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8/8/2019 First Aid Workbook July 2010
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C4 HEALTH
Workforce Development for the Health Sector
FIRST AID WORKBOOK
Name:
Company:
Contact no:
Email address:
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This workbook assesses First Aid competencies for the following NZQA Unit Standards:
6400 Manage First Aid in emergency situations
6401 Provide First Aid
6402 Provide resuscitation Level 2
To pass this course you must:
Complete this workbook. This can be done in class time.
Demonstrate competence in CPR for adults, children and infants.
Demonstrate competence in managing an airway obstruction for adults, children
and infants.
Demonstrate competence in the assessment and management of a range of
scenarios.
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CONTENTS
Assessment-DRS
Crash scene assessment and management
Multiple injury assessment and management 7
Soft Tissue injury
Cardiac
Recovery Position
CPR - Adult
Choking-Adult
Choking Child
CPR Child
Choking Infant 14
CPR-Infant 14
Burns 15
Electrocution 16
Poisoning 17
Severe allergic reaction 18
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ASSESSMENT (p4-6)
What are the steps in scene assessment and why are they important? (PC 6400/1.1;
6401/1.1; 6402/1.1)
D
R
S
DANGER
Whose safety do you need to look out for at the crash scene? (PC 6400/1.1; 6401/1.1;
6402/1.1)
List 5 hazards in this scene and how you might deal with them initially. (PC 6400/1.1;
6401/1.1; 6402/1.1)
1
2
3
4
5
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Describe what signs and symptoms would make you suspect that the patient has a spinal
injury. (PC 6400/1.1; 6401/1.1) (p28-29)
Number the following injuries in order of importance or risk to the casualty. Who would
you treat first? (PC 6400/1.1; 6401/1.1)
A.A simple fracture of the right handB.A compound fracture of the right lower leg with protruding bonesC.Cuts to the faceD.Concussion with confusion (p32-33)E.A dislocated left ankle(p27)F.A large and deep cut to the lower leg that is bleeding heavilyG.A suspected spinal injury
In pairs demonstrate what you would do for each injury. (PC 6400/1.1; 6401/1.1)
Injury Tutor
Simple fracture R) hand
Compound fracture R) leg
Facial cuts
Concussion with confusion
Dislocated ankle
Deep cut with heavy bleeding
Suspected spinal injury
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The patient with the deep laceration is bleeding profusely and you are concerned that
they may be developing shock. What are the signs and symptoms of shock? (PC 6400/1.1;
6401/1.1)
Which of these patients would it be safe to move off the bus? (PC 6400/1.1; 6401/1.1)
SOFT TISSUE INJURIES. (p28)
You are the First Aid person at your sons soccer game. One of the players twists his ankle
as he goes for the ball. He is carried off the field and is clearly in a lot of pain. What injury
would you suspect first? (PC6401/1.1)
Once you have ruled out the above what treatment will you start? (PC6401/1.1)
What advice will you give to the patient? (PC6401/1.1)
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CARDIAC (p34-36)
You are shopping at the local shopping mall when you see an elderly gentleman rub his
chest and sit down on a nearby seat. He is with his wife and she appears to be worried
about him. You go over to them and ask if he is alright and his wife tells you he has angina
and often gets it when out walking.
What else would you need to know? (PC 6401/1.1; 6402/1.2)
What can you do to assist the patient? (PC 6401/1.1; 6402/1.2)
The patient has had two puffs of his spray but the pain is still there and appears to be
increasing. What do you suspect may be happening here? (PC 6401/1.1; 6402/ 1.2)
List four other signs and symptoms that would confirm your assessment? (PC 6401/1.1;6402/1.2)
1.
2.
3.
4.
How long should you let this go on for before calling for an ambulance? (PC 6401/1.1;
6402/1.2; 6402/1.3)
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While waiting for the ambulance the gentleman collapses and appears to be unconscious.
What do you need to do first? (PC 6402/ 1.2; 6402/1.3)
Your assessment shows that the patient is breathing. What will you do now? (PC 6402/1.2; 6402/1.3) (p12)
In pairs demonstrate placing a patient in the Recovery Position (PC 6402/1.3)
Action
Tutor
Demonstrates placing patient in Recovery Position
Your patient has now become totally unresponsive with no signs of life. What will you
need start now? (PC 6402/ 1.2; 6402/1.3) (7-9)
Adult CPR practical demonstration. (PC 6402/ 1.2; 6402/1.3)
Action
Tutor
Airway Performs head lift and chin tilt
Performs jaw thrust
Checks mouth for foreign body
Breathing Looks to see chest rise
Listen Places ear next to patients mouth
Feel Cups hand over patients mouth
Circulation Can describe when to start
compressions
Places hands in the correct place on patients chest
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Uses heel of hands to perform compressions
Compression depth is one third of chest
Compression rate is 100 per minute
Performs 30 compressions to 2 rescue breaths
Opens airway and closes off nose
Gives 2 effective breaths
Checks for response
Re-commences chest compressions
Describes when to stop CPR
CHOKING ADULT.
You are having dinner with family and friends at a local restaurant. Suddenly your
brother-in-law starts coughing and grabbing at this throat. What do you suspect may be
happening here? (PC 6402/ 1.2; 6402/1.3)
Management of choking adult. (PC 6402/ 1.2; 6402/1.3) (p12-13)
Action
Tutor
Asks patient are you choking?
