BLS Flashcards

1
Q

is immediate care given to a person who has
been injured or suddenly taken ill.

A

FIRST AID

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2
Q

it includes self-help and home care if medical
assistance in not available or delayed.

A

FIRST AID

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3
Q

Give at least 15 First Aid Kit Contents List

A
  1. Adhesive bandages (various sizes)
  2. Liquid bandages (optional)
  3. Antibiotic ointment and/or antiseptic wipes or spray
  4. Sterile gauze (in rolls and pads)
  5. Instant and reusable cold compresses (keep reusable ones in the freezer)
  6. Hydrocortisone ointment
  7. Calamine lotion
  8. Rubbing alcohol
  9. Hydrogen peroxide
  10. Hand sanitizing gel
  11. Eye wash solution (with eye cup)
  12. Sterile saline solution
  13. Sunscreen (at least SPF 15)
  14. Sunburn relief ointment
  15. Cotton balls
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4
Q

Goals of first aid

A

Alleviate suffering
Prevent added/further injury/danger.
Preserve Life.
Promote Recovery

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5
Q

RESPONSIBILITIES in first aid

A

Bridge the gap between the victim and the health
care provider
→ Ensure his own safety, that of the victim’s, and
bystanders
→ Gain access to the victim
→ Determine threats to the victim’s life
→ Call for more medical assistance as needed

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6
Q

“Any person who, while performing a lawful act with
due care, cause an injury by mere accident without
fault or intention of causing it is exempt from criminal
liability.”

A

Republic Act 3815 Article 12. Section 4 of the Philippine Revised Penal
Code Book 1

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7
Q

EFFECTIVE FIRST AID PROVIDER

A

→ Gentle
→ Resourceful
→ Observant
→ Tactful
→ Empathetic
→ Respectable

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8
Q

DO’s first aid

A

Consent
Think the worst, gravest possibility
Identify yourself to the victim
Comfort & emotional support
Respect victims modesty and physical privacy
Calm & direct as possible
Care for most serious injuries
Assist victim with their med
Keep onlookers away from the injured person
Loosen tight clothing

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9
Q

DON’Ts first aid

A

Let victim see their own injury
Leave the victim alone
Assume that victims obvious injuries are only ones
Make any unrealistic promises
Trust the judgment of confused victim
and required them make decision

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10
Q

Pulmonary arteries bring ________ blood from the ______ to the ___________

A

oxygen-poor, heart, lungs

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11
Q

Pulmonary veins bring ___________ blood from the __________ to the _________

A

oxygen-rich, lungs, heart

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12
Q

PATIENT ASSESSMENT:

A

Listen, look, feel
No pulse, no breath
Capillary refill test
Circulation, Airway, Breathing

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13
Q

S.A.M.P.L.E

A

Signs and Symptoms
Allergies
Medication
Pertinent past medical history
Last oral intake
Events leading up to the incident

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14
Q

Scene size-up

A

Body substance isolation (BSI)
Scene safety.
Mechanism of injury or nature of illness.
Determine the number of patients and
additional resources.

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15
Q

Activate Medical Assistance (AMA) or
Transfer Facility

A

Call first – cardiac in origin
CPR first – respiratory in origin

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16
Q

Primary Assessment
Check for:

A

 LOC
 Activate Medical Assistance
 Check for circulation <10 secs
If negative circulation,
Give 30 compressions C
 Open Airway A
 Give 2 ventilations B
 x 5 cycles or at least 150 compressions
within 2 minutes

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17
Q

Secondary Assessment

A
  • Check the patient’s vital signs
  • Perform the RAPID head to toe examination
    (BLOOD & DCAPBTLS)
  • Interview the victim / relatives of the
    victim.
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18
Q

Referral of the victim for further evaluation
and management

A
  • It refers to the transfer of a victim to hospital or
    health care facility if necessary for a definitive
    treatment.
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19
Q

What to do in an incident

A

Scene size-up
Activate Medical Assistance (AMA) or
Transfer Facility
Primary Assessment
Secondary Assessment
Referral of the victim for further evaluation
and management

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20
Q

This is a combination of chest compressions
and rescue breathing. These must be combined
for effective resuscitation of the victim of
cardiac arrest.

