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15.11 Pages 432-435 LEQ: How does a specific injury require a specific type of first aid?
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Heart Attack Coronary Thrombosis, Coronary Occlusion, Myocardial Infarction (MI or AMI) When one or more of the coronary arteries are blocked (Lab: CKMB + ) S/S: Severe Chest Pain, Radiates to Jaw, Arm, and Neck, SOB, Lips or nail beds may become blue, The victim may feel anxious, weak, and apprehensive, N/V, diaphoresis, and loss of consciousness may occur Female patients do not always present the same way as males (Watch Carefully and Eval the HX)
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CVA (Cerebrovascular Accident) When a clot prevents blood flow to a part of the brain (TIA: Intermittent Claudication) S/S:Varies, Numbness, Paralysis on One Side, Pupils are Unequal, Mental Confusion, Slurred Speech, N/V, Dyspnea, Dysphagia, or Loss of Consciousness YOU MUST GET HELP IMMEDIATELY (Au Hr) TPA may be given (Tissue Plasminogen Activator) which is also known as a clot buster
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Fainting (Syncope) When there is a temporary reduction in blood supply to the brain Dizziness, Diaphoresis, Extreme Pallor, Cold Skin, Nausea, Numbness & Tingling in the feet and hands (lay them in recover position) Once in the recovery position, use cool water on their face, look for other injuries, and keep them flat until their color improves and they feel better Fainting can be a S/S of a serious illness or condition so monitor the patient closely
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Convulsion (Seizure) Can occur w Hyperthermia, Head Injuries, Brain Disease, Epilepsy, ETOH WD, or Drug OD During a Seizure, the victim may shake violently and loose all ability to control their body Keep all dangerous items away and try to keep the head protected with a pillow, blanket, etc.. DO NOT restrain them or place anything in the pts mouth Monitor the time, body parts involved, and if the patient vomits to report to EMS
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Diabetic Reactions DIABETIC COMA Hyperglycemia Flush Face, Fruity Breath, tongue dry, labored prolonged breathing, Hypotension, Tachycardia, Dry Skin, Results from an insufficient dose of Insulin INSULIN SHOCK Hypoglycemia Excited, Nervous, Shaky, Irritable, Confused, Behavior Change, Pale Face, Shallow Rapid Respirations, Normal BP, Pounding Pulse, Diaphoresis, Trembling If Conscious have them drink a high sugar liquid Look for Glucogon Shot
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