Medical Response Excellence

Security Officer Review

Matt Stevenson, CPP Director of Security Four Seasons Resort Maui at Wailea

Medical Response ExcellenceFundamental Factors

Responding quickly to the scene with the AED

and medical bag.

Communicating clearly and effectively

on the radio on the status of the call.

Security base officer gaining additional information

by calling the guest room or area.

Medical Response ExcellenceResponding with Urgency

► Getting to the scene in a timely manner.

► Calling 911 in a timely manner.

► Calling medical clinic in advance.

► Advising RAM in a timely manner.

Medical Response ExcellenceAttitude Convey the C’s

– Calm– Competence– Confidence– Compassion

Take a deep breath, it will be okay, advise and

direct with confidence and compassion.

Medical Response Excellence

Establish Rapport, eye contact

Speak Calmly and Deliberately

Ask questions medical history? Medications? Allergies?

Immediate Professional Medical Assistance

LISTEN intently and empathize and encourage

“You’re doing fine”

Medical Response Excellence When in question activate 911 medics

► Officer safety, universal precautions

and barriers including; gloves, CPR mask.

► “As a precautionary measure we have asked

the medics (911) to come check on you”

In some cases mentioning the word ambulance

may cause a patient (mostly men) to disagree, call

when prudent, the patient’s approval is not the primary factor.

Call 911 When in question

It is not in question when there are;

► Heart Attack symptoms ► Stroke Symptoms

► Choking victim that results in a loss of consciousness

► Woman of childbearing years with severe abdominal pain

► Diabetic coma symptoms ► Anaphylactic Shock symptoms

► Head, neck or spine injuries

► Vomiting blood or rectal bleeding

Call 911 When it is in question....Always Call Sometimes seemingly minor incidents can turn

dramatically worse…a few examples..

A person on blood thinner has a minor accident.

A person with a serious illness or disease

is not feeling well or has a accident.

When a person swallows water in a

ocean incident .

When the 911 Operator is on the line Be patient speak calmly and clearly

► Give all information without being prompted.

► Be prepared to answer questions.

► Advise the 911 operator on the best entrance or location for the medics to arrive at.

► Remain on the line until being told to hang up.

Water Rescues Immediate oxygen is a must

Immediate oxygen is a must. The faster someone gets it, the better – It will not reverse brain cell death but it will stop it. Make sure to turn victim on his or her side, in case of vomiting to prevent aspiration.

Anyone who has been revived or who has aspirated or swallowed any water 911 Medics are called immediately.

Possible Spinal Injuries Do not move the patient

Immobilization is performed as soon as possible.

This consists of a cervical collar and a back board. (backboard at makai towel stand, medics to put cervical collar on)

The patient is transported to the emergency room as soon as possible.

Psychological PreparationPrepare to Succeed

Review first responder responses often,knowledge invokes calm, less fear of the unknown.

Relaxation techniques, visualize success and not being flustered when we are not perfect, composure and focus.

Visualize yourself responding calmly and decisively in medical emergencies.

Remind yourself the patient needs you and your skills and you need to be in control.

Signs and symptoms of a heart attack

Pressure, fullness or a squeezing pain in the center of the chest that lasts for more than a few minutes.

Pain extending beyond your chest to your shoulder, arm, back, or even to teeth and jaw, increasing episodes of chest pain.

Prolonged pain in the upper abdomen.

Shortness of breath, sweating, impending sense of doom fainting, nausea and vomiting.

Signs and symptoms of a heart attack in women

May be different or less noticeable than heart attacks

symptoms in men.

In addition to the symptoms above, heart attack symptoms in women can include:

► Abdominal pain or "heartburn" ► Clammy skin ► Lightheadedness or dizziness ► Unusual or unexplained fatigue

Diabetic Emergencies

Recognition & Response Confusion, disorientation, weakness, apathy, anxiety, drooling,

dizziness, profuse sweating, shallow breathing, may appear to be drunk.

If you suspect person may be in insulin shock ask; Have you eaten today? & Have you taken your insulin today? Headache? Heart racing?

Emergency care; If conscious orange juice with one or two teaspoons of sugar.

If unconscious, establish airway and administer oxygen, sprinkle a few sprinkles of sugar under a persons tongue.

AED Review

Taking the AED to the scene when you have a incident, even if the call is as simple as a person is not feeling well.

Speed to the scene is crucial; ventricular fibrillation can be treated successfully at least 60% of the time if defibrillation is delivered within four minutes.

After four minutes, every minute of delay reduces the chance of survival by 10%.

AssessmentCheck ABC’s;

Airway Check victims airway isn’t blocked, chin lift Breathing Check if victims chest rises & falls, listen for exhaling Circulation Check circulation by checking for pulse on victim’s neck (on either side of the Adams apple)

Deliver 2 quick rescue breaths, verify no carotid pulse, turn on AED, apply pads, turn on the AED, Shock the victim if advised, shock up to 3 times, continue CPR.

Stroke Recognition

The National Stroke Association will focus efforts on educating the public to recognize stroke symptoms, and to Act F.A.S.T.

F = FACE Ask the person to smile. Does one side of the face droop?

A = ARM Ask the person to raise both arms. Does one arm drift downward?

S = SPEECH Ask the person to repeat a simple phrase. Does the speech sound slurred or strange?

T = TIME If you observe any of these signs, it’s time to call 9-1-1.

Heat Stroke when to seek medical advice

High body temperature. A body temperature of 104 F (40 C) or higher is the main sign of heatstroke.

Cessation of sweating. This is often one of the first signs that body temperature is too high.

In heatstroke brought on by hot weather, the skin is hot and dry to the touch.

However, in heatstroke brought on by strenuous exercise, your skin usually feels moist.

Heat Stroke when to seek medical advice

Neurological symptoms. You may have seizures, lose consciousness, slip into a coma, hallucinate, or have difficulty speaking or understanding what others are saying.

Muscle cramps or weakness. Your muscles may feel tender or cramp in the early stages of heatstroke, but may later go

rigid or limp.

First cool person and replenish water and salt levels.

If condition has progressed past heat cramps and heat exhaustion or any of the symptoms of heatstroke, call 911 and seek immediate medical attention.

Responsible Documentation Factual Demonstration of Professionalism

Report the diligent and responsible actions taken by our staff and officers.

Do follow up to the security report to document all care and assistance provided after initial call or post response.

Facilitate as needed critical incident stress debriefing or counseling. Employee Assistance Program or police

chaplin.

Medical Response ExcellenceMaximize the Opportunity

Learn and Improve from Each Experience

► Review skill sets and materials regularly.

► Self critique your response actions and presentation.

► Ask yourself how it could have been handled better.

Thank You