Chapter 6 Guided Notes Before Providing Care • Infectious disease are spread from ______________________________________have been in contact with them. • Lifeguards must protect themselves and others from ____________________________. Blood Borne Pathogens • Are ______________ present in blood and body fluids, which cause _________________. • Bacteria can live outside the body • Viruses are in the body and difficult to kill • Are spread through ____________________________ contact • The primary concern for professional rescuers are hepatitis B, hepatitis C and HIV Bacteria • Can be treated with antibiotics • Strep throat • • Anthrax • Viruses • Few medications can fight viruses • The body’s immune system is number one protection against infection • • Chickenpox • • • Hepatitis • HIV/AIDS Herpes • A highly contagious STD that is caused by two forms of herpes simplexes • _______________-fever blisters/ cold sores in the mouth or lips • ________________-blister-like lesions in the genital areas Hepatitis B • • Can be severe or fatal • • Sign and symptoms: flu-like, jaundice, fatigue, joint pain, nausea, loss of appetite • There is currently a vaccine ______________ must be made available to all employees who have occupational exposure, including LG’s Hepatitis C • • Most common chronic bloodborne infection in the US • Signs & symptoms: similar to hbv, jaundice, dark urine, abdominal pain, loss of appetite, nausea • There is no vaccination and no treatment after exposure • HIV • • Attacks white blood cells, thus destroying the immune system • Signs & symptoms: many • No cure or vaccination Fact About AIDS • The disease: • Caused by HIV- Human Immunodeficiency Virus • Infections that strike people whose immune systems are weakened by HIV are called opportunistic infections. • When a person has a significant drop in white blood cells they are diagnosed as having AIDS • Famous People Affected/ Died From HIV/AIDS How is the Disease Transmitted? • The virus enters three basic ways: • Through direct contact with the blood stream (blood, semen, vaginal fluids, breast milk) • Through the mucous membrane linings (eyes, mouth, throat, rectum, vagina) • Mother to unborn baby Wash your hands • Always wash your hands especially after providing care. May have blood or other bodily secretions on it. • One of the many ways bacteria, viruses, and other illnesses may be spread. • Count your _________________ How Pathogens Spread • ___________must be met for a pathogen to spread: – A ________________________________ – A sufficient quantity of the pathogen is present to cause disease – A person is susceptible to the ____________ – The pathogen passes through the correct entry site (eyes, mouth or other mucous membranes, non-intact skin or skin pierced by needlesticks, human bites, cuts, etc.) Direct contact • Occurs when infected blood or body fluids from one person’s enters another person’s body • Kissing • Touching • Sex • Blood splashing in the eye or from directly touching the body fluids. Indirect contact • Occurs when a person touches an object that contains the blood or body fluid • Coming in contact with something that has been _____________________of an infected person • Picking up blood-soaked bandages • • Cough Facts: • ~Sneezes can travel at a speed of 100 miles per hour and the wet spray can radiate five feet. • ~Donna Griffiths from Worcestershire, England sneezed for 978 days, sneezing once every minute at the beginning. This is the longest sneezing episode on record. Prevention • Your behavior can put you at risk for being infected with HIV, HBV/HCV • • Unprotected _____________ Universal/Standard Precautions • These precautions require that ALL_____________________________be treated as if known to be infectious. • Make sure immunizations are up to date • Avoid ____________________body fluids • • Wash hands before and after care • Clean areas that come in contact with body fluids (water/bleach solution) • Use a pocket mask when giving mouth-to-mouth resuscitation • Don’t eat, drink, or touch your mouth, nose, or eyes when giving care • Be prepared by having first aid kit handy & stocked with protective equipment & supplies • Personal protective equipment: breathing barriers, nonlatex disposable gloves, gowns, masks, shields and protective eyewear. General Procedures for Injury or Sudden Illness on Land • 1. Size up the scene – • – Look for dangers (down power lines, traffic, explosions, violence, etc) – Put on protective equipment – What happened? – # of victims – Additional help needed? (fire, police, EMS) 2. Perform Initial Assessment – Is done to identify life-threatening conditions – Is done to identify life-threatening conditions – Is done to identify life-threatening conditions How to perform initial assessment • • CHECK the victim for consciousness & obtain CONSENT if victim is conscious – Tap on shoulder, ask…are you ok? Pinch an infants toe – IF NO RESPONSE…Summon EMS CHECK for signs of life (movement and breathing) – • • Look, listen, & feel CHECK for a pulse – Carotid artery in neck (adult/child) – Brachial artery inside arm/bicep (infant) CHECK severe bleeding General Procedures cont… • • Summon EMS (read “call first or care first” pg. 94…see list of when to summon EMS p.95) – 9-1-1 – Give conditions Perform Secondary Assessment – Identifies additional conditions – May become life threatening if not cared for Obtaining Consent • Before providing care to a conscious victim, obtain his/her consent. If a minor get consent from parent/guardian. • LG Tip: document any refusal of care. If a witness is available, have witness listen to, and document in writing any refusal of care. Demonstrate & Practice Emergency Moves • • Two-person seat carry • Walking assist • Pack-strap carry