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CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic Trainer 2018 4th Quarter In-Service Friday December 21, 2018 Saturday - December 22, 2018 Sunday December 23, 2018 1.0 hrs

CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

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Page 1: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

CPR/AED/First Aid Training

by

Rob Sundquist, MS ATC LAT

Director of Sports Medicine/Head Athletic Trainer

2018 4th Quarter In-Service

Friday – December 21, 2018

Saturday - December 22, 2018

Sunday – December 23, 2018

1.0 hrs

Page 2: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Chain of Survival

■ The chain of survival are four steps to help increase the chances of an injured person of surviving a cardiac arrest.

Page 3: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Chain of Survival – step one

■ After determining that there is an injury needing advanced care; if unconscious tap and shout.

■ Call 911– Questions you will need to answer:

– Nature of the emergency?

– Where are you?

– How many are hurt?

– Ages of who is/are hurt

– Who are you?

– Has treatment started?

– Only hang up when instructed to do so by operator.

Page 4: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Chain of Survival – step two

■ Begin CPR (Cardiopulmonary resuscitation)– Most adult cardiac arrests (CA) victims heart is in

ventricular fibrillation (VF) - Abnormal chaotic heart rhythm that prevents the heart from pumping blood.

– CPR will not usually stop VF but plays an important part in pushing oxygenated blood to the brain and heart and prolonging VF so that an AED (Automated External Defibrillator) will be useful.

– CPR can double or triple the victims survival rate– For every passing minute without CPR; rate of

surviving drops 7-10%.– With CPR there is only a 3-4% drop each minute

Page 5: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Chain of Survival – step three

■ Use an AED

– The use of the AED (Automated External

Defibrillator) will stun the fibrillating heart, if the heart is still viable the normal pacemakers in the heart will begin firing and start a normal rhythm.

– If used within 5 min; chances of survival is 49-75%.

Page 6: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Chain of Survival – step four

■ Advanced Care – EMS

– Response time is 7-8 minutes – CPR is extremely important.

Page 7: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

How to recognize major emergencies

Page 8: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Heart AttackMyocardial infarction (MI)

■ Coronary heart disease is the leading cause of death in our nation.

■ During MI - part of heart muscle is starting to die.

■ Caused by a blockage of an artery (coronary) due to buildup of cholesterol deposits or a blood clot.

■ Victims are usually awake and can talk but feels severe pain

■ Most critical time is within the first 30 minutes after Signs and Symptoms begin.

Page 9: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Heart Attack

■ Most common symptoms– Pain or pressure in the center of the chest – which last more than 3-5 minutes.

– Pain might feel pressure, fullness, squeezing, or heaviness

– Pain might spread to shoulder, neck, lower jaw and down arm (usually the right).

– Pain lasts 3-5 minutes. Sometimes will stutter, stop momentarily but then begin again.▪ Other Signs and Symptoms

▪ – lightheadedness, fainting, sweating without fever, nausea, shortness of breath

– Most victims will downplay symptoms, you must take action!!!

– Call 911, get the nearest AED, and have the person rest in a position that is comfortable where they can breathe easily.

▪ Put them in an area that you can get them to the floor easily and paramedics can get in.

Page 10: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Cardiac Arrest

■ When the heart stops beating. Usually caused by VF (Ventricular fibrillation)

■ , which begins where the heart muscle is injured.

■ Without blood flow and no pulse the person becomes unconscious and stops breathing and collapses.

■ VF and cardiac arrest may be the only symptom of a heart attack.

■ AED is only thing that will stop a VF

Page 11: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Stroke

■ Its is a rapid onset of neurological problems like weakness, paralysis in one or more limbs, difficulty speaking, visual problems, intense dizziness, facial weakness, altered consciousness, and severe headache.

