FIRST AID FOR POLICE FIRST RESPONDERS

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Leslie Victor Hubbard
6 years ago
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1 FIRST AID FOR POLICE FIRST RESPONDERS

2 ROLES AND RESPONSIBILITIES RESPOND PROMPTLY TO SCENE

3 GAIN ACCESS TO THE PATIENT PERFORM A PATIENT ASSESSMENT

4 ADMINISTER EMERGENCY MEDICAL CARE MOVE PATIENT IF NECESSARY DIRECT BYSTANDERS ASSIST EMERGENCY CARE GIVERS DOCUMENT YOUR CARE KEEP SKILLS CURRENT

5 SCENE SAFETY DISPATCH ANTICIPATE HAZARDS RESPONSE BEST ROUTE PLACEMENT OF YOUR VEHICLE TRAFFIC CRIME SCENE?

6 CROWDS HAZARDS FIRE HAZARDOUS MATERIALS UNSTABLE OBJECTS SHARP OBJECTS ANIMALS ENVIRONMENTAL CONDITIONS

7 DUTY TO ACT Render medical care within the limits of your training and available equipment

8 STANDARD OF CARE TREAT THE PATIENT TO THE BEST OF YOUR ABILITY PROVIDE CARE THAT A REASONABLE, PRUDENT PERSON WOULD

9 CONSENT EXPRESSED CONSENT PATIENT LETS YOU KNOW CARE WILL BE ACCEPTED

10 IMPLIED CONSENT UNCONSCIOUS PATIENT

11 SPECIAL CIRCUMSTANCES MINORS MENTALLY ILL LIVING WILLS DNR/DNI

12 EMERGENCY HOLD MINNESOTA STATE STATUTE 235B.05 PEACE OFFCER HEALTH OFFICER WHO DOES THIS APPLY TO?

13 EMERGENCY HOLD When can an emergency hold be used? An emergency hold is used when an examiner, peace officer or health officer has good reason to believe that you have a mental illness and are going to harm yourself or others.

14 TERMS Anterior/posterior Medial Proximal/distal Superior/inferior Supine/Prone LATERAL

15 MAJOR SYSTEMS MUSCULAR NERVOUS

16 DIGESTIVE GENITOURINARY SYSTEM

17 SKIN CIRCULATORY SYSTEM

18 SKELETAL

19 AIRWAY SIGNS OF INADEQUATE BREATHING CYANOSIS NO CHEST RISE RESPIRATIONS TOO SLOW DYSPNEA

20 AIRWAY OBSTRUCTION ADULT CHILD INFANT

21 PATIENT ASSESSMENT DISPATCH INFORMATION PRE PLANNING ENROUTE WHAT EQUIPMENT

22 PERSONAL PROTECTIVE EQUIPMENT GLOVES!!!!!!!!

23 ASSURE SCENE SAFETY HAZARDS

24 MECHANISM OF INJURY OR NATURE OF ILLNESS

25 FORM A GENERAL IMPRESSION OF THE PATIENT HOW DO THEY LOOK? ASSESS RESPONSIVENESS OPEN THE AIRWAY JAW THRUST CHECK FOR BREATHING

26 CHECK CIRCULATION ADULT CHILD INFANT CHECK FOR UNCONTROLLED BLEEDING

27 CONSCIOUS PATIENT TRAUMA VS ILLNESS COMMON SENSE QUESTIONS TALK TO PATIENT GET TO THEIR LEVEL KEEP CALM

28 SAMPLE S SIGNS AND SYMPTOMS OF INJURY OR ILLNESS A ALLERGIES M MEDICATIONS

29 P PAST MEDICAL HISTORY L LAST ORAL INTAKE E EVENTS LEADING UP TO INJURY OR ILLNESS

30 SAMPLE SAMPLE SAMPLE

31 MEDICAL CONDITIONS ALTERED MENTAL STATUS A----ALERT V----VERBAL P----PAIN U----UNRESPONSIVE NOTICE OF CHANGE IN MENTAL STATUS

32 WHAT COULD CAUSE A CHANGE IN MENTAL STATUS?????

33 HEAD INJURY SHOCK DECREASED O2 TO BRAIN HIGH FEVER INFECTION POISONING LOW BLOOD SUGAR

34 STROKE PSYC CONDITION DRUG USE ARE THEY ORIENTED TO PERSON, PLACE AND TIME

35 SEIZURES RANDOM SHAKING MOVEMENTS THAT MAY INVOLVE THE ENTIRE BODY MOST LESS THAN FIVE MINUTES PATIENT WILL STOP BREATHING DURING SEIZURE

36 CAUSED BY SEIZURE DISORDER TRAUMA HEAD INJURY STROKE SHOCK DECREASE O2 TO BRAIN HIGH FEVER (FEBRILE)

37 INFECTION DRUGS ALC OHOL BRAIN TUMOR DIABETIC EMERGENCIES PREGNANCY UNKNOWN CAUSES

38 TREATMENT STAY CALM DO NOT RESTRAIN PATIENT CLEAR AREA OF HAZARDS TIME SEIZURE AFTER SEIZURE PLACE PATIENT ON SIDE MONITOR BREATHING

