Primary Medical Primary Medical CareCare

&&Paramedic Paramedic

Emergency CareEmergency Care

National Institute For National Institute For Emergency MedicineEmergency Medicine

Phakamas Pheetarakorn

Kittipong Puechsingha

Let me introduce myself. - My name is Phakamas-My nickname is “arjan apple”-I teach students at prachomklao college of nursing. department of adult nursing

Let me introduce myself. - My name is Kittipong-My nickname is “arjan aud”-I work at Thailand Saim Gypsum USG Boral and Samut Sakhon foundation-I have the knowledge to help patients pre hospital care more than 20 years.

You will learn:

a. EMERGENCY MEDICAL SYSTEM IN THAILAND

b. What to do when an emergency in Thailandc. first aid (Dressings and Bandages)d. Basic CPR 2015 ( 1 rescue and 2 rescue)

EMERGENCY EMERGENCY MEDICAL SYSTEMMEDICAL SYSTEM

IN THAILANDIN THAILAND

National Institute For National Institute For Emergency MedicineEmergency Medicine

INTRODUCTION TO INTRODUCTION TO EMERGENCY MEDICAL EMERGENCY MEDICAL

CARECARE

National Institute For National Institute For Emergency MedicineEmergency Medicine

Thailand there are four levels of Thailand there are four levels of emergency care providers :emergency care providers :

First Responder (study time 5 days)First Responder (study time 5 days)Emergency Medical Technician (EMT) – Basic Emergency Medical Technician (EMT) – Basic (study time16 days)(study time16 days)EMT – Intermediate (study time 2 years)EMT – Intermediate (study time 2 years)EMT – Paramedic (study time 4 years)EMT – Paramedic (study time 4 years)

National Institute For National Institute For Emergency MedicineEmergency Medicine

First Responder (study time 5 days)

EMERGENCY CALLEMERGENCY CALL16691669

National Institute For National Institute For Emergency MedicineEmergency Medicine

Rapid Trauma Assessment

- The evaluation examined the system quickly- It takes less than 90 seconds- to find the major threat to life severe injury - A-B-C- principles Look and feel DCAP-BTLS & PMS-Assessment starts from head to toe.

Rapid Trauma Assessment

DCAP-BTLS

D= DeformitiesC=ContusionsA=AbrasionsP=Punctures & PenetrationsB=BurnsT=TendernessL=LacerationsS=Swelling

DCAP-BTLS D= Deformities

DCAP-BTLS C=Contusions

DCAP-BTLS A= Abrasions

DCAP-BTLS P= Punctures & Penetrations

DCAP-BTLS B= burns

DCAP-BTLS T=Tenderness

DCAP-BTLS L=Lacerations

DCAP-BTLS S= swelling

The process of examination Rapid trauma assessment

DCAP-BTLS : Head

DCAP-BTLS : Face

DCAP-BTLS : Neck (ด้านหน้า-หลัง) - apply cervical hard collar

DCAP-BTLS : chest

DCAP-BTLS : Abdomen

DCAP-BTLS : Pelvis

DCAP-BTLS : Lower extremities : Assess PMS (Pulse motor , sensory )

DCAP-BTLS : Upper extremities : Assess PMS (Pulse Motor , sensory )

DCAP-BTLS : Back

move - vital signs

Dressings and Dressings and BandagesBandages

Bandages and dressings are both Bandages and dressings are both used in wound management. used in wound management.

A bandage is a piece of cloth or other A bandage is a piece of cloth or other material used to bind or wrap a material used to bind or wrap a diseased or injured part of the body.diseased or injured part of the body.

Uses:Uses:Applying pressure to bleeding Applying pressure to bleeding wounds.wounds.

Covering wounds and burns.Covering wounds and burns.

Provides support and immobilization Provides support and immobilization for broken bones, strains and sprains.for broken bones, strains and sprains.

การพนัเป็นวงกลมการพนัเป็นวงกลม

การพนัเป็นเกลียวการพนัเป็นเกลียว

การพนัเป็นรูปเลขการพนัเป็นรูปเลขแปดแปด

การพนัทบกลับการพนัทบกลับ

การพนัทบกลับท่ีการพนัทบกลับท่ีศีรษะศีรษะ

การใชผ้า้พนัการใชผ้า้พนัชนิดผา้สามเหล่ียมชนิดผา้สามเหล่ียม

Fabrics used Fabrics used for the for the support arm, support arm, wrist, elbow, wrist, elbow, forearmforearm

Using fabric triangles in different ways. With body parts

การพนัผ้าคล้องแขน1.วางผ้าสามเหล่ียมใหมุ้มยอดของสามเหล่ียมอยูใ่ต้ขอ้ศอกขา้งท่ีบาดเจบ็ใหช้ายผ้าด้านบนพาดพาดไปท่ีไหล่อีกขา้งหน่ึง

Place a towel over the top of the triangle.The triangle below the elbow injury.The top male cloth draped across the shoulders.The other side

The bound arms

Man arrested cloth to remove the back up top. Men cloth draped over the shoulder with an arm injury.

The two men tied a cloth to tie the knot in the groove Pirad above the collarbone

4.เก็บมุมสามเหล่ียมโดยใชเ้ขม็กลัด กลัดติดใหเ้รยีบรอ้ย

การพนัมอื

1.วางมอืท่ีบาดเจบ็ ลงบนผ้าสามเหล่ียม จบัมุมยอดของผ้าสามเหล่ียมพบัลงมา ทางด้านฐานจรดบรเิวณขอ้มอื2.หอ่มอืโดยจบัชายผ้าทัง้ด้านซา้ย และขวา ไขวกั้น3.ผูกเง่ือนพริอดบรเิวณขอ้มอื

CPR 2015CPR 2015