First Responder – Initial Assessment and Management -aka 第一个响应–初步评估和管理-又名.ppt

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2018-06-26 发布于北京
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First Responder – Initial Assessment and Management -aka 第一个响应–初步评估和管理-又名.ppt

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First Responder – Initial Assessment and Management -aka 第一个响应–初步评估和管理-又名

‘SAFE TAC’ AIMS OF THIS PRESENTATION By the end of this presentation you will: Have a structured method in which to approach an incident - known as ‘SAFE TAC’ Know how to signal for help Know how to send a (M)ETHANE report BACKGROUND Why you should know this: Any one of us can come across an emergency situation, anywhere, at any time. People look towards those with medical training for help. If you have a general system to work through: You will be calmer You will be more organised It will help afterwards when you reflect on what has happened. S – SHOUT / SIGNAL / SEND FOR HELP SHOUT FOR HELP 6 BLASTS every minute FIRE AT NIGHT, SMOKE IN THE DAY 999KEEP LINE OF COMMUNICATION OPEN! SURVIVAL BAG / OTHER GROUND TO AIR SIGNALS A – ASSESS SCENE What has happened? What danger is there? What injuries is the casualty likely to have? Always walk the last 5m in, gives you time to think. F – FREE SCENE FROM DANGER, FIND ( FREE) CASUALTY Free from danger Stop traffic - Don IPE Turn off engines - Put out fires Find casualty Actively search for casualties, especially in mass incidents. Free casualty If too dangerous to assess / treat (4Fs: fire, flood, fumes, fuel) E- EVALUATE CASUALTY QUICK evaluation as you walk towards the casualty Noisy breathing = airway problem Chest rising falling too quickly / not enough = breathing problem Blood spurting = circulation problem QUICK primary survey (i.e. sufficient for triage) Remember: Catastrophic Haemorrhage is dealt with before anything else. T - TRIAGE Can the patient walk? P3 - Delayed Is the patient breathing? Dead Two rescue breaths. Any response? P1- Immediate Repiratory Rate 10 or 30 Pulse 120 P2 - Urgent Open airway, if needed Y N N N N N Y Y Y Y “Don’t pause to treat or you will have failed in your task” A - ASSESS Full Primary Survey: Airway – ‘ALOA’ Breathing – RR, Sound, ‘TWELVE FLAPS’ Circulation – Pulse, CR, ‘Blood on floor + 4 more’ Disability – AVPU, PEARL Exposure / Environment / Evacuation (DEF