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Welcome to First Aid Skills
Discovery Ranger Workbook Pages Leaders Red Merit Reference Pages This is a 5 lesson plan which can be run over 5 weekly meetings or as a special merit day of approximately 3 hrs. If run over 5 weeks start the presentation and then clik on the link in the lower left corner to go to that day’s lesson. Please Note: If you would like a printed copy, Select Print and under “Print What” select from the drop down menu “Note Pages” Lesson Two Lesson Three Lesson Four Lesson Five Firsd Aid Skills
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Lesson One Firsd Aid Skills
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Lesson One – Objectives Fundamentals of First Aid
Define the meaning of First Aid. Explain how to use the 911 system. Explain the first concern when giving first aid. Explain when to move and when not to move an injured person. List the four steps of victim assessment. Supply list: Merit Answer Guide MLR 1 “RAP ABCH” transparency MWS 1 “Fundamentals of First Aid” (Merit Worksheet) MWS 2 “RAP ABCH Flowchart” Phone (real or play) Plastic sandwich bags Latex gloves Strips of Cloth Packaged moist towelettes Bandages Overhead projector or large piece of butcher paper and tape Firsd Aid Skills
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1. What is the purpose of first aid: DR Workbook Pg 199, Question 1
Fundamentals of First Aid 1. What is the purpose of first aid: DR Workbook Pg 199, Question 1 First Aid is care given to an injured person to stabilize and keep him / her safe until he / she can receive professional medical attention. Have boys fill in answer Firsd Aid Skills
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MWS 2: RAP ABCH Page 200 The participants will fill in later. Posted here as a reference. Firsd Aid Skills
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Fundamentals of First Aid
Scenario: A man has been hit by a car and thrown into the street. He is wearing shorts, and blood is flowing, but not spurting, from his leg. What looks like a bone is sticking out of his leg. Have boys give answers What are the two major concerns when giving first aid to this victim? Firsd Aid Skills
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Fundamentals of First Aid
Answer: First, safety of the rescuer from traffic and the safety of the of the victim. Second, unless the victim is in a life-threatening situation, he should not be moved. Firsd Aid Skills
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2. List the Two Major Concerns When Giving First Aid: Pg. 199
Fundamentals of First Aid 2. List the Two Major Concerns When Giving First Aid: Pg. 199 The first rule of first aid and the primary concern is: The second concern is, unless the victim is in a life-threatening situation, he or she should: Safety Not Be Moved Firsd Aid Skills
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MWS 2: RAP ABCH Page 200 The participants will fill in later. Posted here as a reference. Firsd Aid Skills
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Giving First Aid RAP ABCH
R is for Responsiveness Is the victim conscious? Touch their shoulder, ask if they are alright. Ask if they need help. If they say no, then proceed no further If yes, or no response, then proceed to A Suggest using overhead with MLR 1 as review of RAP ABCH Firsd Aid Skills
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RAP ABCH A is for Activate EMS or 911
Giving First Aid RAP ABCH A is for Activate EMS or 911 Firsd Aid Skills
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Stay on the line with the operator until help arrives.
How to Use the 911 System 4. What are the four things you need to remember when making a 911 call? Pg. 199 Your name The emergency The location of the emergency Condition of the victim Stay on the line with the operator until help arrives. Firsd Aid Skills
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When should EMS / 911 be called?
How To Use the 911 System When should EMS / 911 be called? Page 195, Question 2b Check the victim for responsiveness. If they do not respond or if they tell you that they need help, then contact EMS. Firsd Aid Skills
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When To Move An Injured Person
MWS 2, page 200 P is for Position Only re-position the victim if the victim is in further danger in their present location. And / or there does not seem to be spinal injury and additional care requires moving them. Firsd Aid Skills
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Explain when an injured person should and should not be moved?
