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Contents Page
• Preserve life
• Prevent deterioration
• Promote recovery
• Obtain further medically qualified assistance if required
What should be in a first aid kit? What should NOT be in a first aid kit?
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Basic Materials for a First Aid Kit
• Guidance Cards
• 20 Adhesive Dressings
• 6 Medium Sterile Dressings
• 2 Large Sterile Dressings
• 2 Extra Sterile Dressings
• 2 Sterile Eye Pads
• 6 Triangular Bandages
• 6 Safety Pins
• Disposable Gloves
• Plastic Face Shield
• Cleansing Wipes
As a First Aider your ultimate responsibility is for yourself, followed closely by the casualty and
other bystanders. You may have to make instant decisions and delegate duties based on limited
knowledge of the situation.
The following is information to help simplify and prioritise the order in which you will carry out your
duties and also decide whether or not further medical aid is required. Complete the following
exercise – there are at least six things to consider at each stage.
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Arriving at
the scene
Dealing with
the
casualties
Dealing with
the
aftermath
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Prioritising Treatment Triage
B__________________
B__________________
B__________________
B__________________
This is commonly known as triage and is an excellent tool for determining priority of treatment
L __________________
I __________________
O __________________
N __________________
E __________________
L __________________
Casualty Communication
As a first aider you should be aware that your casualty is going to be scared and possibly will not
be aware of what is being said or done. Therefore any and all gestures, attitude and body language
towards the casualty should be positive, as it is critical in gaining the casualties trust.
Once the incident is over there are various tasks you must complete, some of these are,
PRIMARY ASSESSMENT
SECONDARY ASSESSMENT
Once we have established that the person is breathing we must then ascertain whether or not they
have any further injuries before we put them into the recovery position. To do this we carry out
what is called a top – toe survey, if at any time during the secondary assessment the person
breathing becomes noisy or they start to have problems we must instantly put them into the
recovery position.
REMEMBER PRIORITIES
• BREATHING
• BLEEDING
• BURNS
• BONES
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The assessment is carried out as its name suggests starting at the top (head) and working down to
the tail (legs). At all times during the assessment you must be communicating with the casualty,
letting them know what is happening and what you are doing. You must do this even if you think
the casualty is unconscious as the last sense we loose is our hearing and as we said earlier we
must try and put the casualty at ease whatever the circumstances.
Before you start the assessment you must first put on your gloves so as to prevent any cross
infection, also remember as you carry out the assessment regularly check your gloves for signs of
blood as you may not have been able to feel it.
Once the top – toe has been completed and we do not suspect any further injuries we can place
the casualties in the recovery position so as to aid breathing.
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Top to Toe:
Body Part What are you checking for?
Eyes
Head
Ears
Mouth
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Neck
Shoulders
Chest
Arms
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Wrist
Hands
Stomach
Hips
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Leg
Ankle
Feet
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PUT GLOVES ON
• Carefully look at the face, scalp, ears, eyes, nose and mouth for any bleeding, bumps,
swelling or depression.
• Examine the eyes for unequal pupils, look for any fluid drainage or blood particularly around
the ears and nose.
• Smell the casualties breath for strong alcohol odour or fruity breath.
NECK
• Loosen clothing around the neck and look for any warning medallion.
• Look at the head, neck and cervical spine for any obvious injuries or swelling.
CHEST
• Look carefully for any signs of injury. Gently press on the ribs to determine if there is any
tenderness.
• Look for the normal rise and fall of the chest with the breathing process.
• Gently feel along both the collarbones and the shoulders for any deformity, irregularity or
tenderness.
ABDOMEN
• Look first for any signs of obvious injury, including swelling and bruising.
• Next gently feel the abdomen. Ask the casualty if there is any pain or tenderness as you
press over the abdomen and note any rigidity.
PELVIS
• Feel both sides of the hips and gently move the pelvis to look for the signs of fracture.
EXTREMITIES
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BEGIN AT THE THIGH AND WORK DOWN TO THE FOOT
• Feel along the calves and shins for tenderness and pain.
