Freddie Stevens (Leeds LINKS SJA Training officer)

First things First

 Who?

 Tommaso (unit leader/president)  Freddie and Chris (Training officers)  What?

 First Aid  Social side.

First things First

 Why?

 Everyone who needs it should receive first aid from those around them. No one should suffer for the lack of trained first aiders.

 Enough of this… Lets get on with business!

 Don’t hesitate to stop me if you don’t understand or if you have a question 

Man down… What now?



D

anger 

R

esponse (Shout) 

A

irway 

B

reathing

Danger!

 To Who?

 1 st ) YOU!!! – you are there to help, not get injured  2 nd ) Bystanders – you don’t want more patients  3 rd ) The patient – you’re there to help them!

 Forms of Danger?

 Water, Electricity, Other People, Fire…

Response!

   

A

lert  All of you… I hope!

V

oice  Give a voice command in each ear… Why?

P

ain  Firm pat on both shoulders

U

nresponsive  If none of the above!

 This basic scale of responsiveness will be referred to a lot through the year!

(Shout!)

 Shout for help!

 You may be good, but your not Wonder-woman!

 Tell your help to call an ambulance, you can update them and the dispatcher as you learn more about the condition of your patient!

Airway!

 What classes as airway??

 Neck, Throat, Jaw, Nose, Tongue, Teeth, Lips…  Quick check that all of these things look normal and unobstructed.

 If obstructed then clear obstruction IF SAFE to do so!

 Unconscious patients can’t maintain their own airway… so you have to do it for them!

 Demonstration with the lovely Dennis!

Breathing!

   There are 3 things to do while checking breathing     Look!

Listen!

Feel!

Smell!

How many breaths in how long?

  2-3 breaths in 10 seconds MUST check for the FULL 10 seconds Are they breathing?

  Yes – Recovery Position No – CPR

Play Time

 Everyone pair up and lets go through this series of steps, this is your primary survey!

Danger?

No Response?

No Airway obstruction?

No Are they Breathing?

Yes Yes Yes Make area safe before approaching Talk to the patient If safe, clear it NO!

CPR!!

Yes!

Recovery Position

Recovery Position

 So… We mentioned the recovery position earlier, what is it?

 Safe position for an unconscious patient.

 Maintains airway  Prevents patient choking if they vomit

We Know What, Now How?

 Straight off the SJA website  Turn them onto their side  Lift chin forward in open airway position and adjust hand under the cheek as necessary  Check they cannot roll forwards or backwards  Monitor breathing continuously  If injuries allow, turn them to the other side after 30 minutes.

Demo and practice

CPR!

 Cardiopulmonary Resuscitation  Unlikely to return cardiac rhythm on its own  If delivered effectively it can increase the window in which defibrillation is effective!

CPR run down

    Compressions vs Compressions and Breaths?

  We do compressions and breaths NEJoM study has shown there is No Sig. Dif. (poor investigation though) Compression to breaths ratio?

 30:2 Compressions or Breaths First?

 Compressions – unconscious, not breathing adult  Breaths – Unconscious, not breathing Child, Baby or suspected Drowning (if breaths come first there should be 5 rescue breaths before normal 30:2 cycling) How fast should the compressions be?

 100 - 120 bpm

Is it really worth it?

 Watch this, then you decide…  http://www.youtube.com/watch?v=hfrv7ZzLcJc  http://www.youtube.com/watch?v=KXjEnTHMUow&f eature=related  Start at 8 mins

How to do Compressions!

 Interlock your fingers  Place your hands in the middle of the patients chest, 1 2 inches above the bottom of the sternum  Lean over your patient  “Lock-out” your elbows  Begin compressions

After 30 compressions!

 Open their airway the same way as during the primary survey  Pinch their nose  Make a full seal with your mouth to theirs  Attempt to deliver a breath  Take your face away from theirs before attempting to deliver the next breath.

 Demonstration with Dennis 