39 PERSON WILL BE VERY CONFUSED AFTER SEIZURE MAY BITE TONGUE DURING SEIZURE MAY LOSE BOWEL OR BLADDER CONTROL FIRST TIME SEIZURE PATIENTS SHOULD BE TRANSPORTED FOR EVALUATION

40 HEAT AND COLD HEAT EXHAUSTION SWEATS PROFUSELY LIGHTHEADED DIZZY NAUSEATED VERY YOUNG AND VERY OLD MORE SUSCEPTIBLE

41 COOL PATIENT AND GIVE FLUIDS IF TOLERATED HEATSTROKE LIFE THREATENING FLUSHED DRY SKIN SEMICONSCIOUS OR UNCONSCIOUS

42 COOL OFF IMMEDIATELY

43 FROSTBITE WARM FROSTBITTEN PART DO NOT RUB DO NOT RUB WITH SNOW BE GENTLE TREAT AS BURNED SKIN

44 HYPOTHERMIA NOT ONLY A WINTER PROBLEM CAN OCCUR IN TEMPS AS HIGH AS 50 IF DUE TO WET CLOTHES REMOVE WET CLOTHES TRY TO REWARM WITH BLANKETS OR MOVE TO A WARMER ENVIRONMENT

45 CARDIAC EMERGENCIES ANGINA AMI (ACUTE MYOCARDIAL INFARCTION) CHF (CONGESTIVE HEART FAILURE) DYSPNEA (DIFFICULTY BREATHING)

46 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) CHRONIC BRONCHITIS STROKE/CVA

47 F.A.S.T FOR CVA S

48 DIABETES INSULIN NECESSARY FOR SUGAR TO PASS THROUGH CELL WALL INSULIN PRODUCED BY THE PANCREAS INSULIN CAN BE OUT OF BALANCE CAUSING BLOOD SUGARS TO RISE

49 OR TOO LOW CAUSING HYPOGLYCEMIA PATIENTS NEED SUGAR PALE, MOIST SKIN CONFUSION OR UNCONSCIOUSNESS

50 RAPID ONSET OF SYMPTOMS MAY ACT AS IF INTOXICATED LOOK FOR MEDICAL ALERT TAG HYPERGLYCEMIA SLOW ONSET OF SYMPTOMS 3 P S

51 POISONS INGESTED INHALATION INJECTED ABSORBTION

52 CONTACT POISON CONTROL DO NOT INDUCE VOMITING UNLESS INSTRUCTED OBTAIN CONTAINERS IF POSSIBLE

54 CARBON MONOXIDE COMBINES WITH RED BLOOD CELLS 200 TIMES MORE READILY THAN OXYGEN GET INTO FRESH AIR MUST BE TRANSPORTED TO HENNEPIN COUNTY MEDICAL CENTER

55 ALLERGIC REACTIONS ITCHING ALL OVER BODY HIVES GENERALIZED WEAKNESS UNCONSCIOUSNESS DIFFICULTY BREATHING SWOLLEN TONGUE CAN BE LIFE THREATENING

56 EPI PENS Not this kind

57 ALLERGIC TO???? ANYTHING/ANYTIME

58 SHOCK DEFINED AS THE FAILURE OF THE CIRCULATORY SYSTEM DIFFERENT TYPES OF SHOCK Cardiogenic shock Spinal Shock Psychogenic shock Anaphylactic shock Hemorrhagic shock

59 Signs and symptoms Confusion or anxiety Cold, clammy, sweaty, pale skin Rapid breathing Rapid weak pulse Nausea and vomiting Weakness or fainting

60 HOW TO TREAT SHOCK CHANGES IN MENTAL STATUS MAY BE THE FIRST SIGNS OF SHOCK GENERAL TREATMENT: POSITION PATIENT CORRECTLY MAINTAIN ABC S TREAT CAUSE IF POSSIBLE MAINTAIN BODY TEMP DO NOT ALLOW PATIENT TO EAT OR DRINK

61 BLEEDING CAPILLARY BLEEDING VENOUS BLEEDING ARTERIAL BLEEDING

62 HOW MUCH BLOOD DOES A PERSON HAVE????

64 8-10 PINTS

65 16-20 CUPS NEWBORNS---1 CUP

66 BLEEDING SLIDE

68 DIRECT PRESSURE ELEVATION PRESSURE POINTS BRACHIAL FEMORAL

69 TOURNIQUET

70 WOUNDS CLOSED WOUNDS BRUISE OPEN WOUND ABRASIONS ROAD RASH PUNCTURES IMPALED OBJECTS GUNSHOT WOUND

71 MOST COMMON TYPE IS: LACERATION AVULSION 2 ND MOST COMMON DRESSING AND BANDAGING WOUNDS CONTROL BLEEDING PREVENT FURTHER CONTAMINATION