Requirement 4, Pg. 195 If there are suspected spinal injuries, do not move the victim (except when the victim is in a life threatening situation). Question: Explain when an injured person should and should not be moved? Seek immediate medical attention. Follow the flowchart and care for the victim in any form that does not require moving the victim. Firsd Aid Skills
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A is for airway Four Steps of Victim Assessment
Use the mnemonic “ABCH” MWS 2, Page 200 A is for airway -check to see if the airway is blocked. Use your finger to sweep the mouth to remove any seen object. If this fails, then perform the Heimlich maneuver or abdominal thrusts. We will learn these techniques in later lessons. Firsd Aid Skills
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Four Steps of Victim Assessment
B is for breathing Look, listen and feel by watching the chest and placing your cheek a few inches above the mouth of the victim to sense any movement of air. If the victim is not breathing, they may need their head repositioned. If they are still not breathing they need rescue breathing, do not give unless you are trained, instead, find an adult. Firsd Aid Skills
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Four Steps of Victim Assessment
C is for circulation If there is not a pulse, then this person needs CPR. The best place to check for a pulse is the carotid artery along the side of the neck along the windpipe. If you are not trained in CPR, then find someone who is. Firsd Aid Skills
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H is for Hemorrhaging Four Steps of Victim Assessment
If the victim is bleeding, then provide the necessary care. If not, then begin a secondary assessment. Complete filling in MWS 2 RAP ABCH Flowchart Firsd Aid Skills
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Lesson One Review First aid is a first-response activity, nothing more. It’s sole goal is to maintain the injured person until they get professional help. First priority – Safety for all! Blood from a cut or torn vein will flow, a cut artery will spurt. Fill out the True-False Questions on Page 199. Firsd Aid Skills
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True-False Questions MWS 1, Pg. 199
Lesson One True-False Questions MWS 1, Pg. 199 T F 5. Checking the victim, calling for help, and giving care are three steps in treating someone who has been seriously hurt or ill. T F 6. It is ok to move someone who is seriously hurt to make them feel better. T F 7. Knowing first aid could save a life, and applying first aid should be accompanied with prayer. Have boys fill in all True – False Questions. Then review on screens 20 & 21 Firsd Aid Skills
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True-False Questions MWS 1, Pg. 199
Lesson One True-False Questions MWS 1, Pg. 199 T F 8. The groove to the side of the neck (carotid artery) is a good place to check the pulse. T F 9. Calling for help may be the most important thing that you do to help the victim. T F 10. First aid is the temporary care that you give until professional help arrives. Recreation – page 178 Victim Assessment Exercise Have a “victim” lay on the floor at least twenty feet away from the team. Use the scenario from earlier in the lesson. One team as a time., timed event. Each team member run down the assessment on MWS 2 with the help of his teammates. Make sure boys stress safety and check both ways as they cross the street to the victim. Each Ranger must go through each step correctly. They stop when they reach reach hemorrhage and determines the man is bleeding and then return to their group and tag the next boy. Repeat game if time permits. Next slide is Lesson 2 Complete requirements 1, 2, 3 and 4 if you have not done so already - (Page 195) Firsd Aid Skills
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Lesson Two Firsd Aid Skills
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Lesson Two – Objectives Choking, Shock and Weather- Related Ailments
Review Victim Assessment from lesson 1 Explain and Demonstrate how to treat for shock. Explain and Demonstrate the Heimlich maneuver and abdominal thrusts. Explain the treatment for hot- and cold-weather-related injuries or ailments. Materials List: Merit Answer Guide MLR 1 “RAP ABCH” MLR 2a “Shock” MLR 2b “Victim Card” (one copy per three boys) MWS 3 “Shock and Weather Ailments” MES 4 “Shock Flowchart” Blankets and pillows (one per three boys) Overhead projector and transparency or a large piece of butcher paper and tape. Firsd Aid Skills
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RAP ABCH Review Safety is the primary concern.
DR Workbook MWS 3, Pg. 201 Safety is the primary concern. R = Responsiveness (Is the victim conscious?) A = Activate EMS or 911 P = Position (no spinal injury, position according to injury) A = Airway (is it blocked? Check head position) Review each using the MLR 1 “RAP ABCH” overhead Firsd Aid Skills
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RAP ABCH Review B = Breathing (is the victim breathing? Check!)
