This document outlines the contents and objectives of an emergency first aid course. The course will cover topics such as human anatomy, the responsibilities of a first aider, assessment of casualties, CPR, and use of an automated external defibrillator. The goal is for cabin crew to be able to identify medical conditions, apply first aid, and deal with emergencies that may occur on an aircraft. The document provides an agenda that will allocate 1 hour to theory and 2 hours to hands-on training.
1. 1
Mamoon zboun
1
Welcome to your:Welcome to your:
Emergency First AidEmergency First Aid
CourseCourse
Your Instructor is:
2. Operations Manual Chapter 6
Crew Health Precaution
Reference
Part A
Time Expected: 3 hours>> 1 hr is theory and 2 hrs is Training
3. Operations Manual Chapter 6
Crew Health Precaution
Reference
Part A
Outlines
Responsibilities of first aider
The aim of first aid
Effect of altitudes on crew
Effect of flying on the body
Hygiene Standards
First aid and medical condition
Hypoxia
Respiratory condition
CPR
Types of Hemorrhage
Wound
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4. Operations Manual Chapter 6
Crew Health Precaution
Reference
Part A
Outlines
Responsibilities of first aider
The aim of first aid
Effect of altitudes on crew
Effect of flying on the body
Hygiene Standards
First aid and medical condition
Hypoxia
Respiratory condition
CPR
Types of Hemorrhage
Wound
4
5. Outline
• Shock
• Hysteria
• Unconsciousness
• Fractures
• Cardiac conditions and other medical
condition
• Child birth
• Conclusion
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6. Operations Manual Chapter 6
Crew Health Precaution
Reference
Part A
Objective
At the end of this course all Cabinets team will be able to :
Identify the first aid course and their responsibility.
Deal with all medical condition that happen in the plan.
Apply the first aid in the plan effectively.
Identify CPR technique successfully.
Identify all medical cases that happen and deal with it.
Deal with the fractures and wound cases in the plan.
define all medical cases related to first aid that happen in
the plan.
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7. Areas Covered in this Session
• Human Anatomy
• What is first aid
• Aims of first aid
• The Responsibilities of the First Aider
• Incident / Casualty priorities
• Multiple casualties
• Staying Safe during First Aid DANGER
• Call for Medical assistance ( Dr or nurse)
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15. 15
Respiration is the exchange of gases, oxygen
and carbon dioxide, which takes place in the
lungs and cells of the body.
Define Respiration
Take in oxygen
Remove carbon dioxide
18. Effect of attitude on crew due to lack of oxygen18
At cabin altitude of 8000 feet, O2 level in the blood
Is reduced under several condition so that it is lead to
body fatigue :
Heavy smoking.
Drugs.
No medication should be taken during on duty
Alcohol
General fitness
During the plan most of cabin they are still tired and
are not sleeping well, you should avoid late night and
fatigue.
19. Effect of flying on the body
• During the flying it is happen changes of the
atmospheric pressure causing collection of the air in
the body so that increase in the volume as decrease of
the atmospheric pressure
• Provided that the expanded gas can escape by normal
routes, but if can not escape due the blockage it
happened to the effect area.
19
22. Hygiene Standards
Disease caused by bacteria can be spread by various routs :
Person to person
Animals
Through food and water ( typhoid and cholera)
the most factor is appropriate for bacterial growth :
Time
medium temperature
Moisture
Suitable food
22
23. Personal health care and cleanliness should observe
Hand washing
Protective gloves
Keep vaccination up to
date
Eating regular meal
daily
Minimize smoking and
alcohol assumption
Exercise daily
Take care of your skin
Regular shower
23
24. First aid kit and medical equipment
o The main purpose of FAK is to enable treatment for
injured passengers.
o It is containing materials that Is available in accidents
for emergent case.
o Kit contents are addressed by JAA’ S Acceptable Mean
of Compliance which recommended this items.
o Any doctor or nurse as well as qualified person should be
used this kit in any emergent case.
