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TECHNOLOGICAL INSTITUTE
 ECUADORIAN RED CROSS
Ecuadorian Red Cross
              BASIC FIRST AID

   CONCEPT
                                ACCIDENT




                              DISEACE/CRISIS




                  QUALIFIED MEDICAL




IST CRE                                        2
Ecuadorian Red Cross
                         IS FIRST AID IMPORTANT ?




                            ¿…?
          SAVING LIVES                  AVOID AGGRAVATE INJURIES




                         PROMOTE THEIR RECOVERY



IST CRE                                                            3
Ecuadorian Red Cross
          Lateral Decubitus
            Dorsal Decubitus
          Prone or Supine Position

                            HUMAN BODY




IST CRE                                  4
Ecuadorian Red Cross




IST CRE                5
Ecuadorian Red Cross
    DY
 BO IES
            CAVITIES                    CONTENT



CA VIT    Cranial      Cerebum, Cerebellum, medulla oblongata,
                       Pons, meninges and cerebrospinal fluid
          Thoracic     Heart, Respiratory System (trachea,
                       Bronchy, Longs and Great Vessels.
          Abdominal
                       Gastrointestinal tract, liver, Spleen,
                       Pancreas, Urinary, reproductive organs
          Pelvic
                       Genital organs, uterus, ovaries, ureters,
                       bladder
          Espinal
                       Medulla




IST CRE                                                            6
Ecuadorian Red Cross
              EMERGENCY ACTION STEPS


                IS VERY IMPORTANT TO MAINTAIN
                    CONTROL AND KEEP CALM




                                  SEM
AREA
RECOGNITION      VICTIM                          VICTIM 2nd
               RECOGNITION                      RECOGNITION
 IST CRE                                                      7
Ecuadorian Red Cross
            AREA RECOGNITION

                          ¿WHAT
                          HAPPENED?


  IS THIS AREA SAFE
                           INJURED PEOPLE




          IS THERE ANY PEOPLE WHO CAN HELP


IST CRE                                      8
Ecuadorian Red Cross
              VICTIM RECOGNITION

                                  REQUEST PERMIT
                            YES




                                  PERMIT GRANTED
  CONCISENESS               NO




          A             B                 C



IST CRE                                            9
Ecuadorian Red Cross
          TO CALL S.E.M.




 INSTITUTIONS              QUEVEDO   QUITO GYE



 CRUZ ROJA                 1-3-1     1-3-1 1-3-1

 CENTRO EMERGENCIA                   9-1-1 9-1-1

 POLICIA NACIONAL          1-0-1     1-0-1 1-0-1

IST CRE                                            10
Ecuadorian Red Cross
          RECONOCIMIENTO SECUNDARIO


                           A…   ALLERGIES
INTERVIEW                  M…   MEDICAMENTS
• VICTIM                   P…   PATHOLOGIES
• FAMILY
• PEOPLE                   L…   LAST MEAL ( INGESTA )
AROUND THE
AREA                       E…   ANTECEDENTS


          VITAL SIGNS VALUES
                                         SISTEMATIC EXAM

IST CRE                                                    11
Ecuadorian Red Cross
          BIOSECURTY EQUIPMENT




IST CRE                          12
Ecuadorian Red Cross
          VITAL SIGNS




IST CRE                 13
RESPIRACION
                ADULT: 12 – 20 R/M
               CHILDREN: 20 – 30 R/M
               NEONATE: 30 – 40 R/M



              VARIATION CAUSES
              EXERCISE
              Patological disease
              Stress
              Thoracic Trauma
              Penetraiting wounds (Thorax)
              Respiratory Relaxation
              Thermal Increment
              Feeding

IST CRE                                      14
PULSO
            ADULT: 60 – 100 P/M
          CHILDREN: 100 – 120 P/M
          NEONATE: 120 – 140 P/M




            PULSE VARIATION
                 STRESS
             physical Exercise
                   Eating
                Pathology
                Bleedings
                    PCR
               Hypothermia




IST CRE                             15
TEMPERATURE
               36.5 – 37.5° C
              NORMAL VALUE


          TIPES OF THERMOMETERS




IST CRE                           16
BLOOD PRESSURE TA
          SYSTOLIC: 140 – 100 mm Hg.
           DIASTOLIC: 90 – 60 mm Hg.


