First Aid Review

(a) Each operator of a surface coal mine shall make arrangements with a licensed physician, medical service, medical clinic, or hospital to provide 24-hour emergency medical assistance for any person injured at the mine. (b) Each operator shall make arrangements with an ambulance service, or otherwise provide for 24-hour emergency transportation for any person injured at the mine.

Definition: The immediate care given to a person who is injured or ill. Principle goals: Ensure the safety of rescuer and patient. Identify the causes of injury. Stabilize the neck and care for life threatening injuries. Arrange for transportation. Continue patient assessment First Aid Review

First Aid Scene Safety Make sure the area is safe –What caused the injury or accident? Ensure Personal Safety –Protect yourself with gloves, masks, before you act. –You wouldn’t work with toxic chemical without the proper protection would you?

First Aid Patient Assessment Primary Survey –ABC’s and severe bleeding –Life Threatening conditions Secondary Survey –DE –Thorough Head to toe “hands on” examination for wounds, burns, musculoskeletal injuries and anything else that will require treatment.

First Aid Patient Assessment A (Airway) –Assess for unresponsiveness –Open the Airway (Head tilt-Chin lift) B (Breathing) –Look, Listen and Feel for Breathing –If not breathing, give two normal breaths C (Circulation) –Check Pulse at Carotid Artery (5-10 seconds) –If no pulse, start chest compressions

First Aid Patient Assessment D –Assess for Deformity –Hands on; Head to toe Examination for all other injuries and conditions that will require treatment E –Expose –If you can’t see it, you can’t treat it

First Aid CPR and Rescue Breathing ABC’s Ratio –30 compressions to 2 breaths –1 breath every 5 seconds Rate –Hard and Fast –12 breaths per minute

First Aid Control of Bleeding Direct Pressure –95% Elevation –97% Pressure Points –99% Tourniquet –Last resort 1%

First Aid Burns Degree –First (Superficial) –Second (Partial Thickness) –Third (Full Thickness) Treatment –Remove heat –Prevent contamination –Over Bandage; loosely

First Aid Musculoskeletal Injuries Splinting –Immobilize the joint above and the joint below –When in doubt, SPLINT Elevate Apply cold compresses Do we ever want to attempt to "straighten out a broken bone or fracture?

First Aid Shock Treat for Shock on all patients from the beginning. Shock can kill, even though the injuries wouldn’t. Be calm and reassuring Keep the patient warm Elevate feet, if no back or head injuries.

First Aid Requirement: A Mine MUST have 1 person on every shift capable of performing emergency first aid. With proof thereof.

Definition: The immediate care given to a person who is injured or ill. Principle goals: Ensure the safety of rescuer and patient. Identify the causes of injury. Stabilize the neck and care for life threatening injuries. Arrange for transportation. Continue patient assessment First Aid Review

First Aid Scene Safety Make sure the area is safe –What caused the injury or accident? Ensure Personal Safety –Protect yourself with gloves, masks, before you act. –You wouldn’t work with toxic chemical without the proper protection would you?

First Aid Patient Assessment Primary Survey –ABC’s and severe bleeding –Life Threatening conditions Secondary Survey –DE –Thorough Head to toe “hands on” examination for wounds, burns, musculoskeletal injuries and anything else that will require treatment.

First Aid Patient Assessment A –Assess for unresponsiveness –Open the Airway (Head tilt-Chin lift) B –Look, Listen and Feel for Breathing –If not breathing, give two normal breaths C –Check Pulse at Carotid Artery (5-10 seconds) –If no pulse, start chest compressions

First Aid Patient Assessment D –Assess for Deformity –Hands on; Head to toe Examination for all other injuries and conditions that will require treatment E –Expose –If you can’t see it, you can’t treat it

First Aid CPR and Rescue Breathing ABC’s Ratio –30 compressions to 2 breaths –1 breath every 5 seconds Rate –Hard and Fast –12 breaths per minute

First Aid Control of Bleeding Direct Pressure –95% Elevation –97% Pressure Points –99% Tourniquet –Last resort

First Aid Burns Degree –First (Superficial) –Second (Partial Thickness) –Third (Full Thickness) Treatment –Remove heat –Prevent contamination –Over Bandage; loosely

First Aid Musculoskeletal Injuries Splint –Immobilize the joint above and the joint below –When in doubt, SPLINT Elevate Apply cold compresses

First Aid Shock Treat for Shock on all patients from the beginning. Shock can kill, even though the injuries wouldn’t. Be calm and reassuring Keep the patient warm Elevate feet, if no back or head injuries.