This lesson focuses on first aid and prevention for unintentional injuries. It emphasizes safety awareness and the importance of knowing how to deal with accidents, as no place is entirely safe.
First aid is immediate and temporary care for illness or injury when medical assistance is unavailable. A first aider acts as a bridge between the victim and a physician, aiming to save and prolong lives, alleviate suffering, and prevent further injury. Key characteristics of a good first aider include being gentle, observant, resourceful, tactful, and sympathetic.
When giving first aid, it's crucial to stay calm, reassure the victim, check for medical conditions, loosen tight clothing, and keep the victim covered to prevent shock. Avoid giving food or drink to an unconscious person and only move an injured person if necessary for recovery position.
The emergency action principles involve ensuring scene safety, positioning the victim on their back, checking responsiveness, calling for help if no response, and performing a primary survey (ABC - Airway, Breathing, Circulation). If necessary, perform rescue breathing and CPR (Cardiopulmonary Resuscitation) with cycles of 30 compressions and 2 breaths. Once conscious, conduct a secondary survey (SAMPLE) and check vital signs before recording data and transferring to the rescue team.
Vital signs include temperature, pulse rate, blood pressure, and respiratory rate. The pulse can be checked at various points on the body, avoiding the thumb and simultaneous palpation of carotid arteries. Normal pulse rates vary by age and gender. Body temperature is taken orally, rectally, or axially. Respiration rate and skin color (indicating circulation and oxygen levels) also provide crucial information.
A head-to-toe examination involves checking for lacerations, contusions, fluid in nose/ears (skull fracture), and pupil reactions (dilated, constricted, unequal, reactive, or no reaction indicating shock, poisoning, head injury, or death). The chest and abdomen are checked for cuts, bruises, penetrations, and tenderness. The back and lower extremities are examined for movement and sensation to assess spinal injuries.
Signs are objective details observed by senses (e.g., bleeding, swelling), while symptoms are subjective sensations experienced by the victim (e.g., nausea, pain). A primary survey is for unconscious victims to address life-threatening conditions, while a secondary survey is for conscious or revived victims to detect all aspects of their condition.
Dressings are sterile cloths covering wounds to prevent infection and stop bleeding. Proper application involves washing hands, wearing gloves, and ensuring the dressing extends beyond the wound. Compresses (cold and hot) reduce swelling and relieve pain, especially for sprains. Bandages apply pressure, cover wounds/burns, and provide support. Types include triangular, ace, and tubular bandages, used in open or cravat faces depending on the injury.
Wounds can be closed (hematoma/contusion) or open (break in skin). Types of open wounds include puncture (piercing), abrasion (scraping), incision (clean cut), laceration (blunt tearing), and avulsion (forcible tearing of tissue). Treatment for hematomas follows the RICE principle (Rest, Ice, Compression, Elevation). For open wounds with severe bleeding, wear gloves, control bleeding, elevate the injured part, cover with a sterile dressing, treat for shock, and seek medical help.
This section details various unintentional injuries and their first aid. Fractures (breaks in bone) require checking vital signs, immobility, and medical help. Dislocations (bone displacement) need immediate help, splinting, and ice. Sprains (ligament injuries) and strains (muscle injuries) use RICE. Heat exhaustion requires moving to a cool place, hydration, and monitoring vital signs. Food poisoning means resting, fluids, and medical help if conditions worsen. Choking involves back blows and abdominal thrusts. Drowning requires rescue breaths and chest compressions, recovery position, and treatment for hypothermia. Heart attack involves sitting with head elevated, calling for help, aspirin, and monitoring vital signs. Chemical burns require breaking contact with the source, flushing with cold water, sterile dressing, and shock treatment. General burns need flooding with cold water and sterile dressing. Heat stroke involves moving to a cool place, removing clothing, wrapping in a wet sheet, and monitoring temperature. Stroke care depends on consciousness, involving positioning, loosening clothing, monitoring vital signs, and, if unconscious, rescue breathing and chest compressions.
Transporting an injured person requires care and training, considering the victim's weight, height, consciousness, environment, and specific injuries. One-man transport methods include the fireman's carry, piggyback, backstrap carry, fireman's drag/tied hand crawl, and blanket drag. Two-man carries include the chair or seat carry. Three or more-man transports include the hammock carry, bearer alongside carry, and six-man lift and carry.
Unintentional injuries are unavoidable, emphasizing the need for safety awareness. Knowledge and skills in first aid are crucial for alleviating pain, preventing further injury, prolonging, and even saving lives.