A

CARDIOPULMONARY RESUSCITATION

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21
Q

Early Ages

A

FLAGGELATION METHOD
(WHIPPING)

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22
Q

1530

A

BELLOWS METHOD

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23
Q

1711

A

FUMIGATION METHOD

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24
Q

1770

A

INVERSION METHOD

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25
1773
BARREL METHOD
26
1812
TROTTLING HORSE
27
1892
TONGUE STRETCHING
28
“Basic Life Support Training is mandatory to all health workers”
Policy: A.O. 155 s. 2004
29
HEMS Goal
“At least one member of each household shall be trained in BLS”
30
HEALTH BURDEN OF SUDDEN CARDIAC ARREST
- - - - Almost 70% of out of hospital cardiac arrest occur at home 50% are unwitnessed 10.8% of OHCA who have receive CPR from (EMS) survive to hospital discharge In hospital cardiac arrest (IHCA) has a better outcome, 22.3% to 25.5% of adults surviving to discharge
31
SUDDEN CARDIAC ARREST
- - - - - Unpredictable and can happen to anyone, anywhere, at anytime Risk increase with age Pre-existing heart disease is common cause Strikes people with no history of cardiac symptoms Never had any heart problems
32
WHY IS EARLY CPR IMPORTANT?
- - - CPR is the best treatment for cardiac arrent until the arrival of ACLS care Prevent VF from deteriorating to asystole Increase the chance of defibrillation
33
EARLY WARNING SIGNS OF RESPIRATORY FAILURE
- - - Unable to speak, breath or cough Clutches neck (universal distress signal) Bluish color skin and lips
34
EARLY WARNING SIGNS OF RESPIRATORY FAILURE (CPR)
1. Check safety : see if the scene is safe to do CPR 2. Check unresponsiveness: tap or gently shake the victim Rescuer shout “Are you ok?” Quick check for normal breathing If the victim is unconscious, rescuer call for help 3. Call for help Ambulance, emergency services, doctor Rescuer activates the Emergency medical services Get AED/Defibrillator
35
After determining unconsciousness, C-A-B
C- compression – do chest compression first A-airway – doest the victim have an open airway? B-breathing – is the victim breathing
36
How many chest compressions per minute?
100-120
37
How deep for cc?
2.2-4 inches deeo or 5-6cm
38
Compress at a rate of
100-120 per minute for 2 minutes
39
STEPS TO SAVE A LIFE (HANDS-ONLY CPR)
1. Call your emergency response number 2. Push hard and fast (Compression – to tune of stayin alive 3. Continue chest compression until: - Help arrives (emergency services) You are too tired to continue compression Person is revived
40
Opening of Airway
head tilt-chin lift manuever
41
WHEN TO STOP CPR?
S – SPONTANEOUS signs of circulation are stored T- TURNED over to medical services or properly trained and authorized personnel. O – OPERATOR is already exhausted and cannot continue CPR P- PHYSICIAN assumes responsibility (declares death, takes over) S – SCENE becomes unsafe S- SIGNED waiver to stop CPR
42
Three types soft tissue Injuries:
* Closed * Open * Burn
43
A wound that is beneath unbroken skin
Characteristics of Closed soft tissue injuries
44
Assessment of Patient Signs & Symptoms: (CLOSED WOUND)
* Swelling * Brushing * Deformity * Pain
45
SOFT TISSUES INJURIES – CLOSED
* Contusion (bruise) * Hematoma * Crush injuries * Compression injuries
46
OPEN SOFT TISSUE INURIES – ASSESSMENT Signs & Symptoms:
* Break in skin * Bleeding * Swelling, pain & ecchymosis * Shock
47
SOFT TISSUE INJURIES – OPEN
- - - Protective skin layer is damaged Increased risk of infection Increased bleeding * Abrasion * Laceration * Avulsion * Amputation * Crush injuries * Puncture
48
Open Soft tissue injuries – Management
Remove clothing - Cut it away - Move as little as possible Control bleeding - Direct pressure - Hand or hand held dressing - Pressure dressing - Splint
49
A depressed condition of many body functions due to the failure of enough blood to circulate throughout the body following serious injury
SHOCK
50
Basic causes of Shock
* Pump failure * Hypovolemia * Blood vessels dilate
51
Factors which contribute to Shock