24
28. Dressing
It is protective covering which is applied to a wound and used in :
o Prevent infection
o Absorb discharge
o Help control bleeding
o Avoid further injury
You should follow sterile technique to eliminate all germs and
bacteria, material should be sterile and dry.
When you applied dressing, you should not touch it or remove it.
In some cases of bleeding, you should applying compression
technique to prevent blood loss, also it is normal to added new
dressing to it.
28
29. Bandage
In some cases, you should use the Bandage :
a. Keep dressing in place
b. Secure wire splint in fracture condition
c. To help control bleeding
Do not Bandage too tightly why???
29
30. Emergency Medical Kit (EMK)
It is available on each aircraft in secure location, found
under aircraft specific information for each them
All of the captain must ensure drugs are not administered
Except by qualified doctor or nursing.
It contain life saving drugs and equipment that can be
opened under specific rules when announcement is
required requesting the medical assistance you should
notified by captain.
EMK should be used by Doctor or nurse to administer
first aid necessary, if the doctor or nursing are not
available you should request any qualified person.
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31. Emergency Medical Kit (EMK)
All needle and syringe after using it, they should but him
in SHARP BOX and labeled with small red label stating
that box has been used.
31
34. Automated External Defibrillator
It is available on every aircraft in secure location, the exact location of
the kit may found on the emergency equipment location diagram located
under aircraft.
The physiological state of victim shall effect the like hood of successful
defibrillation,
Patient will exhibit muscle response during the energy transferee.
It is recognized for successful resuscitation that related to the length of
time between onset of heart rhythm does not circulate blood, in this
cases you should take this step:
Early access
Early CPR
Early defibrillation
Early ACLS
34
35. The defibrillation is semi-automated and uses patented shock, it is
software analyze the patient ECG rhythm and indicate if it is or is not
detectable shockable rhythm.
If patient recovers, placing him in recovery position with aid still
connected, patient will given oxygen and kept under observation.
It should be used by doctor or nursing over airplane.
35
37. AED Operation
o To prepare for ECG and defibrillation :
Confirm the patient with cardiac arrest, unconscious, not breathing
well, and not good pulse, no movement before use it
Press ON to turn on the AED(green), then connected electrode
message and voice prompt will continue until patient is connected to
AED.
Prepare patient for electrode connected:
Place patient on hard surface (away from water and conductive
material)
Remove clothes of patient from upper torso.
37
39. CONTINU>>>>
o Apply electrode on the patient chest :
First electrode on the lateral of left nipple with the center of the
electrode in med axillary.
Place other electrode on the upper right chest lateral to the sternum
and below of the clavicles.
Starting from one end, press electrode firmly into the patient skin.
39
40. Special for electrode placement
o Using child pads from 1years to 8 years if not available using the
adult pads and AED.
o AED shouldn,t use for infant less than 1 years just CPR.
o For obese patient and large breast go on flat area on the chest
o In case of thin patient follow the contour of the rips and spaces
when passing the electrode this limit the air space and good
promotion of the skin contact.
40
41. Shock Advised
in case of detection of the shockable ECG rhythm it is
display SHOCK ADVISE message
We will hear SHOCK ADVISE, the AED start for
charging first shock.
When charging is complete the AED display two message
Stand clear and Push To shock following voice Shock.
41
42. Contin>>>
Ready tone (loud, high pitched, two toned sound), the
shock flashes:
o Check no any one is touching the patient
o Press shock to discharge the AID.
o If do not press shock, the shock will removed
42
43. • in some cases you should not give shock :
If AED detected non-shockable ECG rhythm, it is display
the no SGOCK ADVISED , the AID will not discharge
and no shock is given.
• After no shock advised the AED enter CPR time is 15 sec
or more, if CPR time is set to 0 AED display the
following sequences:
Check for signs of pulse
Check for signs of cerculation
43
44. GENERAL
• If the AED used during the flight, an entry must made in
the ACL, line maintenance shall then inform in flight
product.
