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    4/22/12

    PREPARED BY: ZENAIDA FLOR DE MAY Y.

    ZOSIMAAND ARTLENE MAER CORSAME

    WARD CLASSON

    FIRST-AID & WOUND

    CARE

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    INTRODUCTION:

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    FIRST-AID

    the immediate assistanceor treatment given to someoneinjured or suddenly taken ill before

    the arrival of an ambulance, doctor orother appropriately qualified person.

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    Aims of first-aid

    To preserve life and limbTo prevent the patients

    condition from worseningTo promote recovery

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    Priorities

    Assess the situationMake the area safe

    Assess all the casualtiesand give emergency first aid

    Get help

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    Resuscitation

    is a procedure indented torevive a heart and lung arrest

    within 3 to 4 minutes, from thetime the heartbeat andbreathing stops prevent death

    or irreversible brain damage.

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    The ABC ofResuscitation A-irway

    B-reathing

    C-irculation

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    The ResuscitationSequence

    Check the casualtys response

    Open the airway and check breathing

    Breathe for the casualty

    Assess for circulation

    Commence CPR

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    Common Problemsof

    School-Age Children

    andtheir Management

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    oun s an ounCareTypes:

    According to degree of contamination

    Clean-contaminated

    Contaminated

    Dirty or infected

    Clean

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    acquired (extent of tissue layersinvolved)

    Incision

    Abrasion

    Contusion

    Puncture

    LacerationPenetrating Wound

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    IncisionClean cut from a sharpedge such as a broken

    glassOpen wound; deep or

    shallow; painful

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    ContusionClosed wound caused by a

    blow to body by blunt

    object; contusion or bruisecharacterized by swelling,discoloration, and pain

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    AbrasionA superficial wound in

    which the top layers of the

    skin are scraped off,leaving raw tender area

    Open wound involving theskin

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    PunctureA wound with small entry

    site, but a deep track of

    internal damagePenetration of the skin and

    the underlying tissues by asharp instrument, eitherintentional or unintentional

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    Laceration

    A crushing or rippingforces which results in

    rough tears or lacerationsTissues torn apart, often

    from accident

    P t ti

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    Penetrating

    woundPenetration of the skinand the underlying

    tissues, usuallyunintentional

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    Kinds of WoundDrainage/Exudates

    Serous

    Mixed Types

    serosanguineous

    purosanguineous

    Purulent

    Sanguineous

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    Factors Affecting WoundHealing

    Developmental ConsiderationsNutrition

    Lifestyle

    Medications

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    Wound Care

    Guidelines in cleaning wounds

    Use solutions such as isotonic saline or tapwater to clean or irrigate wounds. If antimicrobialsolutions are used, make sure they are well

    diluted.When possible, warm the solution to body

    temperature before use.If a wound is grossly contaminated by foreign

    material, bacteria, slough, or necrotic tissue, cleanthe wound at every dressing change.

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    If a wound is clean, has little exudates, and

    reveals healthy granulation tissue, avoidrepeated cleaning.

    Use gauze squares. Avoid using cotton ballsand other products that shed fibers into thewound surface.

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    Clean superficial noninfected wounds byirrigating them with normal saline.

    To retain wound moisture, avoid drying awound after cleaning it.

    Hold cleaning sponges with forceps or with a

    sterile gloved hand.

    Clean from the wound in an outward directionto avoid transferring organisms from the

    surrounding skin into the wound.

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    Consider not cleaning thewound at all if it appears to be

    clean.

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    Burns and Scalds

    Burns results to excessive exposure tothermal, chemical, electric, or radioactiveagents

    scald is a burn from a hot liquid or

    vapour, such as steam.

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    Types and AssessmentFindings

    First-degree burn

    Second-degree burn

    Third-degree burn

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    First Aid MeasuresRemove the child from the cause of burning

    without endangering yourself.

    Hold the burn under cold water at least 10minutes.

    If the burn is minor remove clothing from theaffected area.

    If the burn is more serious, remove clothing

    only if it is stuck to the burn and you can doso easily and without doing more harm. Dothis after cooling with water.

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    Loosen tight clothing and removed anyjewellery, because the burnt area may swell.

