1-principles of emergency care

8/3/2019 1-Principles of Emergency Care

1/18

SL.ppt/TR/FC 20

BLS for HCP

Session 1

Principles of Emergency Care


2/18

At the end of this session, participants shall be able to:At the end of this session, participants shall be able to:

1. Explain the procedure of getting started during emergency.1. Explain the procedure of getting started during emergency.2. Describe the five emergency action principles .2. Describe the five emergency action principles .3. Enumerate golden rules in giving emergency care.3. Enumerate golden rules in giving emergency care.4. Demonstrate how to do initial assessment of the victim.4. Demonstrate how to do initial assessment of the victim.5. Discuss the basic precautions in disease prevention.5. Discuss the basic precautions in disease prevention.


3/18

SL.ppt/TR/FC 25 3

1. PLANNING1. PLANNING

2. PROVISION OF LOGISTICS2. PROVISION OF LOGISTICS

Emergency plan should be establishedEmergency plan should be established

based on anticipated needs and availablebased on anticipated needs and available

resources.resources.

The emergency response begins with theThe emergency response begins with the

preparation of equipment and personnel beforepreparation of equipment and personnel before

any emergency occurs.any emergency occurs.


4/18

SL.ppt/TR/FC 26 4

3. INITIAL RESPONSE3. INITIAL RESPONSE

a.a. AAsk for HELP.sk for HELP.

b.b. IIntervenentervene

c.c. DDo no further harm.o no further harm.

4. INSTRUCTION TO BY4. INSTRUCTION TO BY--STANDERSSTANDERSProper information and instruction to byProper information and instruction to by--

stander/s would provide organized firststander/s would provide organized firstaid care.aid care.


5/18

SL.ppt/TR/FC4

1.1. SURVEY THE SCENESURVEY THE SCENE

2.2. ACTIVATE MEDICAL ASSISTANCEACTIVATE MEDICAL ASSISTANCE

3.3. INITIAL ASSESSMENT OF THE VICTIMINITIAL ASSESSMENT OF THE VICTIM

4.4. SECONDARY ASSESSMENT OF THE VICTIMSECONDARY ASSESSMENT OF THE VICTIM

5.5. REFERRAL FOR FURTHER EVALUATION AND MANAGEMENTREFERRAL FOR FURTHER EVALUATION AND MANAGEMENT


6/18

SL.ppt/TR/FC6

Call First and Care FirstCall First and Care First

BothBoth trainedtrained andand untraineduntrained bystandersbystanders shouldshould bebe

instructedinstructed toto ActivateActivate MedicalMedical AssistanceAssistance asas soonsoon asas

theythey havehave determineddetermined thatthat anan adultadult victimvictim requiresrequiresemergencyemergency carecare CallCall FirstFirst.. WhileWhile forfor infantsinfants andand

childrenchildren aa CareCare FirstFirst approachapproach isis recommendedrecommended..

2. ACTIVATE MEDICAL ASSISTANCE (AMA)2. ACTIVATE MEDICAL ASSISTANCE (AMA)

OR TRANSFER FACILITYOR TRANSFER FACILITY

InIn somesome emergency,emergency, youyou willwill havehave enoughenough timetime toto callcall forfor specificspecific medicalmedical adviceadvice beforebeforeadministeringadministering firstfirst aidaid.. ButBut inin somesome situations,situations, youyou willwill needneed toto attendattend toto thethe victimvictim firstfirst..


7/18

SL.ppt/TR/FC7

InformationInformation toto bebe rememberedremembered inin activatingactivating MedicalMedical AssistanceAssistance::

--WHATWHAT happened?happened?

--LOCATION?LOCATION?

--NUMBERNUMBER ofof PersonsPersons Injured?Injured?

--EXTENTEXTENT ofof InjuryInjury andand FirstFirst AidAid given?given?--TheThe TELEPHONETELEPHONE nono.. fromfrom wherewhere youyou areare calling?calling?

--PERSONPERSON whowho activatedactivated MedicalMedical AssistanceAssistance mustmust identifyidentify him/herselfhim/herself andand dropdrop

thethe phonephone lastlast..


8/18

SL.ppt/TR/FC8

HEMS Operation Center711-1001

711-1002

651 7800 loc 2206/2207

EMERGENCY HOTLINES

117 DILG PATROL168 MAKATI C3 RESCUE161 MARIKINA RESCUE136 MMDA9284396 QUEZON CITY RESCUE SAGIP BUHAY92759146411000 PASIG CITY RESCUE8338512 PASAY CITY RESCUE5270864 PNRC ( Manila chapter)

WHAT ARE YOUR

EMERGENCY NUMBERS?