          MERCURY INDICATOR GAUGE


                AIR PUMPING DEVICE


                         STETHOSCOPE



                                ARM CUFF

IST CRE                                    17
Ecuadorian Red Cross
               CARDIAC AND RESPIRATORY
                     EMERGENCIES

     • Smoke or gas saturated ambient
     • Liquid Immersion
     • Debris in Landslides
     • Thorax Injuries
     • Burns
     • Electrocutions
     • Poisons
     • OVACE
     • Cardiovascular Disease
     • Shock
IST CRE                                  18
Ecuadorian Red Cross
          CARDIAC AND RESPIRATORY
                EMERGENCIES




    A

IST CRE                             19
Ecuadorian Red Cross
          CARDIAC AND RESPIRATORY
                EMERGENCIES




    B

IST CRE                             20
Ecuadorian Red Cross
          CARDIAC AND RESPIRATORY
                EMERGENCIES




    C

IST CRE          Jesús Pico Cedeño (INSTRUCTOR)   21
Ecuadorian Red Cross
          CARDIAC AND RESPIRATORY
                EMERGENCIES




    D

IST CRE          Jesús Pico Cedeño (INSTRUCTOR)   22
Ecuadorian Red Cross
            CARDIO-
          RESPIRATORY
          EMERGENCIES
          CHILDREN AND
            NEONATES


IST CRE     Jesús Pico Cedeño (INSTRUCTOR)   23
Ecuadorian Red Cross
          CARDIO-RESPIRATORY
             EMERGENCIES
                  OVACE




IST CRE       Jesús Pico Cedeño (INSTRUCTOR)   24
Ecuadorian Red Cross




IST CRE                25
Ecuadorian Red Cross




IST CRE                26
Ecuadorian Red Cross




             Place 2 or 3 fingers just below the nipple line on the baby's
             breastbone and give 5 quick chest thrusts (same position as
             chest compressions in CPR for a baby




IST CRE                                                                      27
Ecuadorian Red Cross




          CLEAR AIRWAY MANUALLY



IST CRE                           28
Ecuadorian Red Cross
             EXTERNAL AND
             INTERNAL
             EXTERNAL:
             Stabbing
             INCISORS
             ABRASIVE
             SHARP WOUNDS
             AVULSED
             AMPUTATION
             Protrude EYE
             VICERATION
             INJURY BY FIREARMS
IST CRE                           29
Hemorrhage




                                                       FEATURES
   FEATURES              FEATURES                     Little bleeding
COLOR: Clear Read    COLOR: Dark Red                   bright Red
 Outflow: Bubbling   Outflow: Continuous              Flesh Wound



 IST CRE             Jesús Pico Cedeño (INSTRUCTOR)                     30
Abrasive Wounds
                                  PUNCTATE BLEEDING
                                  PAINFUL
                                  EASILY INFECT
                                  QUICK CURE (SMALL)
                                  LONG HEALING
                                  (LARGE)
                                  ASEPCIA AND
                                  ANTISEPCIA
                                  SOAP AND WATER
                                  ANTISEPTIC


IST CRE   Jesús Pico Cedeño (INSTRUCTOR)           31
STABBING WOUND
          MAJOR BLEEDING
          Deformed OF THE WOUND
          EDGE IRREGULAR OBJECTS
          S.S.S.

          TREATMENT:
          Proceed to stop bleeding.
          Shock Treatment
          Transport to a hospital




IST CRE                               32
INCISED WOUNDS
          SIGNS AND SYMPTOMS
          S.S.S. (If there is a large
          bleeding)
          Weakness
          Local pain
          TREATMENT:
          Treating Shock
          Aseptic
          Approaching Butterlfy
          Steps to stop haemorrhage
          Travel Health Centre.
IST CRE                                 33
STABBING WOUNDS
 SIGNS AND SYMPTOMS                          TREATMENT
 Wounds generally circular (in the case of   Inmovilize the object (thread, dressings)
 blowing thorax )                            Treating Shock
 Bleeding.                                   Transfer to the nearest health center
 S.S.S.




