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HLTAID003 Provide First Aid. What is First Aid?. “ The immediate care given to a person with a sudden injury or sudden illness until more advanced care can be provided or recovery occurs ” “ You are the most important person ”. Professional Relationships.
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HLTAID003Provide First Aid IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
What is First Aid? “The immediate care given to a person with a sudden injury or sudden illness until more advanced care can be provided or recovery occurs” “ You are the most important person” IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Professional Relationships • “A first aider has a legal obligation and legal protection to act in good judgment, using the skills a competent first aider would use.” • “Good Samaritan Act” “A Good Samaritan is a person who, in good faith and without expectation of payment or other reward, comes to the assistance of a person who is apparently injured or at risk of being injured” • When does a first aider have to help someone? • When they have a relationship with the person. This can come in the form of Duty of Care or a personal relationship. IVET Institute HLTAID002 This is not a controlled document when printed Version 1.0 12/01/2016
Legal Considerations for the First Aider. Duty of Care Once a First aider starts treatment, he/she must continue Consent Conscious patient: consent always needs to be given Unconscious Consent is implied IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
How an infections be transmitted and hygiene • Always wear disposable rubber or plastic gloves in handling bleeding patients • Blood to blood contact • Open wounds / saliva • Needle stick infections IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Contacting Emergency Services • Who do we contact? • At school you should notify a teacher of any incidents that have occurred. • For emergency situations you are to call 000 from a land line or mobile phone, if you do not have service on your mobile you can call 112 and this will connect you to an emergency services operator. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
What should I say? • You will need to provide the following information to the operator when you call for an ambulance: • The exact location of the emergency • Telephone number to call back • What is the problem (exactly what happened) • How many people are hurt? • Age of patient/s? • Is the patient conscious? • Is the patient breathing? IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
D.R.S.A.B.C.D. DRSABCD is the basis of all emergency first aid. • DRSABCD is the acronym to follow when you are treating a person whether they are conscious or not. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Basic Life Support Flow Chart DangerClear any danger- to yourself, bystanders and patient. ResponseTalk/Touch/Command or COWS Send for help 000 / 112 AirwayClear/Open BreathingYes / No Compressions30:2 – 1/3 Chest depth 100 compressions per minute DefibrillateASAP – Follow Prompts on AED IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
D= Danger • Dangers to yourself, bystanders and the patient. • You are no help to the victim if you are hurt, injured or killed while performing first aid! • You need to check the surroundings around you to look for any dangers. Eg Car accident: Other cars on the road. Work place: Chemical spill, electrical wires. Street: Needles, glass. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Practical • In pairs practice checking for danger around a casualty, what are you looking for? IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
R= Response • You need to assess if the person is conscious or unconscious. • Walk up to the person with caution. • Ask: COWS: Can you hear me? Open your eyes? What is your name? Squeeze my hands! • If the patient is responsive: Monitor them, ask questions and notify their next of kin or ambulance depending on condition. • If there is no response the patient is unconscious and we move to our next stage. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Practical • In your pairs practice checking the responsiveness of a patient. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
S = Send for Help • We need to send for help • Ask a bystander to call for an ambulance, if you are unable to do it yourself. • What are the two numbers we use in Australia to ask for help? IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
A = Airway • You need to check that there isn’t anything blocking the airways and remove any foreign material in the mouth. • In order for you to remove and foreign material you need to move your patient into the recovery position. • Objects may include: food, dislodged teeth, vomit, chewing gum, false teeth, objects found on the ground (in young children.) IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Practical • Practice getting your victim into the recovery position, and checking their airways! IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
B = Breathing To check if a patient is breathing we follow these steps: Look, listen, feel. • Look: Kneel down and look at the patients chest. Look down to see if the chest is rising and falling. Listen: Listen with your ear close to the patients mouth. Feel: You can also feel the warmth of the air coming out of the casualties mouth. • If the casualty is breathing roll them over to the recovery position and continue to monitor their breathing. • No sign of breathing? Start compressions!!! • Head tilt is important so that the air goes into the lungs not the stomach. • Pistol grip. IVET Institute HLTAID002 This is not a controlled document when printed Version 1.0 12/01/2016
C = Compression • 30 compressions to 2 breaths. • How do I find the correct place where to start the compressions? • Find the bottom of the ribs, working your way to the middle to find the xiphoid process. You have found the sternum, place one hand on the bottom half of the sternum. • The heel of the hand is where the pressure will come from. With your free hand place this on top and interlock fingers, keeping fingers off casualty. • You need to push down 1/3 of the chest cavity. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
C = Compression cont. • Adults, 30:2. Children 30:2, infants 30:2. • Compression depth is 1/3, depending on size of child you can use 1 or 2 hands. Head tilt still necessary. • Compressions for an infant use 2 fingers only, no head tilt as the head needs to be in the neutral position. • Pregnant women tilt to the left hand side, by placing a towel/jumper under her right buttock. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
Practical • In your pairs start at the beginning of the process with your CPR manikin. IVET Institute HLTAID003 This is not a controlled document when printed website Version 2.0 22/9/2015
D = Defibrillation • An AED (Automated External Defibrillator) provides an electric current designed to stop the heart, bringing it out of fibrillation so that it can restart with a regular beat • These can be found in public places such airports, schools and shopping centres. • AEDs are user friendly, all you need to do is turn on the machine and follow the verbal instructions. IVET Institute HLTAID002 This is not a controlled document when printed Version 1.0 12/01/2016