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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