1. ESM Emergency Scene Management

2. Is the sequence of actions you should follow at the scene of an emergency to ensure that safe and appropriate first aid is given.

3. Priority! The order of the steps in ESM, including the priorities of first aid, may change, depending on the circumstances.

4. The ESM had four steps ( usually in this order ) 1.Survey the scene no wire, no fire, no gas, no glass 2.Primary survey this is the first step in assessing the casualty for life- threatening conditions and giving life-saving first aid. In the primary survey you check for the priorities of first aid the ABCD’s Airway- a clear airway Breathing- effective breathing Circulation- effective circulation Deadly bleeding

5. Even if there is more than one casualty, you should perform a primary survey on each one in turn. Give life-saving first aid only. The primary survey should be performed on the casualty in the position he/she has been found, unless it is impossible to do so.

6. Unresponsive Victim: A- open the airway Either use the head-tilt-chin- lift B-check for breathing Look, listen and feel C-check for circulation Check for a carotid pulse If pulse is absent, start CPR ( 2 breaths, 30 compressions).

7. 3.Secondary survey Rapid body survey- head to toe sweep-checking for: bleeding lumps, hardness, Bruising softness -watch the face & the person’s reaction or lack of

8. 4.Ongoing casualty care -until hand over or place them in recovery position ( best position because you can see both the front and back of the victim).