dan demp cards 2015

BLS: CPR and First Aid_..... :a;-: "_ -,;- ~-,' ••••• ~. '~"",~.-~:'.. "~_"' .• -. _.~~~~"--~ '---_ ~. ,_ •• _

Scene Safety Assessment

Initial Assessment• Assess responsiveness and normal breathing

o Tap the individual's collar bone and loudly ask "Are you OK?"o State your name and desire to help

• If the individual responds, have him remain in the position found• If unresponsive but breathing normally, place in recovery position• If not breathing normally, begin CPR

o Use log roll to turn individual onto his back if not already supineo Shout for help or send a specific person to call EMSo Begin CPR

CPRDo not delay CPR to wait on an AED or other equipment.• Use nipple line to find landmark at center of the chest for compressions• Deliver 30 compressions.

o Compress at a rate of at least 100 per minute.o Compress to a depth of at least 2 inches (5 cm).

• Place oronasal resuscitation mask on the person's face• Open airway using head tilt-chin lift• Deliver two normal breaths

o Each breath should last about 1 secondo Watch for chest to rise and fall

• Continue CPR cycles of 30:2

Using an AED• Turn the unit on, and follow prompts provided by the unit.• Bare and dry the person's chest.

o It may be necessary to cut away clothing or shave off chest hair.• Apply pads firmly to the patient's chest.

o Follow illustrations on pads for placement.• If the AED indicates 'shock advised',

o Clear the scene both verbally and visually.o State: "I'm clear, you're clear, all clear."

• Deliver shock when indicated.• Immediately following the shock, begin chest compressions.• Deliver 2 minutes of CPR.• Follow prompts of the AED unit.If signs of breathing return, place the patient in the recovery position.Continue to monitor the patientBe prepared to resume CPR if needed.

Emergency Hotline (+1-919-684-9111) ~DAN·

BLS: CPR and First Aid _,.--,; . -._

Turn over to EMS• While waiting for EMS, continue to monitor the patient.• Leave the AED in place and turned on.• Provide a brief report to EMS indicating:

o Nature of incidento Initial conditiono Care delivered including CPR and AED shockso Current conditiono Length of time patient was not breathing and without circulationo Estimated time CPR was initiated

Foreign Body Airway Obstruction• Locate navel and place balled fist, thumb in, against stomach above navel.• Place other hand over fist.• Pull sharply inward and upward until obstruction is released.• If patient becomes unconscious, begin CPR, starting with compressions.

First Aid• Bleeding

o Apply direct pressure to the wound until the bleeding is controlled.- Apply dressing; use additional absorbent material if needed.

o Bandage the dressing in place, wrapping toward the heart.- Verify circulation in finger tips and toes

o Do not remove impaled objects; instead secure them in placeto avoid further injury.

• Shocko Maintain normal body temperature (provide warmth/cooling as needed).o If no spinal injury is suspected, elevate legs slightly.o Do not provide food or drink.

• Splintingo Apply splint to injured limb (splint in the position found).o Pad injured area to support and protect.o Use sling for arm splints.

Secondary Assessment• Use eyes and hands to check for abnormalities, bleeding or other body fluids.• Inspect individual from head to foot palpating gently and visually checking:

o Scalp, face, nose and earso Neck and collarboneso Ribs and abdomeno Hips and legso Arms and grip strength

• Have patient wiggle fingers and toes.

Emergency Hotline (+1-919-684-9111 )

Scene Safety AssessmentS Stop.

Initial Assessment• Assess responsiveness and normal breathing

- Tap the individual's collar bone and loudly ask "Are you OK?"- State your name and desire to help.

• If the individual responds, have him remain in the position found.• If unresponsive but breathing normally, place in recovery position• If not breathing normally, begin CPR.

- Use log roll to turn individual onto his back if not already supine.- Shout for help or send a specific person to call EMS.

Steps to Initiate Oxygen Delivery• Turn the unit on with one full turn.• Check the pressure gauge on the tank to assure cylinder is full.• Ask the injured diver for permission to assist:

- "This is oxygen. It may help you feel better. May I help you?"- If the diver is unresponsive, permission is assumed.

Breathing Diver - Demand Valve• Constant flow setting should be in the OFF position.• Place an oronasal mask on the demand valve.• Take a breath from the oronasal mask and exhale away from the mask.• Place the mask over the injured diver's mouth and nose.• Instruct the injured diver to breathe normally from the mask.• Instruct the injured diver to hold the mask to help maintain a seal.

- Assist with elastic strap for good seal.

Breathing Diver - Non-Rebreather Mask• Stretch oxygen tubing to remove kinks.• Attach tubing to constant flow outlet.• Set constant flow control at 10-15 Ipm.• Prime mask reservoir bag.• Place mask over injured diver's mouth and nose.• Adjust nose clip and elastic strap to ensure a (snug) seal.• Adjust flow up or down to meet the needs of the injured diver.

- If reservoir bag deflates completely, increase flow.- If flow has been increased to maximum Ipm and bag still deflates,

switch to demand valve.

Emergency Hotline +1-919-684-9111 ~DAN·

Non-Breathing Diver -Bag Valve Mask (BVM)First rescuer begins CPR.Second rescuer prepares oxygen equipment then maintainsairway and seal.• Stretch tubing to remove kinks.• Connect tubing to constant flow outlet.• Set constant flow to 15 Ipm; allow reservoir bag to fill.• Position mask over injured diver's mouth and nose.• Open airway using head tilt-chin lift, lifting jaw into mask and creating seal.• First rescuer ventilates injured diver by gently squeezing the bag about

one-third of volume causing chest to rise.- Each ventilation should last 1 second.- Watch for chest to rise then fall between ventilations.