IST CRE                                                                                  34
IST CRE   35
AVULSIONS
            SIGNS AND
            SYMPTOMS
            Wounds and bleeding
            Local pain
            deformity
            TREATMENT
            Treating Shock
            Steps to control bleeding.
            Relocation Assistance
            Centre


IST CRE                            36
AMPUTATION
             SIGNS AND SYMPTOMS
             S.S.S.
             Despair.
             Disembodied limb
             Severe pain
             TREATMENT
             Treating Shock
             Perform a compression
             bandage
             Control of bleeding
             Proceedings of the limb
             Disembodied




IST CRE                            37
SHOCK                                   Reduced irrigation
                                        Blood tissue
             CIRCULATION                (Deficit on percussion)
             DISORDER


     CAUSE

                           Alteration of vital signs




IST CRE                                                           38
CLASIFICACION
    HYPOVOLEMIC   DISTRIBUTIVE   CARDIOGENIC
       SHOCK         SHOCK          SHOCK




IST CRE                                        39
SIGNS AND SYMPTOMS
               Pale skin                  TREATMENT
      Cold, clammy perspiration      Try to eliminate the cause
           Low temperature               OF THE SHOCK
              Rapid pulse           Cover but not heat the patient
      Devil and shallow breathing     Vital Signs Monitoring
              Sleepiness                  Transportation.
                 Thirst
                 Decay




IST CRE                                                              40
BURNS




IST CRE   41
1st Degree Burn

                  SIGNS AND SYMPTOMS
                  Redness
                  Local Heat
                  Burning
                  Swelling
                  TREATMENT
                  Soak zone
                  Do not use toothpaste, butter




IST CRE                                           42
2nd Degree Burn
          SIGNS AND SYMPTOMS
          redness
          Pain
          Bullae (blisters)
          Signs and symptoms of Shock
          TREATMENT
          Do not punch blisters
          Soak the burned area
          Make a bandage
          Gentle Clean
          dry




IST CRE                                 43
3rd Degree Burn




IST CRE               44
WALLACE SCALE



     PORCENTAGE 100%
         1 – 10% LOW
       11 – 33% SEVERE
    34 – 60 VERY SERIOUS
        > 60% MORTAL




IST CRE                    45
CHEMICAL BURNS




IST CRE   Jesús Pico Cedeño (INSTRUCTOR)   46
HYPOTHERMIA
           Hot, dry skin is a typical sign of hyperthermia
             The skin may become red and hot as blood
             vessels dilate in an attempt to increase heat
           dissipation, sometimes leading to swollen lips.
                An inability to cool the body through
               perspiration causes the skin to feel dry.
          The dehydration associated with heat stroke can
            produce nausea vomiting, headaches and low
                            blood pressure.
                     Tachycardia and Tachipnea
          (




IST CRE                                              47
INTOXICATION
 WAYS OF TOXIC ENTRY:
 Oral or Digestive
 Respiratory
 Cutáneous (Skin and Mucosa)




IST CRE                         48
SYMPTOMS AND SIGNS
Weakness
Abdominal pain
Nausea
Vomiting
Breathing Difficulty
Cyanosis
Burns in the mouth and throat
Altered consciousness.
Seizures

IST CRE               Jesús Pico Cedeño (INSTRUCTOR)   49
First Aid

Identify the type of poison
General treatment
Decontamination
Treatment asymptomatic.
Specific antidote.
Activated charcoal, 50 g. in 300 cc. Water
in adults. Weight 1 g / kg orally.
IST CRE        Jesús Pico Cedeño (INSTRUCTOR)
                                                50
DIGESTIVE DECONTAMINATION
Induce vomiting, administer albuminous water (1 lt. In water + 6
egg whites).
Do not induce vomiting in:
Strong acids
Strong alkalis
Petroleum
Burns in the mouth and throat
Unconsciousness
seizures


 IST CRE                                                           51
RESPIRATORY AND SKIN
DECONTAMINATION
-Ventilate the area
-Wash the site of contact with soap and
water
-Remove clothing and place in plastic bag




IST CRE                                     52
SYMPTOMATIC TREATMENT

Manage airway
Clean discharge.
Treat shock
Try breathing difficulty.
Treat seizures.
DO NOT allow them to sleep

