PROCEDURE: EMERGENCY 1st AID AND SITUATIONS RISK RANKING: MEDIUM HAZARD ASSESSMENT: HAZARD 1. Blood borne pathogens. 2. Dangerous atmospheric levels of toxic gases. POTENTIAL EFFECTS 1. Worker could contract Hepatitis or other potentially infectious materials. CONTROL 1. Haltech Testing Inc. employees and full time contractors are to be trained in first aid. Following standard first aid training protocol. SAFETY EQUIPMENT: Safety Glasses with side shields, hard hat, steel toe boots, Fire Retardant Clothing, Gloves, Personal Gas Monitor, hearing protection, communication device, first aid kit. SAFETY NOTE: 1. Your Actions Save Lives 2. Protect yourself PROCEDURES: In an emergency follow these steps: 1. 2. 3. 4. 5. 6. 7. 8. Check consciousness. If conscious and breathing, stay with victim while someone calls for help. Check for breathing. If alone and victim is an adult, activate Emergency Medical Service before starting rescue breathing. Check for signs of circulation, normal breathing, coughing or movement. If none, begin CPR if knowledgeable. Check for bleeding. Stop bleeding by applying direct pressure. Check for head, neck or spinal injuries. Don’t move the victim unless necessary. Check for health problems. Look for medical ID tags or prescription medicine. Do not give fluids. Avoid suffocation. Stay calm and don’t give up. Continue to aid victim until help arrives! Procedure: EMERGENCY 1ST AID AND SITUATIONS Date of Preparation: November 4, 2004 Page 1 Date of Revision: October 21, 2008 PROCEDURE: EMERGENCY 1st AID AND SITUATIONS RISK RANKING: MEDIUM Rescue Breathing for Adults 1. Tap victim and shout “Are you OK?” If no response, yell for someone to call 911. 2. Put one hand on victim’s forehead, other hand under chin and tilt head back slightly unless you suspect head or spinal injury. 3. If breathing does not start, pinch victim’s nose shut. Put your mouth over victim’s mouth and give 2 FULL SLOW BREATHS. Allow lungs to empty between each breath. 4. If still not breathing, continue rescue breathing. Give 1 breath every 5 seconds until help arrives. The following is a list of possible first aid situations, symptoms and treatments. Appendicitis Symptoms – Pain in right lower abdomen, nausea and possible vomiting, low fever, constipation. Treatment – Call doctor immediately, while diagnosis is uncertain don’t give anything to eat or drink, don’t use laxatives or pain medications. Minor Burns Symptoms – Redness, pain and selling, moist oozing blistered skin appearing within several hours. Treatment – Remove clothing if not stuck, flush in cold water or apply cold cloths, don’t use ointments, cover burn with sterile bandage. Chest Pains Symptoms – Check pain or heaviness, often radiating to left arm. Breathing with difficulty, seating. Treatment – Get someone to call for help, if not breathing begin rescue breathing, if no circulation, begin chest compressions if trained or being guided in CPR. Convulsions Symptoms – unconsciousness, body stiffness followed by uncontrolled jerky body movements. Treatment – catch falling victim, clear a space. Don’t put anything in mouth or try to stop jerking. Loosen tight clothing and get someone to call 911. Procedure: EMERGENCY 1ST AID AND SITUATIONS Date of Preparation: November 4, 2004 Page 2 Date of Revision: October 21, 2008 PROCEDURE: EMERGENCY 1st AID AND SITUATIONS RISK RANKING: MEDIUM Choking Symptoms – Inability to breathe cough or speak. Grasping neck, bluish lips, nails or skin. Treatment – If victim can’t breathe, cough or speak, begin Heimlich maneuver. 1. ASK: “ARE YOU CHOKING?” If victim can’t breathe, cough or speak, have someone call 911. 2. Begin Heimlich maneuver: Stand behind the choking victim. Wrap your arms around the victim’s waist and lock your hands into a fist. Place the thumb side of your fist against the victim’s abdomen, slightly above navel and below the rib cage. Press your fist into the victim’s abdomen with a quick inward and upward thrust. 3. Repeat thrusts if necessary. 4. If the victim becomes unconscious, start rescue breathing and have someone call 911. Cuts & Bruises Symptoms – Cuts: injuries to the skin with bleeding and pain. Bruises: redness on impact, then black and blue. Treatment – Cuts: stop bleeding with direct pressure, clean with soap/water; cover and bandage. Bruises: apply cold packs and elevate limb. Animal Bite Symptom – Deep, bleeding, painful wound. Major danger is rabies, which can be fatal. Treatment – Stop bleeding by direct pressure, wash with soap/water. Capture animal, notify control to check for rabies. Call Doctor. Drowning Symptoms – Unconscious, not breathing, possibly no heart beat, cold from exposure and in shock. Treatment – if not breathing begin rescue breathing, call for help. If no circulation, begin chest compressions if trained or being guided in CPR. Elevate feet and keep warm. Procedure: EMERGENCY 1ST AID AND SITUATIONS Date of Preparation: November 4, 2004 Page 3 Date of Revision: October 21, 2008 PROCEDURE: EMERGENCY 1st AID AND SITUATIONS RISK RANKING: MEDIUM Electric Shock Symptoms – Unconscious, breathing difficulty and heart damage. Burns at contact points, muscle spasms. Treatment – Call 911, disconnect electrical source. If not breathing, begin rescue breathing. If no pulse, begin chest compressions if trained in CPR or an emergency dispatcher is guiding you. Object in Eye Symptoms – Watery, irritated, painful eye. Reluctant to open eye, foreign object visible. Treatment – Let eye tear up, don’t rub. If loose, object may dislodge itself, or dab eye gently with clean cloth. If embedded, cover both eyes and get help. Fainting Symptoms – Temporary unconsciousness, sometimes blurred vision, nausea, paleness, sweating. Treatment – Lay on back. Elevate feet or bend over with head at knee level. If unresponsive, call 911. Give rescue breathing only if person has stopped breathing. Frost Bite Symptoms – Area (usually extremities) becomes red, then grey, then white. Numbness. Treatment – Don’t rub, slowly warm by immersing in tepid (not hot) water. Give warm drinks and wrap in blankets. When rewarmed, call doctor. Head Injury Symptoms – Unconsciousness, vomiting, pale, headache, sleepy, dazed, pupils uneven. Treatment – Treat any head injury as an emergency. Get someone to call for help. Stay with victim, monitor closely for unconsciousness. Shock Symptoms – Pale, clammy skin, weakness and fast breathing. Rapid, weak pulse, confusion. Treatment – Lay on back with feet elevated, unless you suspect head-back injuries. Check for breathing/bleeding difficulties. Stroke Symptoms – Headache, paralysis, difficulty with speech or vision. Unconscious. Treatment – Check breathing and circulation. Begin rescue breathing and/or CPR (if trained) if necessary. Get someone to call 911. Procedure: EMERGENCY 1ST AID AND SITUATIONS Date of Preparation: November 4, 2004 Page 4 Date of Revision: October 21, 2008