Basic First Aid Written Exam
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ABCDE Approach
The ABCDE and SAMPLE History Approach Basic Emergency Care Course Objectives • List the hazards that must be considered when approaching an ill or injured person • List the elements to approaching an ill or injured person safely • List the components of the systematic ABCDE approach to emergency patients • Assess an airway • Explain when to use airway devices • Explain when advanced airway management is needed • Assess breathing • Explain when to assist breathing • Assess fluid status (circulation) • Provide appropriate fluid resuscitation • Describe the critical ABCDE actions • List the elements of a SAMPLE history • Perform a relevant SAMPLE history. Essential skills • Assessing ABCDE • Needle-decompression for tension • Cervical spine immobilization pneumothorax • • Full spine immobilization Three-sided dressing for chest wound • • Head-tilt and chin-life/jaw thrust Intravenous (IV) line placement • • Airway suctioning IV fluid resuscitation • • Management of choking Direct pressure/ deep wound packing for haemorrhage control • Recovery position • Tourniquet for haemorrhage control • Nasopharyngeal (NPA) and oropharyngeal • airway (OPA) placement Pelvic binding • • Bag-valve-mask ventilation Wound management • • Skin pinch test Fracture immobilization • • AVPU (alert, voice, pain, unresponsive) Snake bite management assessment • Glucose administration Why the ABCDE approach? • Approach every patient in a systematic way • Recognize life-threatening conditions early • DO most critical interventions first - fix problems before moving on -
TCCC CLS Skill Instructions Mod 7 25 JAN 20
MODULE 07: AIRWAY MANAGEMENT IN TFC SKILL INSTRUCTIONS 25 JAN 2020 COMBAT LIFESAVER (CLS) TACTICAL COMBAT CASUALTY CARE SKILL INSTRUCTIONS HEAD-TILT/CHIN-LIFT INSTRUCTION TASK: Open an airway using the head-tilt/chin-lift maneuver CONDITION: Given a simulated scenario where a casualty and responder are in combat gear and the casualty is unconscious without a patent airway STANDARD: EffeCtively open the airway by performing the head-tilt/chin-lift maneuver following all steps and measures correctly without Causing further harm to the Casualty EQUIPMENT: N/A PERFORMANCE MEASURES: step-by-step instructions NOTE: Do not use if a spinal or neck injury is suspected. 01 Roll the Casualty onto their back, if necessary, and place them on a hard, flat surface. 02 Kneel at the level of the Casualty’s shoulders. Position yourself at the side of the Casualty. 03 Open the mouth and looK for visible airway obstruCtions (e.g., laCerations, obstructions, broken teeth, burns, or swelling or other debris, such as vomit). NOTE: If foreign material or vomit is in the mouth, remove it as quiCKly as possible. NOTE: Do not perform a blind finger sweep. 04 PlaCe one hand on the Casualty's forehead and apply firm, backward pressure with the palm to tilt the head back. 05 PlaCe the fingertips of the other hand under the bony part of the lower jaw and lift, bringing the Chin forward. NOTE: Do not use the thumb to lift the chin. 06 While maintaining the open airway position, place an ear over the casualty's mouth and nose, looking toward the chest and stomaCh. -
Emergency Medical Responder Febuary Pre Work
EMERGENCY MEDICAL RESPONDER FEBUARY PRE WORK Name___________________________________ MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) When moving or lifting a patient, you should: 1) A) determine the patient's chief complaint. B) ask bystanders to help. C) use good body mechanics. D) provide emotional support. 2) You have an ethical responsibility to: 2) A) read professional publications. B) maintain your skills and knowledge. C) be ready to perform at all times. D) all of the above. 3) As an Emergency Medical Responder you may be at risk of exposure to an infectious disease when 3) you: A) are talking on the phone. B) handle equipment that has blood on it. C) wear gloves when you care for a patient. D) respond to an emergency. 4) In the anatomical position, the respiratory system would be ________ to the digestive system. 4) A) superior B) anterior C) posterior D) inferior 5) You have a patient with a suspected spinal injury. The best method for movement to the backboard 5) device would be: A) direct carry. B) log roll. C) shoulder drag. D) extremity lift. 6) For patients who have a suspected spinal injury, you should use: 6) A) head-tilt. B) jaw thrust. C) head-tilt, chin-lift. D) chin-lift. 7) You have a patient who experienced an approximately 16-foot fall from the roof while working on 7) the gutters. He is found supine on the driveway and does not respond to verbal or painful stimuli. After assessing the scene and taking spinal restriction, you should proceed to the: A) initial assessment. -
Cert Disaster Medical Operations Guidelines & Treatment Protocol
