EMERGENCY RESPONSEBy Jesse Bergman

July 18 2013

TOPICS- Intro- Personal Protection- Good Samaritan- Scene Management- Scene Survey- Unconsciousness- Call 911- Primary Survey -

ABCD- Shock

- Secondary Survey- Recovery Position- Head and Spine- Choking- Bleeding and

Wounds- Burns- Bees and Stings- Medical Conditions- Practice Situations

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.

PERSONAL PROTECTION

- Gloves – removal- Barrier device- Hand washing- Consent: “Hi, my name is _____. I know first

aid. Can I help you?”- Diseases: Patient <-> You

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!

SCENE MANAGEMENT- Scene Survey- Unconsciousness- Consent- Call 911- Primary Survey – ABCD- Secondary Survey

- Head to Toe, SAMPLE, Vitals- Rest and Recovery

SCENE SURVEYNo 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

UNCONSCIOUSNESS- Primary survey begins with consciousness

check- “Hey hey, are you ok?”- Snap snap, clap clap- Highest ambulance priority if unconscious –

call 911 immediately

CALL 911MOST 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!

PRIMARY SURVEY - ABCD

A: AirwayB: BreathingC: CirculationD: Defib, Deadly Bleeding, Deal with Shock

Go over how to check with your partner

A: Head tilt chin liftB: 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.

SHOCKW: WarmthA: ABCDs need managementR: Rest and ReassuranceT: Treat InjuriesS: Stabilizing Position

SECONDARY SURVEY- Head to toe hands off- Head to toe hands on- SAMPLE:

- Signs/symptoms- Allergies- Medications- Past Medical History- Last Meal- Events

RECOVERY POSITION- Arm closest raised, knee farthest raised, roll towards

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

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

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

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

BITES AND STINGS- Never suck out venom- Find out the mechanism/vector- Credit card for stinger- Tweezers for ticks- Salt for leeches

MEDICAL CONDITIONS- Convulsions - Febrile seizures- Asthma- Allergies - Epi-pen

* Assist with meds, but never administer

SITUATIONS

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