• Check pockets by pulling out the lining and remove any sharp objects. If possible, get a
witness and make sure any items removed stay with the casualty.
• Check the radial pulse, if unable to detect this then try the carotid pulse at the neck.
• Test the casualties’ ability to move both arms and each hand.
• Look for any needle marks on the forearms or any warning bracelet.
Breathing
To take a breath in, the muscles between the ribs contract to pull the ribs upwards and outwards.
The diaphragm, a strong muscle underneath the rib cage, also contracts and flattens helping to
enlarge the cheat cavity. This causes air to be drawn in through the mouth and or nose from where
it travels through the air passage and down into the lungs, where it eventually comes into contact
with the blood vessels and delivers oxygen.
There is a small flap known as the epiglottis just where the food and air passage meet to stop air
going into our stomach or food into our lungs. This flap gets confused sometimes hence we burp
(air in the stomach) or cough, or choke when eating.
To breath out, after a short pause both the muscles between the rib cage and the diaphragm relax
and the air is expelled out through the same passage. The average breathing rate of an adult at
rest is 16 times per minute, this is faster in children and babies.
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Air Route
Epiglottis
lottis
Larynx Oesophagus
Oesop
ynx
Trachea
chea
Bronchus
chus
e oli
Alveoli
Circulation
Once we have oxygen in the blood we need to get it pumped around the body to do this we need
the heart. This acts as a pump and its function is to pump oxygenated blood around the body. In
most people it beats continuously until we die. It beats on average 60-80 times a minute in an
adult; this is quicker in both children and babies.
There are certain things which can either speed up or slow down the heart rate such as, exercise,
stress, alcohol, tea, coffee and smoking.
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Deoxygenated
Blood
Oxygenated
Blood
RESUSCITATION
Unfortunately even as good as we are we may have to deal with an apparently dead person. After
we have conducted our primary assessment we have decided that we cannot detect signs of
breathing and / or circulation, WHAT NOW?
• Cardio
• Pulmonary
• Resuscitation
You will find below a straightforward guide for what action you will need to take in various
circumstances; this will act as a great training aid and revision tool for what you go through with
your trainer in the lesson.
Sudden Cardiac Arrest (SCA) is due an electrical malfunction of the heart typically (but not always) associated
with an abnormal heart rhythm known as .ventricular fibrillation.. It is a condition in which the heart’s electrical
impulses suddenly become chaotic; causing an abrupt cessation of the heart’s pumping action. Instead of beating
in a regular coordinated manner the heart begins to .quiver. and is unable to pump blood. Victims collapse and
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quickly lose consciousness, often without warning. Unless a normal heart rhythm is restored, death follows within
a matter of minutes. The average survival rate is less than five percent.
SCA is largely unpredictable. Many victims have no prior history or symptoms of heart disease. One common
cause (but by no means the only cause) of sudden cardiac arrest is a .heart attack.. .Heart Attack. is not strictly a
recognised medial term. Most doctors prefer the term .Myocardial infarction. or .MI.. A Myocardial infarction
occurs when there is a blockage in the small arteries that feed blood to the heart muscle itself. This usually
results in the characteristic .crushing. chest pain felt by victims as the heart muscles are starved of oxygen. This
oxygen starvation can sometimes trigger the chaotic heart rhythm called ventricular fibrillation described above
which causes the patient to collapse and suffer a sudden cardiac arrest. Sudden cardiac arrest can often occur in
the early stages of a heart attack leading to collapse and death within a few minutes.
A person who has collapsed, is unresponsive and is not breathing normally may be suffering sudden cardiac
arrest and needs to be treated very quickly. If you suspect a patient is in cardiac arrest you should call the
emergency services immediately. For the best chance of survival effective treatment needs to be given within the
first few minutes. This treatment should include CPR (cardiopulmonary resuscitation) which consists of manual
chest compressions and rescue breaths and rapid defibrillation.