    Cover the burn with clingfilm or a clean, non-fluffy cloth (handkerchief, pillow case orlinen/cotton tea towel). Or put a clean plasticbag over a foot, hand, arm or leg.

    Do not apply any lotions, creams or fats.

    Do not burst blisters or use adhesive

    dressings. Take the child to the neatest Accident and

    Emergency

    Watch for signs of shock.

    ps on reven on

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    ps on reven on

    Never leave children alone around open

    flames, stoves or candles. Keep matches, gasoline, lighters and other

    flammable materials out of childrens reach.

    Teach children a plan for escaping your homein a fire and practice it!

    Install smoke alarms in your home on every

    level and in every sleeping area, testing themonce a month and replacing the batteries atleast twice a year.

    Before bathing children in heated water,always run your open hand through the water

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    Keep hot foods and liquids away from tableand counter edges. Never carry children and

    hot foods or liquids at the same time.Make sure that pot handles are turned

    towards the stove when cooking so that achild cannot accidentally grab the handle andspill the contents.

    Keep things that easily catch fire (such aspapers) away from heat sources like stoves,

    heaters and fireplaces.

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    Bruises and Sprains

    Bruise

    Sprain

    First Aid Measures

    Bruises

    Raise the injured part

    Apply firm pressure with your hand

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    Sprain (Follow the RICE procedure)

    Rest

    Ice pack or cold compress

    Compress the injury

    Elevate and support the injured limb

    Dipped Take or send the casualty

    to the hospital

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    NosebleedDefinition and Cause

    - a hemorrhage from the nose caused bythe rupture of tiny, distended vessel in themucous membrane of any area of the nose.

    Let the child sit down

    First Aid measures

    Pinch the nostrils.

    Reassure and encourage her not to sniff,swallow, cough, or even speak.

    Release the nostrils to see if the nosebleed hasstopped

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    If the nosebleed has stopped, ask her toremain leaning forward.

    The child now needs to rest for a while

    FaintingDefinition and Cause

    - caused by a brief restriction in blood flow to thebrain, which usually corrects itself quickly. Childrenmay faint out of hunger, fear or pain, or if they have

    to stand without moving for a long time.

    rs easures

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    rs easures

    Watch for signs of dizziness, sickness or

    weakness, very pale face, briefly losingconsciousness, and slow pulse.

    Lie the child down, raise his/her legs and

    support them.Loosen any clothing that is tight-fitting and

    provide fresh air.

    Give calm reassurance.

    Offer a sugary drink or small snack toraise the sugar level in her blood. Do not

    offer food or drink if she is not fully

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    Hyperventilation

    Definition and Cause- is rapid or deep breathing, usually

    caused by anxiety or panic.Signs and Symptoms

    Your heart pounds.

    It feels like you can't get enough air

    You feel tingling and numbness in the arms,legs, and around the mouth.

    You feel a sense of doom.

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    First aid measures

    Have the hyperventilating person breatheslowly into a paper bag that's held closelyaround his or her mouth and nose

    The person should breathe like this for five toseven minutes.

    Talk to the individual the entire time. Try todistract him or her and make the person feel

    comfortable and safe.

    If symptoms fail to improve or the personloses consciousness, take him or her to the

    emergency room.

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    Animal Bites

    Insect BitesFirst Aid Measure

    First aid measure: Use antipruritic agents and

    baths; Administer antihistamines and preventsecondary infection

    Rinse the area under cool running water or

    put a cold compress on it for a few minutes toreduce pain and swelling.

    If the sting is inside the mouth give an ice-cold drink to sip or ice cubes to suck.

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    If the swelling gets worse or the child'sbreathing is affected, call an ambulance and

    monitor the child's airway, breathing, andcirculation (the ABC of resuscitation) until theambulance arrives.

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    Dogs and Rodents

    First Aid Measure Superficial Bites - Bites thatpuncture only the skin can be

    safely treated at home.

    Wash the wound thoroughly withwarm, soapy water. Wash awayany dirt by rinsing the wound under

    running water for several minutes.

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    Deep Bites - Bites that penetrate deepinto the tissues beneath the skin needs medical

    expert. Put a clean pad over the wound and press down

    on it to control the bleeding.