9/18

SL.ppt/TR/FC9

For sudden collapse in victim of all ages, the lone HCP should

* call the emergency response number( e.g.161, 117, 168 or

nearest hospital )* use an AED, when readily available* return to the victim to begin CPR (and use the AED )

For unresponsive victim of all ages with likely asphyxial arrest (e.g.drowning) the HCP should

* deliver at least 5 cycles (2 min.) of CPR before leavingthe victim

* call the emergency response number* use an AED, if available


10/18

SL.ppt/TR/FC10

3. DO A PRIMARY SURVEY OF THE VICTIM3. DO A PRIMARY SURVEY OF THE VICTIMInIn everyevery emergencyemergency situation,situation, youyou mustmust firstfirst findfind outout ifif therethere areare conditionsconditions thatthat areare anan

immediateimmediate threatthreat toto thethe victimsvictims lifelife..

10

Check forCheck forResponsivenessResponsiveness

Open theOpen the AirwayAirway

PerformPerform Rescue BreathingRescue BreathingPerformPerform CompressionCompression


11/18

SL.ppt/TR/FC11

4. DO A SECONDARY ASSESMENT OF THE VICTIM4. DO A SECONDARY ASSESMENT OF THE VICTIMItIt isis aa systematicsystematic methodmethod ofof gatheringgathering additionaladditional informationinformation aboutabout injuriesinjuries oror

conditionsconditions thatthat maymay needneed carecare..

a.a. Interview the victimInterview the victim

SS-- signs and symptomssigns and symptomsAA -- allergiesallergies

MM -- medicationsmedications

PP -- past medical historypast medical history

LL -- last meal takenlast meal taken

EE -- events prior to injury or incidentevents prior to injury or incident

b.b. Check vital signsCheck vital signs-- every 15 minutes if stable condition, andevery 15 minutes if stable condition, andevery 5 minutes if unstableevery 5 minutes if unstable


12/18

SL.ppt/TR/FC12

c. Head to toe examination

D- deformityC- contusionA- abrasionP- punctures

B- burnT- tendernessL- lacerationS- swelling


13/18

SL.ppt/TR/FC13

5. REFERRAL OF THE VICTIM FOR FURTHER5. REFERRAL OF THE VICTIM FOR FURTHER

EVALUATION AND MANAGEMENTEVALUATION AND MANAGEMENT

ItIt refersrefers toto thethe transfertransfer ofof aa victimvictim toto hospitalhospital oror healthhealthcarecare facilityfacility ifif necessarynecessary forfor aa definitivedefinitive treatmenttreatment..


14/18

SL.ppt/TR/FC14

DOs

1. Do obtain consent when possible1. Do obtain consent when possible

2. Do think of the worst2. Do think of the worst

3. Do remember to identify yourself3. Do remember to identify yourself

4. Do provide comfort and emotional support4. Do provide comfort and emotional support

5. Do respect the victim( modesty and privacy)5. Do respect the victim( modesty and privacy)6. Do be as calm and direct as possible6. Do be as calm and direct as possible

7. Do care for the most serious injuries first7. Do care for the most serious injuries first

8. Do assist the victim on medication8. Do assist the victim on medication

9. Do keep on lookers away from the injured person9. Do keep on lookers away from the injured person

10. Do handle the victim to a minimum10. Do handle the victim to a minimum

11. Do loosen tight clothing11. Do loosen tight clothing


15/18

SL.ppt/TR/FC15

DONTS

1.1. Do not let the victim see his/her injuriesDo not let the victim see his/her injuries

2.2. Do not leave the victim alone except toDo not leave the victim alone except to

get helpget help

3.3. Do not assume that the victims obviousDo not assume that the victims obvious

injuries are the only oneinjuries are the only one

4.4. Do not make any unrealistic promisesDo not make any unrealistic promises

5.5. Do not trust the judgment of a confusedDo not trust the judgment of a confused

personperson


16/18

SL.ppt/TR/FC 27 16

BODY SUBSTANCE ISOLATION (BSI)BODY SUBSTANCE ISOLATION (BSI)AreAre precautionsprecautions takentaken toto isolateisolate oror preventprevent riskrisk

ofof exposureexposure fromfrom anyany otherother typetype ofof bodilybodily substancesubstance

usingusing personalpersonal protectiveprotective equipmentequipment (PPE)(PPE)..


17/18

SL.ppt/TR/FC 28 17

1. Personal Hygiene1. Personal Hygiene 2. Protective Equipment2. Protective Equipment 3. Equipment Cleaning3. Equipment Cleaning

& Disinfecting& Disinfecting

Basic Precautions and PracticesBasic Precautions and Practices


18/18

Were we able to:Were we able to:

1. Explain the procedure of getting started during1. Explain the procedure of getting started duringemergency.emergency.

2. Describe the five emergency action principles .2. Describe the five emergency action principles .3. Enumerate golden rules in giving emergency care.3. Enumerate golden rules in giving emergency care.4. Demonstrate how to do initial assessment of the4. Demonstrate how to do initial assessment of the

victim.victim.

5. Discuss the basic precautions in disease prevention.5. Discuss the basic precautions in disease prevention.

1-principles of emergency care

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