First aid and Basic life saving skills / support Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014 An introduction
First aid and Basic life saving skills / support
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
An introduction
1st aid and Basic life saving skills
Learning objectives
Definitions of - first aid, first aider
Aims of FIRST aid --> 4 P's
Responsibilities of a first aider
Common emergencies and injuries
First aider action plan → Knowing what to do
DRsABC
Defibrillation
Recovery position
1st aid and Basic life saving skills
Introduction
Aims of giving 1st aid:
PRESERVE life
PREVENT further
injury
PROMOTE recovery
PROTECT the
unconscious
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
What is first aid?
Immediate assistance / treatment given to someone injured or suddenly taken ill,
before medical help is available
1st aid and Basic life saving skills
Responsibilities of a 1st aider
Doing your best in the situation
Assess a situation quickly and safely
Summon for help --> How?
Take charge of the situation
Control your emotions / feelings → be logical
Protect casualty(s) and others at the scene from possible dange
Identify (as far as possible) – injury or nature of illness affecting the casualty
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
1st aid and BLS
To remember
Chain of survival
…
The 5 links in the adult Chain of Survival are• Immediate recognition of cardiac arrest and activation of the emergency response system• Early cardiopulmonary resuscitation (CPR) with an emphasis on chest compressions• Rapid defibrillation• Effective advanced life support• Integrated post-cardiac arrest careA strong Chain of Survival can improve chances of survival and recovery for victims of heart attack, stroke and other emergencies.
Early Access
Early CPR
Early Defibrillation
EarlyAdvanced
Care
Integrated post cardiac arrest
Care
1st
aid management
OR
Action plan
1st aid and BLS
St. John action plan
Danger
Response
Send for help
Airway
Breathing
CardioPulmonary resuscitation
Defibrillation
D
R
S
A
B
C
D
2/14/13
991
1st aid and BLS
St. John action plan
Danger
Assess possible
danger to:• Self
• Casualty
• Bystander
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
Response
• Tap / squeeze casualty's
shoulder
• Ask questions / give command
loudly and clearly
NO response
Response present
• Make comfortable
• Monitor responseNO danger
1st aid and BLS
St. John action plan
Send for help
Summon or CALL for help
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
Airway
• Open mouth for
foreign material
• If foreign material
present
• Place in recovery position
• Clear airway with fingers
If NOT present
1st aid and BLS
St. John action plan
Airway
• If NO foreign material present
• Leave casualty on his/her back
and OPEN airway
A
Blocked airway → NO head tilt
Open airway → head tilt AND jaw lift
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
1st aid and BLS
St. John action plan
Breathing
Check for breathing:• Look
• Listen
• Feel
Normal breathing
• Place in recovery
position
• Monitor breathing
Assess 10 seconds
NO breathing
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
1st aid and BLS
St. John action plan
Give 2 effective rescue breaths:
• Tilt the head back,
lift the chin
• Give rescue breath
for one second
into casualty's mouth
→ chest rises visibly
• Repeat giving 2nd
rescue breath for
one second and
watch for chest to
rise & fallAhmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
CPR
30 chest compression : 2 breaths
Continue CPR until:
• Help arrives
• Casualty recovers
Repeat FIVE sets (ONE cycle) in TWO minutes
1st aid and BLS
St. John action plan
Defibrillation
AED (automated external defibrillator) '
is a lightweight, portable
machine which can deliver
electric shocks to the heart externally
Should only be operated by:
• Medical personnel
• Trained 1st aider
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
• Apply defibrillator
→ if available
• Follow voice prompts
1st aid and BLS
Action plan
IF casualty show signs of life?
Signs of life but unconcious?
1st aid and BLS
Action plan
IF casualty show signs of life
Signs of life:
• Breathing - coughing
• Response – moaning, grunting
• Movement
Check / assess LLF for ten seconds
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
1st aid and BLS
What if casualty is....
Casualty's:
Signs of life present
Unconscious
Perform head to toe assessments for other injuries
Turn casualty into Recovery position
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014
Purpose:
Maintains clear airway
Provide drainage
Stable side position
Assess airway, breathing and signs of life, at least every TWO minutes until....
1st aid and Basic life saving skills
Differences between and
.ST JOHN AMBULANCE AHA
D - DANGER
R – RESPONSE IF NIL R - RESPONSE - IF NIL ACTIVATE HELP
S – SEND FOR HELP C – CARDIAC COMPRESSION
A – AIRWAY (HEAD TILT – JAW LIFT) A – AIRWAY (HEAD TILT – JAW LIFT)
B – LOOK , LISTEN, FEEL – 10 SECS B – 2 RESCUE BREATHS
C – 30 CARDIAC COMPRESSION / 2 RESCUE BREATHS
D – DEFIBRILLATION (AED)
D – DEFIBRILLATION (AED) SIGNS OF LIFE – RECOVERY POSITION
SIGNS OF LIFE - RECOVERY POSTION
RATIO 30 COMPRESSION : 2 BREATHS
Ahmad Faisal & Hj Mohd Zuffry / Asnah_Revised Aug 2014