WALNUT CREEK, CA COMMUNITY EMERGENCY RESPONSE TEAMS (CERT) CERT DISASTER MEDICAL OPERATIONS GUIDELINES & TREATMENT PROTOCOL TRAINING MANUAL October, 2013 Walnut Creek Community Emergency Response Teams (CERT) Disaster Medical Operations Guidelines & Treatment Protocol Training Manual CERT Disaster Medical Operations (CERT MED OPS) Mission Statement Mission: To provide the greatest good for the greatest number of people. Following a major disaster, CERT volunteers will be called upon to Triage and provide basic first aid care to members of the community that sustain injury of all types and levels of severity. Policy: CERT Medical Operations will function and provide care consistent with national CERT Training guidelines. The CERT Volunteers will function within these guidelines. Structure: CERT Medical Operations (CERT MED OPS) reports to Operations Section. CERT MED OPS Volunteer Requirements CERT MED OPS volunteers will Triage and assess each victim, as needed, according to the RPM & Simple Triage and Rapid Treatment (START) techniques that they learned during CERT training. They will treat airway obstruction, bleeding, and shock by using START techniques. They will treat the victims according to the CERT training guidelines and CERT skills limitations. CERT MED OPS volunteers will also evaluate each victim by conducting a Head-To-Toe Assessment, and perform basic first aid in a safe and sanitary manner. CERT MED OPS volunteers will ensure that victim care is documented so information can be communicated to advanced medical care when and as it becomes available. CERT MED OPS volunteers understand that CPR is not initiated in Disaster Medical Operations e.g., mass casualty disaster situations. The utmost of care and compassion will be undertaken with family members to assist them with their grieving process. -
New Spinal Recovery Position June 2019
New Spinal Recovery Position June 2019 Background Since first publication, the Qualsafe First Aid Made Easy A4 sized First Aid Book has included methods for turning an unconscious casualty with a suspected spinal injury in order to protect the airway – a “spinal recovery position”. Originally a log-roll was included, which requires the first aider to recruit the help of three other people, and more recently a spinal recovery position that required the help of one additional person was included. Injury to the lumbar or thoracic region present in 71.4% of spinal injury patients,8 so the guidance for placing someone into the spinal recovery position has always differed from the ‘traditional’ recovery position, in order to minimise torsion (twisting) of the spine, which is impossible to avoid when pulling a casualty onto their side using only the knee. This topic is only taught to first aiders who attend a course that specifically covers spinal injury on the syllabus (e.g. First Aid at Work, but not Emergency First Aid at Work). The problem with the previous spinal recovery position It is important to note that turning an unconscious casualty onto their side to protect the airway is an emergency procedure that a first aider will have to perform in stressful circumstances. The optimum treatment for a supine spinal injury patient is to keep the casualty on their back and provide manual in-line stabilisation (MILS) with the head and neck in a neutral alignment, whilst continually monitoring breathing. 1,2 Ideally the first aider who can stay with the casualty should only turn the them if they become concerned about the airway. -
Speaker Notes Module 07 – Airway Management In
COMBAT LIFESAVER TACTICAL COMBAT CASUALTY CARE (TCCC) SPEAKER NOTES MODULE 07 – AIRWAY MANAGEMENT IN TFC SLIDE 1 – TITLE SLIDE SLIDE 2 – TCCC ROLES Tactical Combat Casualty Care is broken up into 4 roles of care. The most basic is taught to All Service Members (ASM), which is the absolute basics of hemorrhage control and to recognize more serious problems. You are in the Combat Lifesaver (CLS) role. This teaches you more advanced care to treat the most common causes of death on the battlefield, and to recognize, prevent, and communicate with medical personnel the life-threatening complications of these injuries. The Combat Medic/Corpsman role has much more advanced and invasive care requiring significantly more medical knowledge and skills. Finally, the last role is for combat paramedics and advanced providers, to provide the most sophisticated care to keep our wounded warriors alive and get them to definitive care. Your role as a combat lifesaver is to treat the most common causes of death on the battlefield, which are massive hemorrhage and airway/respiratory problems. In addition, you are given the skills to prevent complications and treat other associated but not immediately life-threatening injuries. TCCC CLS SPEAKER NOTES #TCCC-CLS-14-01 25 JAN 20 COMBAT LIFESAVER TACTICAL COMBAT CASUALTY CARE (TCCC) SPEAKER NOTES SLIDE 3 – TLO/ELO The TCCC-CLS course is built on a foundation of learning objectives. These objectives lay out the basic structure of the course and describe the knowledge and skills you are expected to acquire by the end of the course. The module has one Terminal Learning Objective, or TLO. -
Abc of Occupational and Environmental Medicine
