Chapter 3 The Human Body The Human Body • First aiders must be familiar with the basic structure and functions of the human body. • The most important and sensitive organs include: • Lungs • Heart • Brain • Spinal cord The Respiratory System (1 of 2) • Death will result in about 4 to 6 minutes if the body’s oxygen supply is cut. • Oxygen from air is made available to the blood through the respiratory system. The Respiratory System (2 of 2) Respiration The Passage of Air Into and Out of the Lungs • Mechanics of breathing: • Inhalation is breathing in. • Exhalation is breathing out. • Ventilation is a mechanical process that alternately increases and decreases the size of the chest cavity. Respiratory Information Infants and Children • Respiratory structures are smaller. • Easily obstructed airways • Tongues take up more space in the mouth. • Trachea is more flexible. • Primary cause of cardiac arrest is an uncorrected respiratory problem. Respiratory Rates • Decreases at rest • Increases during exercise • Controlled by the brain Signs of Inadequate Breathing • A rate outside the normal range • Cool or clammy skin that is pale or cyanotic • Nasal flaring Respiration When Hard Muscular Work Is Performed • Lungs cannot get rid of carbon dioxide. • Lungs cannot take in oxygen fast enough at the normal rate. • As carbon dioxide increases, respiration increases. • Heart rate increases. The Circulatory System (1 of 2) • Blood • Heart • Blood vessels The Circulatory System (2 of 2) • Blood carries nutrients and other products from the digestive tract. • Blood carries oxygen from the lungs. • Blood transports wastes. Heart (1 of 4) • Pumps blood through the vessels • A powerful, hollow, muscular organ • About the size of a man’s clenched fist • Shaped like a pear • Located in the left center of the chest Heart (2 of 4) • Divided by a wall to create the right and left compartments • Compartments are divided into two chambers: • Atrium above • Ventricle below Heart (3 of 4) During each contraction: • The heart pumps blood high in carbon dioxide and low in oxygen from the right ventricle to the lungs. • Oxygen-rich blood is returned to the left atrium of the heart from the lungs. Heart (4 of 4) • Left ventricle pushes oxygen-rich blood to the rest of the body. • Right atrium receives oxygen-poor blood. Blood Vessels (1 of 4) • Arteries • Elastic, muscular tubes that carry blood away from the heart • Begin at the heart as two large tubes • Pulmonary artery: Carries blood to the lungs • Aorta: Carries blood to other parts of the body and divides into capillaries Blood Vessels (2 of 4) • Capillaries • A network of extremely fine vessels • Oxygen and nourishment pass out of the bloodstream into the body’s cells. • Cells discharge waste into the bloodstream. • In the lungs, carbon dioxide is released and oxygen is absorbed. Blood Vessels (3 of 4) • Veins • Become larger and larger • Form major trunks that empty blood returning from the body into the right atrium • Blood returning from the lungs goes into the left atrium. Blood Vessels (4 of 4) Pulse • Surge of blood that occurs each time the heart contracts • Can be felt at any point where an artery lies near the skin surface • Blood from a cut artery spurts. • Blood from a cut vein flows. Locations for Feeling Pulses • • • • • Carotid artery Femoral artery Radial artery Brachial artery Posterior tibial artery • Dorsalis pedis artery Blood Pressure • Blood pressure is a measure of the pressure exerted by the blood on the walls of the flexible arteries. Blood • Liquid portion • Plasma • 90% water • Carries food materials • Carries waste materials • Solid portion • Red blood cells • Give blood its color • Carry oxygen • White blood cells • Defense against infection • Platelets • Essential for blood clot formation Hypoperfusion (Shock) • Inadequate circulation of blood through an organ • Signs and symptoms include: • • • • • • • • Pale or cyanotic, cool, clammy skin Rapid pulse Rapid breathing Restlessness, anxiety, or mental dullness Nausea and vomiting Reduction in total blood volume Low or decreasing blood pressure Subnormal body temperature The Nervous System The nervous system is a complex collection of nerve cells (neurons) that coordinate the work of all parts of the human body and keep the individual in touch with the outside world. Neurons • • • • Receive stimuli Transmit impulses Produce nerve impulses Cannot be regenerated Central Nervous System The Brain (1 of 5) • Headquarters of the human nervous system • Most highly specialized organ • Requires considerable oxygen • Three main