DR Workbook MWS 3, Pg. 201 B = Breathing (is the victim breathing? Check!) C = Circulation (Is there a pulse? Check!) H = Hemorrhaging (Is the victim bleeding?) Perform secondary survey. Examine the victim for other injuries and wait for medical attention to arrive. Firsd Aid Skills
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Heimlich Maneuver Used only when the victim is conscious and is unable to breath or cough. Victim coughing, encourage to continue. If the victim goes unconscious, use Abdominal Thrusts Firsd Aid Skills
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DR Workbook Requirement 7a, Page 196
Heimlich Maneuver DR Workbook Requirement 7a, Page 196 Stand behind victim. Wrap arms around victim’s waist and not around the ribs. Make a fist and place the thumb side of your fist just slightly above the navel. Grab your fist with your other hand. Demonstrate as you review these slides Firsd Aid Skills
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DR Workbook Requirement 7a, Page 196
Heimlich Maneuver DR Workbook Requirement 7a, Page 196 Press into the victim’s stomach with five quick upward thrusts. Each thrust should have a pause in between. After every five thrusts, recheck the victim. Repeat until the object has been dislodged of until the victim loses consciousness. Have boys pair up. Simulation only, stress that they are not to actually pull into the stomach!!!! Time To Practice! Firsd Aid Skills
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DR Workbook Requirement 7b, Page 196
Abdominal Thrusts DR Workbook Requirement 7b, Page 196 Place victim on his or her back. Straddle the victim by sitting on their thighs. Place the heel of one hand just slightly above their navel. Your fingers should be angled slightly upward, pointed toward the victim’s head. Firsd Aid Skills
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DR Workbook Requirement 7b, Page 196
Abdominal Thrusts DR Workbook Requirement 7b, Page 196 Grasp your hand by placing your other hand on top and lacing your fingers into the first hand. Press inward and upward with five quick thrusts. Each thrust should have a pause in between. Firsd Aid Skills
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DR Workbook Requirement 7b, Page 196
Abdominal Thrusts DR Workbook Requirement 7b, Page 196 After every five thrusts, recheck the victim. Repeat until the object has been dislodged or until you are relieved by another person or an EMT. Perform finger sweep after each set of five thrusts. Have boys pair up. Simulation only, stress that they are not to actually pull into the stomach!!!! Time To Practice! Firsd Aid Skills
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Fluids Conscious Burned
Preserve Body Heat Head and Shoulders Page 202 Eight to Twelve Left Use overhead for clearer picture. Click for each text highlight. Have Rangers fill in. Small Water Fluids Conscious Burned Firsd Aid Skills
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DR Workbook, Question 5a, Page 195 & Question 11, Page 201
Shock - Treatment DR Workbook, Question 5a, Page 195 & Question 11, Page 201 Preserve body heat by placing a blanket or cover over the victim. Provide insulation, or move the victim, if possible, to a warmer environment. Have Rangers fill in Requirement 5, page 195 and answer Question 11 on page 201, DR Workbook Firsd Aid Skills
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Shock - Treatment Illustration of keeping victim warm by covering with blanket and elevating legs 8 to 12 inches. Firsd Aid Skills
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DR Workbook, Requirement 5b, Page 196
Shock - Treatment DR Workbook, Requirement 5b, Page 196 Allergic Reaction First Question: Is shock the result of an allergic reaction? If the shock is the result of an allergic reaction, then follow victim's instructions for treating allergy and monitor the "ABCH’s" until medical attention arrives. Review using chart MLR 2a, page 192, Red Merit reference guide on overhead. Firsd Aid Skills
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DR Workbook, Requirement 5b, Page 196
Shock - Treatment DR Workbook, Requirement 5b, Page 196 Spinal injury – do not move the victim. If result of a head injury or if victim has difficulty breathing, elevate head and shoulders by placing a pillow or blanket under head. If the victim is unconscious or vomiting, then turn the victim on their left side so the stomach is on the left side of the body. Review using chart MLR 2a, page 192, Red Merit reference guide on overhead. Firsd Aid Skills
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DR Workbook, Question 5b, Page 196
