Uploaded byBenedetto Gesmundo
Loss of Consciousness
The document is a comprehensive guide on first aid procedures for various medical emergencies, including syncope, shock, intoxication, epilepsy, head trauma, and heat stroke. It outlines the definitions, classifications, causes, and symptoms of these conditions, as well as specific first aid measures to take in each situation. Emphasis is placed on controlling vital signs, positioning the patient, and recognizing when to seek medical assistance.
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Loss of Consciousness
- 1. Dr. Benedetto Gesmundo MIROccupational Medicine Health Surveillance Area CENTE FOR OCCUPATIONAL HEALTH AND SAFETY OF HUELVA Course “First Aid” Item 3 3 March, 2015
- 2. Concept and Definition Calsification Causes Syncope Lipotymy Shock Intoxication Epilepsy Head Trauma Heat stroke What can Ido? Course “First Aid” Item 3 3 March, 2015
- 3. Concience Course “First Aid”Item 3 3 March, 2015
- 4. Philosophy Power to decideand be subject • Actor for his actions • Responsible fo the consequences • Perception fo good and evil Course “First Aid” Item 3 3 March, 2015
- 5. Facultad de decidiry hacerse sujeto • Actor de sus actos • Responsable de las consecuencia • Percepción del bien y mal Philosophy Course “First Aid” Item 3 3 March, 2015
- 6. Psyquiatry No abstract cognitivestatus, which allows • Interact • Interpret • Associate external stimuli RealityReality Course “First Aid” Item 3 3 March, 2015
- 7. General definition Knowledge thata being has to himself and its environment Higher cognitive functions Perception Attention Memory Language Conscious thought Targetes actions Feeling Intellingence Course “First Aid” Item 3 3 March, 2015
- 8. Alteration of consciousness Nopathological DreamNo REM REM Pathological Quantitative • Coma • Drowsiness and dizziness • Daze • Mental confusion Qualitiative • Twilight states • Dissociation of consciousness • Trance • Hipnotic state Course “First Aid” Item 3 3 March, 2015
- 9. Loss of conciousness Stetein which th brain has abolished certain reflexes and functions, so that the subject can not relate With the environment that surrounds it nor has control Over his own body Course “First Aid” Item 3 3 March, 2015
- 10. Neurological Cardiovascular Metabolic Traumatic Psyquiatric Shock Epileptic attack Stroke Basilar migraine AMI Structural Arrhythmias Hypoglycemia Ionicalterations Intoxications Head Trauma Hemorrhage Pseudosyncope Converting crisis Septic Anaphylactitc Course “First Aid” Item 3 3 March, 2015
- 11. Course “First Aid”Item 3 3 March, 2015
- 12. Sudden loss ofconciousness and usually brief and reversible 1. Loss of conciousness 2. Quick start 3. Short 4. No neurological sequelae Course “First Aid” Item 3 3 March, 2015
- 13. Why is itproduced? Global cerebral hypoperfusion Oxygen Glucose Course “First Aid” Item 3 3 March, 2015
- 14. Clasification Neurally (60%) VASOVAGALVASOVAGAL SITUATIONALSITUATIONAL CAROTIDCAROTID Orthostatic (6%) Cardiac(15%) STRUCTURALSTRUCTURAL ARRHYTHMICARRHYTHMIC Course “First Aid” Item 3 3 March, 2015
- 15. Neurally 60 % VasovagalVasovagal (Lipotymya) Simulus(painful, visual) that produce vegetative reaction Sweating Dizziness Blurred vison Nauseas and vomiting Course “First Aid” Item 3 3 March, 2015
- 16. Neurally 60 % SituationalSituational Valsalva maneuverstimulation Cough Defecation Course “First Aid” Item 3 3 March, 2015
- 17. Neurally 60 % CarotidCarotid Pressure incarotid sinus Hypotension reactive Course “First Aid” Item 3 3 March, 2015
- 18. Orthostatic 6 % Fall inarterial blood pressure • Prolonged standing • Change posture (sitting – standing) • Vasodilators Course “First Aid” Item 3 3 March, 2015
- 19. Cardiac 15 % Structural • Valvular •Pulmonary Hypertension • Pulmonary Embolism • Acute myocardial infarction • Cardiac tamponade • Aortic dissection • Myxoma Course “First Aid” Item 3 3 March, 2015
- 20. Cardiac 15 % Arrhythic • auriculoventricular block • Bradycardia • Supraventricular tachycardia • Ventricular tachycardia • Ventricular fibrillation • Pause or cardiac arrest Course “First Aid” Item 3 3 March, 2015
- 21. Feeling attenuation ofconciousness,Feeling attenuation of conciousness, without losing itwithout losing it Course “First Aid” Item 3 3 March, 2015 Sweating Dizziness Blurred vison Nauseas and vomiting
- 22. What I cando? • Owerthrowing the person in supine • Antishock position • Loosen clothing and objects that oppress • Control of vital signs 1. Signs of movement (does he react?, ¿move?) 2. Breathing (V.H.F.) 3. Pulsations Course “First Aid” Item 3 3 March, 2015
- 23. AntiShock position Course “FirstAid” Item 3 3 March, 2015 What I can do?
