Transcript Primary Survey

By Jesse Bergman
July 18 2013
-
-
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
-
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.
-
-
Gloves – removal
Barrier device
Hand washing
Consent: “Hi, my name is _____. I know first aid.
Can I help you?”
Diseases: Patient <-> You
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 Survey
Unconsciousness
Consent
Call 911
Primary Survey – ABCD
Secondary Survey
- Head to Toe, SAMPLE, Vitals
-
Rest and Recovery
No 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
-
Primary survey begins with consciousness check
“Hey hey, are you ok?”
Snap snap, clap clap
Highest ambulance priority if unconscious – call
911 immediately
MOST 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!
A: Airway
B: Breathing
C: Circulation
D: Defib, Deadly Bleeding, Deal with Shock
Go over how to check with your partner
A: Head tilt chin lift
B: 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.
W: Warmth
A: ABCDs need management
R: Rest and Reassurance
T: Treat Injuries
S: Stabilizing Position
-
Head to toe hands off
Head to toe hands on
SAMPLE:
-
-
Signs/symptoms
Allergies
Medications
Past Medical History
Last Meal
Events
- Arm closest raised, knee farthest raised, roll
towards
-
-
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
-
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
-
RD: Rest and Direct Pressure
Dressing vs. bandage
Nosebleed
Ear bleed
Eye bleed
Closed abdominal
Open abdominal
-
-
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
-
Never suck out venom
Find out the mechanism/vector
Credit card for stinger
Tweezers for ticks
Salt for leeches
-
Convulsions
Febrile seizures
Asthma
Allergies
Epi-pen
* Assist with meds, but never administer
-
-
-
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 firstaid skills, contact a health organization.
Red Cross, St. John Ambulance and others have
courses