Emergency First AidThis presentation is a distilled version of an Instructor-led training event, which we hope you will find useful – we’ve left it in PPT format for you to download and edit as you wish, as we believe there’s no price for helping people in need.  Please contact us for details of our courses.www.sequentialmanagement.com
Course Outline Legislation & Training Requirements Responsibilities - What is expected of a 1st Aider? Accident Assessment – Environment & Casualty Basic Life Support (BLS) CPR (Cardio-Pulmonary Resuscitation) Trauma – Bleeding, Burns & FracturesShock
Course AimsTo be able to:Administer basic life saving skills
 Deal with common workplace injuries
 Manage a first aid incident effectivelyObjectivesBy being able to identify correct responses to:Emergency situations  Non-breathing casualty  Common workplace injuries
Emergency First Aid1. Introduction
What is First Aid?First Aidis the initial assistance or treatment given to someone who is injured or suddenly taken ill.
Principles of First Aid Preserve Life Prevent Condition from getting Worse Promote Recovery
Legal Requirements (UK) Health & Safety at Work Act 1974 First Aid at Work Regulations 1981 Approved Code Of Practice (ACOP)Industry Required Training Fully Qualified First Aid At Work Courses
 First Aid At Work Refresher Courses
 Appointed Persons First Aid TrainingTraining Requirements What to do in an Emergency Cardio-Pulmonary Resuscitation (CPR) Unconscious Casualty First Aid for Wounds and Bleeding
Stay  Within  Your  Training!You are not a Doctor or Pharmacist!
First Aider RoleAssess First Aid Situation Danger
Treatment RequiredAdminister First Aid  Correctly and effectively call the Medical Services.
Care with ConfidenceEvery casualty needs to feel secure and in safe hands. Create an air of confidence and assurance by:  Being in control of your own                           actions reaction to the problem.  Acting calmly and logically.  Being gentle but firm.  Speaking to the casualty kindly                                    but in a clear and purposeful way.
Signs & SymptomsSigns:Use your Senses See Feel Hear Smell
Signs & SymptomsSymptoms:Casualty Reported Sensations Pain Lack of Movement  Nausea
Age Group DefinitionsAdult – 7 years +Child – 2 months to 7 yearsInfant – Birth to12 months
The Golden HourIf the heart stops, Brain Damage can occur after just 3-4 minutes.
Personal Safety & Hygiene Physical danger Hepatitis B/C HIVRisk Management
Dynamic Risk Assessment Hazard Identification
 Risk Assessment – who is at risk
 Risk Control – control measures
 Risk Elimination
 Decision – Benefits
 Action / No ActionThe application of the risk management process during the activities we undertake will lead to the Safe Person Concept.
Dynamic Risk AssessmentEvaluateSelect  ActionProceedAssess  ActionConsider AlternativeYESRisks versus BenefitsDo Not ProceedRe-Assess ActionAdd Control Measures?NOYES(Based on: HM Fire Inspectorate 1998)
Personal Safety & Hygiene Hepatitis B/C HIV
Emergency First Aid2. Casualty Assessment
Emergency CallOn the scene of an Accident your aim is to: Assess Diagnose Treat Dispose
Actions at an Accident Scene D			Danger R			Response A			Airway B			Breathing CCirculation D			Disability
Primary SurveyConsciousor Unconscious?
Multiple CasualtiesBe sure to assess ALL casualties:SAFETY FIRST!Those making the most noise are more likely to survive – they’re breathing!Look for those who are SILENT Non-breathing Shock
Casualty Assessment
The Conscious CasualtyHISTORY What happened? When did it happen? How did it happen? Has it happened before? Signs & Symptoms Medication Inform relatives
Causes of UnconsciousnessFISHSHAPEDFaintingInfantile ConvulsionsShockHeart AttackStrokeHead InjuryAsphyxiaPoisoningEpilepsyDiabetes
Emergency Actions - Summary Assess the situation		Risk Assessment Check Casualty		All of them! Check Response		Call Help	 Open Airway 		(if required) Breathe for Casualty	(if required) Assess Circulation Commence CPR 	(if required)Treat other injuries		Prioritise
Secondary SurveyTreat other Injuries
Emergency First Aid3. CPR
