FIRST AID AT WORK COURSE
Content
 What is First Aid
 Resuscitation
 Unconsciousness
 Management of Blood loss
 Burns
 Fainting
 Heart attack
 Poisoning
 Fractures
What is first Aid?
First Aid is a state of mind, a proactive
attitude and a set of actions and practices
that seek to prevent, be prepared for and
provide an initial response in emergency
situations.
It is the initial assistance or treatment given to
someone who is injured or who has suddenly
taken ill before he or she is taken to the hospital.
1. Preserve life
Aims of first aid
2. Limit worsening of the condition
3. Promote recovery
a. Assess
b. Airway
c. Breathing
d. Chest Compressions
e. Control Bleeding
Aims of first aid cont….
1. Preserve life
I. Examination of the casualty
II. Make diagnosis
III. Give priority to seriously injured
IV. Treat multiple injuries in order of priority
V. Consider possibility of secondary condition
2. Limit the worsening of the condition
Aims of first aid cont….
1. Relieve discomfort, pain or
anxiety
2. Reassure
3. Get medical aid
3. Promote recovery
Aims of first aid cont….
Safety
Assess
Diagnose
Treat
After Care
Report
Responsibilities of the first Aider
1.
2.
3.
4.
5.
6.
Secondary survey
History
Symptoms Signs
External
clues
Mechanics of
injury
C P R
DR ABC D of First Aid
D – anger
R – esponse
A – irways
B – reathing
C – ompression
D - efibrillator
Recovery position
Chain of survival
5. If not breathing,
phone for help
6. Give chest
compressions
7. 30:2 cycle
8. Continue CPR
until help arrives
Resuscitation - treatment
1. Check for danger
2. Check for Response
3. Open the airway
4. Check for normal
Breathing
1. Give five initial rescue breaths before starting chest
compressions…then
2. Continue at the ratio of 30 compressions to 2 breaths
3. If you are alone perform resuscitation for about 1
minute before going for help
4. Compress the chest by about one-third of its depth
Resuscitation - children and infants
Resuscitation - children and infants
For a baby under 1 year, use
two fingers to compress the
chest by about one third of
its depth
For a child over 1 year, use one or
two hands, as appropriate, to
compress the chest by about one third
of its depth
Objects may cause either mild or severe airway obstruction.
It is important to ask the conscious victim ‘Are you choking?’
Choking
General signs of choking
> Attack occurs while eating
> Casualty may clutch his/her neck
Signs of MILD airway obstruction
Response to question ‘Are you choking?’
> Casualty speaks & answers ‘yes’
Other signs
> Casualty is able to speak, cough, and breath
Signs of SEVERE airway obstruction
Response to question ‘Are you choking?’
> Casualty unable to speak
> Casualty may respond by nodding
Other signs
> Casualty is unable to breath
> Breathing sounds wheezy
> Attempts at coughing are silent
> Casualty may be unconscious
1. Encourage coughing
2. Up to 5 back blows
3. Check
Mouth
5. Check
Mouth
4. Up to 5 abdominal
thrusts
>Repeat sequence 3 times – Call for help - Repeat sequence<
Choking - treatment
Choking - treatment
Assess severity
Severe airway
obstruction
(ineffective cough)
Mild airway
obstruction
(effective cough)
Unconscious
>Start CPR
Conscious
> 5 back blows
> 5 abdominal thrusts
Encourage cough
Continue to check for
deterioration to ineffective
cough or relief of obstruction
Lacerated
Incised Graze
Bruise Puncture Gunshot
Types of wounds
Laceration to fingers
Laceration to eye/face
Amputation of fingers
Punctured wound
Blood loss & shock - recognition
History
Pale skin
Cool and moist skin
Fast & weak pulse
Fast & shallow breathing
Nausea & vomiting
Thirsty
Anxious
Level of response drops
Treat The Cause (if possible)
Protection from Shock
> Give reassurance > Protect from heat loss
> Get medical aid > Nil by mouth
> No Smoking
Shock - treatment
Impaired consciousness is a result of an
interruption of normal brain activity leading to a
loss of awareness of surroundings
Impaired consciousness
> Check response and re-check the level of
response. Initial assessment:
A --Alert
V --Response to Voice
P --Response to Pain
U --Unresponsiveness
Impaired consciousness - treatment
> Ensure the airway is open and clear
> Do they open spontaneously?
> Do they open to speech?
> Do they open to painful stimulus?
> Is the casualty unresponsive?
Level of responsiveness
Note the time and response of the eyes
> Does the casualty move on command?
> Does the casualty move in response to
painful stimuli?
