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1 First Aid Settings and Practice Agoura Hills DRT March 16, 2011 Bill Novik.

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Presentation on theme: "1 First Aid Settings and Practice Agoura Hills DRT March 16, 2011 Bill Novik."— Presentation transcript:

1 1 First Aid Settings and Practice Agoura Hills DRT March 16, 2011 Bill Novik

2 2 First Aid Settings Movies in the Park Concerts in the Park Relay for Life The Great Race The Big One Little Ones (personal incidents)

3 3 General Operating Procedures Incident command structure – IC –Sign-in and –out, report if leaving/returning area Work in teams PPE – Personal Protective Equipment Perform only to level of (CERT) training –CERT level 1, First responder – level 3 –Water (ice), soap, sugar Supplies – canopies, chairs, cots, backboard, two medical kits, soap, towels, ice, “grab-and-go” bag, radios (HAM or FRS), AED(?) How to become more involved in DRT – jump in, be self- starting, you’re not far behind anyone

4 4 Typical Incidents Lost children Requests for OTC drugs Bee stings Sprains / Strains / Breaks Scrapes / Scratches Heat Exposure Diabetes Shock / Hypoperfusion Heart Attack

5 5 General First Aid Protocol Introduce self and level of training Obtain permission to treat –under age 18 Record name of victim (or gender and age) and injury Do at least a quick, overall, visual head-to- toe assessment Get information about nature and cause of injury (SAMPLE)

6 6 General First Aid Protocol Tell the victim what you observe, what you will do, and what you are doing Get assistance if serious injury (immediate- RPM) or are uncomfortable Call for professional responders if needed (probably through IC) Keep track of time for important events Write a report for major incidents (w/i 24 hours) Recommend professional follow-up if appropriate

7 7 Bee Stings Remove stinger quickly –Scrape with edge of credit card, tweezers or fingernail –Tweezers –Do not squeeze the venom sac Wash with soap and water Apply ice (not directly to skin) Ask about known allergic reactions –If unknown, have person stay at first-aid or with someone who can help –can develop an allergy even if immune before

8 8 Sprains / Strains / Breaks Signs and Symptoms –Severe fall or collision –Slow capillary refill in child or infant –No pulse below injury –Loss of sensation –Inability to move without pain or discomfort –Painful, swollen, deformed Action –RICE: Rest, Immobilize, Cold (20 minute cycle), Elevate –Immobilize / Splint Soft – blanket, towel, pillow, sling Rigid – board, metal strip, cardboard Anatomic - arm to chest, leg to leg, digit to digit

9 9 Sprains / Strains / Breaks Action: Splint –Do not splint if professionals responding –Splint only if can be done without causing more pain or discomfort –Splint injury in position you find it –Splint injured area and joints above and below injury –Check for proper circulation and sensation before and after splinting –Elevate splinted part if possible –Extra half tie to hold the tie (surgeon’s knot)

10 10 Scrapes / Scratches Minor bleeding usually stops within 10 minutes Blood loss –More than 2 pints – trouble –One liter – deep trouble Action –Follow BSI (body substance isolation) precautions –Controlling bleeding more important than washing –Direct pressure (white on white on red) –Elevate injured area above level of heart, if not painful –Pressure points Brachial artery – upper arm Femoral artery – inner thigh –Monitor ABC (check for cause of injury or for other injuries)

11 11 Bandaging Tips Start at narrower point working toward thicker part Wrap at an angle Leave a flap to fold over after first wrap and wrap two times to anchor Half twist over wound to add pressure Tie off with bow over wound for more pressure Tie off tips –a) Pull free end of bandage under limb for tie –b) Tear end of bandage down middle for tie

12 12 Heat Exposure Signs and Symptoms –Cool, moist, pale, ashen skin (red in early stages) –Headache Nausea –Dizziness and weakness Exhaustion Signs and Symptoms – Serious Heat Exposure –Change in level of consciousness –Vomiting Sweating stops –Rapid, weak pulse Rapid, shallow breathing –Red, hot, dry or moist skin High temperature

13 13 Heat Exposure Action –Check ABC –Summon advanced aid for serious heat exposure –Lie down in cool/shady spot with legs elevated –Loosen/remove clothing –Cool packs to body (wrist, ankles, armpits, groin) –Fan victim –Small amounts of water to conscious victim (sip every 3-4 minutes) –Prepare to do CPR if later stage heat-related illness

14 14 Diabetes Signs and Symptoms –Change in level of consciousness –Dizziness, drowsiness, confusion –Irregular breathing –Rapid or weak pulse –Feeling and looking ill –Flushed, hot, dry skin –Sweet breath odor –Restless, agitated Action –If conscious and can take food or fluids, give sugar Candy, fruit juice, non-diet soda, table sugar or sugar water –If not better in five minutes after sugar, summon advanced aid

15 15 Shock / Hypoperfusion Inability for circulatory system to provide oxygen Signs and Symptoms –Restless/irritable –Pale, ashen, cool, moist skin –Rapid breathing (>30 breaths/minute) –Rapid ( beats/min), weak pulse (drop in blood pressure) –Excessive thirst –Changes in level of consciousness –Nausea Action –Monitor ABC and treat –Rest comfortably, reassure victim –Keep from getting chilled or overheated –Control bleeding –Elevate legs 12 inches (but do no further harm) –No food or drink –Immediately call for advanced care as cannot be fixed by first aid alone

16 16 Heart Attack Signs and Symptoms –Persistent chest pain/discomfort –Mild discomfort to unbearable crushing sensation –Chest pressure, squeezing, tightness, aching, constricting, heavy –Center of chest or spread to shoulder, arm, neck, or jaw –Lasts longer than ten minutes –Difficulty breathing (rapid breathing) –Pulse may be fast or slow –Skin may be pale, ashen, bluish, moist Action –Convince victim to stop and rest –Obtain information from victim When pain started What brought it on Does anything lessen pain What does it feel like Where does it hurt –Comfort victim Call for care –Assist with prescribed medications Monitor vital signs –Prepare to give CPR if heart stops beating

17 17 Practice Scenario – Great Race but paramedics/ambulance not at scene (no band-aid situations) Treat everyone and everything as real as possible Select an Incident Commander Become aware of available supplies Use supplies – do it real –Reuse previously used supplies if available –Don’t activate cold packs, pour water, or cut clothing –Put supplies back – in good condition Interact (talk) with victim. Some will give you more information if you talk with them or ask questions Victims will give you feedback / guidance If something is truly real, indicate so by saying “real, real, real” or by repeatedly tapping head. Shout out!


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