• In case of the pregnant if met criteria the of cardiac
arrest( not responsive, no breathing, no pulse)
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45. Portable oxygen cylinder
• Oxygen is provided for use by passenger or portable
cylinders for first aid purposes
• In cases of respiratory distress in any person require o2.
• Capacity: 120
• Outlet: 2l/l
• Procedure >>>
• Adult _ high 4L/m
• Infant and child_ low 2L
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46. • Passengers require oxygen for medical purpose to maintain
health during the flight.
• Each passenger used oxygen should be setting position
46
47. Measure blood pressure
• Person should be quite for 3 – 5 minute.
• Cuff size appropriate to the wrist of person.
• Measurement should be taken alternative both wrist.
• Patient or passenger should be rest on his back.
• You should empty the bladder why??
47
49. Continu>>
Assess the situation
Check The Area (CTA)
Check your causality.
Examine the causality
Is this danger to the causality or other passenger
Is the causality is conscious?
49
54. 54
Airway
• Before opening the airway (check) for any
obstructions and remove (clear) them if
possible
• By tilting the head back and lifting the chin
forward, the tongue is drawn away (open)
from the back of the throat. Suspected
Spinal injuries will differ, majority are
conscious.
• In an unconsciousness casualty the tongue
may fall back to block the airway.
58. Give immediate care and treatment
• CARE is the continuous CABS and must carried out during first
aid.
• Communicate{talk to the causality} write down what care is given.
• Avoid harm_ be gentle, no food or drink until doctor is present
• Reexamine_ watch the causality and do not leave him alone, take
vital sign.
• Encourage_ give your causality support, watch him what say.
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59. • The three most vital sign you should taken :
Consciousness
Pulse{heart rate}
Respiration{RR)
• The consciousness is the basic function of the brain
• You should remember the AMEGA:
Assess
Make area safer
Examine and give treatment
Get help
After match clean and reporting
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60. Triage
• Is the process of prioritizing causalities based on the
severity of sign and symptoms and immediate
treatment.
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64. 64
Secondary Survey
Complete Top to Toe Survey
Complete Definitive Treatments
Breathing
Pulse
Skin Colour
Temperature
Level of response
Monitor Vital Signs
69. Hypoxia
Insufficient amount of oxygen to supply the body need for
physical and mental performance.
Causes
Failure of pressure control system
Reduced cabin air flow
Structural failure
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70. Sign and symptoms
Increasing breathing rate
• Dizziness
• Poor coordination
• Impairment in judgment
• Reduced vision and sleepiness
• Cyanosis
• Unconsciousness and death
If the captain increase the altitude of plan the TUC is
reduced
70
71. Management
• * in this case you should be supply patient with oxygen
• Immediate supply patient with oxygen with o2 mask
• You should available o2 portable on the plan
• If the captain increase the altitude of the plan oxygen as
precaution.
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72. Respiratory Condition
Most of people is inhaled and exhale air 12 to 20 per
min
Depending on the nature and medical condition
The airway : passage of the air from mouth to lung
Respiratory disorder
Asthma
Sever acute respiratory syndrome
Lung cancer
Difficulty breathing
72
73. 73
Chocking
Is caused by food or object stuck
in the throat , if the passenger
cough, speak and normal skin
encourage him to cough
If the passenger is choking sign are
Cannot speak, blue face, clutching
neck between thumb and index
finger, an loss of conscious
74. Management
Check the patient is choking
If the patient is conscious you should use the Heimlich
maneuver {abdomen thrust} that force air up and out to
clear airway.
