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First Aid Day V Objectives
The student will be able to assess and respond to an Eye Injury The student will be able to assess and respond to Nose Injuries The student will be able to assess and respond to Dental Injuries The student will be able to assess and respond to an Chest, Abdominal, and Pelvic Injuries The student will be able to assess and respond to an Bone, Joint , and Muscle Injury The student will be able to understand and apply the basic concepts of Splinting The student will be able to assess and respond to Cramping The student will be able to define and apply the R.I.C.E principle SOLs: 9.1, 9.2, 9.3, 9.3c, 9.3d, 9.3e, 9.4a, 9.4b, 9.5a, 9.5c,9.5d, 9.5e
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Bell Ringer #5 Complex Break
Scenario #5 Adam is walking through the woods and trips over a tree root sticking out of the ground. He immediately begins screaming for help because his shin bone is poking through the skin, and he is bleeding profusely. What can you do to help Adam? Please describe your actions. What steps would you take to ensure Adam’s safety?
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Eye Injuries (COPY) Assess: Respond Open or Closed Impaled object
Blows to the eye Foreign bodies Respond Stabilize objects impaled in eye cavity and loosely cover open wounds Cool area: apply ice to closed wounds Monitor and Care: flush chemicals from eyes with warm water
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Nose Injuries (COPY) Assess Bleeding from one or both nostrils
Bleeding into the back of the mouth and down throat Deformity Respond Control bleeding: seat victim and tilt head slightly forward Pinch nostrils together or let drain (place head btw knees) Apply ice over the nose
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Dental Injuries (COPY)
Assess Bleeding gums Missing or broken teeth Respond Control bleeding Rinse mouth and place rolled gauze in mouth Monitor and Care Replace missing tooth in socket, or Keep tooth moist (in milk) Transport tooth and victim to dental professional
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CHEST, ABDOMINAL, AND PELVIC INJURIES
Overview: Can be life-threatening because they may involve damage to crucial organs or areas of the body Sucking chest wound Broken ribs Blows to the abdomen Protruding organs Pelvic injuries
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Assess: Sucking Chest Wounds (COPY)
Puncture into chest cavity Air passes in and out of cavity
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Respond: Sucking Chest Wound (COPY)
Victim should take a breath and let it out 1. Activate EMS 2. Bandage and Protect Seal wound with plastic leaving 1 corner open 3. Monitor and Care: If breathing doesn’t improve Remove plastic cover to let air escape Reapply plastic cover
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Broken Ribs (COPY) Assess Respond
Pain upon pressure or when the victim breathes, coughs, or moves Bruising around injury Respond Stabilize injury with a pillow or other soft object Help victim rest Activate EMS
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Blows to the Abdomen (COPY)
Assess: With fingertips Pain, tenderness, muscle tightness Bruising or bleeding Respond Place victim in a comfortable, resting position Monitor symptoms Seek advanced care if necessary
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Protruding Organs (COPY)
Life-threatening Do NOT attempt to re-insert organs Position on back with the knees bent and raised Do NOT give food or drink
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Assess : Protruding Organs (COPY)
Organs visible through an open wound Respond 1. Call EMS 2. Bandage and Support: gently cover exposed organs with moist, sterile dressings 3. Monitor and Care Responsiveness A, B, C’s Shock
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Pelvic Injuries Assess Respond Pain upon gentle pressure. Call EMS
Don’t apply pressure if already in pain Respond Call EMS Don’t move victim Stabilize injury by preventing the victim from moving
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BONE, JOINT, AND MUSCLE INJURY (COPY)
Overview: Most frequent type of injuries Bone Fracture Sprains Strains
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Bones, Joints and Muscles
Skeletal and muscular system give body shape and provide form and stability Bone and muscle connect to form interdependent segments to give the body movement capabilities
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Bone Injuries (COPY) Closed (simple) No open wounds around the injury
Open (compound) Show damaged or broken skin
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Assess: Bone Injuries (COPY)
Pain D-O-T-S (deformity, open wounds, tenderness, swelling) May feel or hear grating or popping sound Inability to use injured part Bone visible from an open wound Cause of injury may provide clues
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Respond: Bone Injuries (COPY)
Control bleeding if it is an open fracture Stabilize the injury to prevent from moving If transporting, splint injury without adjusting position of the injury Seek medical attention for diagnosis and treatment
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Splinting (COPY) Check CSM’s before and after splinting
Splint should include joint or bone above or below Use blankets, boards, and bandages, or an uninjured body part Triangular bandage for sling Types of splints Soft Anatomical Rigid Sling CSM’s Circulation Sensation Movement Skin Signs
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Joint and Muscle Injury (COPY)
Overexertion or impact to the body Strain: muscles or tendons are stretched or torn Sprain: ligaments are stretched or torn
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Assess: Joint and Muscle Injury (COPY)
Bruising and swelling Loss of function Numbness or loss of feeling Dislocation: joint separates and stays apart with the bone ends no longer in contact
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Respond: Joint and Muscle Injury (COPY)
Cool (R.I.C.E) Apply ice for 20 minutes, every 2-3 hours for the first 24 hours, then heat Stabilize injury: wrap with elastic bandage, or splint, if necessary Monitor and care: elevate injured part above level of heart for first 24 hours when possible
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Muscle Cramps (COPY) A muscle spasms and contracts uncontrollably
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Assess: Muscle Cramp (COPY)
Sharp pain Tenderness Muscle tightness Restricted movement Victim grabbing muscle
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Respond: Muscle Cramp (COPY)
Monitor and Care (RICE) Gently stretch the affected area Apply pressure Apply ice Drink lightly salted cool water or sports drink Pinch the upper lip hard to reduce calf muscle cramping
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R.I.C.E (COPY) Rest victim Ice injured part Compress injury
Elevate injury
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