels and nerves are close to

bone= injury can cause blood vessel or nerve injury

•

Manipulation of bone fragments can to press against or

impale a nerve or vessel

Splints

•

Devices to immobilize injured parts

•

Many types of splints are available

•

Pneumatic or air splints

•

Padded boards

•

Traction splints

•

Splints can also be made from cardboard, newspapers,

pillows, boards, etc.

(

continues

)

Splints

(

continued

)

•

Need to be long enough to immobilize the

joint above and below the injured area to prevent

movement

•

Should be padded

•

Tied in place

•

Apply as not to create pressure on affected area

•

If open wound, control bleeding before applying splint

(

continues

)

Splints

(

continued

)

•

Never attempt to reposition bone

•

Do not move the victim

•

Must splint before moving victim

•

Observe precautions when using

pneumatic splints

•

Traction splints

•

Special devices that provide pulling or traction effect on the

injured bone

•

Commonly used for fx of femur

Circulation Check After Splint

•

Verify that the splints are not too tight

•

Check skin temperature

•

Check color

•

Note swelling or edema

•

Numbness or tingling

•

Check pulse

•

If circulation impaired, immediately loosen the ties

Slings

•

Commercial slings

•

Triangular bandages

•

Use: support arm, hand, forearm,

and shoulder

•

Positioning of sling

•

Hand should be slightly higher than that elbow

•

Helps with circulation, pain and edema

(

continues

)

Slings

(

continued

)

•

Check circulation

•

Check for  skin color, temp, edema, pain numbness or tingling

•

Nail bed check

•

Limit movement of limb

•

If using knots

•

Placement

•

Padding

•

Considerations for shoulder injury

•

Keep arm close to the body

•

Additional strap can be placed to keep arm against the body

•

https://youtu.be/Ot7c3syPtr4

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Avoid any movement of victim if at

all possible

•

Wait for backboard, cervical collar, and adequate help to

arrive for transfer

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Injuries to these areas involve a great deal of:

•

Pain

•

Anxiety

•

Discomfort

•

First Aid

•

Check for LOC– assess airway, breathing & circuation

•

Call EMS

•

Move only if NECESSARY

•

Reassure patient that help is on the way

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For the most part—

•

Treatment for burns, bleeding, wounds, poisoning, and

fractures is basically

the same

•

Injuries to specific body parts require special care

•

Examples: eyes, ears, nose, brain, chest, abdomen,

and genital organs

E

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I

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•

Always involves danger of vision loss

•

Best to avoid giving major treatment

•

Obtain help of a specialist

•

Foreign objects in the eye

•

dirt, dust small particles can easily enter the eye

•

Will cause irritation, and can scratch the eye

S

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B

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•

Redness

•

Burning sensation

•

Watering or tearful eyes

•

Presence of a floating object in the eye

•

TREATMENT

•

Wash the eye with lots of water

•

Pull the upper lid over the lower lid to stimulate tearing and

wiping action

•

Raise eyelid, pt look down, flush, or remove with sterile gauze

•

Remove the FB when possible

•

DO NOT ATTEMPT TO REMOVE if it is embedded or you are

not able to see it

E

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-

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c

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d

•

Blows to the eye

•

Caused by  fist, accidents or explosions

•

May cause contusions, and other internal bleeding

•

May lead to loss of vision

•

Penetrating injuries that cut eye tissue

•

Are very dangerous!!

