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2/28/2018 1 Farm Family Emergency Care Recognition and Care of Emergent Problems in Rural Areas February 23, 2018 Joseph Debban BSN,CEN,EMT Manager AirCare and Communication Center Training Center Faculty for CHI Health Good Samaritan / Objectives KEEP IT SIMPLE 1. Review possible emergencies 2. Recognize emergencies 3. Manage emergency until EMS arrives to help 4. Discuss prevention Presentation Title 2

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Page 1: Farm Family Emergency - Women in Agriculture | Nebraska Farm Family Emergency.pdf · 1. Notify EMS and Protect yourself!!! 2. Decontamination –remove clothing and chemical 3. Most

2/28/2018

1

Farm Family Emergency CareRecognition and Care of Emergent Problems in Rural Areas

February 23, 2018Joseph Debban BSN,CEN,EMTManager AirCare and Communication CenterTraining Center Faculty for CHI Health Good Samaritan

/

Objectives

KEEP IT SIMPLE

1. Review possible emergencies2. Recognize emergencies3. Manage emergency until EMS arrives to help4. Discuss prevention

Presentation Title 2

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CHI Health Good Samaritan/

Rural Emergencies

1. Isolation interrupts “Chain of Survival”

2. Farms and Ranches expose families to unique hazards

3. Frequency of traumatic injury for farm families is higher than general population.  

Presentation Title 3

CHI Health Good Samaritan/

Chain of Survival

Agriculture Emergencies 4

A strong Chain of Survival can improve chances of survival and recovery for victims

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CHI Health Good Samaritan/

PREVENTION

“I always worried about that!”Hazard ‐ Anything that may cause an accident, injury or illness

1. Recognize Hazards2. How severely could it hurt someone?3. How likely is that to happen?

Control Risk!

1. Elimination – Remove the hazard2. Substitution – Find a safer way to do the same thing3. Engineering – guards, handrails, roll bars, etc4. Training and Protection – Helmets, Lap belts, 

Presentation Title 5

Environmental Emergencies

Page 4: Farm Family Emergency - Women in Agriculture | Nebraska Farm Family Emergency.pdf · 1. Notify EMS and Protect yourself!!! 2. Decontamination –remove clothing and chemical 3. Most

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CHI Health Good Samaritan/

Environmental Emergencies

Poisons and Chemicals  ‐ Every farm or ranch has a store of chemicals.

1. Notify EMS and Protect yourself!!! 2. Decontamination – remove clothing and chemical3. Most chemicals require flushing with large amounts of water for 

at least 15 minutes4. Consult Poison Control – put their number somewhere handy!

Presentation Title 7

Poisons, Chemicals, Heat and Cold Emergencies

CHI Health Good Samaritan/

Environmental Emergencies

Heat Stroke ‐ a prolonged increase in body temperature greater than 105˚F. Symptoms of heat stroke include hot, red, dry skin; lack of sweating; tachycardia; tachypnea; altered or unresponsive mental status; and hypotension.

Presentation Title 8

Poisons, Chemicals, Heat and Cold Emergencies

Page 5: Farm Family Emergency - Women in Agriculture | Nebraska Farm Family Emergency.pdf · 1. Notify EMS and Protect yourself!!! 2. Decontamination –remove clothing and chemical 3. Most

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CHI Health Good Samaritan/

Burns

1. Throw away your ointments, greases, and powders!!

2. Clean with cool water, do not use ice because it can cause further damage.

3. If chemical burn decontaminate area4. If can swallow, give plenty of water to drink.

Presentation Title 9

Medical Emergencies

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CHI Health Good Samaritan/

Medical Emergencies

Stroke:     Leading cause of long‐term disabilityTIME IS BRAIN

Presentation Title 11

Choking, Heart Attack, Stroke, Seizure, Fainting

CHI Health Good Samaritan/

Medical Emergencies

Heart Attack: Some heart attacks are sudden and intense — the "movie heart attack," where no one doubts what's happening. But most heart attacks start slowly, with mild pain or discomfort. Often people affected aren't sure what's wrong and wait too long before getting help. 

Signs and Symptoms: 

1. Chest Pain2. Shortness of Breath3. Pain in other areas (arms, back, neck, jaw, stomach)

Minutes matter! Fast action can save lives — maybe your own. Call 9-1-1 or your emergency response number.

Presentation Title 12

Choking, Heart Attack, Stroke, Seizure, Fainting

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CHI Health Good Samaritan/

Medical Emergencies

Presentation Title 13

Choking, Heart Attack, Stroke, Seizure, Fainting

CPR, especially if performed immediately, can double or triple a cardiac arrest victim’s chance of survival.

54% of people don’t receive CPR until EMS arrives

Don't be afraid. Your actions can only help. 

CHI Health Good Samaritan/

Choking

1. Ask “Are you choking?”2. Get behind victim, wrap arms around him.3. Make a fist with 1 hand.  4. Place below breastbone.5. Give thrusts until object is expelled.

Infants:

5 back blows, 5 chest thrusts

Presentation Title 14

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Traumatic Injury

CHI Health Good Samaritan/

Traumatic Injury

By far, the most common type of injury facing farmers and ranchers is  trauma. This broad category lumps together injuries from heavy and light machinery, falls, blunt force trauma, and penetrating trauma from farm or ranch 

animals.

Presentation Title 16

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CHI Health Good Samaritan/

Traumatic Injury

1. Don’t panic!2. Remove additional hazards (see next slide)3. Check on victim.  Control bleeding (leading cause 

of death from trauma)4. Call for help (see next, next slide)5. If it is necessary to move a victim that you even 

suspect has a spinal or back injury, keep the midline of the body as straight as possible and pull in a direction that is in a straight line with the victim's spine.

Presentation Title 17

CHI Health Good Samaritan/

The “Show Me” List

1. How to turn off ignition on equipment2. How to drive forward and in reverse3. How to disengage the PTO4. How to turn off augers and elevators5. How to disconnect electrical power6. How to turn on fan to get air moving in manure pits7. Where is personal protective equipment (masks, gloves, 

etc)8. How to work Grain Bin controls (turn on fan, turn off 

drier, stop auger)

Presentation Title 18

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CHI Health Good Samaritan/

Can we find you?

1. Many roads in rural areas do not have signs or are known by other names.  

2. Rescue personnel need to know the names or roads and their location.

3. Make a map of the fields on your farm and access roads with proper or better known names.

4. Make sure everyone has access to this or is familiar with the proper names.  

Presentation Title 19