Modern AEDs will accurately and quickly analyse the patient’s heart rhythm to determine if the patient is actually
suffering from sudden cardiac arrest and will not allow a shock to be delivered unless the patient’s heart needs
one. SCA is most often caused by the heart going into .ventricular fibrillation. (VF) A heart in ventricular
fibrillation must be .defibrillated.. To defibrillate the heart .to stop the chaotic and unproductive quivering of VF
an electrical shock must be applied. This electrical shock passes through the heart muscle and (if successful)
resets the hearts electrical system enabling the normal heart rhythm to become re-established. Defibrillation
administered within the first few minutes after collapse gives the patient the best chance of survival The
likelihood of successful resuscitation decreases by approximately 7-10 percent with every minute that passes.
After several minutes, very few resuscitation attempts are successful. Thus, the most important element in the
treatment of SCA is providing rapid defibrillation therapy. CPR on its own is essential if a defibrillator is not
immediately available. Although CPR can’t stop fibrillation it can extend the patients life long enough for a
defibrillator to arrive. The very best chance of survival comes from a combination of the right basic training, good
quality CPR and most importantly, rapid defibrillation within the first few minutes. Some AED defibrillator gives
voice instructions on CPR so even untrained users can resuscitate a victim of sudden cardiac arrest.
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The Chain of Survival
For every minute that passes your patient has a 10% less chance of survival
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TYPES OF WOUND
A good way to remember the types of bleeding is to use this acronym – PC GAIL
TYPES OF BLEEDING
It is important for us to be able to recognise the type of bleeding so as to try and ascertain what
structure has been affected
Arterial Bright oxygenated blood spurts from the wound In time with the heart beat.
Venous Dark red vein walls are capable of great distension. May gush profusely.
Capillary Oozing occurs at the site of all wounds. Blood loss Is usually slight.
• Put on gloves
• Raise and support injured limbs.
• Check wound for foreign objects.
• Apply pressure with sterile pad. When you arrive at the scene, ask the casualty to apply
pressure with their hand until you have gloves and dressing.
• Leave original pad in place apply sterile Dressing.
• If the bleeding doesn’t stop after two dressings remove and reposition new dressings
• Once the bleeding stops bandage firmly.
• Support injured part if necessary.
• Treat for shock.
• DIAL 999.
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ASTHMA
WHAT IS ASTHMA
Asthma is a condition where the air passages go into spasm and there is an excretion of thick,
sticky mucus in the lungs, which further reduces the air passages.
RECOGNITION
TREATMENT
• Remain calm sit the casualty down leaning slightly forward on a support e.g. table. ( do not
make them lie down)
• Assist them to take there own inhaler ( do not administer on your own )
• Monitor there condition, it should start to ease within 3 minutes, if not get the casualty to
take another dose of the same inhaler
• If the symptoms disappear advise the casualty to see their own doctor
• If the attack is severe or medication has no effect within 5 minutes, or it is there first attack
get the casualty to hospital immediately
CHOKING
WHAT IS CHOKING
• Food
• Toys
• Pen tops
• General foreign objects
• Difficulty in breathing
• Possible noisy breathing
• Flushed skin at first, can eventually turn pale with blue extremities
• Clutching the throat
• May have been seen eating, chewing pen top etc
• Ask them, if conscious they can still nod
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HEART ATTACK
WHAT IS A HEART ATTACK
RECOGNITION FEATURES
• Severe chest pain, radiating from the heart down the left
arm (first side the heart supplies)
• Shortness of breath
• Pale skin, possible blueness of the lips
• Irregular weak pulse
• Signs and symptoms of shock, including sweating and
feeling sick
• Possible sense of impending doom
TREATMENT
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• Reassure the casualty, put them into a comfortable position, usually half sitting, half lying
• Phone an ambulance immediately
• Treat for shock, with emphasis on reassurance
• Be prepared for the casualty to go unconscious
Heart Attack
SKULL FRACTURE
AND CEREBRAL
COMPRESSION
WHAT IS A
FRACTURED
RECOGNITION FEATURES
TREATMENT
• SMOKE – irritation of the air passages, causing possible spasm’s, swelling and burning
• SOLVENTS – headaches, vomiting leading to unconsciousness. These can stop the heart.
TREATMENT
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