Basic First Aid

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First Aid and Basic Life Support

Is an immediate care given to a person


who has been injured or suddenly
taken ill. It includes self-help and home
care if medical assistance is not
available or delayed
SCOPE and LIMITATION
First Aid does not imply
medical treatment and is by no
means a replacement for it.

FIRST AID
• AN EMERGENCY PROCEDURE THAT
CONSISTS OF RECOGNIZING
RESPIRATORY OR CADIAC ARREST OR
BOTH WITH PROPER APPLICATION OF CPR
TO MAINTAIN LIFE UNTIL A VICTIM
RECOVERS OR ADVANCED LIFE SUPPORT
IS AVAILABLE. 

BASIC LIFE SUPPORT 


1.Bridge that fills the gap between the victim and the physician.
• It is not intended to compete or take the place of medical experts /
Physician/doctors.
• It ends when medical assistance begins.
2. Ensure safety and that of bystanders.
3. Gain access to the victim.
4. Determine any threats to patient’s life.
5. Summon advanced medical care as needed.
6. Provide needed care for the patient.
7. Assist advanced personnel.
8. Record all findings and care given to the patient.

Roles and Responsibilities of a First Aider


• To alleviate suffering – (reduce, ease pain)
• To prevent /add injury / complications
• To prolong life
• Seek immediate medical help

OBJECTIVES OF FIRST AID


• Consent
• Duty to Act
• Standard of Care – qualify importance of care
given
• Negligence “ of care”
• Abandonment
• Confidentiality
Note: “Abandonment of person in danger and or
abandonment of one’s own victim” is a serious
offense.
Legal Concerns to consider
• Gentle –Should not cause pain (TLC)
• Resourceful-should make the best use of things at hand
• Observant- should notice all things, area / people
• Tactful- should not alarm the victim
• Emphatic- should be comforting
• Respectable- should maintain a professional and caring
attitude.

CHARACTERISTICS OF A GOOD FIRST AIDER


• Unfavorable
surroundings
• The presence of
crowds
• Presence from victim
or relatives

HINDRANCES IN GIVING FIRST AID


• SCENE SIZE – UP
1. SCENE SAFETY 
2. KNOWING WHAT HAPPENED (CAUSE OF
INJURY AND NATURE OF INJURY 
3. ROLE  OF BYSTANDERS
4. NUMBER OF CASUALTIES
5. ASKING PERMISSION OR CONSENT 

EMERGENCY ACTION
PRINCIPLES
1. IDENTIFY YOURSELF TO THE VICTIM (IF
CONSCIOUS)
2. STATE YOUR LEVEL OF TRAINING
3. ASK THE VICTIM WHETHER YOU MAY HELP
4. EXPLAIN WHAT YOU OBSERVE 
5. EXPLAIN WHAT YOU PLAN TO DO

HOW TO OBTAIN CONSENT? 


• PRIMARY ASSESSMENT 
1. ASSESSING RESPONSIVENESS- done
with the victim in the position in which you
find him/her 
A- Alert
V- Responsive to voice
P – Responsive to Pain
U – Unresponsive / Unconscious 
ABC – AIRWAY, BREATHING ,
CIRCULATION 
• ACTIVATE MEDICAL HELP
1. CALL FIRST OR CARE FIRST
           IF YOU ARE ALONE IT IS IMPORTANT TO
KNOW WHEN TO CALL DURING EMERGENCIES
CALL FIRST – SITUATIONS TO BE
OF CARDIAC EMERGENCIES
WHERE TIME IS CRITICAL 
CARE FIRST – CONDITIONS
RELATED TO BREATHING
EMERGENCIES 
• SECONDARY ASSESSMENT 
AFTER ASSESSMENT AND NOT IN LIFE THREATENING
CONDITION, YOU CAN BEGIN TO CHECK FOR OTHER
CONDITIONS THAT MAY NEED CARE 
1. INTERVIEWING THE PERSON AND BYSTANDERS
2. CHECKING THE PERSON FROM HEAD TO TOE
3. CHECKING FOR VITAL SIGNS 
COMMON TRANSMITTABLE DISEASES
• Herpes
• Tuberculosis
• Hepatitis
• HIV / AIDS TRANSMISSION WAYS:
• Direct Contact
• COVID-19 • Indirect Contact
• Airborne transmission
• Bites

Prevention and Protections


1. Universal precaution
2. Body Substance Isolation –
body secretions
3. PPE

Health Concerns (Hazard and Risks)


•VITAL SIGNS
“Cardinal signs”

Pulse and Respiration 


VITAL SIGNS TECHNIQUES
 VITAL SIGNS – The four VITAL SIGNS OR CARDINAL SIGNS are:

1. BODY TEMPERATURE
2. PULSE
3. RESPIRATION
4. BLOOD PRESSURE
5. RECENTLY DUE TO COVID-19….OXYGEN SATURATION
ASSESSMENT
ASSESSING BODY TEMPERATURE

BODY TEMPERATURE
 Is the balance between the heat produced by the body and the heat lost from the
body.
 The average body temperature of an adult is between 36.7 ‘C (98’F) to 37.0’C
(98.6’F)
 There are a number of body sites for measuring body temperature: oral, rectal,
axillary and tymphanic
 RECENTLY, using non-contact thermometer
ASSESSING PULSE RATE

PULSE
The term used to describe the rate ,
rhythm and volume of the heartbeat
The rate of the pulse is expressed in
beats per minute (bpm)
Normal range: 60 to 100 bpm
REASONS FOR USING SPECIFIC PULSE SITES