Positions patient correctly
Delivers 5 correctly placed back blows
Demonstrates correct hand placement for Heimlich
Manoeuvre
Pressure applied correctly
Repeats steps 3 and 4
Demonstrates actions for unconscious patient
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You are unable to clear the obstruction using the above technique and the patient has
collapsed. What will you start now? (PC 6402/ 1.2; 6402/1.3)
CHILD. (p13-14)
You are at a friends place and their children are playing in the back yard. Suddenly one of
the children comes running inside yelling that something is wrong with his sister. You go
out into the yard and find that she is unable to talk, has a funny wheeze and is clutching at
her throat. The children have been playing with marbles.
What do you suspect may be happening here? (PC 6402/ 1.2; 6402/1.3)
Management of choking child. (PC 6402/ 1.2; 6402/1.3)
Action
Tutor
Asks patient are you choking?
Positions patient correctly
Delivers 5 correctly placed back blows
Demonstrates correct hand placement for HeimlichManoeuvre
Pressure applied correctly
Repeats steps 3 and 4
Demonstrates actions for unconscious patient
You are unable to clear the obstruction using the above technique and the child stopsbreathing. Describe what you will do now? (PC 6402/ 1.2; 6402/1.3) (p9-11)
An ambulance has been called for how long will you continue CPR? (PC 6402/ 1.2;
6402/1.3)
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Child CPR (PC 6402/ 1.2; 6402/1.3)
Action
Tutor
Airway Performs head lift and chin tilt
Performs jaw thrust
Checks mouth for foreign body
Breathing Looks to see chest rise
Listen Places ear next to patients mouth
Feel Cups hand over patients mouth
Starts with 5 effective breaths.
Circulation Can describe when to start
compressions
Places hands in the correct place on patients chest
Uses heel of hands to perform compressions
Compression depth is one third of chest
Compression rate is 100 per minute
Performs 30 compressions to 2 rescue breaths
Opens airway and closes off nose
Gives 2 effective breaths
Checks for response
Re-commences chest compressions
Describes when to stop CPR
INFANT.
Friends come to visit and bring their six month old. Your children are older and have the
baby on the floor with them. The baby starts choking and as you go over to pick her up
you notice some peanuts on the floor. Your initial assessment is that the baby is choking.
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Choking infant. (PC 6402/ 1.2; 6402/1.3) (p13-14)
Action
Tutor
Holds baby in correct position
Performs 5 correctly placed back blows
Sandwiches infant to turn over
Performs 5 chest thrusts with two fingers
Checks airway for foreign body
Repeats process
Can describe when to discontinue
You have been unable to dislodge the obstruction and the baby has stopped breathing.
What will you do now? (PC 6402/ 1.2; 6402/1.3)
Infant CPR. (PC 6402/ 1.2; 6402/1.3) (p9-11)
Action
Tutor
Demonstrates correct airway opening technique
Demonstrates mouth/nose rescue breathing
Gives 5 rescue puffs
Uses two fingers for compressions
Demonstrates correct finger placement
Compression depth is one third of chest
Compression to puff ratio 30:2
Checks airway for foreign body
Recommences compressions / rescue breathing
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BURNS (p21-23)
You are in the tea room at work and a colleague knocks a hot cup of coffee over and burns
their thigh.
What must you check for first? (PC 6400/1.1; 6401/1.1)
Name the three levels of burn severity and how you will assess this. (PC 6400/1.1;
6401/1.1)
1.
2.
3.
Name four other parts of your assessment that would also assist with deciding theseverity of the burn? (PC 6400/1.1; 6401/1.1)
1.
2.
3.
4.
You have assessed the burn as being first degree or a scald. What advice will you give yourcolleague? (PC 6400/1.1; 6401/1.1)
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He is unresponsive and not breathing. What must you do now? (PC 6402/1.1; 6402/1.2;
6402/1.3)
What other injuries might he have? (PC 6400/1.1; 6401/1.1)
POISONING (p41-42)
You work for a company that manufactures chlorine based products for swimming pools.
A container has fallen off the shelf and broken open splashing chlorine liquid over one of
the workers. Your initial assessment of the situation identifies certain hazards.
Name two hazards you have identified. (PC 6401/ 1.1; 6402/1.1)
1.
2.
What is the most important assessment here? (PC 6401/ 1.1; 6402/1.1; 6402/1.2)
The worker complains that his skin is burning. How will you manage this? (PC 6400/1.1;
6401/1.1)
He starts complaining of stinging in his eyes and mouth and feeling like he cant breathe
properly. What must you do immediately? (PC 6400/1.1; 6401/1.1; 6402/ 1.2; 6402/1.3)
What can you do now? (PC 6400/1.1; 6401/1.1; 6402/ 1.2; 6402/1.3)
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MEDICAL EMERGENCIES (p9-10)
You are visiting a honey farm with your family and friends. The owners take you down to
see the hives where the honey is made. Your aunt is stung and tells you that she may be
allergic to bees.
What signs and symptoms will tell you that she is having an allergic reaction? (PC6400/1.1; 6401/1.1; 6402/1.2; 6402/1.3)
What will you do immediately? (PC 6400/1.1; 6401/1.1; 6402/1.2; 6402/1.3)
What might she have that could assist in this situation? (PC 6400/1.1; 6401/1.1; 6402/1.2;
6402/1.3)
The sting is still in her arm. How will you remove it to prevent further poison entering her system?
(PC 6400/1.1; 6401/1.1)
Unfortunately she collapses before the ambulance arrives. What will you do now? (PC
6400/1.1; 6401/1.1; 6402/1.2; 6402/1.3)
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You have now successfully completed the assessment phase!!!
Well done!!!