Shock - Treatment DR Workbook, Question 5b, Page 196 If no, elevate legs eight to twelve inches off the ground. If less then two hours from medical care, then do not give fluids (except to those who are conscious and are severely burned). If no, give small and periodic amounts of water (only if conscious). Wait for medical attention to arrive. Review using chart MLR 2a, page 192, Red Merit reference guide on overhead. Firsd Aid Skills
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Weather Related Emergencies
Weather related emergencies include: Hyperthermia: Heat related, body unable to cool itself Heat Exhaustion: Skin cold & clammy, person alert Heatstroke: Skin hot, altered state of awareness Hypothermia: Cold related, body unable to warm itself Frostbite: Freezing of the extremities (fingers & toes) Frostnip: First stage of freezing outer layers of skin Firsd Aid Skills
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Treatment for Hyperthermia
Weather Related Emergencies Treatment for Hyperthermia Question 13. Pg. 201 “The body is unable to itself.” COOL List below on page 196, Requirement 6a. Move person into a cool place; remove any excess clothing; cool victim with either water, fanning, or cool packs under the armpits or groin; wait for medical attention, in the case of heatstroke. Explain that Rangers need to write in the red text in their workbooks on page 201 and 196 as a part of their requirements Firsd Aid Skills
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Treatment for Hypothermia DR Workbook Question 14, pg. 201
Weather Related Emergencies Treatment for Hypothermia DR Workbook Question 14, pg. 201 “The core body temperature drops below degrees.” Ninety-five Firsd Aid Skills
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Treatment for Hypothermia DR Workbook Question 6b, Pg. 196
Weather Related Emergencies Treatment for Hypothermia DR Workbook Question 6b, Pg. 196 Move the victim out of the cold; handle the victim carefully; replace wet clothes with dry clothes. You may need to be forceful verbally to get the individual to comply; Insulate from the cold with layered clothing and/or an insulated sleeping bag. Firsd Aid Skills
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Lesson 2 Review Questions
True-False Questions MWS 3, Pg. 201 T F 15. Hyperthermia occurs when the body loses the ability to cool itself and overheats. T F 16. When you have frostbite, rub the hands together slowly to warm them up. T F 17. Hypothermia occurs when the body loses its ability to keep itself warm. T F 18. Shock may occur with any injury, illness, or trauma. Firsd Aid Skills
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Lesson 2 Review Questions
True-False Questions MWS 3, Pg. 201 T F 19. Itching eyes is a sign of hypothermia. T F 20. Clammy skin is a sign of heat exhaustion. 21. Describe the treatment needed for the following scenario: You have come to an accident scene, and the victim is sitting on the curb. He of she seems a little upset, is shivering, and there is some discoloration of the skin. How do you treat this person? Check “RAP ABCH”. Cover with blanket. Ask if it is an allergic reaction. Seek medical attention. Firsd Aid Skills
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Lesson Three Firsd Aid Skills
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Lesson Three – Objectives
Explain and demonstrate first aid for a cut. Explain how to treat a blister. Explain and demonstrate first aid for a puncture wound. Explain and demonstrate first aid for arterial bleeding of an arm or leg. Explain and demonstrate how to stop bleeding. Materials List: Merit Answer Guide MLR 3 “Bleeding” MWS 5 “Bleeding and Burns” MWS 6 “Bleeding Flowchart” Overhead projector w/transparencies or large paper/tape Mole Foam (or 1/8” sticky-back foam) Moleskin Needle Colored Stickers (1/4” diameter) Plastic Bag – Pin - Water Bandages (one per boy) Strips of Cloth - Sterile Dressings Ointment Plastic Bottle – Pencil - Paper Cup Latex gloves or additional plastic bags Firsd Aid Skills
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DR Workbook, Requirement 8b, page 196
Blister Treatment DR Workbook, Requirement 8b, page 196 Remove the object or clothing that is causing the blister. Wash with warm water and soap. Use a sterile needle to pop the blister at its base and drain. Place a donut-shaped piece of mole foam around it to keep it from further irritation. Ask the boys what kinds of injuries they have experienced while camping Blisters are caused by clothing or equipment repeatedly rubbing against the skin. A blister will almost always get worse and pop if left alone because of repetitive rubbing Treat a blister as soon as it appears. Properly fitted footwear and clean socks are the best prevention for foot blisters. Keep clean in order to prevent infection. Firsd Aid Skills
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DR Workbook, Page 203 “Bleeding and Wounds”
