First aid Flashcards

1
Q

Outline primary assessment FIRST AID acronym

A

Danger
Response
Airway
Breathing
Circulation

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2
Q

Outline D and R of DR ABC

A

**D **
Assess the situation to ensure that what has happened to the patient
can not happen to you
Things to consider include:
* Electricity, gas, fire, traffic
R
* Ask the patient “Are you ok?”
* If there is no response, you can pinch their ear lobe or shake their
shoulders (gently!)
* If still no response, dial 999 and let
them know you have an
unresponsive patient

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3
Q

Outline A of DR ABC

A

If the patient is unresponsive, tilt their head back and lift their chin
- This will open their airway if airway not open and clear

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4
Q

Outline B of DR ABC
- Airways and breathing different

A
  • Look at the chest to see if rising and falling normally
  • Listen for signs of breathing
  • Feel air being expelled onto your cheek
  • Bring your cheek to their mouth and look towards their
  • If unresponsive and not breathing
    call 999 and start CPR
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5
Q

Outline C of DR ABC

A
  • If there are signs of bleeding and its severe, you will need to stop it
  • Apply pressure with a dressing or gauze:
    Consider wearing gloves
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6
Q

Outline secondary assessment of FIRST AID

A
  • Once you have completed DR ABC and you are satisfied that the
    patient does not need urgent medical attention, you can move on to
    the secondary assessment
  • Ask the patient what happened
  • Ask anyone with the patient what happened
  • Ask onlookers what happened
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7
Q

Outline the acronym for secondary system

A

Allergies
Medication
Previous medical history
Last meal
Event history

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8
Q

Outline 1 other part of ssecondary assessment

A

Symptoms -
Have they got any pain & is it constant?
Is it triggered by movement of an appendage?
What type of pain being experienced?

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9
Q

Outline another part of secondary assessment

A

Examination -
> Should be completed ‘head to toe’
Signs to look out for include:
* Concussion
* Blood from any orifice
* Loss of feeling
* Shock
* Blue lips

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10
Q

Outline the last part of secondary assessment

A

Concussion
- Assessed using the Glasgow Coma Scale (GCS)
- This scale assesses the level of impairment of conscious level response
in defined stimuli

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11
Q

Outline the glasgow coma scale

A

1) Eyes – open, responsive to sound, responsive to lights
2) Verbal – confused speech, using words in the right order, able to
identify where they are, what score is in a sport
3) Motor – can obey commands? Is movement limited to stimulus
If head trauma – use Glasgow Coma Scale

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12
Q

Outline CPR – Cardio Pulmonary Resuscitation

A
  • Involves chest compressions to maintain perfusion of blood around the
    body
  • Works by pushing the heart against the spine to push blood around so patient stays alive
  • Can also involve ‘rescue breaths’
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13
Q

Outline how to do CPR

A
  • CPR is started after completion of the primary assessment (DR ABC)
    and the patient is unresponsive and not breathing
  • Usually 30 chest compressions at rate of 100-120 per minute
  • Then give two rescue breaths
  • This is known as 30:2
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14
Q

Outline CPR but in adults which is pretty much the same anyway

A
  • Open their airway and kneel near to the patient
  • Arms straight in line with your shoulders
  • Heel of palm in centre of chest, fingers interlocked
  • Aim to compress the chest
    approximately 5-6cm
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15
Q

Outline the rescue breath of CPR

A
  • Watch for vomit, blood, spread of disease
  • It is perfectly acceptable to perform compression only CPR
  • Face mask can be used
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16
Q

Outline CPR in children

A
  • Start with FIVE rescue breaths straight away
  • If no response, use the heel of ONE HAND only in sternum
  • Compress by one third of the depth of the chest
  • Two rescue breaths
17
Q

Outline CPR in infants

A
  • Five rescue breaths
  • Two fingertips in the centre of the chest
  • Depress one third of depth of chest
  • 30:2
18
Q

Outline considerations of CPR

A
  • CPR is exhausting
  • To be successful, it must be maintained constantly
  • Is portable defibrillator machine nearby
18
Q

Outline anaphylaxis

A
  • A severe and potentially life threatening reaction to a trigger such as an
    allergy
  • It develops very fast; the whole body is affected
  • Can be either uniphasic or biphasic
    Uniphasic: these come on quickly and symptoms get rapidly worse, but
    once treated, the symptoms go and do not return
    Biphasic: these reactions may be mild or severe to start with, followed by a
    period of time when there are no symptoms and then increasing symptoms
    with breathing and blood-pressure problems
19
Q

Outline triggers of anaphylaxis

A

Foods (nuts, milk, fish, shellfish, eggs and some fruits)
Medicines (antibiotics, aspirin, flu jabs)
Insects (bee and wasp stings)
Latex
General Anaesthetic

20
Q

Outline symptoms of anaphylaxis

A
  • Skin flushing
  • Skin rashes
  • Swelling of tongue and lips
  • Difficulty swallowing and speaking
  • Racing heart rate
  • Abdominal pain
  • Wheeze
  • Collapse and unconsciousness
21
Q

Outline pathophysiology of anaphylaxis

A
  • Body senses allergen and reacts releasing mast cells and basophils
    resulting in an inflammatory response
  • This blocks further entrance of the allergen
  • The body swelling up is a response to prevent further allergens
    entering
22
Q

Outline management of anaphylaxis

A
  • Epinephrine (Adrenaline) administered I/M via an auto-injector or
    syringe into the quadriceps muscle
  • Dose depends on age and may require 2nd dose
  • Call 999
23
Q

Outline the different doses for anaphylaxis

A

Adult dose: 500mcg
Child (6-11 years) dose: 300mcg
Infant (1 month – 5 years): 150mcg
- Can be administered every 5 minutes if necessary

24
Q

Outline types of auto injectors

A

Auto-injectors include:
Epipen, Anapen, Jext, Emerade
- Training pens are available to practice
before hand