If patient unconscious stand behind the passenger are
your arm around his waist, if standing place one of your
feet between his leg to support patient body
Make fist one hand and put him against abdomen above
navel button
Give upward quickly to out of an object
On pregnanet just downward and used chest thrust
74
75. Unconsiousness adult or child
• AMMGA
• Check for responsive if not responsive
• Check pulse for 5 second if no pulse start CPR
• If yes pulse, check the airway if patient not breathing give
breathing if choking >>
• If unconscious but good breath with pulse but him in the
recovery position
• Do not do chest or abdomen thrust
• If infant you should do hold infant and but him toward the
earth then with palm hit him until the object is out
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80. Asthma
• condition in which your airways narrow and swell and produce extra mucus.
This can make breathing difficult and trigger coughing, wheezing and shortness
of sign and symptom
• Difficulty breathing, wheezing sound and Blueness of lips
80
86. 86
MODERATE LOSS
2 to 3 pints (20% - 30%)
slightly raised
cold and sweaty
pale
dilating, but equal
slightly raised
light headed, faint
constant observation and monitoring of vital signs to determine medical progress
cool
becoming unstable
Pulse
Skin
Colour
Pupils
Breathing
Consciousness
History
Peripheral Temp.
General Condition
Blood Loss 2-3 pints
87. 87
SEVERE LOSS
over 3 pints (30% and over)
fast, light, thready
cold and clammy
pale - cyanosed
dilated and equal, slow to react to light
deep sighing - air hunger
apathetic, low pain threshold
may become thirsty and suffer from blurred vision
cold
poor, could prove fatal
Pulse
Skin
Colour
Pupils
Breathing
Consciousness
History
Peripheral Temp.
General Condition
Blood Loss over 3 pints
90. 90
If unconsciousness persists
Call for the ambulance
Treatment for Fainting
• Raise and support lower limbs
• Fresh air, open window
• As they recover reassure casualty
• Assist casualty to sit up
• Treat any injuries
92. 92
Anaphylactic Shock
The name given to a major Allergic reaction
within the body;
Causes:
• Specific drugs
• Stings
• Ingestion of certain foods (peanuts)
• Chemical released into the blood stream
causing the blood vessels to dilate thus
restricting the airway.
93. Allergy
• Hypersensitivity disorder of the immune system
• It is happened when the person immune system is reacted to
harm substance in the environment { food, dust, animals,
insects}
• Also it is considered life threatening
93
98. Sign and symptoms
• Sever pain in the in the chest
• Face become pale and blue
• Pulse rapid and slow
• Irregular breathing
• Casualty is motionless
103
106. 113
Lots of blood, Possible underlying
injury
Scalp & Head Wounds
Treatment;
• Displace skin flaps (Split wounds)
• Apply direct pressure (Sterile dressing, secure)
• Lay casualty down slightly raised head &
shoulders
• Unconscious ABC (Recovery position)
107. 114
Minor Wounds
• Minor wounds may need medical help
– Dog bite,
– Infected
– Embedded object etc.
• Minor bleeding
• Foreign bodies
• Bruises
HYGIENE
108. Nois bleeding
• Vessls rupture due to the aire pressure is changed
• Emotional stress, physical blow, more common in
elderly because weaker and thinner blood vessls,
115
110. Chemical splash in eye
• Splash of flash, tinner and hydraulic in eye
• You should lay him or stand and washing affected area
• And cover affected eye
117
111. Forigen body of the eyes
• Irritation of eye and become red and irritated
• What to do>>
I. Look up and down
II. Using moistened wool check(under lid, pull upper lid
back look for the center of eye), check left corner of
eye
III.If forigen body seen in lower lid using splash eye
water and may use the wool moistened
IV.If stuck in the eye do not remove it cover eye with pad
V. Call medical assistanse,.
118
112. 119
What to do
• Upright position.
