RULE NUMBER 1: DON’T PANIC!. RULE NUMBER 2: CALL 911!. RULE NUMBER 3: DO NOT TOUCH BLOOD OR BODY FLUIDS UNLESS PROTECTED!. RULE NUMBER 4: REMEMBER RULE NUMBER 1!. Should You Drive or Call Ambulance?. Ask these questions: Does the persons condition appear to be life threatening?
DO NOT TOUCH BLOOD OR BODY FLUIDS UNLESS PROTECTED!
REMEMBER RULE NUMBER 1!
Ask these questions:
Does the persons condition appear to be life threatening?
Could their condition worsen?
Could moving the person cause more injury?
Does the person need the attention or equipment that first responders provide?
Would traffic conditions cause a delay in getting to the hospital?
Afraid of law suits
Afraid of doing something wrong
Afraid of cooties
IF YOU DECIDE TO OFFER HELP, YOU ARE COVERED UNDER THE GOOD SAMARITAN LAW, WHICH WILL GENERALLY PROTECT YOU FROM LIABILITY, AS LONG AS YOU:
ARE NOT RECKLESS OR NEGLIGENT.
ACT AS A PRUDENT PERSON WOULD.
DO NOT EXCEED YOUR SCOPE OF TRAINING.
BANDAGES / DRESSINGS.
FACE SHIELD/POCKET MASK.
SCISSORS / TWEEZERS.
FALLS / FRACTURES.
SYNCOPE / FAINTING.
CPR / AED
Blood Borne Pathogens
Breathing difficulties Shock
ASSESS THE SCENE FOR SAFETY.
EXAMINE THE PATIENT.
CHECK FOR BLEEDING.
TREAT THE VICTIM.
7) REMAIN WITH THE VICTIM.
DO YOU HAVE ANY ALLERGIES?
DO YOU HAVE ANY MEDICAL PROBLEMS?
HIV enters body and attaches to the T-cells.
HIV reprograms T-cells to produce more HIV.
T-cells produce HIV until they burst and spread more HIV.
New HIV seeks out more T-cells.
Immune system booster drugs
Other drug treatment
AIDS – Cure?
Inflammation of the liver
Leads to cell damage resulting in cirrhosis or cancer
Cleanliness in station
Patient care equipment in station living area
Body fluids on scenes
Sharp objects on scenes
Identifies which personnel are at risk
Provides procedures for investigation of exposures
Provides engineering and work practice controls
Mandates Hepatitis B vaccinations and record keeping
Outlines post-exposure procedures and record keeping
Washing hands and utilizing proper Personal Protective equipment is the best method.
If it is not your body fluid, then do not touch it.
If exposed wash as soon as possible and use hand cleaner.
Skin is largest organ and natural protector keep in tack.
ANOTHER TYPE OF DIABETES IS CONTROLLED BY DIET AND / OR ORAL MEDICATIONS.
SINCE THE BRAIN RUNS ON SUGAR, A LOW SUGAR LEVEL WILL CAUSE CONFUSION, OR UNCONSCIOUSNESS.
FEELING OR LOOKING ILL.
ABNORMAL PULSE (RAPID/WEAK).
IF THE PERSON IS CONSCIOUS , GIVE THEM FLUIDS CONTAINING SUGAR.
WATCH THE PERSON CAREFULLY, THEY MAY LOSE CONSCIOUSNESS OR COME COMBATIVE.
CALL 911, AND ENSURE THAT THE PATIENT HAS AN OPEN AIRWAY.
MONITOR THE PATIENT.
MANY PATIENTS FALL, CAUSING INJURY.
STRESSFUL EVENT (SIGHT OF BLOOD).
SOME CAUSES MAY BE SERIOUS!
NORMALLY SELF-CORRECTING IN A SHORT PERIOD OF TIME.
IF THE PATIENT FALLS, KEEP PATIENT STILL TO INSURE NO FURTHER INJURY.
RAISE FEET APPROX. 12” OFF FLOOR
SYMPTOMS INCLUDE: HIVES, SWELLING, SHORTNESS OF BREATH, DECREASED B/P, REDNESS, HOARSENESS.
KEEP PATIENT CALM.
BENADRYL MAY BE GIVEN.
THIS DISRUPTION CAN CAUSE LOSS OF BODY CONTROL, KNOWN AS A SEIZURE.
FEVER: CAUSED BY FEVERS >102 DEGREES, USUALLY OCCUR IN CHILDREN < 5 YEARS OLD.
