Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -1- The EMS system _________________________________________________________ _______________________________________________________________________ Lay Responder __________________________________________________________ _______________________________________________________________________ First aid is care given to a victim of an injury or sudden illness until more advance medical care can come. EMS Dispatcher ________________________________________________________ _ ______________________________________________________________________ ________________________________________________________________________ First Responder _________________________________________________________ ______________________________________________________________________ Emergency Medical Technician ____________________________________________ ______________________________________________________________________ Hospital – takes over care once the victim arrives. Rehabilitation - _________________________________________________________ ______________________________________________________________________ Your Role in the EMS System – 1. _________________________________________________________________ 2. _________________________________________________________________ 3. _________________________________________________________________ 4. _________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -2- Step 1: Recognizing an Emergency _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Step 2: Deciding to Act Barries to Action - _______________________________________________________ 1. _________________________________________________________________ 2. _________________________________________________________________ 3. _________________________________________________________________ 4. _________________________________________________________________ 5. _________________________________________________________________ 6. _________________________________________________________________ 7. _________________________________________________________________ The Good Samaritan Law usually gives legal protection to people who willingly provide care to an ill or injured person. The laws protect citizens who act the way a “reasonable and prudent person” would if that person were in the same situation. These laws were developed to encourage lay responders to help in emergency situations. Disease Transmission _____________________ - spread from one person to another when germs enter the body and cause illness. ____________________- can live outside the body and do not need other organisms for life. These are often treated with antibiotics. ____________________- depend on other organisms to live. There are few medications for treatment. ___________________- germs from another person’s body fluids pass directly into your body through breaks in the skin or mucus membranes ___________________ - germs pass through shared objects like spoons, doorknobs and pencils which have been exposed to infected droplets. Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -3- In order to get a disease the following conditions must be present – 1. ______________________________________________________________ 2. ______________________________________________________________ 3. ______________________________________________________________ 4. ______________________________________________________________ Preventing Disease Transmission Standard Precautions - ___________________________________________________ 1. ______________________________________________________________ 2. ______________________________________________________________ 3. ______________________________________________________________ 4. ______________________________________________________________ 5. ______________________________________________________________ 6. _____________________________________ __________________________ 7. ____________________________________________________________ ___ 8. _____________________________________________________________ __ 9. Tell EMS or your doctor if you have come in contact with a person’s body fluids. Cleaning Up Blood Spills Clean up the spill immediately or as soon as possible after it occurs. Use disposable gloves and other PPE when cleaning. Wipe up the spill with paper towels. After the area has been wiped up, flood the area with a disinfectant – 1 ½ cups bleach to 1 gallon of water. Dispose and label “biohazard” Step 3: Activate the EMS System Often times, the most important step you can take in an emergency is calling 9-1-1 and activating the EMS system. Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -4- Step 4: Give Care Until Help Arrives Consent - _______________________________________________________________ In order to gain consent, you must tell a victim _____________________________________ _____________________________________ _____________________________________ _____________________________________ Expressed consent - when a conscious person who understands your questions and what you plan to do gives you permission to give care. If the victim is an infant or child, get permission from the parent or guardian. If the person refuses care do not help them! While you should not provide care to someone who refuses your help you can always ______________________________________________________________________ . Implied consent - ________________________________________________________ ______________________________________________________________________ Consent is implied when – 1. _________________________________________________________________ 2. ________ _________________________________________________________ 3. _______ __________________________________________________________ In general, you should give care to an ill or injured person until 1. __________________________________________________________________ 2. __________________________________________________________________ 3. __________________________________________________________________ 4. __________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -5- Taking Action - Emergency Action Steps In case of an emergency, the basic steps are – ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Checking the Scene – Questions you should ask yourself. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Four life threatening conditions are – ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Call for help. You should call for help when – ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Call first for Cardiac Emergencies _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -6- Care first for Respiratory Emergencies ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Calling Emergency Personnel ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Care – General Guidelines When Caring for a Victim 1. ______________________________________________________________________________ 2. ______________________________________________________________________________ 3. ______________________________________________________________________________ 4. ______________________________________________________________________________ 5. ______________________________________________________________________________ 6. ______________________________________________________________________________ Get bystanders to help by – 1. __________________________________________________________________ 2. __________________________________________________________________ 3. __________________________________________________________________ 4. __________________________________________________________________ 5. __________________________________________________________________ 6. __________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -7- Transporting a Victim Never transport a person if – ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ If you take a person to the hospital – _________________________________________________________________ _________________________________________________________________ Why would you move a victim? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Types of Emergency Moves __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -8- Conscious Ill or Injured Person – Step One - Interview the Victim and Bystanders 1. _____________________________________________________________ 2. _____________________________________________________________ 3. _____________________________________________________________ 4. _____________________________________________________________ Write down the information and give it to EMS personnel when they arrive. Step Two - Do a Head to Toe Check of the Victim 1. _____________________________________________________________ 2. _____________________________________________________________ 3. _____________________________________________________________ 4. _____________________________________________________________ 5. _____________________________________________________________ 6. _____________________________________________________________ Checking an Ill or Injured Infant of Child - What You May Do Differently __________________________________________________________________ __________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person -9- Shock Shock is a condition in which the circulatory system fails to circulate oxygen rich blood to all parts of the body. The three vital organs are - _________________________________________________ Three conditions must be present for adequate blood flow – 1. ____________________________________________________________________ 2. ____________________________________________________________________ 3. _____________________________________________________________________ Signs & Symptoms of Shock 1. ___________________________________________________________ 2. ___________________________________________________________ 3. ___________________________________________________________ 4. ___________________________________________________________ 5. ___________________________________________________________ 6. ___________________________________________________________ Care for Shock 1. ___________________________________________________________ 2. ___________________________________________________________ 3. ___________________________________________________________ 4. ___________________________________________________________ 5. ___________________________________________________________ 6. ____________________________________________________________ 7. ____________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person - 10 - Checking an Unconscious Person If you think someone is unconscious ____________________________________________________________ ____________________________________________________________ If they do not respond, CALL 9-1-1 Signs of Life (SOL) Consciousness, normal breathing and circulation, and skin characteristics are referred to as signs of life. Checking an Unconscious Person – A = __________________________________________________________________ B = __________________________________________________________________ C = __________________________________________________________________ Technique for opening the airway is called________________________________ ____ . You check for breathing by __ ______________________________________________ ______________________________________________________________________ Agonal breath is irregular, gasping or shallow. Someone with agonal breath should be treated like a non-breathing victim. If a victim is not breathing Adult - ____________________________________________________________ Child - ____________________________________________________________ Infant - ____________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person - 11 - Special Situations Air in the Stomach __________________________________________________________________ Air in the stomach can cause the victim to vomit. Vomiting __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Mouth to Nose Breathing __________________________________________________________________ If possible, open the victim’s mouth between rescue breaths to let air out. Mouth to Stoma Breathing Expose the person’s neck __________________________________________________________________ If the tube is blocked, remove the inner tube If the victim is a partial breather, you must seal the mouth and nose Head, Neck, and Spinal Injuries __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ H.A.IN.E.S. Recovery Position - H.A.IN.E.S. stands for High Arm IN Endangered Spine. It should be used when a victim has vomited, has fluids blocking the airway, or if you must leave the victim. Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter One – Before Giving Care and Checking an Ill or Injured Person - 12 - Incident Stress - After responding to an emergency it is not uncommon for the rescuer to be unable to cope with the stress of the situation. IF not appropriately managed, this stress can lead to Post Traumatic Stress Disorder. Signals of Incident Stress __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Guidelines for Coping with Incident Stress __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website