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Lesson 1 Roles and Responsibilites and ESM v2
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ROLES AND RESPONSIBILITIES OF THE FIRST AIDER AND EMERGENCY SCENE MANAGEMENT
Definitions First aid • The emergency care given to an injured or suddenly ill person using readily available materials First aider • Someone who takes charge of an emergency scene and gives first aid Medical help • Care given by a health care professional, or under the supervision of a medical doctor
Definitions Casualty • the individual who is injured or becomes suddenly ill Ages • Adult – over the age of 8 • Child – between 1 and 8 years of age • Infant – under the age of 1 year
Objectives • Preserve Life • Prevent Further Injury • Promote Recovery
Why do people hesitate to help? • Fear of a lawsuit • Fear of contracting a disease • Fear of making things worse
Legal and Regulatory Issues Good Samaritan Principles • No legal duty to respond (except in Quebec) • Identify yourself and get consent • Use reasonable skill and care • You are not negligent • Do not abandon the casualty
Infections Prevent infection • Hand washing • Minimizing mouth to mouth contact • Personal Protective Equipment (PPE) • Take care when handling sharp objects Maintain immunizations • Tetanus • Hepatitis
Communication • Who might a First aider need to communicate with? • The casualty • Bystanders • Other first aiders • Other professionals (E.g. hydro services) • Ems providers
Emergency Scene Management Definition Four Steps in ESM • Scene Survey • Primary Survey • Secondary Survey • Ongoing Casualty Care
video ESM for unresponsive non-trauma casualty https://www.youtube.com/watch?v=ea1RJUOiNfQ
Emergency Scene Management Scene survey: • History • Hazards • Responsive Primary survey: • Airway • Breathing • Circulation Secondary survey: • SAMPLE history • Vital signs record • Head-to-toe examination Ongoing care: • Re-check ABC • Rest / Reassure • Keep warm
Positioning the Casualty • Not always found in a convenient Location • How should you move the Casualty?
Video Positioning an unresponsive Casualty
Shock • Shock is a circulation problem where the body’s tissues don’t get enough oxygenated blood. • Why is recognizing and managing shock important?
Video • Shock Video
Fainting • Fainting if a temporary loss of consciousness caused by a shortage of oxygenated blood to the brain.
Video • Fainting Video