ABC OF OCCUPATIONAL AND ENVIRONMENT OF OCCUPATIONAL This ABC covers all the major areas of occupational and environmental ABC medicine that the non-specialist will want to know about. It updates the OF material in ABC of W ork Related Disorders and most of the chapters have been rewritten and expanded. New information is provided on a range of environmental issues, yet the book maintains its practical approach, giving guidance on the diagnosis and day to day management of the main occupational disorders. OCCUPATIONAL AND Contents include ¥ Hazards of work ¥ Occupational health practice and investigating the workplace ENVIRONMENTAL ¥ Legal aspects and fitness for work ¥ Musculoskeletal disorders AL MEDICINE ¥ Psychological factors ¥ Human factors ¥ Physical agents MEDICINE ¥ Infectious and respiratory diseases ¥ Cancers and skin disease ¥ Genetics and reproduction Ð SECOND EDITION ¥ Global issues and pollution SECOND EDITION ¥ New occupational and environmental diseases Written by leading specialists in the field, this ABC is a valuable reference for students of occupational and environmental medicine, general practitioners, and others who want to know more about this increasingly important subject. Related titles from BMJ Books ABC of Allergies ABC of Dermatology Epidemiology of Work Related Diseases General medicine Snashall and Patel www.bmjbooks.com Edited by David Snashall and Dipti Patel SNAS-FM.qxd 6/28/03 11:38 AM Page i ABC OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE Second Edition SNAS-FM.qxd 6/28/03 11:38 AM Page ii SNAS-FM.qxd 6/28/03 11:38 AM Page iii ABC OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE Second Edition Edited by DAVID SNASHALL Head of Occupational Health Services, Guy’s and St Thomas’s Hospital NHS Trust, London Chief Medical Adviser, Health and Safety Executive, London DIPTI PATEL Consultant Occupational Physician, British Broadcasting Corporation, London SNAS-FM.qxd 6/28/03 11:38 AM Page iv © BMJ Publishing Group 1997, 2003 All rights reserved. -
Medical Standard Operating Guidelines (Released May 2016)
CENTURY AMBULANCE SERVICE, INC. Medical Standard Operating Guidelines (Released May 2016) Authorization These guidelines and treatment guidelines were developed and reviewed under the authorization of the below-signed Medical Director in accordance with Florida Statute 401 and Chapter 64J-1 of the Florida Administrative Code. Changes to these guidelines can only be made with the authorization of the Medical Director and Century Ambulance Service, Inc. Signature on File David Murray, M.D. Medical Director These Medical Standard Operating Guidelines (MSOG) as reviewed and signed above by Century Ambulance Service, Inc.’s Medical Director supersede all previous memos, Emergency Medical Services Standard Operating Guidelines, Medical Standard Operating Guidelines, and Drug Listings. Century Ambulance Service, Inc. Medical Standard Operating Guidelines 1 Table of Contents (200.00) Authorization...................................................................................................................................... 1 Table of Contents (200.00) ................................................................................................................ 2 Introduction (200.02) ......................................................................................................................... 8 Reporting and Treating Patient Abuse / Neglect (205.00) ................................................................. 9 Clinical Quality Assurance Program Purpose and Overview (205.02)........................................... -
When Doing TRIAGE, You MUST Protect Yourself and Your Buddy
CERT Unit 3– DMO #1 Spring 2018 Assumptions Disaster Medical Operations ● Need for CERT members to learn disaster medical operations is based on two — Part 1 assumptions: ! Number of victims could exceed local capacity for treatment ! Survivors will assist others ‒ They will do whatever they know how to do CERT Basic Training ‒ They need to know lifesaving first aid or post- Unit 3 disaster survival techniques Spring 2018 90% of disaster victims are rescued by other victims! Importance of Quick Action Unit Objectives – Learn how to: ● Phase 1: Death within minutes, result of ● Identify “killers” severe trauma ● Conduct TRIAGE under ● Phase 2: Death within several hours, simulated disaster result of excessive bleeding conditions ● Phase 3: Death in several days or weeks, ● Open airway, control result of infection bleeding, and treat for shock Rescuer Safety During Triage TRIAGE AND PPE’s ● If hazmat or terrorist event is suspected, CERT members DO NOT respond When doing TRIAGE, ! Evacuate as safely as possible ● ALWAYS wear PPE: you MUST protect ! Helmet ! Goggles yourself ! N95 mask ! Work gloves and your buddy ! Sturdy shoes or boots ! Non-latex exam gloves must do the same 1 CERT Unit 3– DMO #1 Spring 2018 Personal Protective Equipment - PPE Personal Protective Equipment - PPE ● Personal protective equipment, commonly ● How to put on and take off Non-Latex referred to as "PPE", is equipment worn to Gloves minimize exposure to serious workplace ● Practice! injuries and illnesses. ● New gloves for every victim ● Wash or sanitize hands Goggles Masks after de-gloving Gloves Personal Protective Equipment - PPE IF IT’S WET AND NOT YOURS DON’T TOUCH IT! Three “Killers” - ABS CERT Sizeup ● Emergency medicine “killers” 1. -
Principles and Practice of First Aid