• Pinch the lower part of noise and cold compression
• Breathing through mouth
• Spilt blood into sick bag
114. Air sickness
• Most common in flight, usually happen by fear and
motion of flight
• S&s
Nausea, pale, dizzy, perspiration
o What to do
1. Offer clean sickness air bag
2. Put seat in reclined position and open fresh air
3. Bathe of face and neck with cold compressor
4. Cover with blanket
5. Fix vision on any object a/c
6. If seated rear of a/c, move to over wing area
121
115. dehydration
• Lack of water in the body due to :
Insuffcient of fluid
Excessive sweating
Working in heating area
Diarrhea and vomiting
Hemorrage and burns
122
116. What to do
• Drink plenty of water
• At least every half hour or 1 hour drink water
• Do not drink caffeine, tea and fizzy drink that stimulate
kidney and cause an increase loss of fluid
• In internal bleeding do not give fluid
123
117. Tooth ache
• Decayed tooth and made worse by eating or drinking yhis
induse infection
• Adminster just paracetamol tablet
• In cases of bleeding palced cotton over socket and bit on it,
ice may be given.
124
118. Headache
• Tension or imagraine and the degree of severity
• If tension just give paracetamol tab, in imagrine if
person handeled his medication advised take him
125
119. GI condition
• Abdomen pain
• It is symptom need treatment, if without fever,
vomiting fainting, or other seious illness improve
without treatment
• If pain persistnat need medical team
126
120. treatment
• Using heating pad relive pain
• Warm chamomile tea will ease discomfort
• Using antacid medication
• Pain killer such as revanin
127
121. indigestion
• Pain in the upper abdomen
Mild to sever pain between the breastbone to the navel
• Burning in in the upper abdomen
• Heat or burning between the breast bone and naval
128
122. What to do
• Antiacid medication
• Walking around the cabin alleviate the pain
• Inform captain
• Call medical team
129
123. Acute appendecitis
• Sever abdomen pain
• Nausea and vomiting
• Increase pulse and increase temprature
130
124. What to do
• Nothing is giving by mouth
• Paracetomol tab is given
• Make comfortable for passenger draw his knee up to
ease this pain
131
125. Renal colic
• It is stones passed down the urinary tract to the
kidney in bladder
o Sudden pain in low back, nausea and vomiting, pass
small amount of urine, blood in urinr, history from
previous attack
What to do ??
1. Reassurance and take history, drink plenty of water,
inform medical team, inform captain, treat shock
132
126. 133
Types of Head Injury
All Head Injuries Are Serious;
• Wounds to the scalp
• Fracture of the skull
• Concussion
• Cerebral compression
156. 163
IF IN DOUBT
TREAT AS A SPINAL INJURY
Treatment of Spinal Injuries
• Call for an medical team.
– do not attempt to treat casualty on your own
• Support head and neck.
• Instruct casualty not to move.
• Reassurance.
• Do not move casualty unless in extreme
danger.
157. 164
“LIFT WITH THE
LEGS”
Principles of Lifting
• Assess the Task - Area - Load
• Bend the knees
• Broad stable base
• Back straight (Not necessarily vertical)
• Firm grip with palm of hand
• Arms in line with trunk
• Weight close to center of gravity
• Turn feet in direction of movement
158. 165
Types and Causes of Burns
• Dry Burn
• Scald
• Electrical Burn
• Chemical Burn
• Radiation
• Friction Burn
• Cold Burn
• Fire- Domestic appliances
• Hot liquids - Steam
• Low and high voltage - Lightning
• Industrial & Domestic chemicals
• Sunburn - Exposure to radiation
• Fast moving belts – Machinery
• Bare skin contacting ice etc.
166. 173
Define Diabetes
• A condition in which the body fails to
regulate the concentration of sugar in the
blood.