72 IMMOBILIZE THE INJURED AREA PREVENT MOVEMENT OF IMPALED OBJECTS DRESSING VS BANDAGES

73 AMPUTATIONS Control bleeding Save part amputated COVER PART WITH A MOIST CLEAN DRESSING AND KEEP COOL, BUT NOT DIRECTLY ON ICE

74 Face and scalp wounds Bleed a lot!!!!! Direct pressure very effective Nose bleeds Tilt head slightly forward---blood irritating to stomach Pinch nostrils together

75 Impaled object Do not remove unless in cheek and obstructing airway. Be ready to control bleeding Stabilize object

77 Burns Caused by Heat Chemicals Electricity Superficial burns First degree Sunburn like

78 Partial thickness burns Second degree Blistering Full thickness burns Third degree Burns of hands, feet, face are considered critical burns

79 Thermal burns Caused by heat 1 st degree----cool water 2 nd degree do not break blisters 3 rd degree cover with clean sheet Respiratory burns Can be life threatening Monitor airway

80 Chemical burns Remove chemical from skin Flush if in eyes Electrical burns Iceberg effect Takes path of least resistance Can be life threatening

81 SKELETAL INJURIES FRACTURES OPEN CLOSED DISLOCATIONS SPRAINS

83 SPLINT IN POSITION OF COMFORT AND SPLINT JOINT ABOVE AND BELOW FRACTURE LOOK FOR DEFORMITY AN OPEN WOUND SWELLING BRUISING

84 REMEMBER EXTREMITY INJURIES ARE NOT, IN THEMSELVES, LIFE THREATENING UNLESS EXCESSIVE BLEEDING IS PRESENT

85 HEAD INJURIES SIGN AND SYMPTOMS CONFUSION UNUSUAL BEHAVIOR UNCONSCIOUSNESS NAUSEA OR VOMITING BLOOD FROM AN EAR DECREASING CONSCIOUSNESS

86 UNEQUAL PUPILS PARALYSIS SEIZURES EXTERNAL HEAD TRAUMA: BLEEDING, BUMPS AND CONTUSIONS

88 TREATMENT IMMOBOLIZE HEAD IN A NEUTRAL POSITION ABC S CONTROL BLEEDING KEEP PATIENT CALM AND STILL ASSUME A SPINAL INJURY

89 CHILDBIRTH STAGES OF LABOR ONE---INITIAL CONTRACTIONS TO CROWNING TWO ACTUAL BIRTH THREE DELIVERY OF THE PLACENTA A NORMAL PREGNANCY IS WEEKS

90 QUESTIONS TO ASK FIRST CHILD?? PRENATAL CARE??? WATER BROKEN?? IF SO, CLEAR?? HOW MANY WEEKS PREGNANT?? PROBLEMS WITH OTHER DELIVERIES? NAME OF THE BABY??

92 ASSIST WITH DELIVERY MOM ON HER BACK AS BABY S HEAD EMERGES SUPPORT IT AND WATCH FOR AN EXPLOSIVE DELIVERY CHECK FOR UMBILICAL CORD AROUND NECK BABIES ARE WET AND SLIPPERY---- HOLD ON

93 IF THE AMNIOTIC SAC HAS NOT BROKEN, TEAR IT WITH YOUR FINGERS MORE THAN ONE???? KEEP THE BABY S HEAD LOW TO HELP DRAIN SECRETIONS DRY BABY WITH CLEAN TOWELS THIS SHOULD STIMULATE BABY TO CRY

94 KEEP THE BABY WARM!!!!! NO NEED TO IMMEDIATELY CUT THE UMBILICAL CORD APGAR SCORE ONE AND FIVE MINUTES

95 A---APPEARANCE (PINK) P PULSE (GREATER THAN 100) G---GRIMACE A ACTIVITY R---RESPIRATIONS 0,1,2 FOR EACH CATEGORY

96 RESUSCITATING THE NEWBORN

97 COMPLICATIONS BREECH---BUTT FIRST STILL CAN HAVE A NORMAL DELIVERY ONE EXTREMTITY PRESENTING EMERGENCY PROLAPSE OF UMBILICAL CORD EMERGENCY PLACENTA PREVIA EXCESSIVE BLEEDING

98 PREMATURE BIRTH MULTIPLE BIRTHS

99 KIDS THEY ARE NOT LITTLE ADULTS

100 FIRST AID IS A SKILL THAT HAS TO BE PRACTICED. DON T LET YOUR SKILLS GET RUSTY

101 WORDS OF ADVICE TREAT EVERY PATIENT AS YOU WOULD WANT SOMEONE TO TREAT YOU OR YOUR FAMILY MEMBER

QI. Read the following questions and choose the most correct answer (20 Marks):

Question One: QI. Read the following questions and choose the most correct answer (20 Marks): 1- Some people are very allergic to some drugs like penicillin. This condition is called: a) Septic shock.