•

D

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Loosely

 apply dressing if possible and get to an ER ASAP

•

Paper cup with hole to stabilize impaled object

•

Lie flat if possible

•

B

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•

Can result in rupture or perforation

of eardrum

•

Torn or detached tissue

•

 apply sterile dressing and apply light pressure to control any

bleeding

•

Ruptured or perforated eardrum

•

Place sterile gauze in the outer ear canal

•

Do not put any liquids in the ear

•

Clear fluid or blood-tinged fluid draining from ear

E

a

r

I

n

j

u

r

i

e

s

•

Clear fluid or blood-tinged fluid draining from ear

•

 can be a sign of  skull or brain injury

•

Allow the fluid to flow out

•

Keep the patient lying down on the unaffected side

B

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s

B

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•

Wounds and blows to head and skull can cause brain

injury

•

Seek medical help quickly as possible

•

Signs and symptoms

•

Clear fluid coming from the nose or ears

•

LOC

•

Headache

•

Visual disturbances

•

Unequal pupil size

•

Convulsions

•

N & V

•

Battles sign--skull fracture—several

days later

F

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•

Keep patient lying down and watch for shock

•

If no neck injury – you may slightly elevate the head

•

Watch for signs of respiratory distress

•

Do not give anything by mouth

•

Continue to watch for changes in LOC and report all

findings to the EMS team

N

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N

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•

Epistaxis is the medical word for nosebleeds

•

Nosebleeds are usually more frightening

than serious

•

Causes of nosebleeds

•

 changes in altitude

•

Strenuous activity

•

HBP

•

Rupture of small vessels after a cold

•

First aid care

F

i

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t

A

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f

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E

p

i

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t

a

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s

•

Treatment

•

Keep patient calm

•

Keep in a sitting position– with head slightly forward

•

Apply pressure toward the midline

•

If pressure does not stop the bleeding– you may insert a gauze into

the affected nostril

•

Cold compresses to the bridge of the nose are helpful

•

Seek medical evaluation if bleeding persists or if a fx is suspected

C

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•

Usually medical emergencies

•

Involve heart, lungs, and major vessels

•

Sucking chest wound

•

A deep open chest wound allowing air flow in

and out with breathing

•

The partial vacuum present in the pleura is

destroyed and the lung will collapse

•

Place an air tight dressing to the site and

immediate medical evaluation is needed

C

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t

I

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j

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i

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s

•

Penetrating injuries to the chest

•

Can result in sucking chest wounds

•

If an object is the cause– do not remove it!!!

•

Place the victim in a comfortable position

•

Assess ABC’s and call 9111

•

Crushing injuries to the chest

•

 caused by car accidents or by heavy objects

•

May cause damage to ribs, lungs and heart

•

Elevate head and shoulders if no spine injury

•

Assess ABC’s

•

Call 911 immediately

•

https://youtu.be/EHSeFm89EoM

A

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Abdominal Injuries

•

Can cause damage to internal organs

and bleeding in major blood vessels

•

Intestines and other abdominal organs

may protrude from open wound

•

Medical emergency

•

Bleeding, shock, and damage to organs

can be fatal

Signs & Symptoms of Abdominal Injuries

•

Severe abdominal pain

•

Protruding organs

•

Open wounds

•

Nausea and vomiting

•

Muscle rigidity

•

Shock symptom

First Aid of Abdominal Wounds

•

Position patient on his/her back– supine

•

Elevate head  & shoulders

•

Place a rolled blanket or pillow under knees

•

Place moistened gauze over the wound– preferably with

normal saline or sterile water

•

Warm tap water maybe used if sterile supplies are not

available

•

 cover with towel and maintain area warm

Genital Organs

I

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O

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•

Result of falls, blows, or explosions

•

Can cause severe pain, bleeding, and shock

•

First aid care is indicated to:

•

Contain bleeding

•

Control pain

•

Assess and treat for shock as indicated

F

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P

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•

Assess and treat for shock

•

Do not remove any penetrating objects

•

Cover affect areas with moist dressings as you would with

abdominal injuries

•

Collect and save any torn tissue (on ice) to the medical

facility  for evaluation and possible reattachment

Sudden Illness

•

Topics for discussion:

•

Heart attack

•

Syncope

•

Convulsions

•

Diabetic reactions

1

6

:

