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FIRST AID. http://utpo.lf1.cuni.cz jana.heczkova@ftn.cz Charles University in Prague, 1st Faculty of Medicine, Institute of Theory and Practice of Nursing. Contacts. http.// utpo.lf1.cuni.cz Username: firstaid.lf1@gmail.com Password: firstaid jana.heczkova@ftn.cz

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First aid l.jpg

FIRST AID

http://utpo.lf1.cuni.cz

jana.heczkova@ftn.cz

Charles University in Prague, 1st Faculty of Medicine,

Institute of Theory and Practice of Nursing


Contacts l.jpg
Contacts

  • http.//utpo.lf1.cuni.cz

  • Username: firstaid.lf1@gmail.com

  • Password: firstaid

  • jana.heczkova@ftn.cz

  • Credits: Practical exam


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First Aid

  • Consent

    • Conscious victim

    • Unconscious victim

    • Children

    • Mentally incompetent victim

    • Refusing help


Action in an emergency l.jpg
ACTION IN AN EMERGENCY

  • Primary Survey (Initial assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • D

  • R

  • s

  • A

  • B

  • C


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Dangers

  • R

  • s

  • A

  • B

  • C


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • AVPU scale

  • Dangers

  • Response

  • s

  • A

  • B

  • C

  • Alertand aware

  • Responds toVerbalstimuli

  • Responds toPainfulstimuli

  • Unresponsive


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Dangers

  • Response

  • shoutfor help

  • A

  • B

  • C


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Dangers

  • Response

  • shout for help

  • Airway

  • Breathing

  • Circulation


Action in an emergency10 l.jpg
ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility


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ACTION IN AN EMERGENCY

  • Get help

  • Europe112

  • Local155

  • Helth care facility4444

  • What happened

  • How many victims

  • Where

  • Who


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • A

  • B

  • C

  • D

  • E


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Airway

  • B

  • C

  • D

  • E

  • Head tilt – chin lift method

  • Jaw thrust method


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ACTION IN AN EMERGENCY

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • C

  • D

  • E

  • Rate

    • Normal respiration 12 - 20

    • Bradypnea 

    • Tachypnea 

    • Apnea

  • Depth

  • Ease

  • Noise


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Airway

  • Breathing

  • Circulation

  • D

  • E


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ACTION IN AN EMERGENCY

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • D

  • E

  • Rate

    • Normal HR 60 - 90

    • Bradycardia 

    • Tachycardia 

  • Strength

  • Rhythm

    • Arrythmia

  • Skin colour


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ACTION IN AN EMERGENCY

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • D

  • E

  • Systemic BP

    • Normal BP 120–140 / 60-80

    • Hypertension 

    • Hypotension


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Airway

  • Breathing

  • Circulation

  • Disability

  • E


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ACTION IN AN EMERGENCY

  • Mental status

  • Pupils

  • Extremities

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • E


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ACTION IN AN EMERGENCY

  • Mental status: Glasgow Coma Scale

  • Pupils

  • Extremities

  • Eye opening

    • Spontaneously 4

    • To Speach 3

    • To Pain 2

    • None 1

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • E

  • Verbal response

    • Orientated 5

    • Confused 4

    • Inappropriate words 3

    • Incomprehensible sounds 2

    • None 1

  • Motor response

    • Obeys verbal commands 6

    • Localising pain 5

    • Withdraws from pain stimuli 4

    • Flexing to pain 3

    • Extension to pain 2

    • No response 1


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ACTION IN AN EMERGENCY

  • GCS

  • Pupils

  • Extremities

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • E

  • Shape

  • Equality

  • Response to light

  • PEARL

    • PupilsEqual AndReactingtoLight


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ACTION IN AN EMERGENCY

  • GCS

  • PEARL

  • Extremities

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • E

  • CSM

    • Circulation

    • Sensation

    • Movement


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Airway

  • Breathing

  • Circulation

  • Disability

  • Exposure, EverythingElse


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ACTION IN AN EMERGENCY

  • Physical exam

    • Victim‘s chief complaint

    • Head to toe examination

  • Victim‘s history

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • Exposure, Everything Else


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ACTION IN AN EMERGENCY

  • Physical exam

    • Victim‘s chief complaint

    • Head to toe examination

  • Victim‘s history

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • Exposure, EverythingElse

  • DOTS

    • Deformity

    • Openwounds

    • Tenderness

    • Swelling


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ACTION IN AN EMERGENCY

  • Physical exam

    • Victim‘s chief complaint

    • Head to toe examination

    • Victim‘s history(SAMPLE history)

  • Secondary Survey (assessment)

  • Airway

  • Breathing

  • Circulation

  • Disability

  • Exposure, Everything Else

  • Symptoms

  • Allergies

  • Medications

  • Past medical history

  • Last oral intake

  • Events leading up to the illness or injury


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility

  • Recovery position


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ACTION IN AN EMERGENCY

  • Primary Survey (assessment)

  • Get help

  • Secondary Survey (assessment)

  • Provide first aid

  • Reassess regularly

  • Transport to health care facility


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RESOURCES

  • National Safety Council; FIRST AID AND CPR.

  • Chapleau, W., Pons, P. (2007) EMERGENCY MEDICAL TECHNICIAN. St. Louis: Elsevier

  • Caroline, N. (2007) EMERGENCY CARE IN THE STREET. 6th ed. London: Jones and Bartlett


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