24 terms

BPOC Emergency Medical Assistance

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Assessment Principles
1. Make sure location is safe for and patient
2. Conduct primary survey
3. Airway (ensure open airway)
4. Breathing (maintain airway, rescue breathing)
5. Circulation (bleeding)
Controlling bleeding
1. Cover wound with dressing an apply direct pressure
2. Elevate injured limb above heart
3. Apply bandage and additional dressing, as necessary
4. Use arterial pressure if direct pressure fails to stop bleeding
5. Get medical help
Current assessment principles (AHA)
1. Make sure the scene is safe
2. Check for responsiveness
a. child & adult; tap on shoulders and ask the patient are you okay
b. Infant; tap on bottom of feet and speaks
c. Use CAB instead of ABCS
1. compressions
2. Airway
3. Breathing
Treating Burns
1. Stop the burning
2. Cool the burn- use large amounts of cool water
3. Cover the burn- dry, sterile dressings or clean cloth
4. Get medical help
Treating shock
1. Having victim lie down
2. Control bleeding
3. Elevate legs(unless head , spinal injuries, hip or leg injuries are suspected)
4. Reassure victim
5. Do not give food or drink
6. Get medical help
Treating broken bones and severe sprains
1. Determine the type and location of injury
2. Swelling
3. Bruising
4. Inability to move affected part normally
5. Protruding bone grating or heard a snap or pop at time of injury
6. Cold feeling or numbness at site of injury
7. Immobilize affected
8. Splint, if necessary
9. Get medical help
Treating poisoning
1. Chemical poisoning by contact- flush w/water
2. Chemical poisoning by ingestion
a. identify the poison
b. check breathing, pulse and level of consciousness
c. Contact poison control center- do not give anything to eat or drink unless instructed to by medical personnel
d. Get medical help
3. Snake bike- poisoning by injection
a. Wash wound
b. Keep the bitten part still, and keep it lower than the victim heart
c. Get medical help
Heat- related illness
1. Get victim out of heat
2. loosen tight clothing
3. remove perspiration- soaked clothing
4. apply cool, wet cloths to the skin
5. cool the victim
6. if the victim is conscious, give them water to drink
7. Get medical help if victim is vomiting, unable to drink, or loses consciousness
Cold related illness
1. Care for life threatening problems
2. Move victim to a warm place
3. Remove wet clothing and dry victim
4. Warm victim slowly
5. Get medical help
Choking Responsive child or adult
1. Place thumb side of fist against middle of abdomen, just above naval
2. Grasp fist with other hand
3. Give quick, upward thrusts
Choking Responsive Infant
1. Place baby face down on your forearm while supporting baby's head
2. Deliver five palm/ heel strikes to the upper back
3. Rotate baby on his back on your forearm while supporting babies head
4. Place two fingers below an imaginary line connect baby nipples
5. Give five chest thrust to infant
6. Repeat process until infant expels the obj or goes unresponsive
Choking Unresponsive child or adult
1. cps steps
2. give chest compressions
3. give ventilations
a. visually look into mouth to see i obstruction is there
b. do not blind finger sweep
Rescue breathing
1. Tilt head back and lift chin
2. pinch nose shut
3. give two slow breaths
4. Use abdominal thrust
5. Check for pulse
6. Give one slow breath every 5 secs for one minute
7. Recheck pulse breathing about every minute
8. Continue rescue breathing as long as a pulse is present even if the victim is not breathing
Diabetic coma
Transport victim to a medical facility immediately
Insulin shock
1. Conscious patient
a. adminters sugar under tongue or orange juice
2. Unconscious patient
a. avoid giving liquids
b. provide a sprinkle of sugar under tongue
c. turn head to the side or place on side
d. transport medical facility
Stroke
1. Maintain an open airway
2. Keep patient a rest
3. protect all paralyzed parts
4. Provide emotional support
5. Head neck and shoulders slightly elevated. Turn slightly to side for drainage
6. Do not allow patient to become overheated
7. Monitor patient; shock or respiratory or cardiac arrest are possible
8. Get medical help
Seizures
1. Place patient on floor or ground
2. Loosen restrictive clothing
3. Do not try to hold patient from injury
4. After convulsions have passed, keep patient at rest
5. Position head for drainage in case of vomiting
6. If it is patients first attack, alert EMS
a. patient is aware of problem, ask if you can call a doctor for them
b. patient has the right to refuse further care
Elements of CPR
CAB
1. clear the airway
2. Breathe for victim
3. Maintain circulation by chest compression
Emergency aid procedures for childbirth
1. first responders job is to assist the mother in the delivery of the baby
2. support the babys head
3. assist in birth of the upper shoulder
4. support the body and feet
5. clear the airway
6. if the baby is not breathing, encourage to breathe, (CPR may be necessary)
7. Get medical help
Types of communicable diseases generally encountered by first responders
1. HEP B
2. AIDS/HIV
3. Viral diseases
4. Other communicable diseases
Universal precautions
1. avoidance
2. gloves
3. masks
4. googles
5. Washing after exposure
6. Testing after exposure
7. treat all persons as if infected
Ground transportation
1. stabilize
2. Protective equipment; straps, head position
3. other related topics
Water transportation
1. stabilize
2. Protective equipment
3. How to approach a boat
4. Boating hazards
5. Other related topics
Air transportation
1. Stabilize
2. protective equipment
3. other related topics