Pro Med (NZ) LTD First Aid Manual
Basic Life Support (p. 12)
S.T.O.P.
Stop, Think, Observe, Protect and Plan.
Check level of response (p. 16):
AVPU
Alert, Voice, Pain, Unresponsive
Alert: Are they aware?
Voice: shout to them (if they are not aware, then they won't respond to talking)
Pain:
Bone on bone, nerves, pressure point.
Sternum grate, collarbone grate, pressure 45degree ear, grate on checkbone, inbetween mouth and nose.
After voice, if your response is low, can choke on vomit.
Bone on bone, nerves, pressure point.
Sternum grate, collarbone grate, pressure 45degree ear, grate on checkbone, inbetween mouth and nose.
After voice, if your response is low, can choke on vomit.
Help
Only have 3 amberlances in Hamilton, 2 at night. They fail to get on time 75% of the time.
Airway
Inspect mouth first, then open
Breathing check
Real 10seconds (will feel like ages, but must be a real 10 seconds)
Normal or Abnormal?
Normal?
12-20 rpm
2 or more
Abnormal?
1 or none
Normal or Abnormal?
Normal?
12-20 rpm
2 or more
Abnormal?
1 or none
Survival
1-3%
9-11% now that we can do CPR earlier
1-3%
9-11% now that we can do CPR earlier
Adds another 10% with an AED
Abnormal?
30 compressions a 1minute, press a 1/3 down, 100-120 beats per minute (speed)
then (if willing and/or able)
2 breaths
then (if you can find one)
AED
You stop when the patient shows signs of life, someone
Lose 10% every minute.
CPR Practise
AED
200 j of power. Adults could take 12 before it damages.
Must clean area from moisture.
Must be on skin.
Razor to get rid of hair.
Four rhythms of the heartbeat
30 compressions a 1minute, press a 1/3 down, 100-120 beats per minute (speed)
then (if willing and/or able)
2 breaths
then (if you can find one)
AED
You stop when the patient shows signs of life, someone
Lose 10% every minute.
CPR Practise
AED
200 j of power. Adults could take 12 before it damages.
Must clean area from moisture.
Must be on skin.
Razor to get rid of hair.
Four rhythms of the heartbeat
AEDs stop hearts in order to reset it.
Choking
We tend to choke at parties or restuarts
How to know?
Holding throat
Pointing
Red face
True sign: quiet. Ask them "if they are choking" if they are silent, then you have 2 minutes before they are on the ground.
Sound?
Bend over. Smack the back.
No sound?
Risk justifies the means
Grab clothes with left hand, and smack with right.
Then left hand around, right hand in a hammer fist, slow compressions the same depth as CPR. Five squeezes, then bend over again.
Baby?
Head in a C (vice grip). Compress. Smack back.
Recovery Position (stable-side position)
Any unconscience patient who is breathing needs their anyways protected.
Arm up, leg bent, thumb to thumb, support hand, roll over
Choking
We tend to choke at parties or restuarts
How to know?
Holding throat
Pointing
Red face
True sign: quiet. Ask them "if they are choking" if they are silent, then you have 2 minutes before they are on the ground.
Sound?
Bend over. Smack the back.
No sound?
Risk justifies the means
Grab clothes with left hand, and smack with right.
Then left hand around, right hand in a hammer fist, slow compressions the same depth as CPR. Five squeezes, then bend over again.
Baby?
Head in a C (vice grip). Compress. Smack back.
Recovery Position (stable-side position)
Any unconscience patient who is breathing needs their anyways protected.
Arm up, leg bent, thumb to thumb, support hand, roll over
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