■ Two causes– blood vessel to brain is blocked by a blood clot– blood vessel to brain breaks

■ #3 cause of death and #1 cause of serious disability among Americans

Page 12: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Stroke■ Most signs overlooked; three

major signs to observe– facial droop

– arm weakness – most obvious when victim attempts to extend arms with eyes closed – one or both may not move very well

– speech difficulties – slurring of words and sentences

– Call 911 immediately if see signs of stroke

■ Provide CPR if needed

Page 13: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Foreign body obstruction

■ Usually caused by food, but can be caused by many objects

■ Major signs– Universal choking signal

– poor ineffective coughs

– inability to speak

– high pitched sounds while inhaling

– increased difficulty breathing

– Blue lips or skin (cyanosis)

– Loss of consciousness and responsiveness

■ Heimlich maneuver in conscious victim

■ CPR in unconscious victim

Page 14: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

CPR - adult

Page 15: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Step one

■ Make sure area is safe

■ Check unresponsiveness – tap and shout –“Are you alright”

– If no response – call 911 or send someone directly to call

■ Grab AED if one present or send someone to get one.

Page 16: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Step two

■ If possible place victim supine and on a hard surface.

– If victim is prone – roll over

– Try protecting the neck as much as possible if you suspect neck injury

Page 17: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Begin CAB’s– C = Circulation

▪ If not breathing or see abnormal breathing begin chest compressions

– Agonal breathing – gasps that occur at the beginning of CA – not efficient – act as they are not breathing

– No checking for pulse or signs of circulation just go straight to CPR

– Place one palm on the chest between the nipple line– Interlock your other hand on top of the hand on the chest– Bring your shoulder over the top– Make sure you have a wide base (knees spread just outside your

shoulders)– Press down 1 ½ -2 inches at a rate of 100 compressions per minute –

hard and fast– Make sure chest recoils completely – Complete 30 compressions and then give two breaths.– Do not stop unless and AED is available, victim moves, or you

substituted out (if two rescuers are available – switch every five cycles of 30:2 – approx two minutes) – reduces fatigue

Page 18: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

– A = Airway▪ Head tilt and Chin lift

– B = Breathing▪ If you do not detect normal breathing – give two

breaths lasting 1 second each (may use barrier)

▪ Watch chest rise, allow exhalation before next breath.

▪ If breaths do not go in – reposition head and try again.

▪ Practice

Page 19: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic
Page 20: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Practice

– Practice compressions 30 times twice –alternate with partner – no breaths

– 60 sec test – just compressions – try to get 95-105 compressions – allows to learn rhythm. Perform 1-2 times or as needed

– Two minute test – performing 30:2 (includes breath) - should complete five cycles in that time.

Page 21: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ During the beginning stages of CA – chest compressions are more important than breaths. Oxygen level will stay high for the first few minutes but blood is not moving to due to the heart not pumping. – Breathing becomes as important as the length of CPR continues

■ Very important to limit interruptions of chest compressions.

■ Be mindful not to give to many breaths, too much breath or too forceful – may cause gastric filling and the resultant complications, and/or cause diminished blood flow and reduce survival.

Page 22: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Vomiting/other breathing

■ If someone does throw up – do not panic.– Roll victim towards you. Use your body to hold them.– Clean out the mouth – roll back and continue.

■ Mouth to nose– Use when it is impossible to use the mouth due to

injury.

■ Face shields and masks – may be used -– Very little chance of transfer of bodily fluids if perform

mouth to mouth without mask. – Using shield or mask can slow down the CPR process– “Chest compression only” CPR is more beneficial than

no CPR at all.

Page 23: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Recovery position

■ If victim begins breathing and having a pulse then turn victim to their side with lower arm in front.

■ No position is perfect- just make sure they are stable, near a true lateral position, and there is no pressure on the chest to impair breathing

Page 24: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Potential neck injury

■ If two or more responders

– One stabilizes the neck – they will be in charge if victim needs to be moved

– Place hands on the sides of the head and neck, using your hands to cup around the neck.

– Place pressure on head with forearms near the ears

– Elbows should be on the ground, wrists in ulnar deviation so that they come in contact with the head.

▪ This will limit the amount of movement that will occur if you have to move your body, for example moving so that CPR can be administered or when EMS puts on a neck brace.