- 24. Control of vitalsigns View – Hear - Feel B.L.S. Course “First Aid” Item 3 3 March, 2015 What I can do?
- 25. Course “First Aid”Item 3 3 March, 2015
- 26. Failure of all functionsassigned to circulatatory system • Insufficient blood flow • Multiorganic damage • Potentially fatal Oxygen Glucose Course “First Aid” Item 3 3 March, 2015
- 27. Clasification 1. Cadiogenic 2. Hypovolemic 3.Anaphylactic 4. Septic 5. Neurogenic Course “First Aid” Item 3 3 March, 2015
- 28. Cardiogenic CARDIAC DISORDERS • Heartfailure • Pulmonary embolism • Acute myocardial infarction • Cardiac tamponade • Aortic dissection Course “First Aid” Item 3 3 March, 2015
- 29. Hypovolemic LOSS OF LIQUIDS •Bleeding (internal or external) • Venous or Arterial Hemorrhage • Burn • Heatstroke • Gastroenteritis Course “First Aid” Item 3 3 March, 2015
- 30. Anaphylactic ALLERGIC REACTION • Generalizededema • Respiratory compromise • Hypotension • Target organs dysfunction • Irritation skin and mucosa • Gatrointestinal symptoms Course “First Aid” Item 3 3 March, 2015
- 31. Septic SYSTEMIC INFECTION • Fever:Tº > 38ºC o < 36ºC • Tachycardia (frecuency > 100 bpm) • Tachypnea (> 20 rpm) • Hypotension Course “First Aid” Item 3 3 March, 2015
- 32. Neurogenic NEUROGENICAL DAMAGE • BRAINo SPINAL CORD • Tachycardia (frecuency > 100 bpm) • Bradypnea (> 9 rpm) • Hypotension Course “First Aid” Item 3 3 March, 2015
- 33. • Asking forhelp (Specialist medical care) • Conscious Antishock position • Unconscious L.P.S. • Loosen slothing and objects that oppress neck, chest or waist • Control of vital signs 1. Signs of movement (does he react?, ¿move?) 2. Breathing (V.H.F.) 3. Pulsations What I can do? Course “First Aid” Item 3 3 March, 2015
- 34. • Acute Hemorrhagescontrol • Maintain Body Temperature (cover) • Don’t administer food, beverages or alcohol • Transport under medical supervision only What I can do? Course “First Aid” Item 3 3 March, 2015
- 35. Antishok position Lateral PositionSecurity Total loss of conciousness What I can do? Course “First Aid” Item 3 3 March, 2015
- 36. Course “First Aid”Item 3 3 March, 2015
- 37. ToxicToxic Inhalation Digestive Endovenous Gas– Steam Solid Liquid Skin – mucosa Contact is the entrance of a toxic in the body, sufficient to harm Toxicity Quantity - Concentration Weight of victim Course “First Aid” Item 3 3 March, 2015
- 38. Types of intoxication ACCIDENTAL •Food • Medicamenthosa • Domestica (Cleaner, CO) • Animal bite • Drug addiction (alcoholism) • Occupational poisoning • Environmental pollution VOLUNTARY • Self-injury CRIMINAL EXECUTION 90% Course “First Aid” Item 3 3 March, 2015
- 39. Finding the causeelement Determine consciousness Unconcious Information Ask for helpL.P.S. Constants B.L.S. 911 Course “First Aid” Item 3 3 March, 2015 What I can do?
- 40. Alcoholic intoxication Breath alcohol Lossof conciousness or convulsions Nauseas y vomiting Dilated pupils Rapid Eyes Moviment Rapid heartbeat Slow breathing Loss of balance (Kinetic-Static) Slurred speech Rapid mood swings (Agressiveness) Course “First Aid” Item 3 3 March, 2015
- 41. Alcohol withdrawal Sweat Tachycardia Trembling hands Insomnia Nauseay vomiting Hallucinations (tactile, visual, auditory) Psychomotor agitation Anxiety Tonic – clonic convulsions Course “First Aid” Item 3 3 March, 2015
- 42. Relative rest Hidratation Vitamin supplements(B group) No disrupt sleep Avoid coffee and other exiting Quiet atmosphere Orient toward reality Course “First Aid” Item 3 3 March, 2015 Alcohol withdrawal What I can do?