1

1

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•

Can be difficult to determine exact illness

being experienced

•

Base care on signs and symptoms

•

Information from victim if possible

•

Look for medical alert bracelets or

necklaces or medical cards

H

e

a

r

t

A

t

t

a

c

k

•

Known by other names as coronary thrombosis, coronary

occlusion, or myocardial infarction

•

Occurs when there is blockage in one

or more coronary arteries

•

If heart stops, start CPR

•

Signs and symptoms

•

First aid care

H

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s

•

Pain – can be radiating to arms ,neck, jaw can

shoulders

•

Intense shortness of breath

•

Pallor of skin– especially the lips, nail beds

•

Weakness

•

Nausea and/ or vomiting

•

Diaphoresis

•

Eventual LOC

F

i

r

s

t

A

i

d

f

o

r

a

H

e

a

r

t

A

t

t

a

c

k

V

i

c

t

i

m

•

Place in comfortable position

•

Call for help-- 911

•

Assess for  breathing and for symptoms of shock

•

Reassure victim that help is on the way

•

*

*

*

i

t

i

s

r

e

c

o

m

m

e

n

d

e

d

b

y

t

h

e

A

H

A

t

h

e

p

a

t

i

e

n

t

s

a

r

e

g

i

v

e

n

a

n

a

s

p

i

r

i

n

t

o

p

r

e

v

e

n

t

p

l

a

t

e

l

e

t

a

g

g

r

e

g

a

t

i

o

n

Cerebral Vascular Accident-

CVA / Stroke

C

e

r

e

b

r

o

v

a

s

c

u

l

a

r

A

c

c

i

d

e

n

t

•

Also called stroke, apoplexy, or

cerebral thrombosis

•

Causes of stroke

•

Clots or a bleed in the brain

•

S

i

g

n

s

a

n

d

s

y

m

p

t

o

m

s

•

Numbness

•

Paralysis

•

Unequal pupils

•

Confusion

•

Slurred speech

•

N  & V

F

i

r

s

t

A

i

d

f

o

r

S

t

r

o

k

e

•

Call for help 911

•

Aimed at monitoring respirations

•

Position- supine

•

Elevate  head slightly and turn head to allow for

drainage of secretions

•

Reassure patient

•

Treatment in an ER with interventions in less than 3

hours from the onset of symptoms can prevent

extensive brain damage and recovery

S

y

n

c

o

p

e

S

y

n

c

o

p

e

/

F

a

i

n

t

i

n

g

•

Temporary reduction in supply of blood

to brain

•

Early signs and treatment

•

dizziness

•

Pallor

•

N & V

•

Diaphoresis

•

Numbness  & tingling

•

If victim loses consciousness, try to

prevent injury

•

Obtain medical help if recovery not prompt, there are

other injuries, or fainting reoccurs

F

i

r

s

t

A

i

d

f

o

r

F

a

i

n

t

i

n

g

•

Postion– supine with legs elevated

•

Assess for breathing

•

Loosen clothing

•

Moisten face with cool cloths

•

Assess for other injuries

•

Allow for complete recovery before allowing patient to

stand

•

Transition positions slowly

C

o

n

v

u

l

s

i

o

n

s

/

S

e

i

z

u

r

e

s

C

o

n

v

u

l

s

i

o

n

s

•

Type of seizure—strong involuntary contraction of

muscles

•

Causes

•

Hyperthermia

•

Head injury

•

Brain diseases- tumors

•

epilepsy

C

o

n

v

u

l

s

i

o

n

s

•

S

i

g

n

s

a

n

d

s

y

m

p

t

o

m

s

•

Body muscles become rigid

•

Jerky movements

•

May stop breathing

•

Loss of bladder and bowel control

•

Cyanosis of skin

•

Confusion and disorientation

•

headache

F

i

r

s

t

A

i

d

f

o

r

C

o

n

v

u

l

s

i

o

n

s

•

Directed at preventing injury

•

Do not place anything in mouth

•

Do not force or stop movements

•

Assess for saliva/vomit– postion head to the side