 Pain  Rough handling  Improper transfer  Continuous bleeding  Exposure to extreme cold & excessive heat  Fatigue
52
DANGERS OF SHOCK
1. Lead to death. 2. Predisposes body to infection. 3. Lead to loss of body part.
53
SIGNS AND SYMPTOMS OF SHOCK EARLY STAGE:
 Face – pale or cyanotic in color.  Skin – cold and clammy.  Breathing – irregular.  Pulse – rapid and weak.  Nausea and vomiting  Weakness  Thirsty
54
LATE STAGE (if condition deteriorates) shock
 apathetic or relatively  unresponsive  Sunken eyes with vacant expression.  Dilated pupils.  Congested blood vessels (mottled appearances)  Low level Blood pressure.  Body temperature falls.  Unconscious may occur
55
First Aid Management of Shock
1. Proper body position 2. Proper body heat 3. Proper transfer
56
THORACIC TRAUMA
TENSION PNEUMOTHORAX OPEN PNEUMOTHORAX
57
is the second leading cause of preventable death on an operation.
TENSION PNEUMOTHORAX
58
develops when penetration injuries allows the pleural space to be exposed to atmospheric pressure “SUCKING CHEST WOUND”
OPEN PNEUMOTHORAX
59
What may cause a SCW?
Gun shot wound, Stab wounds, Impaled objects
60
- occurs when the body / body part, receives more radiant energy than it can absorb, resulting in an injury. - one of the most serious and painful injuries - Heat - Chemicals - Electricity
BURNS
61
TYPES OF BURNS
Chemical Burns Electrical Burns Thermal Burns
62
- toxic substances contacts the body - eyes are particularly vulnerable
Chemical Burns
63
- entrance and exit wounds - monitor for cardiac arrest - safety
Electrical Burns
64
- Caused by heat * Flame * Scald * Contact * Steam * Flash
Thermal Burns
65
Burn mgnt
- Clean burns with soap and running water (15 minutes), or a dilute water-based disinfectant to remove loose skin. - Cover it with loose cloth - All blisters should be left intact to minimize the risk of infection. - Larger blisters or those in an awkward position (in danger of bursting) should be aspirated under aseptic technique.
66
FRACTURE SIGNS & SYMPTOMS
Deformity – crepitus Tenderness – False motion Guarding – exposed fragments Swelling – pain Bruising – locked joint
67
Management for Fracture
* Exposed the Injured area * Immobilize the injured part * Cover the open wound * Assess Pulse Motor Sensory * Use the RICE Method
68
Is a rapid movement of patient from unsafe to a place of safety.
Emergency Rescue
69
Is moving a patient from one place to another after giving first aid.
Transfer
70
Reminders in Performing Emergency Rescue
- - you should use a drag to pull along the long axis of the patient’s body (Irregardless of a patient’s injuries) if you are alone and danger at the scene makes it necessary for you to use emergency move
71
Pointers to be observed during transfer
* Maintain open airway * Hemorrhage is controlled * Victim safely maintained in the correct position * Regular check of the victim’s condition is made * Supporting bandages & dressing remain effectively applied * Method of transfer is safe, comfortable & as speedy as circumstances permit * Taller first aiders stay at the head side of the patient * must observed ergonomics in lifting & moving of patient
72
Guidelines for lifting
- consider weight of pt and need for additional help - know physically ability and limitations -lift without twisting - have feet positioned properly - communicate clearly and frequently with partner
73
EMERGENCY MOVES – ONE RESCUER TECHNIQUES
Fireman's carry
74
EMERGENCY MOVES – TWO RESCUER TECHNIQUES
Carry by extremities
75
EMERGENCY MOVES – THREE TO FOUR RESCUER TECHNIQUES
Bearer’s along side
76
EMEGENCY MOVES – FOUR/SIX RESCUER TECHNIQUES
Hammock Carry
77
One Man Carry/ assist/ drag
- Assist to walk - Fireman's carry - Packstrap carry - Carry in arms - Piggyback carry
78
Methods of Transfer
- Bearer's along side - Blanket carry - Hammock carry - Improvised stretcher using blanket with 2 poles
79
Methods of Transfer - TWO MAN CARRY / ASSIST/ DRAG
- Assist to walk - Fireman's carry with assistance - Hand as a litter - Four hand seat - Chair as a litter - Carry by extremities
80
Methods of Transfer - ONE MAN / ASSIST/ DRAG
Cloth/ shoulder drag Fireman's drag Foot drag Armpit/ shoulder drag inclined