• Diabetics are prone to two main problems:
– Hypoglycemia
– Hyperglycemia
167. hysteria
• Psychological condition that falls in nervous disorder
and triggered by anxiety
• S& s
• Rapid heart beat
• Respiratory problem
• Salivation, swelling in the muscle and redness of eye
• Diffculty speak and breathing
• Clenching of teeth and paralyzed of limp
174
169. 176
Hypoglycemia - Low blood glucose
pale
profuse sweating and cold
irritable, confused or may be unconscious, fits may
be present in later stages
rapid and weak
sudden, may be minutes
sugar
normal to rapid
Colour
Skin
Consciousness
Pulse
Onset
Treatment
Breathing
Signs and Symptoms
170. 177
Hyperglycemia - high blood glucose
flushed
dry
restless, drowsy or lethargic
behaviour
rapid and full
gradual, hours to days
insulin
deep and sighing, possible
sweet smell - acetone
Colour
Skin
Consciousness
Pulse
Onset
Treatment
Breathing
Signs and Symptoms
175. Stages of epilepsy
• It is 4 stages:
Sometimes person has fit it is happen, headache, blurred
vision
May have peculiar cry and stiff also rigid, eye become
staring and becom blue
Convulse and injury himself, foaming on the mouth, urine
may passed
At the end person deep sleep.
182
176. What to do ??
• The fit can not be prevented, so that prevent person from
injury himself
• If seated, loosely fasten seat belt, but do not attempt to
restrict movement.
• If person on the floor, pad around with pillow
• Check CABS
• Allow him to sleep and wake
183
177. stroke
• It obstruction in blood vessels that supply brain (cereral
thrombosis), symptoms depend on the area of the
damaged area
• S&s
Headache
noisy breathing
Numbness in face, arm, leg
Slurred speech
Dizzy
Loss of vision
Puipls of eyes is unequal
Irregular pulse
184
178. What to do ???
• Maintain open airway
• Comfortable position, raising of the shoulder and arm
• Do not give food or anything
• Inform captain
• Call medical assistance
• If he take chronic medication give it
185
179. DVT
• Blood clot in the lower limb, booling or stasis
• Factor increase risk of the DVT:
Immobility
Family history
Recent surgery
Pregnancy
Dehydration
Cancer
Athletic person
Blood condition that increase the blood clot
186
180. Sign and symptoms
• Suuden swelling in the lower limb
• Tenderness in the lower limb
• SOB
• Sweating
• pain
187
181. treatment
• Take history and assess situation
• Elevated the affected limb and reassure
• Call medical assistance and inform captain
• If swelling do not massage
188
182. prevention
• Avoid setting with legs crossed
• Walk periodically in flight
• Drinking of water and juice to prevent dehydration
• Avoid alcohol and alcohol is recommended
• Do not sleep in cramping position, napping just 30min
• Exercises
189
183. Pulmonary embolism
• Blockage of artry the lung secondary of DVT.
Sign and Symptoms
Usuaally after 2-4 day it is appeared
Shortness of breath
Chest pain
Fever
Coughed of blood
Coma
Cramp on side
190
184. What to do
• Assessment situation and CABS
• Call medical team
• Inform captain and administer oxygen
191
185. Food poisoning
• Eating food contaminated by bacteria and toxins
o Sign and symptoms
Nusea and vomiting
Abdomen pain and cramping
Diarrhea
Headache
shock
192
186. What to do
• Rest
• Call medical team and inform captan
• Give plenty of fluid
• Do not give solid food
• Air sickness bag in case casually vomitus
• Save of food/ drink which is suspected to be contaminated
193
187. Prevention
• Hand washing before prepare food
• Protective gloves
• Keep hair tidy to prevent loosen hair fall in food
• Use plastic gloves when handling food
• Never keep lukewarm for long periodtime
194
188. Drug overdose
• It is taking medication excess mount recommendation
In this cases if patient conscious ask what happened, do
not induce vomitus, call medical team
If unconscious, put patient in recovery position, if no
pulse CPR
195
189. Ingestion chemical material
• It is causing tissue injury, the vast of this chemical is acidic or
alkaline substance, by adults or neonatal( suicidal attempt).
• Sign and symptoms is difficulty swallowing, pain,vomiting,
bleeding in throat, chest.
• What to do
If conscious give small amount of water benefit 30 minute
after exposure to solid alkaline, call medical team, check LOC
If unconscious, no breathing and pulse, give artificial
repiration, cardiac massage, CPR
If breathing and pulse is present call medical team,recovery
position, oxygen if needed.