• Continue CPR cycles of 30:2.If oxygen supply runs out, continue to ventilate using room air.

Non-Breathing Diver -Manually Triggered Ventilator (MTV)First rescuer begins CPR.Second rescuer prepares oxygen equipment then maintainsairway and seal.• Check MTV safety valve to ensure proper function.

- Press resuscitation button, block outlet - flow should stop.- Do not use if it does not function properly.

• Connect oronasal resuscitation mask to MTV.• Open airway using head tilt-chin lift, lifting jaw into mask and creating seal.• First rescuer ventilates injured diver by pressing resuscitation button.

- Deliver 2 breaths for 1 second each.- Watch for chest to rise then fall between ventilations.

• Continue CPR cycles of 30:2.If oxygen supply runs out, switch to another ventilation method.

General Guidelines• Monitor oxygen supply.• Monitor injured diver for signs of circulation.• Never leave injured diver alone.


II

HistoryDate Time _

First Name MI Last Name _

Conduct F A S T (check areas of abnormal findings)

o Facial Symmetry 0 Arms 0 Speech/Sudden Headache 0 Time (activate EMS)

Complete SAM P L E (note responses in spaces provided)

Signs and Symptoms

Allergies _

Medications _

Pre-existing conditions _

Last oral intake (what and time) _

Events leading up to incident _

For Divers:Dives during previous 24 hours:Last dive - Depth __ Bottom Time __ Breathing Gas _Surface interval _

Previous dive - Depth __ Bottom Time __ Breathing Gas _Surface interval _



Previous dive - Depth __ Bottom Time __ Breathing Gas _

Unusual features of any dive _

Did the diver use (check as applicable): 0 Computer 0 Dive Tables 0 Other

Location of any pain _

Does movement change level of pain? (circle one) Yes No

NOTE: attach dive buddy and/or witness comments:

Emergency Hotline (+1-919-684-9111)

II

Vital Signs Pulse _

Mental FunctionConsciousness (check one):o Alert

o Verbal

o Pain

o Unresponsive

Respiration rate _

Orientation (check erroneous answers):o What is your name?

o Where are you?

o What is the day and time?

o Why are you here?

Ability to follow commands (check one)"Stick out your tongue and close your eyes."

Name 3 objects (able to complete - check one)

o Yes 0 No

o Yes 0 No

Abstract reasoning (able to explain relationship): 0 Yes 0 NoEx.: Father/Son Student/Teacher Pencil/Paper

Calculations - count backwards from 100 by 7s (circle misses):93 86 79 72 65 58 51 44 37 30 23 16 9 2

Memory - recall of 3 items identified earlier (check one): 0 Yes 0 No

Cranial NervesEyes (circle any direction unable to look): Left Right Up Down

Facial Symmetry "Close your eyes and Smile"

Hearing Symmetrical from about 1 foot (circle one):

o Yes 0 No

o Yes 0 No

Motor FunctionScale (note in blank next to area): Normal (N) Weak (W) Paralysis (P)Upper Body Shoulders L__ R__ Lower Body Hip-Flexors L__ R_

Biceps

Triceps

L_R_

L_R_

Quadriceps L__ R__

Hamstrings L__ R__

Foot - up L__ R__

Foot - down L__ R__

Finger spread L__ R__

Grip Strength L__ R__

Coordination and BalanceAble to complete: Finger - Nose - Finger (check one) 0 Yes 0 No

Walk (check one) 0 Normal 0 Wobbly 0 Unable

Romberg (check one) o Yes 0 No

Exam RepeatedTime _

Time _

Comments _

Comments _

Emergency Hotline (+1-919-684-9111)

•

Traumatic Injuries (control of external bleeding)Signs and Symptoms• Bites (teeth in wound) • Severe scrapes

First Aid1. Wash with soap and water.2. Control bleeding with direct pressure.3. Apply dressing and bandage.

4. Seek medical evaluation.5. Monitor for signs of infection.

Life-Threatening ComplicationsSigns and Symptoms• Anaphylactic shock (swelling, itching, airway narrowing, respiratory distress)• Cardiogenic shock (pale, clammy skin; severe shortness of breath; weak pulse)• Hypovolemic shock (pale, clammy skin; confusion; weakness; rapid breathing)

First AidAll are MEDICAL EMERGENCIES. Alert local emergency medicalservices immediately.1. Anaphylaxis: Assist with any prescribed allergy medications.2. Cardiogenic: Have victim lay on back or in a position of comfort; monitor

responsiveness.3. Hypovolemic: Control any bleeding; lay victim on back or in position of comfort;

monitor responsiveness.

Seafood POisoningSymptoms may progress rapidly with nx poisoning. Activate emergencymedical services immediately if neurological symptoms appear.Signs and Symptoms• Abdominal pain, gastroenteritis• Nausea, vomiting• Diarrhea• Numbness, tingling

• Itching• Lack of muscle coordination• Paralysis• Reversal of hot and cold perception

First Aid1. Monitor responsiveness.2. Contact the local poison control center. Save fish or vomitus for

analysis if available.3. Seek evaluation from a medical professional when seafood

poisoning is suspected .


• Emergency Hotline +1-919-684-9111

dan demp cards 2015

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