CHAPTER 1: PRINCIPLES AND PRACTICE OF FIRST AID Definition of first aid 1. First aid refers to the actions taken in response to someone who is injured or suddenly taken ill 2. A first aider is a person who takes this action Aims of first aid ● Preserve life ● Prevent the condition from becoming worse ● Promote recovery Responsibilities and duties of first aider ● Give first aid to the casualty ● Keep a record of all treatment given ● Maintain the first aid box o Replenish contents regularly o ensure only first aid items are kept in the box Responding to emergency ● Be calm in your approach ● Be aware of risks to yourself and others ● Build and maintain trust ● Give early treatment ● Call appropriate help ● Remember your own needs 1 First Aid Priorities ● Assess a situation quickly and calmly ● Protect yourself and casualty from danger ● Prevent cross contamination ● Provide comfort and reassure the casualties ● Give early treatment, most serious (life-threatening) first ● Arrange appropriate help:- o Call 995 o Transfer to the care of a healthcare professional; or home Calling for ambulance ● Dial 995 ● State o Your telephone number o The exact location of incident o Type and gravity if the emergency o Number, gender and age of casualties o Details of any hazards Universal Precautions ● Wash your hands and wear disposable gloves ● Cover cuts and grazes with waterproof dressings ● Wear plastic apron and plastic glasses for eye protection ● Use a resuscitation mask (face shield or pocket mask) when giving rescue breaths ● Dispose all waste safely ● Do not touch a wound or the part of dressing that will touch a wound ● Do not breathe, cough or sneeze over the wound ● If you accidentally prick or cut your skin, or splash your eye, wash the area thoroughly and seek medical help immediately 2 CHAPTER 2: WOUNDS, BLEEDING AND SHOCK Basic Anatomy and Physiology of the circulatory system The heart and blood vessels ● The heart and blood vessels make up the circulatory system. -
CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK
CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK American Red Cross CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK This CPR/AED for Professional Rescuers and Health Care Providers Handbook is part of the American Red Cross CPR/AED for Professional Rescuers and Health Care Providers program. By itself, it does not constitute complete and comprehensive training. Visit redcross.org to learn more about this program. The emergency care procedures outlined in this book refl ect the standard of knowledge and accepted emergency practices in the United States at the time this book was published. It is the reader’s responsibility to stay informed of changes in emergency care procedures. PLEASE READ THE FOLLOWING TERMS AND CONDITIONS BEFORE AGREEING TO ACCESS AND DOWNLOAD THE AMERICAN RED CROSS MATERIALS. BY DOWNLOADING THE MATERIALS, YOU HEREBY AGREE TO BE BOUND BY THE TERMS AND CONDITIONS. The downloadable electronic materials, including all content, graphics, images and logos, are copyrighted by and the exclusive property of The American National Red Cross (“Red Cross”). Unless otherwise indicated in writing by the Red Cross, the Red Cross grants you (“recipient”) the limited right to download, print, photocopy and use the electronic materials, subject to the following restrictions: ■ The recipient is prohibited from selling electronic versions of the materials. ■ The recipient is prohibited from revising, altering, adapting or modifying the materials. ■ The recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials. ■ The recipient is prohibited from downloading the materials and putting them on their own website without Red Cross permission. -
EMR Standards and Procedures Manual
State of Wisconsin Emergency Medical Responder (EMR) Core Skills Standards & Procedures of Practical Skills Manual August 2013 This manual is intended to provide examples of tried and proven techniques of caring for patients with the various injuries or illnesses that emergency medical responder personnel will encounter in the field. It does not provide the only method or technique that may be an acceptable approach in caring for an injury or illness. However, since the certification examinations used within the state are based on the current edition of this document as well as the current edition of the National EMS Educational Standards, the State of Wisconsin Scope of Practice, and is a companion to the emergency medical responder curriculum, it is an advantage to use these skill procedures as the basis for practice. This is a consensus document, endorsed by the EMS Training Centers, the Department of Health Services, the Bureau of Communicable Diseases and Emergency Response - EMS Program, as well as the EMS Physician Advisory Committee. The Bureau of Communicable Diseases and Emergency Response - EMS Program, Wisconsin’s EMS State Medical Director, the EMS Physician Advisory Committee, as well as regional and local physician medical direction are charged with developing and promulgating these minimum standards of care for emergency medical responder personnel. This manual contains descriptions of those skills included in the scope of practice for the emergency medical responder. The scope of practice for each level of provider and local protocol shall define which of these skills may be used at the local level. State of Wisconsin – Standards & Procedures of Practical Skills Emergency Medical Responder – Core Skills TABLE OF CONTENTS SECTION 1 – BLOOD PRESSURE MEASUREMENT .........................................................................................................................