> Is the casualty unresponsive?
Level of responsiveness
Note the following time and response to movement
Is the response to questions normal?
Is the casualty confused?
Does the casualty use inappropriate words?
Does the casualty make incomprehensible
sounds?
Is the casualty unresponsive?
Level of responsiveness
Note the time and response to voice
F
I
S
H
Causes of unconsciousness
ainting
mbalance of body heat
hock
ead injury
S
H
A
P
E
D
troke
ypoxia
naphylaxis
oisoning
pilepsy
iabetes
> Pale skin
> Cold & clammy
> Slow pulse
> Brief loss of consciousness
Temporary reduction of blood to brain:
Fainting - recognition
> Reassure
> Check for any injuries
> Sit the casualty up gradually
Fainting - treatment
> Persistent chest pain
> Difficulty in breathing
> Irregular or unusually
fast or slow pulse
> Profuse sweating
> Moist, pale skin
Heart attack
Recognition:
Heart attack
> Position
> Dial the emergency
numbers
> Get AED if available
> Monitor
Treatment:
How poisons enter the body
> Call for ambulance
> Remember your own safety!
> Protect casualty’s airway
> Establish cause
> Monitor very closely
> Be ready to resuscitate
Poisons – generic treatment
S ize
C ause
A ge
L ocation
D epth
Severity of burns
Superficial Partial Full
Depth of burns
> All burns involving the feet, hands, face or genital area
> All burns that extend around a limb
> Superficial burns above 5%
> Partial thickness burns above 1%
> All full thickness burns
> Burns with a mixed pattern of depth
> If you are unsure about the extent or severity
> Children
Burns and scalds (when to go to hospital)
1. Cool the burn
4. Seek medical advice
3. Once cooled cover
with a sterile dressing
2. Remove any clothing
not sticking to the burn
Burns - treatment
Do NOT:
> Apply creams or lotions
> Burst blisters
> Place ice on the burn
> Remove clothing sticking to the burn
Burns - treatment
The spine
Closed
Open
Complicated
Green Stick
Types of fracture
Fractures
L
I
P
oss of power
rregularity
ain
D
U
S
T
eformity
nnatural movement
welling or bruising
enderness
Fractured wrist
Open fracture
> Provide support to the injured area
> Expose the site of the injury
> Treat any wounds
> Immobilize effectively
> Reassure and monitor
Fractures - treatment
Fractured leg
Ambulance Imminent
Ambulance Delayed
Fractured leg
Strains & sprains
Strains & sprains treatment
R
I
C
E
est
ce
ompression
levation
QUESTIONS

FA AT WORK.ppt

  • 1.
    FIRST AID ATWORK COURSE
  • 2.
    Content  What isFirst Aid  Resuscitation  Unconsciousness  Management of Blood loss  Burns  Fainting  Heart attack  Poisoning  Fractures
  • 3.
    What is firstAid? First Aid is a state of mind, a proactive attitude and a set of actions and practices that seek to prevent, be prepared for and provide an initial response in emergency situations. It is the initial assistance or treatment given to someone who is injured or who has suddenly taken ill before he or she is taken to the hospital.
  • 4.
    1. Preserve life Aimsof first aid 2. Limit worsening of the condition 3. Promote recovery
  • 5.
    a. Assess b. Airway c.Breathing d. Chest Compressions e. Control Bleeding Aims of first aid cont…. 1. Preserve life
  • 6.
    I. Examination ofthe casualty II. Make diagnosis III. Give priority to seriously injured IV. Treat multiple injuries in order of priority V. Consider possibility of secondary condition 2. Limit the worsening of the condition Aims of first aid cont….
  • 7.
    1. Relieve discomfort,pain or anxiety 2. Reassure 3. Get medical aid 3. Promote recovery Aims of first aid cont….
  • 8.
  • 9.
  • 10.
    C P R DRABC D of First Aid D – anger R – esponse A – irways B – reathing C – ompression D - efibrillator
  • 11.
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  • 13.
    5. If notbreathing, phone for help 6. Give chest compressions 7. 30:2 cycle 8. Continue CPR until help arrives Resuscitation - treatment 1. Check for danger 2. Check for Response 3. Open the airway 4. Check for normal Breathing
  • 14.
    1. Give fiveinitial rescue breaths before starting chest compressions…then 2. Continue at the ratio of 30 compressions to 2 breaths 3. If you are alone perform resuscitation for about 1 minute before going for help 4. Compress the chest by about one-third of its depth Resuscitation - children and infants
  • 15.