– If movement is necessary then move body as one.

Page 25: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

CPR – Child and infant

Page 26: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Child CPR (ages 1-8)

■ Similarities with Adult CPR– Location on chest for compressions is the same – nipple line

– Ratio of compressions to breaths the same – 30:2

■ Differences with Adult CPR – In the chain of survival you will perform CPR first for two

minutes performing five cycles of 30:2 – then call 911 (if you are alone)

▪ Reason is that most child and infant cardiac arrests are due from asphyxiation, so they will benefit more from the CPR.

– The depth you use for compression is 1/3 to ½ depth of the chest. Use one or two hands – which ever is more comfortable.

Page 27: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Infant CPR

■ Similarities with adult CPR– 30:2 ratio of compressions to breaths

■ Similarities with Child– Perform CPR first in the Chain of Survival, for the same reasons.

▪ If small enough you may carry to phone with you after completing the five cycles – use speaker phone

– Depth of compressions.

■ Differences with CPR– You will perform chest compressions one finger below nipple line– You will place your mouth over mouth and nose of infant– You will only puff air in– If unsure if it is a child or not, if it can fit on your arm, then treat as an

infant

■ Practice

Page 28: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic
Page 29: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Foreign Body Airway Obstruction (FBAO)

Heimlich Maneuver

Page 30: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Choking

■ Universal sign of choking – hand around throat

■ Ask questions

– Are you choking? Can you speak? May I help you? – Very important.

▪ If they say no leave them alone until they pass out – then it is assumed they want help.

■ If a person can speak or can cough - do not help

Page 31: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Abdominal thrusts

■ Place yourself behind victim scissor you legs▪ Front leg between victims legs

▪ Slightly bend knees

■ Place hands on navel▪ place hands on chest if woman is pregnant or victim is severely

overweight

■ Pull in and up▪ continue until object is out or they pass out

▪ Use chest thrusts if you are unable to circumvent the abdomen

■ If pass out lower them carefully to the floor begin CPR▪ Only difference with CPR is you check mouth for object before

breaths.

■ Finger sweep only if you see object.

■ Practice

Page 32: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Infant FBAO

■ Infant –– Conscious – place infant on forearm with babies

mouth between fingers – back blows to upper back

– Unconscious –▪ after back blows - five compressions –

▪ look for object

▪ give breath

▪ repeat cycle – back blows, compressions, look and breaths

■ Finger sweep if see object

■ Practice

Page 33: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Automated External

Defibrillator

AED

Page 34: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

What is an AED?

■ Automated external defibrillator – is an computerized defibrillator

■ it can analyze heart rhythm

■ recognize shockable rhythm

■ advise the operator whether the rhythm should be shocked

■ very easy to use

■ AED’s computer chips analyze the rate, size and wave shape of human cardiac rhythm.

■ will not shock a properly functioning heart

■ will not shock a heart that has stopped – VF is not present

Page 35: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Universal steps of AED use

■ Place AED parallel to patients left ear

■ Power on the AED first■ Some automatically turn on when opened

■ Attach the AED to the patients chest with electrode pads■ Remove clothing – to bear chest

■ Be kind to females

■ Dry patient or shave chest in area of electrode placement if needed

■ Place one pad above right nipple and one to the side and below the left nipple. (CPR is continued up to the point of placing the pads on)

■ Analyze rhythm ■ Make sure everyone is clear (must say “stand clear of the victim”). No

contact

■ Push analyze

■ Charge AED if shock is required (some machine charge automatically)

Page 36: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Shock if indicated – (after checking everyone is clear again)

■ Begin CPR for five cycles then analyze again

■ If shock is advisable again you clear everyone and shock

■ If shock is not advisable – continue with CPR

■ If victim has pulse and is breathing put into recovery position. ■ DO NOT take off pads or turn off AED until prompted by EMS

Page 37: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Special Considerations

■ Water■ Must remove victim from water or wet surface

■ Dry before attaching pads

■ Metal surfaces■ Is victim lying on metal surface? – if so move victim

■ The metal surface may cause the shock form the AED to hit you.