- 43. Course “First Aid”Item 3 3 March, 2015
- 44. Disorder caused byan imbalance in the electrical activity of neurons in any area of the brain A seizure is a sudden and short-lived event, Characterized by abnormal and excesive neuronal activity • Usually transient • Decreased level of consciousness • Convulsive moviments Head trauma Meningitis Tumors Stimuli Course “First Aid” Item 3 3 March, 2015
- 45. PHASE TONIC Generalized muscle contracture PHASECLONIC Involuntary jerky movements of limb and neck PHASE RELAXATION Sphincter relaxation Phases of crisis Course “First Aid” Item 3 3 March, 2015
- 46. • NO PANIC •Don’t move it! Don’t immobilize it! • Don’t try to awaken • Remove nearby objects • L.P.S. • Don’t attempt to open the mouth • Don’t put anything in the mouth • Rest the victim Course “First Aid” Item 3 3 March, 2015 What I can do?
- 47. Course “First Aid”Item 3 3 March, 2015
- 48. Injury of medium/high intensity can cause concussion: Impaired conciousness of character transient and reversible It can last from minutes to hours Course “First Aid” Item 3 3 March, 2015
- 49. Course “First Aid”Item 3 3 March, 2015
- 50. INTRACEREBRAL SUBARACHNOID SUBDURAL EPIDURAL CerbralHemorrhage Course “First Aid” Item 3 3 March, 2015
- 51. Kickback Head Trauma Therebound of the brain in the skull can explain the phenomenon of shoot-blacklash Course “First Aid” Item 3 3 March, 2015
- 52. Severe symtoms LOSS OF CONCIOUSNESS PARALISIS NOREFLEXES SLOW PULSATIONS PALLOR RESPIRATORY DISORDER Course “First Aid” Item 3 3 March, 2015
- 53. Secundary symtoms PAIN DIZZINESS VOMITINGAMNESIA CONFUSION INSTABILITY Course “First Aid” Item 3 3 March, 2015
- 54. Outeard signs ofalarm ANISIOCORIA OTORRHAGIAINJURY Course “First Aid” Item 3 3 March, 2015
- 55. Later symtoms 24-48h SLEEPINESSCONFUSION VOMITING DIZZINESS PROGRESSIVE CONVULSION VISUAL DEFECTS LOSS POWER OR SENSITIVITY HEMORRHAGIA Course “First Aid” Item 3 3 March, 2015
- 56. • Lateral PosicionSecurity No Antishock • Control of vital signs Breathing monitor • Maintain body temperature • Urgent transfer to hospital Course “First Aid” Item 3 3 March, 2015 What I can do?
- 57. Course “First Aid”Item 3 3 March, 2015
- 58. Heat stroke isconsidered when body temperature exceeds 40° C The body temperature rises exceeding the temperature regulating mechanisms SWEATING VASODILATION EFFORT CLASSIC Course “First Aid” Item 3 3 March, 2015
- 59. Decreased Blood pressure Lossof conciousness Mechanism Course “First Aid” Item 3 3 March, 2015
- 60. Symtoms Intense thirst Skin redness Hotand dry skin Tiredness Tachycardia Dyspnoea Náuseas y vomiting High fever Confusion and disorientation Loss of conciousnessLoss of conciousness Coma Death Course “First Aid” Item 3 3 March, 2015
- 61. Immediate cooling Place thepatient in a cool place with highhead and face up LPS if inconcious - Place cold and wet compresses to the forehand - Place cold compresses on the whole body if fever - Give leg and arm massage to relive cramps muscle (if not burned) Give to drink water at room temperature periodically (in one liter of water mix a teaspoon of salt) Transfer to a hospital Course “First Aid” Item 3 3 March, 2015 What I can do?
- 62. Loss of conciousnessLossof conciousness NO WITNESSED I should not do • No mobilize the victim • Don’t wait for evolution • Don’t leave the victim alone • Not to drink or eat • Dont stir or touching objects around (evidence crime) Course “First Aid” Item 3 3 March, 2015
- 63. What should Ido • Ask for help • Vital control constants • Control bleeding • L.P.S. • Ask the present • Browse documentation • Search medals, bracelets Course “First Aid” Item 3 3 March, 2015 Loss of conciousnessLoss of conciousness NO WITNESSED
- 64. • Syncope • Lipotymya •Shock • Intoxication • Epileptic crisis • Head trauma • Heatstroke Course “First Aid” Item 3 3 March, 2015 Loss of conciousnessLoss of conciousness WITNESSED
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Editor's Notes
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