Blister Treatment DR Workbook, Page 203 “Bleeding and Wounds” Treating a Blister Remove footwear then The best place to pop the blister is tear off the roof of the blister. The best way to prevent blisters is to wear fitted footwear. wash the blister with warm water and soap. at the base. Do not properly Firsd Aid Skills
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Puncture Wound Treatment Dr Workbook, Requirement 8c, page 197
Larger wounds - never remove barriers (may cause wound to bleed again). Wash gently with outward strokes to move dirt and bacteria away from wound. Use a stream of water to flush it out. Dry carefully, apply antibacterial ointment (for small wounds) and sterile bandage. Result from sharp objects, such as a nail, large splinter, knife, or needle, piercing the skin and underlying tissue. Puncture wounds come in many different sizes. Other examples are mosquito bites, spider bites, and snakebite (covered in lesson 4). These types of wounds do the most damage underneath the skin and may not leave much of a mark. It is possible that debris is left deep within the wound, making it prone to infection. Treatment based on what you find (object imbedded or not, type of bleeding). Do not remove a large object if still within the wound. Demonstrate by puncturing a plastic bottle with a pencil (if the object can be contained with a small cup, place it over it and wrap gauze around to immobilize). Otherwise wrap around the wound to immobilize. Instructions for washing out a minor wound above. Firsd Aid Skills
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Puncture Wound Treatment DR Workbook, Page 203 Question 2
Treating punctures: If the object has already been removed, treat the wound based on the type of that has occurred. The object acts as a and should not be The most important thing is to keep the object from bleeding plug removed. moving. Firsd Aid Skills
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DR Workbook, Requirement 8a, page 196
Minor Cut Treatment DR Workbook, Requirement 8a, page 196 Wash hands with soap and water. Apply direct pressure to the cut until it stops bleeding. Gently wash with soap and water and rinse it for a few minutes. Pat dry and add a bandage with small dab of ointment on it. Ask boys how serious a small cut is. (Give time for answers) Even a small cut may lead to infection (people used to die from these years ago). What changed? Cleanliness! Stress washing hands before meals, after washroom breaks, etc. More then just a rinse. Demonstrate proper care for a small cut (use another leader or audience member). Wash thoroughly and rinse. Demonstrate opening bandage without touching sterile area and explain why important. Apply ointment (only on smaller cuts) Have boys demonstrate on each other. Firsd Aid Skills
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DR Workbook Requirement 8d, page 197
Arterial Bleeding DR Workbook Requirement 8d, page 197 Check RAP ABCH first. Try to stop the bleeding using direct pressure. If the bleeding stops, treat for shock. If not, then: Elevate that part of the body above the victim's heart and continue with direct pressure. Firsd Aid Skills
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DR Workbook Requirement 8d, page 197
Arterial Bleeding DR Workbook Requirement 8d, page 197 If the bleeding stops, treat for shock. If not, then: Locate a pressure point and continue to apply direct pressure. The pressure points are located in the upper arm and where the leg joins the hip. Firsd Aid Skills
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DR Workbook Requirement 8d, page 197
Arterial Bleeding DR Workbook Requirement 8d, page 197 If the bleeding stops, treat for shock. If not, then: Seek immediate medical assistance. Never use a tourniquet. This is no longer a recommended treatment. Firsd Aid Skills
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DR Workbook, Page 203 Question 3
Preventing Infection DR Workbook, Page 203 Question 3 How to prevent infection and treat bleeding. The best way to prevent infection is to the wound. Fill out the flow chart (next slide). use a tourniquet. wash Never Firsd Aid Skills
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Page 204 Clean Direct Pressure Do Not Victim’s Heart Pressure Point
Click once for each highlight. Show MWS 6 on an overhead for clarity. Shock Danger Firsd Aid Skills
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Lesson 3 Review Questions
True or False, MWS 5, Page 203 T F 4. A foot blister occurs because of the constant rubbing of clothing of equipment against the skin. T F 5. Most wounds can be card for by applying direct pressure, cleaning, applying medicine, and applying a bandage. T F 6. A tourniquet is a good and safe way to control bleeding at a camp-out. T F 7. Arterial bleeding is considered a simple wound. Firsd Aid Skills
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Lesson 3 Review Questions