    Resuscitation - childrenand infants For a baby under 1 year, use two fingers to compress the chest by about one third of its depth For a child over 1 year, use one or two hands, as appropriate, to compress the chest by about one third of its depth
  • 16.
    Objects may causeeither mild or severe airway obstruction. It is important to ask the conscious victim ‘Are you choking?’ Choking General signs of choking > Attack occurs while eating > Casualty may clutch his/her neck Signs of MILD airway obstruction Response to question ‘Are you choking?’ > Casualty speaks & answers ‘yes’ Other signs > Casualty is able to speak, cough, and breath Signs of SEVERE airway obstruction Response to question ‘Are you choking?’ > Casualty unable to speak > Casualty may respond by nodding Other signs > Casualty is unable to breath > Breathing sounds wheezy > Attempts at coughing are silent > Casualty may be unconscious
  • 17.
    1. Encourage coughing 2.Up to 5 back blows 3. Check Mouth 5. Check Mouth 4. Up to 5 abdominal thrusts >Repeat sequence 3 times – Call for help - Repeat sequence< Choking - treatment
  • 18.
    Choking - treatment Assessseverity Severe airway obstruction (ineffective cough) Mild airway obstruction (effective cough) Unconscious >Start CPR Conscious > 5 back blows > 5 abdominal thrusts Encourage cough Continue to check for deterioration to ineffective cough or relief of obstruction
  • 19.
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  • 24.
    Blood loss &shock - recognition History Pale skin Cool and moist skin Fast & weak pulse Fast & shallow breathing Nausea & vomiting Thirsty Anxious Level of response drops
  • 25.
    Treat The Cause(if possible) Protection from Shock > Give reassurance > Protect from heat loss > Get medical aid > Nil by mouth > No Smoking Shock - treatment
  • 26.
    Impaired consciousness isa result of an interruption of normal brain activity leading to a loss of awareness of surroundings Impaired consciousness
  • 27.
    > Check responseand re-check the level of response. Initial assessment: A --Alert V --Response to Voice P --Response to Pain U --Unresponsiveness Impaired consciousness - treatment > Ensure the airway is open and clear
  • 28.
    > Do theyopen spontaneously? > Do they open to speech? > Do they open to painful stimulus? > Is the casualty unresponsive? Level of responsiveness Note the time and response of the eyes
  • 29.
    > Does thecasualty move on command? > Does the casualty move in response to painful stimuli? > Is the casualty unresponsive? Level of responsiveness Note the following time and response to movement
  • 30.
    Is the responseto questions normal? Is the casualty confused? Does the casualty use inappropriate words? Does the casualty make incomprehensible sounds? Is the casualty unresponsive? Level of responsiveness Note the time and response to voice
  • 31.
    F I S H Causes of unconsciousness ainting mbalanceof body heat hock ead injury S H A P E D troke ypoxia naphylaxis oisoning pilepsy iabetes
  • 32.
    > Pale skin >Cold & clammy > Slow pulse > Brief loss of consciousness Temporary reduction of blood to brain: Fainting - recognition
  • 33.
    > Reassure > Checkfor any injuries > Sit the casualty up gradually Fainting - treatment
  • 34.
    > Persistent chestpain > Difficulty in breathing > Irregular or unusually fast or slow pulse > Profuse sweating > Moist, pale skin Heart attack Recognition:
  • 35.
    Heart attack > Position >Dial the emergency numbers > Get AED if available > Monitor Treatment:
  • 36.
  • 37.
    > Call forambulance > Remember your own safety! > Protect casualty’s airway > Establish cause > Monitor very closely > Be ready to resuscitate Poisons – generic treatment
  • 38.
    S ize C ause Age L ocation D epth Severity of burns
  • 39.
  • 40.
    > All burnsinvolving the feet, hands, face or genital area > All burns that extend around a limb > Superficial burns above 5% > Partial thickness burns above 1% > All full thickness burns > Burns with a mixed pattern of depth > If you are unsure about the extent or severity > Children Burns and scalds (when to go to hospital)
  • 41.
    1. Cool theburn 4. Seek medical advice 3. Once cooled cover with a sterile dressing 2. Remove any clothing not sticking to the burn Burns - treatment
  • 42.
    Do NOT: > Applycreams or lotions > Burst blisters > Place ice on the burn > Remove clothing sticking to the burn Burns - treatment
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
    > Provide supportto the injured area > Expose the site of the injury > Treat any wounds > Immobilize effectively > Reassure and monitor Fractures - treatment
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  • 52.
    Strains & sprainstreatment R I C E est ce ompression levation
  • 53.