 RADIAL – Readily accessible


 TEMPORAL – used when radial pulse is non-palpable
 CAROTID – used for infants, cases of cardiac arrest
 APICAL – routinely used for infants and children up to 3 years old
 BRACHIAL – Used to measure blood pressure
 FEMORAL – for cases of cardiac arrest
 POPLITEAL – used to determine circulation of the lower leg
 POSTERIOR TIBIAL – used to determine circulation of the foot
 PEDAL used to determine circulation of the foot
BASIC LIFE SUPPORT
• An emergency procedure that consists of recognizing
respiratory or cardiac arrest or both.
• Proper application of CPR to maintain life until a victim
recovers or advanced life support is available

Elements of BLS
When approaching a casualty; this initial
assessment is called a primary survey.
 Airway maintenance and breathing
Circulation (A,B,C)
Cardiopulmonary Resuscitation (CPR).

Basic Life Support (BLS)


Help! Emergency!
•Every Minute COUNTs
•It could
make a difference if attended
at once
•Consider….
Back blows & Abdominal
/Chest Thrust – 5x cycle
• Ask a person to speak
or cough
• Deliver 5 back blows
• Perform abdominal thrusts
• Repeat sequence of back
blows and abdominal
thrusts
FAINTING- partial or complete loss of consciousness resulting from a temporary reduction of blood flow to the brain

• Position victim on his back


• Check for breathing
• Loosen restrictive clothing's
• Call Hotline numbers if
more than
a few minutes
• If conscious, lay the victim
down with feet elevated
(SHOCK POSITION)
• Do not give anything by
mouth
Signs / symptoms SHOCK
• Restlessness or irritability
• Altered level of consciousness
• Pale, moist skin
• Rapid breathing
• Rapid and weak pulse Excessive thirst
First Aid Management:
1. Make the person lie down
2. Control any external bleeding
3. Legs maybe raised 6 to 12 inches “SHOCK
POSITION”
4. Maintain normal body temperature
5. DO NOT give anything by mouth
6. Reassurance
Causes of fainting
• An emotionally stressful event
• Pain
• Specific medical conditions such as heart
disease
• Standing for long period of time or
overexertion
Signs and Symptoms
• Dizziness
• Signs of shock, such as pale, moist
skin
• Nausea
• Numbness in fingers and toes
First aid management

• Position the victim on her back


• Loosen any restrictive clothing
• Check and Assess for deformity, wound,
blood etc
• NPO nothing per orem
• Are injury to the skin and to other body tissues that is
cause by: HEAT, CHEMICALS, ELECTRICITY or
RADIATIONS.
First Aid Management:
THERMAL BURNS
1. Check for safety
2. Stop burning by removing the victim for the
source
3. Check for life threatening conditions
4. Cool the burn with large amounts of cold or
running water
5. Cover the burn loosely with sterile dressing
6. Prevent infection, do not break blisters
7. Comfort and reassurance

BURNS
CHEMICAL BURNS
• FIRST AID TREATMENT
1. Remove chemical from the skin as quickly as possible
2. Flush the burn with large amount of cool running water
3. If an EYE is burned by a chemical flush the affected eye
until advanced medical personnel take over
4. If possible, have the person remove contaminated clothes
to prevent the spread of infection while continue to flush
area
ELECTRICAL BURNS
• FIRST AID MANAGEMENT:
1. Never go near the person until you are sure with the power source
2. Turn off power source and be aware of life threatening conditions
3. Call emergency local numbers
4. Be aware that electrocution can cause cardiac and respiratory emergencies
5. Care for shock and thermal burns
6. Look for entry and exit wounds, give appropriate care
7. REMEMBER. That anyone suffering from electric shock requires
advanced medical attention
RADIATION BURNS:
1. e.g SUNBURN care same

NOTE: Critical burns are burns that require immediate


medical care.
TYPES / CLASSIFICATIONS:
STRAIN – tendons ‘overstretching” e.g over use muscles
SPRAIN – ligaments e.g accident
DISLOCATION – Joints
FRACTURE – Break in Bones
Signs and Symptoms:
• Pain
• Bruising and swelling
• Deformity
• Inability to use body part normally
• Bone fragments
• Cold, numb sensation on the injured area
• MANAGEMENT: R.I.C.E (rest, immobilize, cold, elevate)
What to do?
Take these actions immediately while waiting for medical help:
1.Stop any bleeding. Apply pressure to the
wound with a sterile bandage, a clean cloth or
a clean piece of clothing.
2.Immobilize the injured area. ...
3.Apply ice packs to limit swelling and help
relieve pain. ...
4.Treat for shock.
First aid management
• Call local numbers for help
• DO NOT MOVE if not trained
• Minimize movement of the head, neck and back
• Check for life threatening conditions
• Maintain an open airway
• Monitor consciousness and breathing
• Control any external bleeding , direct pressure
• Help maintain a normal body temperature
TRIANGULAR BANDAGE

•GOAL:
-SAFETY
-PROPER APPLICATION
• Folding of
TRIANGULAR
BANDAGE
1. OPEN PHASE
2. BROAD PHASE
3. semi – broad phase
4. narrow phase
KNOTS

• .SIMPLE KNOT
..SQUARE KNOT
…SURGEON’S
KNOT
ACTIVITY: VIDEO DEMONSTRATION
• Perform 4 bandage techniques in 2 minutes.
1. One eye injury bandage
2. Both eye injury Bandage
3. Forearm Bandage
4. Elbow Bandage
5. Hand Bandage

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