196
190. Impairment due to alcohol
• Excessive drink alcohol find in beer, wisky, wine
• It is CNS depressant, rapidly absorbed by body,
metabolized by liver then diffuse in the blood stream.
• Indvidulas affected in alcohol vary:;
• Age, gender, race, physical condition, family history,
use of drug, amount of food befor drunk
197
191. Risk of your body
• Impaired in brain function
• Violence
• Damage to develop of fetus
• Feeling of warmth
• ** for men heavy drink is consuming over 2 drink per
day, woman more than 1 drink
198
192. Laws on the flight
• Passenger do not drink wine or their own liqure
• One alcohol is permitted per time
• You should discontinued for passengers if heavy
drink
• Over coffee
• Advise sleep
199
193. Childbirth
• Called emergency birth
• In any case any happen outside of the hospital called
emergency
• In the flight do not deleveries baby mother do
• Baby is born full term 40 wks
• During the flight if any pregnant informed you it is
labored start to prepare the board
200
194. mechanism of labor
1. Cotraction {pain in lower back/abdomen}
Blood stained with mucus, sac of fluid around baby
At the end baby enter birth canal ( fill dilatation of cervix
10cm
2. Baby in the canal birth until is born
3. Baby born until afterbirth
201
195. What to in first stage
• Introduce yourself to the mother
• Assess labor pain 4 or 5
• Minutes apart then the birth is very near
• Evaluation the mother, inform captain
• Call medical assistance
• Ask mother go to lavatory and empty bladder
• Reassure
• Privacy, if no area off with blanket
202
196. Collect and prepare
• Oxygen and first aid mask
• Put anything under the mother
• 2 boiled bowls of boiled water for clean mother and
baby
• First kit
• Sterlize scissors with boiled water to cut cord
• Gauze bandge to tie the cord
• Sick bag for the soild dressing, and using gloves
203
197. Second stage delivery
• Instruct mother to push and rest between them
• Any bowled action take place must be cleaned to
prevent infection
• Place pad over rectum
204
198. Third stage
• Baby born slowly to prevent mother torn muscle of
vagina so you should
• Mother not to bear down during the pains
• Assisstance cover back passage with clean with clean
pad and apply gentle pressure over baby head during
the contraction
205
199. Care of baby
• Lay baby downward over the mother thigh head
lower than body
• Clear gentle baby mouth and noise
• If baby is not breathing well so that clean mouth well
206
200. Dealing with umbilical
• Do not quick cut the cord
• Feel cord and wait pulse cease
• Tie the cord firm with gauze bandge made first tie 15
cm and then second tie stripe 7.5 cm from the first
• Between them cut cord with sterile
• Ensured the cord attached to the baby well
207
201. Third stages
• Examination by doctor or midwife
• Place receptacle between mother thigh to hold baby
after birth
• Never pull the cord of baby
208
202. To control bleeding
• Place bad over vaginal bleeding
• Elevate the feet
• Have mother lower legs and put them togather
• Gentely massage the mother abdomen
Care of mother
o Check pulse
o After cleaning of mother comfortable position and
warm drink
209
203. Emergent case captain landing
• Placenta is not deliverd withen 30 min
• Sever hemorrhage
• Presentation of arm or leg do not pull
In cases of of the breech birth buttocks or both feet
are deliverd first, baby manage born without
complication
If buttocks and trunks are delivered requiring put on
hand and forearm under the baby trunk
210
205. Uncondtional landing for
medical emergency
• Stop breathing and pulse
• Unconsciousness
• Uncontrolled bleeding
• Internal bleeding
• Heart attack
• Retained placenta
• Recurrent epileptic fit
212
206. Medical clearnance carriage
• For blind or deaf no medical clearance required
• Medical clearnance required
Medical condition aggravated during of the flight
Require medical attention
potential hazards to the safety of the flight
Certain disease that causing adverse effect
213