■ Children■ Children 8 and older use as soon as possible

■ Children 1-8 – CPR for two minutes before using AED

■ Transdermal medications■ Remove patch and wipe clean before attaching AED pads

■ Implanted pacemakers and defibrillators■ Do not place an AED electrode directly over implanted device.

■ Move at least one inch to the side of device

■ Practice

Page 38: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

First Aid

Page 39: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Medical emergencies

■ Breathing difficulties■ Asthma problems are increasing

■ Most have medicines

■ May need assist victim is administrating

■ If symptoms continue to get worse call 911

■ Anaphylaxisis■ Severe reaction to allergen

■ Victim may have epinephrine injector

■ May need to administer

■ Call 911 if medicine is not administered

■ Seizures ■ General rules – 1) Prevent injury 2) ensure open airway 3) maintain open

airway after seizure is completed – place in recovery position

■ Never try to restrain victim, place anything in the mouth.

Page 40: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Injury emergencies

■ Bleeding■ Direct pressure best way

■ If bleeding continues add more gauze or cloth; do not remove gauze or cloth

■ Use elastic bandage to apply pressure to gauze and hold it in place.

■ The use of tourniquets should be avoided unless in extreme matters

■ The efficacy of elevation and pressure points is inconclusive; if used, use only in conjunction with direct pressure and when there is no apparent fracture or other underlying injury.

Page 41: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Wounds and abrasions

■ Irrigate wounds until free of any foreign matter.

■ Small wounds and abrasions should be cleaned

thoroughly then have triple antibiotic ointment

placed on it and covered.

■ Larger wounds need to also be cleaned then covered

and taken to doctor for possible stitches

Page 42: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Burns

■ Thermal burns

■ Cool burn with cold water until pain ceases

■ Do not cool for more than 10 min. Can lead to further damage

■ Burn blisters cover with loose gauze, but keep intact – breaking them

can lead to infection

■ Electrical burns

■ Make sure electrical current is shut off before trying to help victim.

■ CPR and defibrillation may be needed as well as burn treatment

■ All electrocution injuries should be checked out by a physician

Page 43: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Spine stabilization

■ Suspect possible spinal injury if…

■ Car accident

■ Injured from fall greater than their height

■ Complains of neck pain, tingling, or extremity weakness

■ Is not fully alert

■ Appears to be intoxicated

■ Appears frail or is >65 yrs old

■ Has sustained a head injury

- Manually stabilize the neck until help arrives.

Page 44: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Musculoskeletal trauma – sprains, strains, contusions, fractures■ For sprains, strains, contusions – apply ice for 20.

■ Sprains elevate and place compression bandage

■ R.I.C.E. – rest, ice, compression, elevation

■ If victim has aversion to cold – place wet cloth between ice and skin

■ Young kids and elderly especially susceptible

■ Contusion you want to stretch the injury as well as ice

■ If you are unsure of the injury suspect fracture – do not move or straighten injury. Place ice on area and splint in position, send to ER.

■ If suspect dislocation – splint as is and send to ER.

Page 45: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Dental injuries

■ Avulsed tooth■ Hold onto by the crown not the root (part embedded into

gum

■ Rinse off with water (do not scrub)

■ Either place back into socket or place in glass of milk and see a dentist immediately

■ Clean bleeding wound with saline solution or tap water

■ Use cotton to apply pressure to stop bleeding

Page 46: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Environmental injuries

■ Snakebite■ Do not suck wound, it will only exasperate the problem

■ In case of Coral snake – wrap a bandage around the extremity of the bite – it will help slow the poison – then get to medical facility immediately.

■ Coral snake bites and sucks

■ Other snake bites, wash area with soap and water, try not to move extremity very much and get to medical facility.

■ Cold injuries■ Hypothermia

■ Immediately begin re-warming – remove wet clothes and wrap body surface with anything at hand; get to medical facility immediately

■ If far from medical facility you begin active warming – placing near heat source, placing in warm (not hot) water.