subdivisions • Cerebrum • Cerebellum • Brain stem Central Nervous System The Brain (2 of 5) • Cerebrum • Divided into two hemispheres • Controls functions such as sensation, thought, and associative memory • The occipital lobe is the sight center. • The temporal lobes direct smell and hearing. Central Nervous System The Brain (3 of 5) • Cerebellum • Located at the back of the cranium, skull, below the cerebrum • Coordinates muscular activity and balance Central Nervous System The Brain (4 of 5) • Brain stem • Extends from the base of the cerebrum to the foramen magnum • Controls breathing and heart rate Central Nervous System The Brain (5 of 5) • Cerebrospinal fluid • Similar to blood plasma • Circulates throughout the brain and spinal cord • Serves as a protective cushion • Exchanges food and waste materials Central Nervous System Spinal Cord (1 of 2) • Soft column of nerve tissue • Exits the brain through the foramen magnum • Thirty-one pairs of spinal nerves branch from the spinal cord Central Nervous System Spinal Cord (2 of 2) • Some fibers carry impulses in, others carry impulses away. • Spinal nerves at different levels regulate activities of various parts of the body. • Vulnerable to injury • Damage is usually irreversible. • Injury can cause paralysis. Peripheral Nervous System • Made up of nerves that exit the spinal cord through an opening in the bony canal • Consists of the sensory and motor nerves • If a nerve is seriously damaged, the body part will not work. Autonomic Nervous System Controls: • • • • Heart rate Digestion Sweating Other automatic body processes The Skeletal System • Adult skeleton has 206 bones. • Bones are made of living cells surrounded by hard deposits of calcium. Skull (1 of 3) • Rests at the top of the spinal column • Houses the brain, certain glands, and the centers of special senses • Two parts • Brain case (cranium) • Face Skull (2 of 3) • Blood vessels and nerve trunks pass to and from the brain through openings in the skull. • Can be fractured • Does not “give” • The face extends from the eyebrows to the chin. Skull (3 of 3) Spinal Column (1 of 2) • Consists of irregularly shaped bones called vertebrae • Lie on top of each other to form a strong, flexible column • Bound together by ligaments • Can be damaged by disease or injury Spinal Column (2 of 2) • Careless handling of an injured person can further injure the cord and possibly the person. • A person with a back or neck injury must be handled with extreme care. Thorax • Also known as the rib cage • Made up of ribs and the sternum • Injuries to the thorax can puncture the lungs and heart. • Lowest portion of the sternum is the xiphoid process. Pelvis • Formed by two hipbones and the sacrum • Muscles help connect pelvic bones, trunk, thighs, and legs. • Forms the floor of the abdominal cavity • Holds the bladder, rectum, and internal parts of the reproductive organs Leg Bones (1 of 3) • Upper leg (thigh) • Femur • Knee • Knee joint • Patella Leg Bones (2 of 3) • Lower leg • Tibia • Fibula Leg Bones (3 of 3) • Ankles, feet, and toes Shoulder • Shoulder girdle • Collarbone (clavicle) • Shoulder blade (scapula) • Fractures are common. Arm Bones (1 of 2) • Upper arm • Humerus • Easily dislocated • Forearm • Ulna • Radius Arm Bones (2 of 2) • Wrist, hand, and fingers • Composed of eight bones (carpals) • Tendons from forearm to fingers • The palm has five long bones (metacarpals). • Fourteen bones of the fingers (phalanges) • The thumb is the most important digit. Joints • Where two or more bones meet or join • Some allow little movement, others allow a wide range. • Layer of cartilage acts as a buffer. • Ligaments hold the bones and act as bands of flexible connective tissue. • Enclosed in a capsule • A thick fluid lubricates and protects the joint. The Muscular System (1 of 2) • Voluntary muscles • Under control of the person • Make all deliberate acts possible • Called skeletal muscles • Can be injured in many ways The Muscular System (2 of 2) • Smooth muscles • Very little control by the person • Line the walls of tubelike structures • Cardiac muscle • Found only in the heart • Needs continuous oxygen and glucose The Skin (1 of 2) • Covers entire body • Protects deep tissues from being injured, drying out, or being invaded by bacteria and other foreign bodies • Regulates body temperature The Skin (2 of 2) • Epidermis (outer layer) • Varies in thickness • Dead cells are constantly worn off. • Dermis (inner layer) • Rich supply of blood vessels and nerve endings • Contains sweat glands and oil glands • Above the subcutaneous layer