IST CRE      Jesús Pico Cedeño (INSTRUCTOR)   53
Specific Antidote
          TOXIC                        ANTIDOTE
          Methyl Alcohol               Ethyl Alcohol
          Ethyl Alcohol                Tiamin
          Walfarin (rat poison)        K Vitamin
          Organophosphorus             Atropin
          Snake Bites                  Antivenom




IST CRE                 Jesús Pico Cedeño (INSTRUCTOR)   54
PRECAUCIONES:
 NO utilice agua si el toxico es fósforo
  blanco (diablillos)
 NO utilice leche si el toxico es DDT u otro
  derivado clorado.
 NO utilice carbón activado si el toxico es
  un acido fuerte, álcali fuerte o derivado
  del petróleo, ejem. Sosa cáustica, potasa
  cáustica, gasolina, etc.
DEHYDRATION AND DIARRHEAL
DISEASES




                        They are produced by the introduction
                        through the mouth (usually food) from germs
                        in the stool. The are the cause of diarrhea
                        because of the lack of hygiene and clean
                        drinking water




IST CRE   Jesús Pico Cedeño (INSTRUCTOR)                       56
SYMPTOMS AND SIGNS
  Irritability
  Liquid and more frequent stools than usual.
  Thirst
  Sunken eyes
  Crying without tears.
  Dry lips and oral mucosa.
  Vomiting.
  Fold mark
  Signs and symptoms of Shock

IST CRE                                         57
IST CRE   58
TREATMENT
Hydrate
Use rehydration salts
1 liter of boiled water and cold
8 teaspoons sugar
1 teaspoon salt
A pinch of baking soda
                From 2-3 kg of weight - 1 cup (200 cc) in 4 to 6 hours
                From 4-5 kg of weight - 2 cups (400 ml) in 4 to 6 hours
                From 6-7 kg of weight - three cups (600 cc) of 4 to 6 hours




IST CRE                                                                       59
ENVIRONMENTAL
EMERGENCIES
HEAT EXHAUSTION
Cold, clammy pale skin.
Profuse sweating
Headache
Dehydration
Muscle cramps
Nausea
Shock
vomiting

IST CRE                   60
HEAT STROKE
Hot red and dry skin
Elevated temperature (> 40 º C)
No sweat (anhidrosis
Pupils contracted
Headache
Dehydration
Muscle cramps
Disturbance of consciousness
Shock


IST CRE                           61
TRAUMA
Polytrauma
Coexistence of two or more injuries caused by the same accident
and have at least one life-threatening condition




IST CRE                                                           62
TEC- Craneo-Encephalic TRAUMA

SIGNS AND
SYMPTOMS
Head or neck pain
Otorraquia or
otorrhagia
Rinorraquía or      Cervical collar do not immobilizes it only
                    limites the movement of the spine
rinorragía
IST CRE                                                     63
OSTEOARTICULAR INJUERIES




IST CRE                    64
SPRAIN AND DISLOCATION




          SPRAIN   DISLOCATION



IST CRE                          65
OSTEOMUSCULAR
          BANDAJE




IST CRE                   66
BITES
WITHIN THIS GROUP IS:   It can transmit rabies.
Dogs
Cats
Horses.
Monkey
Man