■ Frostbite■ Remove wet clothing, usually occurs on extremities, do not re-warm if there is any chance it could

freeze again or you are close to a medical facility.

■ Use luke-warm water if you are far from medical facility

Page 47: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Heat Injuries■ Heat cramps – muscle cramping, usually due to extreme loss of fluids

■ Get to cooler area

■ Replace fluids

■ Ice and stretch area

■ Heat exhaustion■ Dizziness, could have flushed skin or cool and clammy, disoriented, nausea,

headache

■ Get victim to cool area immediately

■ Place ice on side of neck (carotid artery), arm pits, and groin area

■ Replace fluids

■ Watch for shock; could lead into heat stroke

■ Heat Stroke – medical emergency – call 911 immediately ■ Extreme disorientation, possible unconsciousness, very little sweating,

internal temperature of >105.

■ Cool down by any means

Page 48: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

■ Drowning

■ Get victim out of water as soon as possible

■ Begin CPR immediately

■ If you are alone – finish five cycles of CPR before calling 911

Page 49: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Poisons

■ Poison control center – 1-800-222-1222

■ Chemical Burns

■ Brush off any powder and remove all contaminated clothing

■ Alkaline or acid exposure – rinse with copious amounts of

water.

■ Ingested poisons

■ Do not ingest any medication; milk, activated charcoal, syrup

of ipecac unless instructed by poison control

Page 50: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Shock

■ Develops when there is not enough blood flowing to the cells of the body

■ Causes in adults; ■ loss of blood

■ heart attack,

■ allergic reaction

■ Symptoms■ feel cold and shiver,

■ feel weak, faint, or dizzy,

■ restless,

■ vomit,

■ feel thirsty

■ Treatment■ Call 911

■ Put victim on their back

■ If not leg injury or pain raise legs 12 inches

■ Cover victim with blanket

■ If bleeding is visible – use direct pressure

Page 51: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Basic First Aid for Medical Emergencies

The main purpose of this session is to familiarize you with basic first-aid

procedures. By the time the session is over, you should be able to:

Recognize the benefits of obtaining first-aid and CPR certification;

Identify proper procedures for a variety of medical emergencies;

Assist in administering first aid when a co-worker is injured; and

Do no further harm.

Page 52: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Help! Emergency!Minutes could

make a differenceJust imagine:

A co-worker is hurt in an accident and blood is

gushing from the wound.

One of your friends or your client chokes on a piece

of food and can’t breathe.

Someone goes into cardiac arrest right at his

workstation.

Any one of these things is possible, and it could happen any

time. If it did, you’d have to act fast. A few critical minutes

one way or the other could make the difference between life

and death. Would you be ready to act with speed and

competence in a workplace medical emergency?

There are medical emergencies in workplaces across the

country every day. Situations calling for first aid range from

burns to cuts and amputations, eye injuries, chemical

overexposures, and much more.

Do you know how to report a workplace medical

emergency? Besides calling 911, you also need to notify a

supervisor or manager and provide as much information as

you can about the accident.

Describe the procedure for reporting workplace accidents

and the information trainees should be prepared to provide

about the incident.

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Page 53: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Four Basic Rules

1. Call for help immediately2. Bring help to the victim4. Do no further harm3. Check the ABCs

Page 54: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Evaluate the scene

Assess safety

Prioritize care

Check for medical alert tags

Do head-to-toe check

Move only if necessary

Evaluate the scene

Assess safety

Prioritize care

Check for medical alert tags

Do head-to-toe check

Move only if necessary

Assess the Scene

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Page 55: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

No Breathing

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Administer CPR:

• Lay the person on his or her back

• Give chest compressions

• Tilt head slightly

• Breathe into the person’s mouth

• Continue until EMS personnel arrive

Page 56: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Bleeding

• Stop the flow of blood

• Wear gloves

• Cover the wound

• Apply pressure

• If a body part has been amputated, put it on ice

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Page 57: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Shock• Lay the victim down

• Cover

• Raise feet• In cases where a person has lost

a lot of blood, a condition known

as shock can develop. Shock is

the body’s way of reacting to

severe injury. A person in shock

may appear stunned or

confused. To treat shock:

•Lay the victim down,

•Cover the victim to keep him or

her warm, and

•Raise the feet slightly above

heart level.