True or False, MWS 5, Page 203 T F 8. A deep puncture wound is not serious and does not need to be treated by a doctor. T F 9. Applying ointment is not a method to control bleeding from a large wound. Set up four stations for testing: Treating a cut, treating a blister, treating a puncture, treating arterial bleeding. Recreation: Relay Race – by patrols or evenly divide boys; begin at start line; run to commander; commander asks a True/False question from previous three weeks; if correct, he returns to group and tags next boy; if incorrect, then counts to fifteen and then return. First team to finish wins. Let’s Practice Firsd Aid Skills
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Lesson Four Firsd Aid Skills
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Lesson Four – Objectives
Explain and demonstrate how to respond to poisonings. Explain and demonstrate first aid for insect bites. Explain how to remove a splinter from a finger. Explain how to treat poisonings. Materials List: Merit Answer Guide MLR 4a “Poisons and Bites” MLR 4b “Progressive Skills Game” MLR 4c “Progressive Skills Game Answers” MWS 7 “Poisons and Bites” MS 8 “Poisons and Bites Flowchart” Overhead projector w/transparencies or two large pieces of paper/tape. Adventures in Camping Water – Soap - Ice Plastic Card (Old Credit card) Hot Dogs Tweezers Wood splinters Calamine Lotion Gauze bandages or strips of cloth Bandages Five strips of paper (1” x 11”) Firsd Aid Skills
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Use MWS 8: “Poisons and Bites Flowchart”, Pg. 206
Poisons can enter the body one of four ways: Inhalation Ingestion Injection Absorption Use overhead with MLR 4a “Poisons and Bites” flowchart on it to illustrate each area. Next slide will start on left side with poison ivy (Absorption). Firsd Aid Skills
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Page 195 Firsd Aid Skills
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DR Workbook Question 9c, Page 197
Poisoning Treatment DR Workbook Question 9c, Page 197 Absorbed, like Poison ivy, Immediately wash the area with soap and water. Then take a cool bath and apply calamine lotion. If it spreads and painful, then seek medical attention. Firsd Aid Skills
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DR Workbook Question 9c, Page 197
Poisoning Treatment DR Workbook Question 9c, Page 197 Poisonous injections: i.e. Snakebites, Identify the snake, if possible. Then clean the bite with soap and water and keep bite below heart level. Seek medical attention. Firsd Aid Skills
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DR Workbook Question 9c, Page 197
Poisoning Treatment DR Workbook Question 9c, Page 197 If the poison is inhaled or swallowed; Check "ABCH" and treat for shock. Seek medical attention and call the Poison Control Center Poison Control number is nationwide. Firsd Aid Skills
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Insect Bite or Sting Treatment DR Workbook Question 9a, Pg. 197
If possible, try to catch the spider or insect without risk to you. Check to see if the stinger is in the skin. If not, Clean the area, apply ice to reduce swelling. Firsd Aid Skills
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Insect Bite or Sting Treatment DR Workbook Question 9a, Pg. 197
If stinger is found, gently scrape the stinger out of the wound using a plastic card or fingernail, pulling away from the wound to minimize amount of toxin released into the body. Do not squeeze stinger. Treat wound as a minor cut. Firsd Aid Skills
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Insect Bite or Sting Treatment DR Workbook Question 9a, Pg. 197
Next, check to see if the victim is allergic to the bite. Look for signs of shock and swelling. If no, then seek medical attention or an adult for assistance. If yes, check “ABCH,” treat for shock, and immediately seek medical attention. Firsd Aid Skills
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Splinters and Ticks - Treatment DR Workbook Question 9b, Pg. 197
Use tweezers to carefully remove. If splinter breaks, use sterilized tweezers. Remove remainder of splinter, and treat wound as a minor cut. Firsd Aid Skills
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Splinters and Ticks - Treatment DR Workbook MWS 7, Question 1, Pg. 205
Treating a splinter. Remove as much of the splinter as If the splinter breaks off, sterilize the cut into the skin. possible. tweezers. Do not Firsd Aid Skills
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Splinters and Ticks - Treatment DR Workbook MWS 7, Question 2, Pg. 205
Treating a tick. Do not yank the tick out, but pull it out. After removing the tick, the area and watch for Contact medical attention if swelling, or persists. slowly clean infection. redness, itching Firsd Aid Skills