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Fist aid

  • 2. Ecuadorian Red Cross BASIC FIRST AID  CONCEPT ACCIDENT DISEACE/CRISIS QUALIFIED MEDICAL IST CRE 2
  • 3. Ecuadorian Red Cross IS FIRST AID IMPORTANT ? ¿…? SAVING LIVES AVOID AGGRAVATE INJURIES PROMOTE THEIR RECOVERY IST CRE 3
  • 4. Ecuadorian Red Cross Lateral Decubitus Dorsal Decubitus Prone or Supine Position HUMAN BODY IST CRE 4
  • 6. Ecuadorian Red Cross DY BO IES CAVITIES CONTENT CA VIT Cranial Cerebum, Cerebellum, medulla oblongata, Pons, meninges and cerebrospinal fluid Thoracic Heart, Respiratory System (trachea, Bronchy, Longs and Great Vessels. Abdominal Gastrointestinal tract, liver, Spleen, Pancreas, Urinary, reproductive organs Pelvic Genital organs, uterus, ovaries, ureters, bladder Espinal Medulla IST CRE 6
  • 7. Ecuadorian Red Cross EMERGENCY ACTION STEPS IS VERY IMPORTANT TO MAINTAIN CONTROL AND KEEP CALM SEM AREA RECOGNITION VICTIM VICTIM 2nd RECOGNITION RECOGNITION IST CRE 7
  • 8. Ecuadorian Red Cross AREA RECOGNITION ¿WHAT HAPPENED? IS THIS AREA SAFE INJURED PEOPLE IS THERE ANY PEOPLE WHO CAN HELP IST CRE 8
  • 9. Ecuadorian Red Cross VICTIM RECOGNITION REQUEST PERMIT YES PERMIT GRANTED CONCISENESS NO A B C IST CRE 9
  • 10. Ecuadorian Red Cross TO CALL S.E.M. INSTITUTIONS QUEVEDO QUITO GYE CRUZ ROJA 1-3-1 1-3-1 1-3-1 CENTRO EMERGENCIA 9-1-1 9-1-1 POLICIA NACIONAL 1-0-1 1-0-1 1-0-1 IST CRE 10
  • 11. Ecuadorian Red Cross RECONOCIMIENTO SECUNDARIO A… ALLERGIES INTERVIEW M… MEDICAMENTS • VICTIM P… PATHOLOGIES • FAMILY • PEOPLE L… LAST MEAL ( INGESTA ) AROUND THE AREA E… ANTECEDENTS VITAL SIGNS VALUES SISTEMATIC EXAM IST CRE 11
  • 12. Ecuadorian Red Cross BIOSECURTY EQUIPMENT IST CRE 12
  • 13. Ecuadorian Red Cross VITAL SIGNS IST CRE 13
  • 14. RESPIRACION ADULT: 12 – 20 R/M CHILDREN: 20 – 30 R/M NEONATE: 30 – 40 R/M VARIATION CAUSES EXERCISE Patological disease Stress Thoracic Trauma Penetraiting wounds (Thorax) Respiratory Relaxation Thermal Increment Feeding IST CRE 14
  • 15. PULSO ADULT: 60 – 100 P/M CHILDREN: 100 – 120 P/M NEONATE: 120 – 140 P/M PULSE VARIATION STRESS physical Exercise Eating Pathology Bleedings PCR Hypothermia IST CRE 15
  • 16. TEMPERATURE 36.5 – 37.5° C NORMAL VALUE TIPES OF THERMOMETERS IST CRE 16
  • 17. BLOOD PRESSURE TA SYSTOLIC: 140 – 100 mm Hg. DIASTOLIC: 90 – 60 mm Hg. MERCURY INDICATOR GAUGE AIR PUMPING DEVICE STETHOSCOPE ARM CUFF IST CRE 17
  • 18.
  • 19. Ecuadorian Red Cross CARDIAC AND RESPIRATORY EMERGENCIES • Smoke or gas saturated ambient • Liquid Immersion • Debris in Landslides • Thorax Injuries • Burns • Electrocutions • Poisons • OVACE • Cardiovascular Disease • Shock IST CRE 18
  • 20. Ecuadorian Red Cross CARDIAC AND RESPIRATORY EMERGENCIES A IST CRE 19
  • 21. Ecuadorian Red Cross CARDIAC AND RESPIRATORY EMERGENCIES B IST CRE 20
  • 22. Ecuadorian Red Cross CARDIAC AND RESPIRATORY EMERGENCIES C IST CRE Jesús Pico Cedeño (INSTRUCTOR) 21
  • 23. Ecuadorian Red Cross CARDIAC AND RESPIRATORY EMERGENCIES D IST CRE Jesús Pico Cedeño (INSTRUCTOR) 22
  • 24. Ecuadorian Red Cross CARDIO- RESPIRATORY EMERGENCIES CHILDREN AND NEONATES IST CRE Jesús Pico Cedeño (INSTRUCTOR) 23
  • 25. Ecuadorian Red Cross CARDIO-RESPIRATORY EMERGENCIES OVACE IST CRE Jesús Pico Cedeño (INSTRUCTOR) 24
