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Chapter 3 Dina James
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Checking From Head to Toe (Conscious person)
Do not move areas in which they have discomfort or if you suspect a head, neck, back injury Check the person’s head by examining the scalp, face, ears, nose and mouth Look for cuts, bruises, bumps or depressions Watch for changes in consciousness
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Continued Look for changes in the person’s breathing – noisy, rasping, gurgling, whistling- fast, slow, painful Notice how the skin looks or feels – damp, dry, cool, hot – red, pale or ashen Look over the body – head to toe check – do not move parts that hurt Look for medical ID tag or bracelets
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Checking a Conscious Person
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Continued
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Checking an unconscious person
Always check to see if an unconscious person – Has an open airway Shows signs of life (movement or breathing) Is bleeding severe
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Continued An easy way to check this is to think of ABC
Airway – open the airway Breathing – check for movement or breathing Circulation - check for signs of life (including a pulse for infant and child) and Severe bleeding
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Airway Unconscious and lying on back – tongue can block the airway
Head tilt/chin lift
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Breathing Look, listen and feel for breathing – no more than 10 seconds If not breathing give 2 breaths – each breath lasting 1 second If the person is breathing – his or her heart is beating
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Circulation If an adult is not breathing – assume a cardiac emergency and begin CPR If a child or infant is not breathing – check pulse no more than 10 seconds Child – carotid artery Infant – Brachial artery No pulse – start CPR No breathing but has a pulse – start rescue breathing
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Severe Bleeding Do a head to toe check for bleeding
Bleeding usually looks worse then it really is It is not always easy to recognize severe bleeding
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Shock Is a condition in which the circulatory system fails to deliver oxygen-rich blood to the body’s tissues and vital organs When the vital organs do not receive this blood they fail to function properly This triggers a series of responses that produce specific signals known as shock These responses are the bodies attempt to maintain adequate blood flow
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Shock continued When someone is injured or suddenly ill their body function may be interrupted With minor injuries or illnesses the body bounces back quickly With major injuries or illnesses the body is unable to adjust
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Signals of Shock Restlessness or irritability
Altered level of consciousness Nausea or vomiting Pale, ashen, cool, moist skin Rapid breathing and pulse Excessive thirst
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Caring for Shock Call 911 Have the person lie down
Control external bleeding Elevate the person’s legs about 12 inches (unless you suspect a head or neck injury or possible broken bones of the legs)
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Caring for Shock Cont. Help maintain normal body temperature
Don’t give anything to drink or eat Reassure the person Continue to monitor ABC
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Child
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Child
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Infant
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Infant
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