1. CERTIFICATION STAMPED SELF-ADDRESSED ENVELOPE $1.00 DO NOT SEAL IT

2. #1Recognizing an emergency You may realize that an emergency has occurred only if something unusual attracts your attention

3. #2 WHAT MIGHT GET YOUR ATTENTION Unusual sights Unusual appearances or behaviors Unusual odors Unusual noises

4. #3 FEARS WHEN CONFRONTED WITH AN EMERGENCY The presence of other people The type of injury or illness Fear of catching a disease Fear of doing something wrong Fear of being sued Being unsure of when to call 9-1-1

5. #4 HOW TO GET PAST THE FEAR Training Avoid contact with blood or body fluids Know the Good Samaritan Laws Know how to Obtain Consent

6. #5 OBTAINING CONSENT State your name Tell your level of training Ask if you can help Explain what you think may be wrong Explain what you plan to do

7. #6 HOW TO PROTECT YOURSELF Avoid contact with Blood Body fluids Use protective equipment such as Disposable gloves CPE breathing barrier Wash your hands immediately after care

8. #7 THREE BASIC STEPS TO TAKE IN ANY EMERGENCY CHECK CALL CARE

9. #8 WHAT TO DO CALL FIRST OR CARE FIRST Call first Care first

10. #9 WHEN TO MOVE AN ILL OR INJURED PERSON MOVE ONLY… To provide proper care To get to an more seriously ill or injured person In the event of immediate danger

11. #10 LIFE-THREATENING CONDITIONS Unconsciousness Not breathing or having trouble breathing Choking Persistent chest pain No signs of life Severe bleeding Severe burns Shock Seizures reoccur, last more than 5 minutes, or are a result of injury, or during pregnancy. Diabetic, failure to regain consciousness

12. #11 CHECKING A CONSCIOUS ADULT OR CHILD Checking a conscious adult Check the scene Obtain consent Head to toe exam Care for conditions found Minimize shock Checking a conscious child Same but check toe to head Be calm and reassure both child and parent Don not separate the child form the parent

13. #12 WHAT IS ABC ABC –Airway –Breathing –Circulation

14. Video / skill session Checking an unconscious adult Checking an unconscious child abbreviated 3:46 Checking an unconscious infant abbreviated 2:06

15. #13 CHECKING A PULSE Adult Carotid Child Carotid Infant Brachial

16. Video / skill session

17. #14 BREATHING EMERGENCIES Having trouble breathing or cannot breath at all May be caused by injury, illness, or disease Asthma can be prevented by following a physicians guidance and taking prescribed medications Allergic reactions can be prevented –recognizing the first signals of an allergic reaction – getting immediate help First aid for breathing emergencies is similar for children and infants. Some differences occur due to the infants smaller body size.

18. #15 COMMON CAUSES OF CHOKING ADULT Trying to swallow large pieces of poorly chewed food Drinking alcohol before or during meals Wearing dentures

19. #16 COMMON CAUSES OF CHOKING CHILD Trying to swallow large pieces of poorly chewed food Eating while talking excitedly or laughing or eating too fast Walking playing or running with food or objects in the mouth Swallowing small objects ; or pieces of food can block the airway

20. Video / skill session Conscious choking Adult Child infant

21. #17 COMMON CAUSES OF CHOKING INFANT Infants airway has not fully developed it is smaller than an adults Still developing eating skills Lack of supervision

22. #18 KEY POINTS FOR RESCUE BREATHING CHILD Commonly caused by injury illness or choking Give 1 breath every 3 seconds Check for signs of life about every 2 minutes Each rescue breath should last about 1 second

23. #19 TERMONOLOGY Heart attack MI myocardial infarction Cardiac arrest

24. # 20 SIGNALS OF A HEART ATTACK Chest pain spreading to the shoulders neck jaw or arms Shortness of breath or trouble breathing Nausea or vomiting Dizziness lightheadedness or fainting Pale ashen grayish or bluish skin Sweating

25. # 21 CARDIAC CHAIN OF SURVIVAL EARLY recognition and EARLY access EARLY CPR EARLY defibrillation EARLY advanced medical are

26. #22 WHEN TO STOP CPR The scene becomes unsafe You find signs of life And AED is ready to use You are too exhausted to continue Another trained responder arrives and takes over

27. #23 WHAT IS AN AED Device that analyzes the heart’s electrical rhythm and if necessary prompts you to deliver a shock to a victim of sudden cardiac arrest The shock called defibrillation may help the heart to reestablish and effective rhythm If the AED prompts you “no shock advised” give 5 cycles (or about 2 minutes) of CPR

28. # 24 WHAT NOT TO DO WHEN USING AN AED Do not touch the victim while the AED is analyzing Do not touch the victim while the device is defibrillating Be sure that no one else is touching or in contact with the victim or equipment Do not use alcohol to wipe the victim’s chest Do not defibrillate someone when around flammable materials So not use an AED In a moving vehicle Do not use an AED on a person who is in contact with water Do not use an AED designed for adults on a child Do not use an AED on a victim wearing a nitroglycerin patch Do not use a mobile phone or radio within 6 feet of the AED

29. #25 LEADING CAUSES OF INJURY RELATED DEATH Motor vehicle crashes Falls Poisonings Drowning Choking

30. #26 TYPES OF INJURY Soft tissue injury Musculoskeletal injury

31. #27 TYPES OF WOUNDS Open Closed

32. #28 WHAT IS A CLOSED WOUND Soft tissue damage occurs beneath the surface of the skin leaving the outer layer intact. Internal bleeding may occur

33. #29 CARE FOR A CLOSED WOUND Apply direct pressure Elevate the injured body part if it does not cause more pain

34. #30 WHAT IS AN OPEN WOUND Break in the skin can be a minor as a scrape on the surface layers or as severe as a deep penetration Abrasion Lacerations Avulsions or amputations Punctures

35. #31 CARE FOR AN OPEN WOUND MINOR Damage is only superficial and bleeding is minimal Wash with soap and water cover with dressing and a bandage MAJOR Apply direct pressure to the wound Dress and bandage the wound Treat for shock

36. #32 TYPES OF BURNS Thermal (heat) Chemical Electrical Radiation

37. #33 SEVERITY OF A BURN Superficial Partial thickness Full thickness

38. #34 CRITICAL BURNS Difficulty breathing Covering more that one body part or a large surface area Suspected burns to the airway Burns to the head neck hands feet or genitals Full thickness burn and younger than 5 or older than 60 Resulting from chemical, explosions or electricity

39. #35 CARING FOR A BURN Check the scene for safety Stop the burning by removing the person from the source of the burn Check for life-threatening conditions Cool the burn with large amounts of cold running water Cover the burn loosely with a sterile dressing Prevent infection Take steps to minimize shock Keep the person form getting chilled or overheated Comfort and reassure the person

40. #36 INJURY TO MUSCLES BONES AND JOINTS Fractures Opened Closed Dislocation Sprain Strain

41. #37 R.I.C.E. REST IMMOBLIZE COLD ELEVATE

42. #38 WHEN TO SPLINT Splint only… In the position in which you find it The Injured area and the joints or bones above and below the injury site If you will be transporting the person to medical care

43. #39 TYPES OF SPLINTS Soft Rigid Anatomic Sling and binder

44. #40 HEAT RELATED EMERGENCIES Heat Cramps Heat Exhaustion Heat Stroke Young children and elderly are the most susceptible to extremes in temperatures

45. #41 COLD RELATED EMEMGENCIES Frostbite Hypothermia Young children and elderly are the most susceptible to extremes in temperature