CPR Protocols - 2009Adult – Child – Infant30 x Compressions2 x Rescue Breaths
CPR ProtocolsAdult1st Priority 30 CompressionsAdult Drowning orChild /Infant1st Priority 5 Rescue Breathes
CPR ProtocolsAdult	30:2		Mouth-Mouth Normal Lung CapacityChild 	30:2		Mouth-Mouth 50% Normal Lung CapacityInfant  	30:2		Mouth-Mouth & NoseLike blowingout a candleRescue Breaths - Adult
Rescue Breaths - Child & Infant
CPR - Adult
CPR - Child
CPR - Infant
Secondary SurveyTreat other Injuries Bleeding Burns Bones SHOCK
Recovery Position
Recovery Position
Recovery Position
Emergency First Aid4. Bleeding
BleedingTypes of BleedingArterialBright Red - SpurtingVenousDark Red - FlowingCapillaryMedium Red - Trickling
Types of  Wound
Treatment P - Position E - Examine E - Elevate P - Pressure
 Wash hands Rinse wound with clean water Dry with towel / lint-free cloth Cover with sterile dressing   If a foreign object is embedded in the wound,  dress around the objectTreatment
Eye Injuries Support the Head Dress Injured Eye Hospital
Other Types of Bleeding Nose Bleeds Mouth Bleeds
ShockDon’t forget SHOCK!
Emergency First Aid5. Burns
BurnsTreatment Cool Burn Area Apply COOL WATER 10 mins at least Remove Constrictions (if possible) DO NOT pull away burnt clothing Cover burn with STERILE dressing Hospital
Burns
Emergency First Aid6. Bones
Fractures
Treatment Steady and Support Protect HospitalFractures
Emergency First Aid7. Shock
ShockThere are many causes of shock:Heavy loss of Fluids		BurnsBad News 			Spinal Cord InjuryInjury				Severe ReactionsBlood Loss			Hypo/HyperthermiaDrug Overdose		HypoglycaemiaInfection				Heart Attack
ShockSigns Rapid Pulse Pale, Cold & Clammy Skin Sweating
ShockTreatment: Lay Down Loosen Clothing Elevate Legs Nil By Mouth No Smoking Cover with Blanket Medical Assistance Monitor
Emergency First Aid8. Other Injuries & Illnesses
Heart AttackSigns & SymptomsVice-like Pain Feeling of Doom Breathlessness Ashen Skin  Rapid then Weakening Pulse
Heart AttackTreatment Comfort Casualty Call Emergency services Give Medication Monitor
ChokingSigns & SymptomsGeneral symptoms and signs of asphyxia. Casualty will be unable to speak or breathe and may be gripping the throat. They may be completely silent.Congestion of the face and neck with the veins becoming prominent, blueness of the lips and mouth.Possible unconsciousness.
ChokingLook in Mouth - Get the child to cough – if unsuccessful,  give 5 back slaps. Check their mouthIf unsuccessful:Give up to 5 Abdominal thrustsIf unsuccessful – send for help. Repeat back slaps and check mouth.
Choking - Adult
Choking- Child
Choking - Infant
AsthmaSigns Wheezing Difficulty Speaking Gray Blue Skin Loss of Consciousness
AsthmaTreatmentComfort Inhaler:        - BrownorBlueorBoth Encourage Slow BreathingBROWN- PreventativeBLUE- Relief
HyperventilationTreatment: Be Firm BUT Reassuring Keep Casualty Quite Try To Restore Normal Breathing Paper Bag Seek Medical Advice
Seizures - Convulsions & FitsAdult			(Epilepsy)Child 			(Infections)Infant			(Infections)
Seizures - Convulsions & FitsAdultProtect Casualty Ease Fall Protect Head  Loosen Tight Clothing Recovery Position Maintain Casualty Dignity
Child and Infant (Infection Related) Protect from Injury Cool Child/Infant 	(Cool gradually) Sponge with Tepid Water Recovery Position Medical AssistanceSeizures - Convulsions & Fits
Head Injuries Concussion Cerebral Compression Skull Fracture Possible Neck Injury
Head InjuriesSigns and Symptoms Blow / injury to the head Dizziness Nausea Loss of memory Headache Concussion – brief impaired consciousness Pupils unequal size Drowsiness / Disorientation
Treatment Check Responsiveness Monitor DO NOT allow to eat, drink or smoke HospitalHead Injuries
Head InjuriesTreat ALL head injuries as SeriousThere is risk of Brain Damage
Strains & SprainsAssociated with the Softer Structures around Bones and Joints.  Usually Sporting Injuries.
Strains & SprainsTreatment: RREST IICE CCOMPRESS EELEVATE

Emergency First Aid

Editor's Notes

  • #5 To be able to acheive those Aims, we’re going to need to ....
  • #67 BEWARE Chicken bones – rot quickly – possible septicaemia / infection