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John Ambulance
Welcome
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Your Trainer
Sheila Sinton
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Incident Management
Assess Make Safe Give Emergency Aid Get Help Deal with the aftermath
Primary Survey
D
Danger
R Response A B
Airway Breathing
C Circulation
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Adult (Child 8 +)
Up to 5 Backslaps
Asthma
Struggle to breathe out Wheezing, Distress, anxiety, exhaustion Tight chest Blueness of skin
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Asthma Reassurance Sit & lean forward Fresh air Use of own medication Can repeat dose after 3 mins Report to Doctor after an attack
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Asthma
Get the Ambulance quickly if: It is first attack Inhaler has no effect after 5 minutes Severe respiratory distress Shows signs of exhaustion
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Shock Danger ABC Treat any obvious cause Lay them down, head low If injuries permit raise & support the legs Loosen tight clothing, protect from cold
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Shock
DO NOT
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Anaphylactic Shock Wheezing Gasping for air Airway may swell Tight chest Swelling around face and chest Puffy eyes Red skin blotches
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Anaphylactic Shock Get help (ambulance) Casualty to use own medication (Epinephrine)
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Bleeding
Severe bleeding = Priority to control bleeding Slight bleeding = Priority to prevent infection
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Minor Bleeding Wash and dry your own hands Cover any wounds you have Use disposable gloves Clean wound under running water Pat dry the wound with sterile dressing
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Minor Bleeding Clean round the area protecting the wound Swab away from the wound Cover the wound with a sterile dressing
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Bleeding Examine Direct Pressure Elevate limb Dressing Position lie down, Feet raised Call ambulance
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Nose Bleed Pinch the soft part of the nose with fingers for 10 minutes Release Apply for a further 10 min if needed After 30 minutes Hospital treatment
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Embedded object in wound Pressure on sides of wound and object Light dressing on wound Build padding around object Bandage in place
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Bruises
R Rest I
Ice
C Compression E Elevation
Medical Aid
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Burns Cool with water for 10 minutes Remove Constrictions Dressing Clean plastic, cling film Do not cover face Hospital
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Burns
Dont?
Dont Burst blisters Dont Remove sticking clothing Dont Apply fluffy materials
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Poisons
Food Plants, Berries, Pills Do not make them vomit Identify poison Observe: Response, Breathing, Pulse, Hospital
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Poisons
Fumes Smoke Solvent Safety Fresh air Observe:Response, Breathing, Pulse. Hospital
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Poisons
Pesticides Corrosive (acid) Running water for 20 minutes Hands off Wash off Clothes off Observe: Response, Breathing, Pulse. Hospital
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Poisons
Liquids Splash
Running water for 10 minutes Protest good eye Observe: Response, Breathing, Pulse Hospital.
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Poisons Get Medical Help quickly Complete rest Identify the poison Send specimen to hospital Observe: Response, Breathing, Pulse
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Fractures Pain Limited movement Unnatural shape Swelling and bruising Snap
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Fractures
Steady & Support Immobilise the part Legs supported in position found Use blankets, coats etc. Control any bleeding
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Head Injury Response Ask a question More than 3 minutes? 10 minute checks
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1 - Brief warning 2 - Sudden loss of consciousness, fall & cry 3 - Convulsive movement, rigid, arching back Face & neck red then blue Jaw clenched 4 - Relaxed, daze, sleep
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Minor Epileptic Seizures Staring blankly ahead Slight twitching of lips, eyelids, head Lip-smacking, chewing, fiddling Making odd noises May have warning card Condition known by friends
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Protect them until fully recovered Sit them down quietly in a safe place Reassurance Advise doctor, if they do not know their condition
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Ease fall if possible Make space Protect head Record duration Afterwards, into recovery position Ensure complete recovery
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Major Epileptic Seizures Ambulance: 1st fit, Repeated fits, 10 min duration Do not: Move them, Restrain, anything in mouth
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(Febrile Convulsions) Child Seizures Violent muscle twitch, clenched fist arched back, eyes upturned Fever, hot, flushed, sweating Breath holding Loss of consciousness Infection of throat, ear, illness with high temperature
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Child Seizures Protect with pillows Remove outer clothing Fresh air Sponge childs skin with tepid water working from forehead then down body Reassure parents Consider Paracetamol Medical care or ambulance
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Any Questions?
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