b. Severe Hypothermia – patient may become unresponsive.
Signs and Symptoms:
Extremely slow breathing rate.
Extremely slow pulse rate.
Fixed and dilated pupils.
Absence of shivering
Check ABC (CPR if needed).
Care for shock
Refer to a physician
B. Heat Emergencies Mechanism of Heat Loss
Convection - Body heat is lost to surrounding air.
Respiration - Occurs when one breathes in cold air and
breathes out air warned inside the body.
Radiation - Body heat is lost to nearby objects without
physically touching them.
Conduction- Body heat is lost to nearby objects through
direct physical touch.
Evaporation- Body heat causes perspiration, which is lost
from the body surface when changed from
liquid to vapor
General types of Heat Emergencies
1. Heat Cramps
- a muscular pain and spasm due largely to loss of salt from the body.
Signs and Symptoms
Muscle cramps, (abdomen or legs)
Have victim rest with feet elevated 8-12’’
Cool the victim.
Give the victim electrolyte beverages / salted drink to sip.( every 15 mins ½ cup)
Massage affected muscles gently & firmly until they relax.
2. Heat Exhaustion
A response to heat characterized by fatigue, weakness, and collapse due to inadequate intake of water to compensate for loss of fluids through sweating
Signs and Symptoms
Cool, pale or red, moist skin
Have victim rest with feet elevated 8-12 “
Cool the victim.
Give the victim electrolyte beverages / salted drink to sip.(every 15 mins ½ cup)
Monitor the victim for signs of shock
If victim starts having seizures, protect from injury and give first aid for convulsions
If victim loses consciousness, give first aid for unconsciousness.
Heat Stroke or Sunstroke
A response to heat characterized by extremely high body temperature and disturbance of sweating mechanism.
Signs and Symptoms
Raised body temp ( 102 °F).
Dry, hot red skin,
Rapid, shallow breathing,
Cool the victim. (no alcohol rub)
Give First Aid for shock.Lay the victim flat and elevate hisher legs 8-12 inches.
If the victim starts having seizures, give first aid for seizures.
Keep the victim cool as you await medical help.
Prevention of Heat Emergencies
Avoid exposure to direct rays of sun.
Wear proper clothing.
12-15 glasses a day, together with extra salt.
Exposure to air currents from fans or open windows.
Don’t underestimate seriousness of heat illness especially if victim is a child, elderly, or injured.
Don’t give victim liquids that contain alcohol or caffeine.
Don’t give victim over-the-counter medications that are used to treat fever.
Don’t give victim salt tablets.
Don’t overlook possible complication resulting from the victim’s ongoing medical problem.
6. For heatstroke – don’t give victim any thing by mouth – not even salted drinks.
How to Cool a Victim of Heat Illness
Move the victim into the shade, into a cool room, or to air-conditioned building or car.
Spray the victim with hose, or pour a bucket of water over him or her (not in the face).
Wrap the victim in wet towels or sheets, then turn on a fan.
Place cold compresses on the victim’s neck, groin, and armpits.
5 . Heat stroke - immerse victim in cold water
(bath, lake, stream),if medical help is not
immediately available, but only if you can
carefully monitor level of alertness and ABC’s).
6.Once temp is to 100 ° F, ease up cooling
efforts, but keep checking the temp every ½ hr.
for next 3 - 4 hrs .
Stroke Cerebrovascular Accident(CVA) - is a condition that occurs when the blood flow to the brain is interrupted long enough to cause damage. People over 50 are the most common victims, but younger people can have them too.
Causes 1. Thrombus or Embolism 2. Ruptured artery in the brain due to: - head injury - high blood pressure, - a weak spot in the wall of the blood vessel (Aneurysm) -fat deposit lining a vessel (Atherosclerosis) 3. Compression of an artery in the brain - brain tumor - inborn anomalies
EMBOLISM RUPTURED ARTERY
Signs and Symptoms -weakness and numbness of the face, arm, or leg often on one side only. - dizziness, - confusion, -headache -ringing in the ears -a change in mood -difficulty in speaking, breathing and swallowing -loss of bowel and bladder control
First Aid Management Check the victim’s ABC’s. Have the victim rest in a comfortable position. Seek immediate medical help. Do not give the victim anything by mouth. If unconscious, place in a recovery position and administer first aid for unconsciousness. Continue monitoring his ABC’s Stay with victim until you have medical help.
What is Diabetes?
Diabetes mellitus is a condition that affects the way the body uses food. It causes the sugar level in the blood to be too high (hyperglycemia).
Fats, starches, sugars & other foods
Carried by the blood to the cells
(Produced by pancreas – beta cells of the islets of Langerhans)
Serves as carrier of glucose to the cell
Glycogen Glucose Energy
TYPES OF DIABETIC EMERGENCIES
Insulin Shock - occurs when too much insulin is in the body. Too much insulin rapidly reduces the level of sugar (hypoglycemia) in the blood, and brains cells suffer.
taking too much medication
failing to eat
Signs and Symptoms
1. Fast breathing 6. Vision difficulties
2. Fast pulse 7. Sweating
3. Dizziness 8. Headache
4. Weakness 9. Numbness of extremities
5. Change in the level of 10. Hunger and consciousness anxiety
- happens when there is too much sugar (hyperglycemia) and too little insulin in the blood and body cells do not get enough nourishment .
C auses :
> eating too much sugar
> not taking prescribed medication
SIGNS AND SYMPTOMS
1. Drowsiness and confusion
2. Deep and fast breathing
6. A fruity smelling breath
7. A change of consciousness
Besides being aware of the different signs and symptoms listed, you can ask someone who is conscious these questions: “Have you eaten today?” and “Have you taken your medication today?” .