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Page 58: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Anaphylactic Shock

• Give the victim medication

• Call for help ASAP

• Start CPR if necessary

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Page 59: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Heart Attack• Call 911

• Make victim comfortable

• Loosen tight clothing

• Check for medication

• Keep victim still

• Don’t give stimulants• If the sequence of back blows and abdominal thrusts does

not clear the object, and the victim becomes unconscious:

• Call 911 and follow their instructions. If you can’t speak with

anyone, further quick action is needed.

• Try a “finger sweep” if the object in the throat is clearly visible

and accessible with your fingers. Use gloves if possible. Use

your index and middle finger to grasp the object. Don’t try the

finger sweep if there’s a chance you’ll push the object further

down the throat.

• Lay the person down on his or her back, and perform 5

abdominal thrusts by placing your hands one on top of the

other and push the heel of your hand in and up sharply on the

abdomen just below the rib cage.

• Once the object is cleared, check the “ABCs” (airway,

breathing, and circulation).

• If the person is not breathing, perform CPR until medical help

arrives.

Page 60: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Choking

• Ask a person to speak or cough

• Deliver 5 back blows

• Perform abdominal thrusts

• Repeat sequence of back blows and abdominal thrusts

Page 61: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

If Abdominal

Thrusts Don’t Work• Call 911

• Finger sweep

• Abdominal thrusts

• Check ABCs

• Perform CPR if not breathing

Page 62: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Electrical Shock

Don’t touch!

Turn power off

Call 911

Remove person from live wire

Check for breathing

© Business & Legal Reports, Inc. 1110

Page 63: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Do you understand first-aid procedures for:

• No breathing?

• Bleeding?

• Shock?

• Heart attack?

• Choking?

• Electrical shock?

Review

Do you understand first-aid procedures for:

• No breathing?

• Bleeding?

• Shock?

• Heart attack?

• Choking?

• Electrical shock?

Page 64: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Eye Injuries

• Splashes

• Particles in eye

• Blow to eye

• Cuts near eye

• Penetrating objects

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Page 65: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Burns• First-degree burns—Reddened, painful skin

• Second-degree burns—Blistering

• Third-degree burns—Charring, deep tissue damage

© Business & Legal Reports, Inc. 1110

Page 66: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

• Eyes

• Skin

• Inhalation

• Ingestion• Unprotected exposure to hazardous materials can sicken or

even kill a person. These are the basic first-aid procedures for

these exposures.

• For exposures to the eyes, flush with water for 15 minutes

and get medical attention.

• For exposures to the skin, flush with water for 15 minutes and

get medical attention for burns and other damage.

• For inhalation of vapors or gases, move the victim to fresh air

immediately. Administer CPR, if necessary.

• For ingestion, have a co-worker call 911. Another employee

can also call your local poison center for more first-aid

information, if necessary. Then follow the first-aid instructions

in the material safety data sheet, or MSDS.

• The MSDS is an excellent source of first-aid information. Be

sure you know where MSDSs are located and how to find the

necessary first-aid information.

• Tell trainees where to find MSDSs. Then, using sample

MSDSs for materials in your workplace, show trainees how to

find relevant first-aid information.

Exposure to

Hazardous Materials

Page 67: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Broken Bones• Look

• Ask

• Treat for shock• The rule for treating people who may

have broken bones is never to move them

unless it’s necessary for their safety.

Neck and back injuries are especially

risky. The wrong move could cause

paralysis or death. If you suspect broken

bones, call for emergency medical

assistance, and instruct the victim not to

move.

• Then look for swelling and deformity.

• Ask the victim to rate the pain, explain

how the injury happened, and if he or she

can move the injured limb.

• Treat for shock if the person shows

symptoms.