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Page 195 ABCH Wash Clean Calamine Remove Identify Shock
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Lesson 4 Review Questions
True or False, MWS 7, Page 205 T F 3. To remove a tick, just yank it off of your body. T F 4. Call the Poison Control Center if poison is swallowed or inhaled. T F 5. For a snakebite, slice the wound, suck out the venom, and spit it out. T F 6. To remove the oils that rub onto the body from poison ivy, poison oak, or poison sumac, you should change your clothes and wash thoroughly. Firsd Aid Skills
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Lesson 4 Review Questions Let’s Play the Progressive Skills Game
True or False, MWS 7, Page 205 T F 7. Tweezers are needed to remove a splinter. T F 8. A plastic card could be used to remove a stinger from an insect bite. Have the boys practice by scrapping wood splinters from hot dogs using a plastic card. Display the transparency of MLR 4b “Progressive Skills Game. Use the strips of paper (horizontally) to cover the questions. When a question is asked, pull the strip to the right, exposing the next question. Begin by asking the question on the top left-hand side of the page. Proceed across the top until the entire first row has been exposed, then proceed to the next line. Divide the class into patrols and ask the first boy a true or false question. If correctly answered the patrol earns the listed points. The last five-hundred-point question requires a written response by the entire team. Let’s Play the Progressive Skills Game Firsd Aid Skills
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Lesson Five Firsd Aid Skills
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Lesson Five – Objectives
Demonstrate and explain first aid for simple burns. Assemble a personal first aid kit. Learn where a first aid kit should be stored. Materials List Merit Answer Guide MLR 5a “Burns” MLR 5b “Scenarios” (one per boy) MWS 9 “Burns and First Aid Kit” MWS 10 “Burns Flowchart” Pictures of First-, second-, third-degree burns Clean cloths or gauze bandages Bucket of Water Overhead projector w/transparencies or large paper/tape First Aid Kit (see Preliminary Information) Firsd Aid Skills
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Degree of Burn First Degree Burn Second Degree Burn Third Degree Burn
Epidermis Dermis Hypodermis Second Degree Burn Third Degree Burn Firsd Aid Skills
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Burns – Degrees of Burns DR Workbook MWS 9: Question 1, Pg. 207
First-degree burn Only the top layer of skin is The skin is only mildly There is only a little These burns usually within a week. burned. discolored. swelling. heal Firsd Aid Skills
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First-Degree Burn Redness (Erythema) First Degree Burn
Damage to the outer layer of skin (epidermis), causing pain, redness, and swelling. Epidermis Dermis Hypodermis Firsd Aid Skills
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Burns – Degrees of Burns DR Workbook MWS 9: Question 2, Pg. 207
Second-degree burn layers of skin are burned. The skin has a appearance. There is greater swelling, and there are These burns take up to three weeks to heal and should be attended by a Several spotty or blotchy blisters. physician. Firsd Aid Skills
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Second-Degree Burn Blisters (Bulla) Second Degree Burn
Damage to both outer skin and underlying tissue layers (epidermis and dermis), causing pain, redness, swelling, and blistering. Blisters (Bulla) Firsd Aid Skills
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Burns – Degrees of Burns DR Workbook MWS 9: Question 3, Pg. 207
Third-degree burn layers of skin are burned. There is discoloration. Some skin may be These burns can be Many severe charred. life threatening. Firsd Aid Skills
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Full thickness burn with tissue damage
Third-Degree Burn Full thickness burn with tissue damage Third Degree Burn Damage extends deeper into tissues (epidermis, dermis, and hypodermis) causing extensive tissue destruction. The skin may feel numb. Firsd Aid Skills
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DR Workbook Question 10a, Pg. 197
Heat Burn Treatment DR Workbook Question 10a, Pg. 197 Go through “RAP ABCH” first, then ask if burn was caused by heat. Determine degree and amount of burn. If it is a third-degree burn or large second-degree burn, use the “ABCH”, then treat for shock. Do not attempt to pull off the clothing because skin may come with it. Firsd Aid Skills
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DR Workbook Question 10a, Pg. 197