PREGNANCY: THESE CAN BE VERY SERIOUS, EVEN LIFE THREATENING!
CONFUSION AFTER THE EVENT.
EYES ROLLING BACK.
CLEAR AREA FROM AROUND THE PATIENT, TO PREVENT INJURY.
PROTECT PATIENTS’ HEAD FROM THE FLOOR.
THE PATIENT MAY BE VIOLENT! THIS CANNOT BE HELPED, BE CAREFUL!
WHEN THE SEIZURE STOPS, POSITION THE PATIENT ON THEIR SIDE.
MANY INDIVIDUALS THAT HAVE SEIZURES FALL AND INJURE THEMSELVES.
TRY NOT TO MOVE THE PERSON ANYMORE THAN NECESSARY.
Most are metered doses and only work after 1 or 2 sprays.
Do not agitate / argue.
Give oxygen if allowed and possible.
If unconscious check ABC, Start CPR
shortness of breath
pain in arms, jaw, neck, back
possibly chest / back pain
shortness of breath
CALL 911, DO NOT HESITATE!
PLACE PT. IN POSITION OF COMFORT.
OBTAIN HISTORY (ASPIRIN)?
GIVE OXYGEN IF AVAILAE AND QUALIFIED.
BE PREPARED FOR CPR / AED.
Also known as “cerebrovascular accident” (CVA)
80% are ischemic (blockage)
20% are hemorrhagic (bleeding)
(ruptured aneurysm, trauma
4,000,000 stroke survivors in the US
#1 cause of disability
#3 cause of death (#2 World)
Commonly results from aneurysmal rupture
Rapid onset of symptoms
Results in severe sudden headache due to marked increase in pressure around the brain
Unable to walk
Unable to talk
ANY OF THESE COMPLAINTS COULD BE A STROKE!
BE PREPARED DO CONDUCT CPR
CONDUCT STROKE ASSESMENT
PTS. MAY BE CONFUSED,
DURATION OF SYMPTOMS
O2 IF INDICATED
SOME NOSEBLEEDS CAN BE SEVERE, AND SHOULD BE EVALUATED BY A PHYSICIAN.
SOME BLEEDING MAY BE SEEN FROM THE MOUTH.
Someone choking needs immediate attention or they will go unconscious and need CPR.
If so encourage to cough and prepare to give abdominal thrust (Heimlich Maneuver).
Stand behind patient, place hands just above belly button and give 5 quick thrusts inward and upward.
continue until object is freed or pt. goes
When pt goes unconscious
Lower to the floor an start cycles
Of CPR. Looking in the
Airway after compressions
Make sure 911 has been called
1ST DEGREE / SUPERFICIAL. (SUNBURN)
2ND DEGREE / PARTIAL THICKNESS (BLISTERS, VERY PAINFUL.)
3RD DEGREE / FULL THICKNESS (SKIN DESTROYED, MAY BE PAINLESS!)
REMOVE PATIENT FROM SOURCE!
DO NOT BECOME A VICTIM YOURSELF!
IF EYES INVOLVED, FLUSH WITH COPIOUS AMOUNTS OF WATER.
FOR THERMAL BURNS, COOL AREA WITH WATER AND WET CLOTHS.
SWELLING / DISCOLORATION.
INABILITY TO MOVE INJURED AREA.
IMMOBILIZE AREA TO STOP MOVEMENT.
ELEVATE THE EXTREMITY.
WATCH FOR SHOCK.
A cycle of CPR is 2 minutes or 5 cycles of 30:2
Compression Rates / Ratios: Compressions 100 per minute at a ratio of 30:2 infants, children, and adults.
Compression depths; 1/3 to 1/2 the chest thickness for infant, 1” to 1 ½ for a child, and 1 ½ to 2” for an adult depending on size of patient.
Determine unresponsiveness, if infant and child perform 2 minutes of CPR prior to calling 911 if alone.
Adult; determine level of responsiveness, call 911, then start the cycles of CPR if needed or place in recovery position, and wait for emergency crews.
Get AED if available.
If AED available and patient was witnessed going into cardiac arrest place AED on patient immediately, if unwitnessed arrest, conduct 2 minutes or 5 cycles of CPR prior to placement of AED.
If in cardiac arrest; open unit, place pads in designated location, turn on unit, and follow prompts, if no shock continue CPR for appropriate time, AED will count down, reanalyze and indicate shock or no shock, continue CPR.
If AED indicates shock, clear patient and press shock button.