1. Visual 3.1 Unit Objectives 1. Identify the “killers.” 2. Apply techniques for opening airways, controlling bleeding, and treating for shock. 3. Conduct triage under simulated disaster conditions.

2. Visual 3.2 Treatment of Life-Threatening Conditions The “Killers”:  Airway obstruction  Excessive bleeding  Shock

3. Visual 3.3 Treatment of Life-Threatening Conditions Components of a respiratory system:  Lung  Bronchus  Larynx  Pharynx  Nasal Air Passage  Trachea

4. Visual 3.4 Maintain Airway! Tongue UNCONSCIOUS Obstructed Airway

5. Visual 3.5 Look, Listen & Feel  Step 1 – shake & shout  Step 2 – no response, begin procedure  Step 3 – start head tilt, chin lift  Step 4 – Look for chest to rise  Step 5 – Listen for air exchange  Step 6 – Feel for abdominal movement Head Tilt Chin Lift Method

6. Visual 3.6 Are you awake? John, John are you OK? Gentle shake, Avoid trauma and waking sleeping patient

7. Visual 3.7 Check for Breathing Feel, listen, see chest rise

8. Visual 3.8 Head tilt, chin lift

9. Visual 3.9 Control Bleeding  Arterial  Venous  Capillary

10. Visual 3.10 3 Methods  Direct Local Pressure  Elevation  Pressure Points

11. Visual 3.11 Direct Local Pressure

12. Visual 3.12 Dressing & Bandaging  Sterile dressing directly over the wound.

13. Visual 3.13 Dressing & Bandaging cont.  Clean bandage over the sterile dressing covering as much of the dressing as possible.

14. Visual 3.14 Pressure Dressing WaddingBandage over wadding

15. Visual 3.15 Pressure Points Brachial Femoral

16. Visual 3.16 In a disaster environment  Where can one find sterile materials for dressings?  Where can you find clean bandages?

17. Visual 3.17 Treatment Of Shock Conditions Sign Breathing Skin Consciousness Symptom Rapid, shallow Cold, pale Anxious/Apathetic; unconscious/comatose Test Greater than 30 per minute Capillary refill Response to simple commands

18. Visual 3.18 Treating for Shock  Step 1 – Lay victim on back if possible. Raise feet 6” to 10 “  Step 2 – Control Bleeding  Step 3 – Maintain Body Temperature  Step 4 – Avoid rough or excessive handling

19. Visual 3.19 Treating for Shock Raise Feet Cover Victim

20. Visual 3.20 Triage  Immediate (I)  Delayed (D)  Dead (DEAD)

21. Visual 3.21 Triage Pitfalls  No team plan, organization, or goal  Indecisive leadership  To much focus on one injury  Treatment (rather than triage) performed

22. Visual 3.22 Triage Practice