Heat Burn Treatment DR Workbook Question 10a, Pg. 197 Cut it off if attached to the skin. Apply a sterile dressing and elevate. Seek immediate medical attention. Burn is first-degree or small second-degree, apply cold water/compress until pain stops. If you must use ice, provide a barrier. Do not apply an ointment. Firsd Aid Skills
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Chemical Burn Treatment DR Workbook Question 10b, Pg. 198
Determine if burn was caused by a dry chemical. If so, brush it off, remove clothing, wash area fifteen to twenty minutes. If not caused by dry chemical, remove clothing and jewelry, wash area for fifteen to twenty minutes. Seek medical attention in both cases. Firsd Aid Skills
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Electrical Burn Treatment DR Workbook Question 10c, Pg. 198
If burn is not chemical, then it’s an electrical burn. Is victim in contact with electrical source, are you at risk. If yes, ask adult to turn off power. May entail calling 911 to have then call appropriate person. Treatment same as heat burn. Firsd Aid Skills
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Electrical Burn Treatment DR Workbook Question 10c, Pg. 198
In all cases, monitor wound for signs of infection. Large wounds – seek medical attention to reduce risk of infection. Serious burn, monitor for signs of shock. Firsd Aid Skills
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Pg. 209 Safety Shock Wash Cold Before Wash Power
Review MSW 10 “Burns Flowchart” page 209 with MLR 5a “Burns” overhead, page 198 Red Merit Leaders Guide. Click mouse each time to highlight areas that need fill in. Wash Power Firsd Aid Skills
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First Aid Kit DR Workbook MWS 9, Pg. 207 Container – To keep all first aid items in one common container. Gauze Pads -To cover wounds and prevent infection. Roll Bandage -To stabilize strains and sprains and cover wounds. Triangular Bandage -To cover wounds and prevent infection . Firsd Aid Skills
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First Aid Kit Bandages -To stop minor bleeding and prevent infection.
DR Workbook MWS 9, Pg. 207 Bandages -To stop minor bleeding and prevent infection. Adhesive Tape -To secure bandages to wounds. Antibacterial Ointment -To prevent infection on small cuts. Firsd Aid Skills
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First Aid Kit Calamine Lotion -To prevent itching.
DR Workbook MWS 9, Pg. 207 Calamine Lotion -To prevent itching. Soap -To clean minor wounds and cuts and to prevent infection. Latex Gloves -To protect the rescuer from infection and blood pathogens. Firsd Aid Skills
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Now transfer to page 198, Question 11a
First Aid Kit DR Workbook MWS 9, Pg. 207 Bandage Scissors -To cut gauze and bandages. Tweezers -To pull splinters. Moleskin -To protect blisters and prevent infection. Now transfer to page 198, Question 11a Firsd Aid Skills
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First Aid Kit Where should a first aid kit be placed?
DR Workbook Question 11b, Pg. 198 Where should a first aid kit be placed? It should be placed in a visible location near the center of the activities. Everyone should be aware of its location. Firsd Aid Skills
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Lesson 5 Review Questions
True or False, MWS 9, Page 208 T F A first-degree burn should be cooled using ice, not water. T F When helping a victim with a chemical burn, quickly rinse the burn for a few seconds. T F You should remove clothing from a burn, even if it is sticking, so you can treat it more effectively. T F When approaching a victim or electrical burns, you should make sure the power is off. 17. F 18. F 19. F 20. T Firsd Aid Skills
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Lesson 5 Review Questions
True or False, MWS 9, Page 208 T F Duck tape is an important item in a first aid kit. T F Large second-degree burns are just as dangerous as third-degree burns. 21. F 22. T Final Assessment challenge – each boy will correctly assess each patient from MLR 5b “Scenarios”. Boys in each patrol will garnish points collectively based on the performance of every Ranger. Allow boys to have RAP ABCH charts (MWS 2, 4, 6, 8 and 10). Let each patrol know they will be deducted 10 points for each boy using the chart & every step missed in their first aid assessment will cost 5 points. Patrol gains five points for each correct answer. Every time a boy mentions a sentence in each box, add 5 points. Not timed but all three scenarios must be completed. Have a copy of MLR 5 for each boy. Let’s Play Scenarios Firsd Aid Skills
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Make sure all work is completed in your Workbook.
Summary Make sure all work is completed in your Workbook. Have your commander sign off on each completed advancement. God Bless You and let’s pray! Firsd Aid Skills
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