A. Someone who has eaten but has not taken his/ her medication maybe in Diabetic Coma .
B. Someone who has not eaten but has taken his/her medication maybe having an Insulin Reaction .
First Aid Management
1. In a diabetic emergency, it is possible to confuse signs & symptoms of insulin shock and diabetic coma. Since Insulin Shock is a true emergency that needs quick response, give any fully conscious victim in diabetic emergency sugar-candy, fruit juice, or a soft drink containing sugar.
2. If a victim is unconscious check his ABC’s and call for a physician.
3. A person/victim of diabetic coma also needs immediate transport to the hospital.
Seizure - is sudden involuntary muscle contraction, usually due to uncontrolled electrical activity in the brain. -in some cases, an individual can sense that a seizure is going to occur. -last 30-45 sec.
Stages Of Generalized Seizure Aura Phase Described as unusual smell or flash of light that lasts a split second. Tonic Phase 15-20 seconds of unresponsiveness followed by 5-15 seconds of extreme muscle rigidity. Clonic Phase 1-5 mins of seizure Post ictal Phase 5-30 mins to several hrs of deep sleep with gradual recovery.
Signs and Symptoms
1. Local tingling or twitching in one part of the body (focal seizure).
Once seizure have started, there is nothing you do to stop it. First aid is aimed at protecting the victim from injury and getting medical help as needed.
If you know the person has EPILEPSY, it is usually not necessary to call a physician unless:
a. seizure lasts longer than a few minutes.
b. another seizure begins soon after the first.
c. victim does not regain consciousness after
the jerking movement have stopped.
2. You should call a physician when someone having a seizure :
a. is victim is pregnant.
b. carries an identification as a diabetic.
c. is in the water and has swallowed large amount
First Aid ….
Some children have seizure when a high grade fever is rising or falling. These seizures are self-limited and pass relatively quickly.
First Aid Management - take child’s temp after seizure
- remove all clothes or bedclothes
- give child a sponge bath with lukewarm water
and turn on a fan.
- Stop if the child shivers.
- Child’s physician may give drug such as
-Notify child’s physician that a seizure
When to get help for Fever?
1. Fever is over 102 º F ( rectally for baby’s under 3 months).
2. Fever is accompanied by:
- difficulty of breathing
- unusual skin color (blue, gray purple)
- a rash of tiny red or purple dots under the skin
- stiff neck
- bulging fontanel (soft spot of the baby’s skull)
- sign of dehydration (sunken fontanel, little or no
urine,dry mouth, sunken eyeballs, severe thirst,
Causes: 1. Ruptured tubal pregnancy with concealed hemorrhage into the abdominal cavity. 2. Unusual bleeding at the vagina at any stage. 3. Convulsions associated with pregnancy. 4. Miscalculations in the anticipated delivery. 5. Premature onset of labor after an accident. 6. Delay in transportation. 7. Others factors Emergency Childbirth - when delivery occurs unexpectedly and you cannot get medical help in time.
Signs and Symptoms
1. If labor contraction are approximately 2 minutes apart.
2. If the woman is straining or pushing down with contractions.
3. If the woman is crying out constantly.
4. A warning from the woman that the baby is coming.
At home en route to hospital:
Assemble clean cloth, plastic bag or other materials
to protect bed clothes or car upholstery
Clean towels, one or two folded sheets
Set of sterile cord ties or sterilized shoelaces
New razor blade in protective paper
Receiving blanket for the baby
- Safety pins
MATERIALS NEEDED For a long trip
The mother should wear along nightgown or slip and
a robe (no underclothing) and place a sanitary napkin
or clean folded towel between her thighs if the bag of
water has ruptured or if the blood and mucous are
draining form the birth canal
- Take along a flashlight, if the trip will be at night
- Blanket and pillow
- Container of some sort for the after birth
1. Position of the patient.
2. Inspection of the
3. Delivery of the head.
4. Cutting of the umbilical cord.
5. Expulsion of the after birth (placenta).
6. Care after the delivery (mother and baby).
Natural Spontaneous Delivery
Possible Problems & Complications
1. Severe bleeding.
3. Umbilical cord problems - cord prolapsed
- cord coil
4. Second baby (twins).
5. Retained placenta.
6. Breech or shoulder
OTHER COMMON EMERGENCIES 1. Fever - a sustained body temperature above normal level of 37 °C(98.6 °F). Usual Causes: Bacterial or viral infection When to call a Dr. Temp of 40 °C (104 °F)
Signs and Symptoms Early stage: Pallor Chilled feeling As fever advances: Hot, flushed skin, and sweating Headache Generalized “aches and pains” Higher temperature
First Aid Make patient comfortable Give plenty of cool, bland drinks Give recommended dose of analgesics Call a doctor
may accompany any illness
may develop for no apparent reason
ranges from low-grade discomfort to blinding pain
When to call a Dr.
Develops very suddenly
Severe and incapacitating
Recurrent or persistent
Accompanied by loss of strength or sensation, impaired consciousness
Accompanied by stiff neck
Follows a head injury
First Aid Help patient sit or lie down comfortably. Give recommended dose of analgesics Call a doctor if pain does not ease within 2 hours
3. Abdominal pain pain in the abdomen often has a relatively trivial cause but can indicate serious illness . First Aid Make patient comfortable. Don’t give any medicines or anything to eat/drink. Give a hot- water bottle place against the abdomen. Call a doctor if pain does not ease within 30 mins
4. Vomiting and Diarrhea
c auses: food poisoning, contaminated
water, allergy, or unusual or exotic
may occur without the other
if both occur together there is an risk of dehydration