Walking Before RunningBut, Lets Crawl First!

Freddie Stevens(Leeds LINKS SJA Training officer)

First things FirstWho?

Tommaso (unit leader/president)Freddie and Chris (Training officers)

What?First Aid Social side.

First things FirstWhy?

Everyone who needs it should receive first aid from those around them. No one should suffer for the lack of trained first aiders.

Enough of this… Lets get on with business!

Don’t hesitate to stop me if you don’t understand or if you have a question

Man down… What now?Danger

Response

(Shout)

Airway

Breathing

Danger!To Who?

1st) YOU!!! – you are there to help, not get injured

2nd) Bystanders – you don’t want more patients3rd) The patient – you’re there to help them!

Forms of Danger?Water, Electricity, Other People, Fire…

Response!Alert

All of you… I hope!Voice

Give a voice command in each ear… Why?Pain

Firm pat on both shouldersUnresponsive

If none of the above!

This basic scale of responsiveness will be referred to a lot through the year!

(Shout!)Shout for help!

You may be good, but your not Wonder-woman!

Tell your help to call an ambulance, you can update them and the dispatcher as you learn more about the condition of your patient!

Airway!What classes as airway??

Neck, Throat, Jaw, Nose, Tongue, Teeth, Lips…Quick check that all of these things look

normal and unobstructed.If obstructed then clear obstruction IF SAFE

to do so!Unconscious patients can’t maintain their own

airway… so you have to do it for them!

Demonstration with the lovely Dennis!

Breathing!There are 3 things to do while checking breathing

Look!Listen!Feel!Smell!

How many breaths in how long?2-3 breaths in 10 secondsMUST check for the FULL 10 seconds

Are they breathing?Yes – Recovery PositionNo – CPR

Play TimeEveryone pair up and lets go through this

series of steps, this is your primary survey!

Response?

Airway obstruction?

Danger?

Are they Breathing?

Yes!NO!

Recovery Position

CPR!!

Make area safe before

approachingTalk to

the patient

If safe, clear it

Yes

Yes

Yes

No

No

No

From Crawling to Walking

Recovery PositionSo… We mentioned the recovery position

earlier, what is it?Safe position for an unconscious patient.Maintains airwayPrevents patient choking if they vomit

We Know What, Now How?Straight off the SJA website-

Turn them onto their sideLift chin forward in open airway position and

adjust hand under the cheek as necessaryCheck they cannot roll forwards or backwardsMonitor breathing continuouslyIf injuries allow, turn them to the other side

after 30 minutes.

Demo and practice

CPR!Cardiopulmonary Resuscitation

Unlikely to return cardiac rhythm on its own

If delivered effectively it can increase the window in which defibrillation is effective!

CPR run downCompressions vs Compressions and Breaths?

We do compressions and breathsNEJoM study has shown there is No Sig. Dif. (poor

investigation though)Compression to breaths ratio?

30:2Compressions or Breaths First?

Compressions – unconscious, not breathing adultBreaths – Unconscious, not breathing Child, Baby or

suspected Drowning (if breaths come first there should be 5 rescue breaths before normal 30:2 cycling)

How fast should the compressions be?100 - 120 bpm

Is it really worth it?Watch this, then you decide…

http://www.youtube.com/watch?v=hfrv7ZzLcJc

http://www.youtube.com/watch?v=KXjEnTHMUow&feature=relatedStart at 8 mins

How to do Compressions!Interlock your fingers

Place your hands in the middle of the patients chest, 1-2 inches above the bottom of the sternum

Lean over your patient

“Lock-out” your elbows

Begin compressions

After 30 compressions!Open their airway the same way as during

the primary surveyPinch their noseMake a full seal with your mouth to theirsAttempt to deliver a breathTake your face away from theirs before

attempting to deliver the next breath.

Demonstration with Dennis

Questions and Practice!