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First Aid Appointed Persons. A one-day principles course for all including refresher training for qualified first aiders. Introduction. course, safety and hygiene arrangements resuscitation control of bleeding care of the unconscious casualty shock and broken bones
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First Aid Appointed Persons A one-day principles course for all including refresher training for qualified first aiders
Introduction • course, safety and hygiene arrangements • resuscitation • control of bleeding • care of the unconscious casualty • shock and broken bones • choking in babies, children and adults • recognition of Illness • burns and scalds • record keeping • communication in emergencies
Domestics, Safety & Hygiene • fire routes, points and procedure • toilets, smoking and breaks • practicals require fitness • manikins are disinfected after each use • no HIV/HBV risk from CPR training
Responsibilities of a First Aider • assess a situation quickly • identify the nature of injury • give early treatment • arrange for ongoing care • stay with the casualty • make and pass on a report
Assess a Situation Quickly DR ABC DANGER RESPONSE AIRWAY BREATHING CIRCULATION
Danger • traffic • workmen • collapsing structures • group activity • water
Response • “What’s happened?” “OPEN YOUR EYES” • If there is NO response, shout for help now • If conscious, treat as necessary
Airway • Place 2 fingers under the chin • Other hand on the forehead • Tilt the head well back
Breathing • Check for up to 10 seconds • Chest movement? • Breath sounds? • Feel breath? • No breathing CPR • Breathing recovery position
Circulation • Check for up to 10 secs • Neck (or wrist) • Skin colour • Other movement • Start CPR
Resuscitation • Open airway • Check for breathing • Give 2 breaths • Check for a pulse • Give chest compressions • Continue at rate of 15:2 until help arrives
The Recovery Position • Safe position • No strain on respirations • Prevents choking • Reduces strain on heart
Lunch Any questions?
Recap • Responsibilities • Dr ABC • Resuscitation • A • B • C • 15:2 and 5:1 • Recovery position
Control of Bleeding • Apply direct pressure • Add to original pad • Elevate affected part • Consider indirect pressure • NO TOURNIQUETS
Care of the Unconscious • Observe breathing • Observe pulse • Observe level of consciousness • Talk to them • Keep warm • 999 or medical help FISH SHAPED ABCDEFGH Faint illness, shock, heart conditions, sstroke, head injury asthma, poisoning, epilepsy, diabetes abc, bleeding, check pulse, dermis, eyes, feel to feet, go back to priorities, heed clues
Choking Babies • Up to 5 back slaps • Up to 5 chest thrusts • Repeat 3 times, then 999 • Repeat until help arrives • DO NOT FEEL AROUND THE MOUTH • NO ABDOMINAL THRUSTS • BE PREPARED FOR C.P.R.
Choking Children • Up to 5 back slaps • Up to 5 chest thrusts • Up to 5 abdominal thrusts • Repeat 3 times, then 999 • Repeat until help arrives • DO NOT FEEL AROUND THE MOUTH • BE PREPARED FOR C.P.R.
Choking Adults • Up to 5 back slaps • Up to 5 abdominal thrusts • Repeat 3 times, then 999 • Repeat until help arrives BE PREPARED FOR C.P.R.
Recognising Illness • Temperature • Fatigue • Confusion • Pain • Vomiting • Diarrhoea
Burns & Scalds • Remove the heat • Apply water – 10 minutes • Emergency shower • Leave burnt clothing • Remove scald clothing • Light dressing • 999 or urgent medical help
Record Keeping • Accident Book • Local Procedure(s), forms • Emergency contact (relative) • RIDDOR: F2508 • Call Centre 0845 300 9923
Emergency Communications • 999 or 112 • Where, what, when, how many, special conditions • Written Report • Emergency contact • Police and/or HSE