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C.E.R.T Disaster Medical Part 1 . Main Points. Recognizing Life Threatening Conditions Treating Life Threatening Conditions Triage. Life Threatening Conditions. Obstructed or Closed Airway Severe Bleeding Inadequate Circulation ( Shock ). Obstructed Airway.
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Main Points • Recognizing Life Threatening Conditions • Treating Life Threatening Conditions • Triage
Life Threatening Conditions • Obstructed or Closed Airway • Severe Bleeding • Inadequate Circulation ( Shock )
Obstructed Airway • Found in unconscious or semiconscious victims • Most common cause is the Tongue • Must be corrected quickly!
Opening the Airway • 1. Establish Unresponsiveness • 2. If no response open airway with Head tilt Chin lift. • 3. Look, Listen,and Feel • 4. Try this procedure twice if unsuccessful move on. • 5. Remember the greatest good for the greatest number.
Severe Bleeding • 1. Know the three types of bleeding • Arterial - High pressure ( spurting ) • Venous - Low pressure ( flowing ) • Capillary - Low pressure ( oozing ) • 2. Over ninety percent of bleeding can be easily controlled. • 3. Protect yourself WEAR GLOVES
Bleeding Control • Direct Pressure • Elevation • Pressure Points • Tourniquets ( Last resort Life over Limb )
Shock • 1. Use the 30-2-Can Do rule • Respiration's greater than 30 per minute • Capillary refill greater than 2 seconds • - Can a patient follow simple directions? • 2. Treatment if needed should be done quickly.
Treatment Of Life-Threatening Conditions Test Greater than 30 per minute Capillary refill Response to simple commands Symptom Rapid, shallow Cold, pale Anxious/Apathetic; unconscious/comatose Sign Breathing Skin Consciousness
S.T.A.R.T Simple Triage And Rapid Treatment
Triage • French verb means “ to sort “ • Evaluate victims quickly • Place victims into 1 of 4 groups. • Triaged victims can change be ready. • The goal of triage is the greatest good for the greatest number. • Can use Voice Triage
Triage Triage “pitfalls”: • Inadequate medical size-up • No team plan, organization, or goal • Indecisive leadership • Too much focus on one injury • Treatment (rather than triage) performed
Everyday Triage • Relate triage to everyday things • Looking in the refrigerator • Dirty Clothes • Garage Sales • Newspaper Ads
Triage Tagging • Red - Immediate • Yellow - Delayed • Green - Walking Wounded • Black - Dead • Place on Left wrist • Can Use Surveyors Tape
Immediate • Life threatening injuries. • Must be treated ASAP • Need constant monitoring.
Delayed • May need professional help. • Could become immediate • Keep close to immediate victims.
Walking wounded • Minor injuries only • Can be used to help with other victims • Could be come delayed .
Dead • Need to be moved after all triage and first aid has been done. • Set up the morgue out of sight from treatment area, place a guard. • Mark with a black tag or ribbon.