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Save lives
Prevent infection
3.
AIRWAY
BREATHING
CONTROL
BLEEDING TREAT FOR SHOCK TREAT BROKEN BONES GET CASUALTY TO MEDICAL
CIRCULATION
SHOCK
Definition: Inadequate oxygenation of the cells and tissues of the body caused by insufficient flow of oxygen rich blood. (not enough circulating O2 in the body).
ALL treated the same way! ABCs, keep warm, elevate feet, nothing to eat or drink.
Controlling Bleeding
Direct pressure with hand or bandage Elevation above level of the heart. Pressure points!!! Tourniquet ONLY AS A LAST RESORT!!!!
Bleeding
Direct Pressure
Use a sterile dressing or clean cloth Fold to form pad Apply pressure directly over wound Fasten with bandage; knot over wound If bleeding continues, add second pressure dressing
Bleeding
Pressure Points
Apply pressure where artery lies near skin over bone.
Pressure Points
Carotid =Neck Brachial = inner arm Femoral = lateral groin Axillary = under armpit
TOURNIQUET
Only as a last resort!!!!!! Never skip right to tourniquet before trying other means. Apply about 2-4 inches (or as close as you can) to wound site. Write a T and the time on the victims forehead Anyone can use a tourniquet, only a doctor can remove one.
Tourniquets and skin markers are located in all gunbags onboard Gentian.
Tourniquet application
Asphyxiation
Definition: Inability to breath, not breathing. Begin rescue breathing. Head tilt chin lift . Give one breath every 5 seconds. Avg. adult breaths between 12-20 times a minute. Remember ABCs
Gunbag items:
O.P.A. (oropharyngeal airways)
Pocket masks
Fractures (2 Types)
Simple fracture: Doesnt mean one break The bone is broken but hasnt penetrated through the skin. Seeing a joint somewhere on a body where a joint doesnt belong.treat it like a fracture.
Compound fracture:
The skin is broken over the fracture site. Bone does NOT have to be sticking out to be a compound fracture. Whats the added risk with this type????
Fractures
Signs and Symptoms
Fractures
Classification
Fractures
Greenstick
Fracture
Simple
Fractures
Comminuted
Fracture
Compound
Bone penetrated through skin May or May NOT still be present outside the body. Added risk of infection with compound fracture.
Fractures
Impacted
Fractures
Treatment
Remove clothing from area Check ability to move and feel below fracture Check circulation below fracture Cover open wound Splint
Immobilize joints above and below fracture Reduces pain Prevents additional damage Pad all rigid splints
Fractures
Treatment (cont.)
When in doubt, SPLINT Ice not directly to skin Position injured limb slightly above level of heart if easily possible Immobilize all suspected spinal injuries Shock - treat Report Transport
Fractures
Triangle bandage under injured arm; over uninjured shoulder Tie ends of sling at side of neck pad under knot Secure arm with cravat under good arm
Fractures
Splinting and Immobilizing
(cont.)
Splints
Magazine
Shirt Flap
Shirttail
Heat Emergencies
Heat Cramps
Caused by loss of fluids and salt from the body, resulting in muscle cramps Treatment:
Remove the person from the environment. Cool the person Rest Allow small sips of water, gatorade or ice chips.
Heat Exhaustion
Heat Stroke
Burns
Classification by depth Size generally more important than degree First degree: mildest Second degree: inner layer of skin Third degree: tissue destroyed
Burns
Normal Skin
Burns
First Degree
Skin Reddened
Burns
Second Degree
Burns
Third Degree
Burns
Treatment
Use body substance isolation methods Extinguish fire Do not remove burned clothing unless it is smoldering Cool burn rapidly (immerse burn in cool water if possible 10 minutes maximum) Always do a complete assessment there may be other serious injuries
Burns
Electrical: remove patient from source with nonconductive material Chemical: flush with water for 10-20 minutes Cover with dry sterile dressing Treat for shock Always obtain medical care
Treatment (cont.)
Burns
Serious
Monitor airway Reassess vital signs every 5 minutes Do not give fluids by mouth Do not place ice on any burn
Burns
Eyes
Flush
Special Situations
Burns
Special Situations
Respiratory track
Always
Head and Neck = 9% Each arm = 9% (totaling 18%) Front of chest = 9% Stomach = 9% Upper back = 9% Lower back = 9% Front of each leg = 9% (totaling 18%) Back of each leg = 9% (totaling 18%) Groin = 1% (+/-)
Total
Rule of Nines
body % = 100.
The size of the patients palm (not your own) equals 1% of their total body surface.
Easy enough.
The End
Remember:
Stay calm Call for help ABCs Check for other injuries Treat for shock Always reassess ABCs