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EMERGENCY RESPONSE

EMERGENCY RESPONSE. By Jesse Bergman July 18 2013. TOPICS. Secondary Survey Recovery Position Head and Spine Choking Bleeding and Wounds Burns Bees and Stings Medical Conditions Practice Situations. Intro Personal Protection Good Samaritan Scene Management Scene Survey

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EMERGENCY RESPONSE

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  1. EMERGENCY RESPONSE By Jesse Bergman July 18 2013

  2. TOPICS Secondary Survey Recovery Position Head and Spine Choking Bleeding and Wounds Burns Bees and Stings Medical Conditions Practice Situations Intro Personal Protection Good Samaritan Scene Management Scene Survey Unconsciousness Call 911 Primary Survey - ABCD Shock

  3. INTRO Educational experience No certification Building skills to respond as a bystander to a variety of scenarios Work in pairs You will touch each other – so make sure you are comfortable You NEVER have to do anything you are uncomfortable with; you can stop someone from doing something to you with our safety word: emu You will not touch anywhere near the hips or chest, front or back, on any person We will be practicing scenarios, and they may get intense; we will take pauses, and you can take a personal pause if needed This is NOT A CERTIFICATION – you are learning skills but will not be certified in any way Never step over a person; treat all people in the room with respect and dignity Disclaimer: this session is for informational purposes only. For accurate and up to date first-aid skills, contact a health organization.

  4. Personal protection Gloves – removal Barrier device Hand washing Consent: “Hi, my name is _____. I know first aid. Can I help you?” Diseases: Patient <-> You

  5. Good Samaritan ONTARIO GOOD SAMARITAN ACT “A person who…provides emergency first aid services…they cannot be held liable for damages that result from the person’s negligence in acting or failing to act while providing the services, unless it is established that the damages were caused by gross negligence of the person.” Different in other provinces/states/countries Required to start vs. required to continue • When you can stop: segmentation, decapitation, obvious decay, medical professionals, utter exhaustion • Assume it is an emergency: bystander effect • BE NICE!

  6. Scene MANAGEMENT Scene Survey Unconsciousness Consent Call 911 Primary Survey – ABCD Secondary Survey - Head to Toe, SAMPLE, Vitals Rest and Recovery

  7. Scene survey No fire, no wire, no glass, no gas; no drugs, no thugs, look up, look down. Anything that can hurt you…like? Clear hazards Mechanism of injury

  8. unconsciousness Primary survey begins with consciousness check “Hey hey, are you ok?” Snap snap, clap clap Highest ambulance priority if unconscious – call 911 immediately

  9. Call 911 MOST IMPORTANT THING I WILL TEACH YOU - 50%don’t call, even trained teams, in my actual experiences “Hey you! Go call 911. Tell them we have a <chief complaint> at <specific location>. Come back when you are done. Do you understand?” Call if it is serious; if unsure then call!

  10. Primary Survey - abcD A: Airway B: Breathing C: Circulation D: Defib, Deadly Bleeding, Deal with Shock Go over how to check with your partner A: Head tilt chin lift B: Look listen and feel. If not breathing, begin CPR (not covered) C: How do you know? If no pulse, begin CPR (not covered) D: Get a defibrillator on the way, deal with bleeds, deal with shock.

  11. Shock W: Warmth A: ABCDs need management R: Rest and Reassurance T: Treat Injuries S: Stabilizing Position

  12. SECONDARY SURVEY Head to toe hands off Head to toe hands on SAMPLE: Signs/symptoms Allergies Medications Past Medical History Last Meal Events

  13. Recovery POSITION - Arm closest raised, knee farthest raised, roll towards

  14. Head & SPINE Always suspect head and spine injuries if mechanism suggests it…like what? Ways to hold head and spine Signs and symptoms Raccoon eyes Ear bleed Irregular pupils Dizziness/nausea Confusion/altered mental state Bleeding/brusing

  15. choking Adults only today Partial choking: encourage, not touch Full choking: Get consent! Warn hurt; go fast. 5 back blows, 5 abdominal thrusts Pregnant/Obese: Use sternum thrusts Self

  16. Bleeding & WOUNDS RD: Rest and Direct Pressure Dressing vs. bandage Nosebleed Ear bleed Eye bleed Closed abdominal Open abdominal

  17. burns 1st degree: red 2nd degree: blisters 3rd degree: black/waxy Treatment: Cool not cold CLEAN water; preferably running 3rd degree: 911 Severity: consider degree and surface area

  18. Bites and stings Never suck out venom Find out the mechanism/vector Credit card for stinger Tweezers for ticks Salt for leeches

  19. Medical conditions Convulsions Febrile seizures Asthma Allergies Epi-pen * Assist with meds, but never administer

  20. situations

  21. Thank you Hope you enjoyed this educational experience This was NOT A CERTIFICATION– you learned skills but are not certified in any way Disclaimer: this session was for informational purposes only. For accurate and up to date first-aid skills, contact a health organization. Red Cross, St. John Ambulance and others have courses

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