• If it seems that a person might have a

broken bone, apply ice wrapped in a

towel or cloth to the area, and keep the

victim comfortable until help arrives.© Business & Legal Reports, Inc. 1110

Page 68: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Heat Exhaustion

• Move to cool place

• Lay victim down

• Elevate feet

• Loosen clothing

• Give fluids

• Apply cool compresses

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Page 69: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Heatstroke

• Immediately call 911

• Cool the person down

• Monitor

© Business & Legal Reports, Inc. 1110

Page 70: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Fainting• Check for breathing

• Administer CPR if necessary

• Call 911 if more than a few minutes

• If conscious, lay the victim down with feet elevated

• Fainting can occur when blood pools in the legs,

reducing the blood flow to the brain. People may

faint when they are standing for a long time in the

heat. Fainting can also be brought on by stress.

• Check a person who has fainted for breathing.

• If the person is not breathing, begin CPR.

• If the person does not regain consciousness within

a few minutes after fainting, call for emergency

medical assistance and continue to monitor

breathing.

• Otherwise, if the person quickly regains

consciousness, have the person lie down with feet

slightly elevated. Loosen any tight clothing. Then

allow the person to rest for 10 or 15 minutes until

normal blood flow is restored, and the person feels

alright again.

Page 71: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Epileptic Seizures

• Remove victim from hazards

• Check for breathing

• Nothing in the mouth

• Keep comfortable

• Call 911 if medical assistance is needed• A person having an epileptic seizure may fall to

the ground and have convulsions. If a person

appears to be having a seizure:

• Remove victim from any dangerous objects or

hazardous situations;

• Check for breathing;

• Don’t put anything in the victim’s mouth;

• Try to keep the person as comfortable as

possible; and

• Call for emergency medical assistance if the

seizure lasts more than 5 minutes without signs

of slowing down, if the person has trouble

breathing afterwards, or if the person is in pain

or other injury is present.

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Page 72: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Do you understand first-aid procedures for:

• Eye injuries?

• Burns?

• Exposure to hazardous materials?

• Broken bones?

• Heat exhaustion and heatstroke?

• Fainting?

• Epileptic seizures?

• Now it’s time to ask if you understand all the information presented

in the previous slides. For example, do you understand what we’ve

said about first-aid procedures for:

• Knowing about all these procedures will come in handy should you

ever have to assist in a medical emergency involving one of these

health problems.

• Answer any questions trainees have about the information

presented in the previous slides.

• Conduct an exercise, if appropriate.

• Let’s continue to the next slide now and conclude the session with

some key points to remember.

Review

Page 73: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Key Points to Remember

Medical emergencies can happen anytime.

Act quickly, calmly, and correctly.

Consider being certified in first aid and CPR.Here are the main points to remember about basic first aid:

Medical emergencies can happen anytime on the job.

When a co-worker is injured, you have to act quickly, calmly,

and correctly.

The best way to prepare for workplace medical emergencies is to

be certified in first aid and CPR.

This concludes the Basic First Aid for Medical Emergencies training

session.

Page 74: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Question 1

Place the steps of the Chain of Survival in the correct order from first step to fourth step.

A.Use an AEDB.Start CPSC.Advanced Care - EMSD.Call 911

Page 75: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Question 2

A sign of a stroke include:A.Sudden slurred speechB.Drooping of one side of the faceC.Weakness in an armD.All of the above

Page 76: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Question 3

Treatment of shock includes:A.Start CPRB.Call 911C.Raise the feet about 12 inches off the

groundD.More than one of the above

Page 77: CPR/AED/First Aid Trainingnewagecare.net/.../2018/12/CPR-AED-FIRST-AID-Training.pdf · CPR/AED/First Aid Training by Rob Sundquist, MS ATC LAT Director of Sports Medicine/Head Athletic

Sources

www.atlantictraining.com/blog/wp-

content/uploads/2015/06/cpr-by-CHS.ppt

https://www.mga.edu/risk-management/docs/safety-

powerpoints/Basic_First_Aid.ppt