  • 28. Ecuadorian Red Cross Place 2 or 3 fingers just below the nipple line on the baby's breastbone and give 5 quick chest thrusts (same position as chest compressions in CPR for a baby IST CRE 27
  • 29. Ecuadorian Red Cross CLEAR AIRWAY MANUALLY IST CRE 28
  • 30. Ecuadorian Red Cross EXTERNAL AND INTERNAL EXTERNAL: Stabbing INCISORS ABRASIVE SHARP WOUNDS AVULSED AMPUTATION Protrude EYE VICERATION INJURY BY FIREARMS IST CRE 29
  • 31. Hemorrhage FEATURES FEATURES FEATURES Little bleeding COLOR: Clear Read COLOR: Dark Red bright Red Outflow: Bubbling Outflow: Continuous Flesh Wound IST CRE Jesús Pico Cedeño (INSTRUCTOR) 30
  • 32. Abrasive Wounds PUNCTATE BLEEDING PAINFUL EASILY INFECT QUICK CURE (SMALL) LONG HEALING (LARGE) ASEPCIA AND ANTISEPCIA SOAP AND WATER ANTISEPTIC IST CRE Jesús Pico Cedeño (INSTRUCTOR) 31
  • 33. STABBING WOUND MAJOR BLEEDING Deformed OF THE WOUND EDGE IRREGULAR OBJECTS S.S.S. TREATMENT: Proceed to stop bleeding. Shock Treatment Transport to a hospital IST CRE 32
  • 34. INCISED WOUNDS SIGNS AND SYMPTOMS S.S.S. (If there is a large bleeding) Weakness Local pain TREATMENT: Treating Shock Aseptic Approaching Butterlfy Steps to stop haemorrhage Travel Health Centre. IST CRE 33
  • 35. STABBING WOUNDS SIGNS AND SYMPTOMS TREATMENT Wounds generally circular (in the case of Inmovilize the object (thread, dressings) blowing thorax ) Treating Shock Bleeding. Transfer to the nearest health center S.S.S. IST CRE 34
  • 36. IST CRE 35
  • 37. AVULSIONS SIGNS AND SYMPTOMS Wounds and bleeding Local pain deformity TREATMENT Treating Shock Steps to control bleeding. Relocation Assistance Centre IST CRE 36
  • 38. AMPUTATION SIGNS AND SYMPTOMS S.S.S. Despair. Disembodied limb Severe pain TREATMENT Treating Shock Perform a compression bandage Control of bleeding Proceedings of the limb Disembodied IST CRE 37
  • 39. SHOCK Reduced irrigation Blood tissue CIRCULATION (Deficit on percussion) DISORDER CAUSE Alteration of vital signs IST CRE 38
  • 40. CLASIFICACION HYPOVOLEMIC DISTRIBUTIVE CARDIOGENIC SHOCK SHOCK SHOCK IST CRE 39
  • 41. SIGNS AND SYMPTOMS Pale skin TREATMENT Cold, clammy perspiration Try to eliminate the cause Low temperature OF THE SHOCK Rapid pulse Cover but not heat the patient Devil and shallow breathing Vital Signs Monitoring Sleepiness Transportation. Thirst Decay IST CRE 40
  • 43. 1st Degree Burn SIGNS AND SYMPTOMS Redness Local Heat Burning Swelling TREATMENT Soak zone Do not use toothpaste, butter IST CRE 42
  • 44. 2nd Degree Burn SIGNS AND SYMPTOMS redness Pain Bullae (blisters) Signs and symptoms of Shock TREATMENT Do not punch blisters Soak the burned area Make a bandage Gentle Clean dry IST CRE 43
  • 46. WALLACE SCALE PORCENTAGE 100% 1 – 10% LOW 11 – 33% SEVERE 34 – 60 VERY SERIOUS > 60% MORTAL IST CRE 45
  • 47. CHEMICAL BURNS IST CRE Jesús Pico Cedeño (INSTRUCTOR) 46
  • 48. HYPOTHERMIA Hot, dry skin is a typical sign of hyperthermia The skin may become red and hot as blood vessels dilate in an attempt to increase heat dissipation, sometimes leading to swollen lips. An inability to cool the body through perspiration causes the skin to feel dry. The dehydration associated with heat stroke can produce nausea vomiting, headaches and low blood pressure. Tachycardia and Tachipnea ( IST CRE 47
  • 49. INTOXICATION  WAYS OF TOXIC ENTRY:  Oral or Digestive  Respiratory  Cutáneous (Skin and Mucosa) IST CRE 48