    Raise the injured part of the body above thelevel of the heart to reduce blood flow to thewound.

    Cover the bite. Use either a clean pad or a

    sterile dressing. Bandage it firmly. Take the child to the accident and emergency

    department or to the doctor.

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    Seizures (Convulsions)

    Definition and Cause- convulsion, or fit, consists of

    involuntary contractions of many of the musclesin the body, cause by a disturbance in thefunction of the brain. Convulsions usually resultin loss of, or impaired, consciousness.

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    Types Seizures

    Minor EpilepsyMajor Epilepsy

    Signs and Symptoms Minor Epilepsy

    sudden switching off; like the casualty may bestaring blankly ahead.

    slight or localised twitching or jerking of thelips, eyelids, head or limbs.

    M j E il

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    Major Epilepsy the casualty suddenly falls unconscious, often

    letting out a cry. Breathing may cease. The lips may show

    grey-blue tinge (cyanosis) and the face and

    neck may become congested.Convulsive movement begin. The jaw may

    be clenched and breathing may be noisy.Saliva may appear at the mouth, blood

    stained if lips or tongue have been bitten.There may be loss of bladder or bowelcontrol.

    Fi t Aid

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    First AidMeasures Minor EpilepsyHelp the casualty to sit down in a quiet place.

    Remove any possible sources of harm, forexample hot drinks or sharp objects, from theimmediate vicinity.

    Talk to her calmly and reassuringly. Do notpester her with questions. Stay with her untilyou are sure she is herself again. If thecasualty does not recognize and know about

    her condition, advise her to consult her own

    M j E il

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    Major Epilepsy If you see the casualty falling, try to support

    him or ease his fall. Make space around himand ask bystanders to move away.

    Loosen clothing around his neck and, if

    possible, protect his head.When the convulsions cease, place him in

    the recovery position. Check breathing andpulse, be prepared to resuscitate ifnecessary. Stay with him until he is fullyrecovered.

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    Poisoning- It can occur as a result of accidents, or be

    caused by eating contaminated food orpoisonous plants. Drugs and alcohol canalso poison the body.

    First Aid Measuresv Swallowed Poison

    v Inhaled Poison

    v Absorbed Poison

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    Tips on Prevention

    Keep toxic chemicals out of childrens reachand sight (not under the sink).

    Keep medicines in a locked cupboard.

    Leave poisonous household substances intheir original containers. Never store them inold soft drinks bottles; children are commonlymisled by such container and try to drink the

    contents. Buy medicines and household substances in

    child-resistant containers.

    Dispose appropriately of unwanted

    Fractures

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    Fractures

    Definitiona break in the rigid structure

    and continuity of a bone; and isknown as the most commontype of bone lesion

    Common Types

    Closed

    O en

    First Aid Measures

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    First Aid Measures

    Closed Fracture

    Tell the casualty to keep stilland steady and support theinjured part with your hands

    until it is immobilisedFor firmer support, secure the

    injured part to a sound part of

    Open Fracture

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    Open FractureCover the wound with a clean pad or sterile

    dressing and apply pressure to control thebleeding.

    Without touching an open wound with your

    fingers, carefully place some clean paddingover and around the dressing. If bone isprotruding, build up pads of soft, non-fluffymaterial around the bone until you can

    bandage over the pads. Secure the dressing and padding: bandage

    firmly, but not so tightly that the circulation isimpeded.

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    Drowning

    - is the process of experiencingrespiratory impairment fromsubmersion/immersion in liquid.

    First aid measuresv Carry the child out of the water with the head

    lower than the chest.

    v Get another adult to call an ambulance.v Don't bother trying to get water out of the lungs .

    the child will cough it out as she starts tobreathe.

    If th hild i i

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    If the child is conscious:

    Wrap her in dry clothes coats or towelsand get her into clothes.

    Take her to the hospital. She might haveinhaled some water, which may damageher lungs.

    If the child is unconscious:

    Call an ambulance.

    Assess her airway, breathing andcirculation.

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    Thank you

    for

    listening!!!!

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    Evaluation

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    Bibliography:

    Bale, S. & Jones, V.(1197). Wound Care

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