Visual 3.1 Unit Objectives 1. Identify the “killers.” 2. Apply techniques for opening airways, controlling bleeding, and treating for shock. 3. Conduct triage under simulated disaster conditions.
Visual 3.2 Treatment of Life-Threatening Conditions The “Killers”: Airway obstruction Excessive bleeding Shock
Visual 3.3 Treatment of Life-Threatening Conditions Components of a respiratory system: Lung Bronchus Larynx Pharynx Nasal Air Passage Trachea
Visual 3.4 Maintain Airway! Tongue UNCONSCIOUS Obstructed Airway
Visual 3.5 Look, Listen & Feel Step 1 – shake & shout Step 2 – no response, begin procedure Step 3 – start head tilt, chin lift Step 4 – Look for chest to rise Step 5 – Listen for air exchange Step 6 – Feel for abdominal movement Head Tilt Chin Lift Method
Visual 3.6 Are you awake? John, John are you OK? Gentle shake, Avoid trauma and waking sleeping patient
Visual 3.7 Check for Breathing Feel, listen, see chest rise
Visual 3.8 Head tilt, chin lift
Visual 3.9 Control Bleeding Arterial Venous Capillary
Visual Methods Direct Local Pressure Elevation Pressure Points
Visual 3.11 Direct Local Pressure
Visual 3.12 Dressing & Bandaging Sterile dressing directly over the wound.
Visual 3.13 Dressing & Bandaging cont. Clean bandage over the sterile dressing covering as much of the dressing as possible.
Visual 3.14 Pressure Dressing WaddingBandage over wadding
Visual 3.15 Pressure Points Brachial Femoral
Visual 3.16 In a disaster environment Where can one find sterile materials for dressings? Where can you find clean bandages?
Visual 3.17 Treatment Of Shock Conditions Sign Breathing Skin Consciousness Symptom Rapid, shallow Cold, pale Anxious/Apathetic; unconscious/comatose Test Greater than 30 per minute Capillary refill Response to simple commands
Visual 3.18 Treating for Shock Step 1 – Lay victim on back if possible. Raise feet 6” to 10 “ Step 2 – Control Bleeding Step 3 – Maintain Body Temperature Step 4 – Avoid rough or excessive handling
Visual 3.19 Treating for Shock Raise Feet Cover Victim
Visual 3.20 Triage Immediate (I) Delayed (D) Dead (DEAD)
Visual 3.21 Triage Pitfalls No team plan, organization, or goal Indecisive leadership To much focus on one injury Treatment (rather than triage) performed
Visual 3.22 Triage Practice