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Check Victim

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					     Chapter 1
      part 3

Life-Threatening and
Non-Life Threatening
      Conditions
       Checking for Life
    Threatening Conditions
   An emergency situation is rarely clear
    cut.
   The exact steps you take will vary
    depending on what you find when you
    reach the victim.
   In every emergency, follow the
    emergency action steps.
       Checking for Life
    Threatening Conditions
   STAY CALM
   CHECK the scene, then CHECK the
    victim.
   CALL 9—1—1 or the local emergency
    number.
   CARE for the victim until EMS
    personnel arrive.
       Checking for Life
    Threatening Conditions
   During the CHECK step, check the victim
    first for any life- threatening conditions.
   Conditions that are an immediate threat to
    life include—
    • Unconsciousness.
    • Not breathing.
    • No heartbeat (or pulse).
    • Severe bleeding.
       Checking for Life
    Threatening Conditions
   A victim who can speak or cry is conscious,
    breathing, and has a heartbeat.

   However, the person may still have a life-
    threatening condition that requires calling
    EMS personnel. For instance, a person may
    have difficulty breathing, persistent chest
    pain, or may drift in and out of
    consciousness.

   When possible, the victim should always be
    checked in the position in which he or she is
    found. For a conscious infant or child, this
    may be in the arms of a parent or caregiver.
Checking an Unconscious
         Victim
   Start by checking consciousness. Then check
    the airway, breathing, and circulation. (ABC)

   Sometimes the victim’s position may make
    checking for breathing impossible. In this
    case, you must carefully roll the victim onto
    his or her back, but avoid twisting the spine.

   Then complete the check for life-threatening
    emergencies.
Critical Thinking Scenario

As you ride along the bike trail on your
  way home, you are tired but relaxed.
  You must have ridden at least 10
  miles. Then as you round a sharp
  curve you abruptly swerve. A person is
  sprawled facedown across the trail.
  You stop your bike. It is very quiet.
  The person lies motionless on the
  pavement.
         Critical Thinking
            Questions
1.   What might you do to make the scene
     safe for you to check the victim?
2.   What kind of injuries or other problems
     might the victim on the bike trail have?
3.   If the victim on the bike trail does not
     respond when you tap, what would your
     next step be? Why?
       Checking for Life
    Threatening Conditions
   Checking a conscious person has two basic
    steps:
    1. Interview the victim and bystanders.
    2. Check the victim from head to toe.

   When possible, the victim should always be
    checked in the position in which he or she is
    found. For a conscious infant or child, this
    may be in the arms of a parent or caregiver.
     Checking A Conscious
            Victim
   When possible, remember to identify yourself and
    get consent to help.


   Begin interviewing by asking the victim four simple
    questions to help you determine what happened
    and the victim’s condition.
    These include—
       1.   What happened?
       2.   Do you feel pain anywhere?
       3.   Do you have any allergies?
       4.   Do you have any medical condition or are you taking any
            medications?
     Checking A Conscious
            Victim
   If the victim feels pain, ask the victim:
        1. To describe it.
        2. When the pain started.
        3. How bad the pain is.



   If the victim is unable to give you any
    information, ask family members, friends, or
    bystanders.
      Checking A Conscious
             Victim
   Do a head-to-toe examination. Start at the victim’s
    head, checking for changes in consciousness and
    breathing. Then check the victim’s skin. If you do
    not suspect an injury to the head, neck, or back,
    determine if there are any other specific injuries.

   Ask the victim to tell you if any areas hurt. Avoid
    touching any painful areas or having the victim
    move any area that is painful.
      Checking A Conscious
             Victim
   When checking a conscious child or infant, follow the same
    general steps as for an adult. In addition,—
         Start by checking toe-to-head. This will ease the
           child's comfort level.
         Communicate clearly with the child and parent or
           caregiver.
         Get at eye level and talk slowly and in a friendly
           manner.
         Ask simple questions the child can answer easily.
         When you begin the examination, begin at the toes
           instead of the head to give the child an opportunity to
           adjust to the process.
     Checking A Conscious
            Victim
   Use your senses—sight, sound, touch,
    and smell—to detect anything
    abnormal.
   Remain constantly aware of the
    victim’s level of consciousness. If the
    victim becomes unconscious at any
    time, stop your check and call 911 or
    the local emergency number.
     You are the Citizen
        Responder
                 Scenario 1
You see a car veer off the road, striking
 a utility pole. The pole splinters,
 dropping wires onto the vehicle. You
 decide to help. How would you
 respond?
     You are the Citizen
        Responder
                Scenario 2
You arrive at your grandfather’s home
 and find him motionless
 in the backyard. You hear a neighbor
 in the yard next door.
 You decide to help. How would you
 respond?
     You are the Citizen
        Responder
               Scenario 3
While jogging, you notice a bike rider
 fall as she rounds a corner on a rain-
 slick road. She is lying in the road
 moaning, with her crumpled bike
 nearby. You decide to help. How
 would you respond?
     You are the Citizen
        Responder
               Scenario 4
During a softball game, a ball is hit
 between two players. Both go for the
 ball. They collide, falling to the
 ground. One player is holding his arm,
 screaming in pain. The second player
 lies motionless. You decide to help.
 How would you respond?
    Checking The Victim Part 2
                          Closing
   CALL 9—1—1 or the local emergency number immediately if
    you determine a life-threatening condition exists,
    To provide care until EMS personnel arrive, follow these
    general guidelines:
          Do no harm.
           Monitor breathing and consciousness.
           Help the victim rest in the most comfortable position.
           Keep the victim from getting chilled or overheated.
           Reassure the victim.
           Provide any specific care needed.
                          Shock
   Shock is a life-threatening condition in which an
    insufficient amount of blood is being delivered to
    all parts of the body and can result from injury or
    illness
   Shock is likely to develop after any serious injury or
    illness
   A person showing signs of shock needs immediate
    medical attention
   Body systems and organs begin to fail
   The goals of first aid are to get help quickly and
    give care to minimize shock while caring for the
    illness or injury
       http://www.instructorscorner.org/media/videos/a5.html
          Signals of shock

   Restlessness
   Altered level of consciousness
   Nausea or Vomiting
   Pale, Ashen, Cool, Moist skin
   Rapid breathing
   Rapid, weak pulse
   Excessive thirst
           Caring For Shock
   Call 9-1-1
   Have the person lie down
    – Most comfortable position
   Control External Bleeding
   Help maintain normal body Temperature
   Do not give the person anything to eat or drink
   Reassure the person
   Continue to monitor Airway, Breathing, &
    Circulation

				
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posted:10/14/2012
language:English
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