Annual First Aid UpdateWorking Together To Save Lives Presented by LISD Nurses
First Responders Who are first responders? What are the responsibilities of first responders? Initiate CPR immediately, while someone else is getting the AED Teachers Push button and call for help. Example: “This is an emergency! I have an unresponsive child!” Clear the classroom Yield to the nurse(s) Office staff- Call nurse, first responders and 911 if needed. If it is a diabetic emergency, the unlicensed diabetic care assistants will assist. Principals- Designate someone to wait for the ambulance and to direct the EMTs
Emergency First Aid Plan Know where your AED is! Know where the emergency equipment is located! Oral glucose gel, glucose tablets, CPR masks, CPR mouth barriers, suction Keep the Emergency First Aid Plan in your evacuation or crisis backpack/bucket and be familiar with it.
Emergencies cont’d Seizures All students must exit the classroom immediately Call the office immediately. Then the office will notify the school nurse, parent and call 911 if the seizure lasts longer than 5 minutes Stay calm and keep track of time Move any furniture or objects that could harm them Do not put anything in their mouths Following the seizure keep the airway open, place patient on their side Stay with the child until they are fully conscious
Emergencies cont’d Heat Illness Get victim out of the heat Loosen tight clothing Apply cool wet cloths to the skin, particularly the back of the neck, arm pits, and groin area Give cool water if victim is conscious. If victim is refusing water, has red, flushed DRY skin their condition is critical. You should have victim cooled any way you can and monitor breathing and pulse until medical help arrives
Emergencies cont’d Asthma Triggers: allergies, change in weather, animals, exercise, excitement, strong odors, dust Symptoms: Shortness of breath, wheezing, coughing Give a quick relief inhaler right away if available. Have the child sit down and try to keep them as calm as possible Asthma emergency- marked breathlessness, inability to speak more than short phrases, use of accessory muscles, or drowsiness Treat with inhaler if available Call 911 and start CPR if needed Contact parent/ guardian
Emergencies cont’d Diabetics Often will say “I feel like my blood sugar is low” Encouraged to check their blood sugar in the classroom when they feel low or are symptomatic Never send a student alone to the office if symptomatic or “feeling low” Signs of low blood sugar: feeling weak, looks pale, acts strangely, sweating. If you see these signs, they need something with sugar in it right away- Juice, candy, non diet soft drink If they are unconscious, do not give anything by mouth. Administer glucagon injection if available or rub cake mate gel or glutose15 between gum and cheek.
Emergencies cont’d Anaphylaxis What is an anaphylactic reaction? Causes: food allergies (especially peanuts), insect venom, medicines, latex Signs of allergic reaction: *Mouth: itching & swelling of lips, tongue or mouth *Throat: itching &/or tightness in throat, hoarseness, cough *Skin: itchy rash, hives &/or swelling in face or extremities *Gut: nausea, abdominal cramps, vomiting &/or diarrhea *Lung: shortness of breath, repetitive coughing &/or wheezing *Heart: “thready” pulse, fainting ALL or ANY of the above symptoms can progress to a life threatening reaction!
Emergencies cont’d Anaphylaxis Epipen When does the child need it? How do you administer it? Where is it located? Don’t wait to use it! EARLY use of epinephrine is best, especially when it’s beyond a rash or the mildest case of hives If it is given when it isn’t needed (false alarm), there is NO harm to the child.
Cardiopulmonary Resuscitation (CPR) Compression only CPR AED Heimlich maneuver
Field Trips What do you need to take on field trips or off-campus activities? Copy of Action Plans for students with asthma, anaphylaxis risk, diabetes, or seizures. Emergency First Aid Plan Cell phone First aid kit with emergency supplies (inhalers, epipens, diabetic supplies/snacks if traveling with a diabetic)
Field Trips cont’d Head and neck injuries If the student falls from a distance as great as or greater than their height and they aren’t moving, DO NOT move them. Maintain an open airway, check consciousness and breathing until help arrives