  • 50. SYMPTOMS AND SIGNS Weakness Abdominal pain Nausea Vomiting Breathing Difficulty Cyanosis Burns in the mouth and throat Altered consciousness. Seizures IST CRE Jesús Pico Cedeño (INSTRUCTOR) 49
  • 51. First Aid Identify the type of poison General treatment Decontamination Treatment asymptomatic. Specific antidote. Activated charcoal, 50 g. in 300 cc. Water in adults. Weight 1 g / kg orally. IST CRE Jesús Pico Cedeño (INSTRUCTOR) 50
  • 52. DIGESTIVE DECONTAMINATION Induce vomiting, administer albuminous water (1 lt. In water + 6 egg whites). Do not induce vomiting in: Strong acids Strong alkalis Petroleum Burns in the mouth and throat Unconsciousness seizures IST CRE 51
  • 53. RESPIRATORY AND SKIN DECONTAMINATION -Ventilate the area -Wash the site of contact with soap and water -Remove clothing and place in plastic bag IST CRE 52
  • 54. SYMPTOMATIC TREATMENT Manage airway Clean discharge. Treat shock Try breathing difficulty. Treat seizures. DO NOT allow them to sleep IST CRE Jesús Pico Cedeño (INSTRUCTOR) 53
  • 55. Specific Antidote TOXIC ANTIDOTE Methyl Alcohol Ethyl Alcohol Ethyl Alcohol Tiamin Walfarin (rat poison) K Vitamin Organophosphorus Atropin Snake Bites Antivenom IST CRE Jesús Pico Cedeño (INSTRUCTOR) 54
  • 56. PRECAUCIONES:  NO utilice agua si el toxico es fósforo blanco (diablillos)  NO utilice leche si el toxico es DDT u otro derivado clorado.  NO utilice carbón activado si el toxico es un acido fuerte, álcali fuerte o derivado del petróleo, ejem. Sosa cáustica, potasa cáustica, gasolina, etc.
  • 57. DEHYDRATION AND DIARRHEAL DISEASES They are produced by the introduction through the mouth (usually food) from germs in the stool. The are the cause of diarrhea because of the lack of hygiene and clean drinking water IST CRE Jesús Pico Cedeño (INSTRUCTOR) 56
  • 58. SYMPTOMS AND SIGNS Irritability Liquid and more frequent stools than usual. Thirst Sunken eyes Crying without tears. Dry lips and oral mucosa. Vomiting. Fold mark Signs and symptoms of Shock IST CRE 57
  • 59. IST CRE 58
  • 60. TREATMENT Hydrate Use rehydration salts 1 liter of boiled water and cold 8 teaspoons sugar 1 teaspoon salt A pinch of baking soda From 2-3 kg of weight - 1 cup (200 cc) in 4 to 6 hours From 4-5 kg of weight - 2 cups (400 ml) in 4 to 6 hours From 6-7 kg of weight - three cups (600 cc) of 4 to 6 hours IST CRE 59
  • 61. ENVIRONMENTAL EMERGENCIES HEAT EXHAUSTION Cold, clammy pale skin. Profuse sweating Headache Dehydration Muscle cramps Nausea Shock vomiting IST CRE 60
  • 62. HEAT STROKE Hot red and dry skin Elevated temperature (> 40 º C) No sweat (anhidrosis Pupils contracted Headache Dehydration Muscle cramps Disturbance of consciousness Shock IST CRE 61
  • 63. TRAUMA Polytrauma Coexistence of two or more injuries caused by the same accident and have at least one life-threatening condition IST CRE 62
  • 64. TEC- Craneo-Encephalic TRAUMA SIGNS AND SYMPTOMS Head or neck pain Otorraquia or otorrhagia Rinorraquía or Cervical collar do not immobilizes it only limites the movement of the spine rinorragía IST CRE 63
  • 66. SPRAIN AND DISLOCATION SPRAIN DISLOCATION IST CRE 65
  • 67. OSTEOMUSCULAR BANDAJE IST CRE 66
  • 68. BITES WITHIN THIS GROUP IS: It can transmit rabies. Dogs Cats Horses. Monkey Man