Chapt. 1 First Aid Flashcards
First Aider
The 1st person arrive at the accident.
Universal precaution
- gloves
- mask
- aprons
- red plastic bags
- Sharp disposal
- handwashing
The Communicator
- The person who notifies the flight deck crew and cabin
- Name
- seat number
- time
- Nature of incident
- any preexisting
- all action taken
- name of participant(s) involved - Verification of medical licences
- valid date
- verify with valid I.D. If no pic
The Coordinator
The person who will provide equipment to the first aider, keep communicator infored and relocate people and crowd control.
First aid kit contents
2 adhesive tape 4 gauze roller Bandage 1 bandage scissors 8 compress bandage 4" 16 adhesive band aid 2 wire splint 5 triangular bandage 10 antiseptic swabs Burn cream 10 Ammonia inhalants 4 latex gloves 1 micro shield rescue breather
Universal Precautions Compliance Kit:
- pair of vinyl gloves
- Protective apron
- Combo mask/safety shield
- Red Z solidifier (10g. Pouch)
- Scoop/Scrapper
- SaniZide Plus/Germicidal wipe
- Red Bio-hazard Bag
- Twist Tie
- p.a.w. Antimicrobial Hand Wipes (2)
- Identification
- Instructions
If Passenger pass out after helping them w/ their medication
- The Capt.’s presence is requested. The passenger is required to explain their condition to the Capt.
- A signed written request is require.
- It must be determined whether the passenger is traveling alone or w/ a companion
- The passenger must be located in a seat with easy access.
- Medication is only to be administered as necessary.
Loss in Consciousness in Flight - Category 1
- If the casualty is not breathing.
- begin rescue breathing - If having trouble breathing
- Advise Capt.
- Administer O2
Loss in Consciousness in Flight - Category 2
- If the casualty’s breathing is adequate
- Advise Capt.
- loosen the casualty’s clothes
- lay casualty down w/ legs slightly raised.
- maintain an open airway
- Asses and record the levels of response
- monitor vital signs
- Treat for Shock
- Stay with casualty until consciousness returns.
- If the casualty Starts to vomit, place them in the recovery position. - If the casualty’s condition fails to improve
- The Capt. is to radio ahead for medical assistance at next airport or diverted airport
- A PA for medical assistance
- Do not move casualty until emer. personnel arrive
- check the casualty’s pockets, wallet, ticket envelope or baggage claim check (always have witness) Arrange for the casualty’s belongings to be removed from the a/c
- Complete and submit a Passenger Injury/ Incident Report within 24 hours
What to include on PAX Incident Report?
- The Name, address and telephone number of the ill/injured
- A description of the illness, injury or incident.
- A description of the First Aid administered to the casualty.
- A description of the circumstances
- The name, address and contact number of eye witnesses and/ or medical professionals.
- Statements form witnesses
- The flight Number
- The date.
- The capt’s signature
- The CCM names and SCCM’s signature
What to include on CCM Incident Report?
- Any emergency situation such as hijacking, bomb threat, and decompression, etc.
- Planned or unplanned emergency landing
- Disruptive PAXs
- Illness/injury
- nose bleeds, the administering of oxygen, etc - Incidents
- any situation in which a passenger/ cause for complaint
The 3 Ps of First Aid
Preserve - Preserve life Prevent - Prevent the situation from getting worse Promote - Promote Recovery
Abdominal Pain Causes
- Stomach Ache
- Gas Pain
- Appendicitis
- Ruptured Stomach Ulcers
- Distension of abdomen with rigidity
Abdominal Pain Sysptoms
- Persistent Pain
- Severe Pain
- Nausea
- Vomiting
- Guarding of the Abdomen
Note: Abdominal pain and miscarriage may present the same. Ask if they could be pregnant
Abdominal Pain Treatment
- Keep the casualty calm and in a position where they are most comfortable
- Loosen tight clothing
- Provide the casualty with a container if they are vomiting
- Do not give the casualty anything by mouth
- Do not give gas forming agents
- Capt. may need to decrease altitude to prevent bowels or intestinal rupture
Airsickness Systoms
- Excessive sweating and warmth
- Very Pale
- Weak feeling
- Faintness
- Nausea
- Possible Vomiting
Airsickness Treatments
- Loosen tight clothing
- Keep cool
- open air vents - Divert Casualty’s attention
- Place airsickness container handy, but out of view
- Recline casualty’s seat
- Apply cool towel/wet wipe to the forehead or back of neck
- Offer ice chips or smalls sips of ginger ale
- move passenger to aisle/ window seat
- if vomit provide them with water to rinse their mouth and paper towels
Asthma/ Emphysema Sysptoms
- Excessive coughing
- Wheezing
- Difficulty Breathing
- Anxiety
- Grey-Blue Skin
Asthma/ Emphysema Treatments
- Encourage rescue medication
- 3-4 puffs with blue inhaler use pump/ foam cup - Loosen tight Clothing
- Get them into a confortable position
- Position to open chest wall - Relaxation method
- Monitor and record breathing and pulse every ten minutes
Alcoholic Intoxication Symptoms
- Strong smell of alcohol on breath and slurred speech
- Stupor condition, incoherent, Uncoordinated
- A flushed and moist face
- Deep, noisy breathing
- A full, bounding pulse.
- Extreme cases manifested by hallucinations
- Delirium Tremors and partial or complete unconsciousness
- Dilated pupils that react poorly to light
Alcoholic Intoxication Treatments
- if conscious give water or club soda
- if unconscious, monitor the casualty’s breathing, pulse and level of response
- Maintain open airways
- maintain body temp.
- if necessary put into recovery position
Bleeding (Severe) Procedure
- Obtain latex gloves
- Place clean cloth or gauze over the wound
- Apply direct pressure
- Hold cloth/gauze firmly against wound
- Do not remove cloth, gauze or bandages
- if object is sticking out, press firmly on either side of the object
- elevation of area
- lay down to reduce blood flow and minimise shock
- Document everything
If bleeding doesn’t stop
- Upper extremities
- use finger and press brachial artery firmly against the bone. The brachial artery is located on the underside of upper arm - Lower Extremities
- use the heel of the hand and press femoral artery fimly against the bone. the femoral artery is located near the hipbone
Nose Bleeds Treatments
- Sit up and with head held forward
- Pinch nostrils together and have them breath through their mouth
- Advise against speaking, coughing, spiting or sniffing
- After 10 minutes release pressure
- if bleeding continues, reapply pressure for a further 10 minutes
- place a cold wet towel or ice pack over area
- if bleeding persists beyond 30 minutes notify Capt.
- Treat for shock
Miscarriage Symptoms
- Cramp-like pains in lower abdomen or pelvic area
- Signs of shock
- Vaginal bleeding
- Passage of fetus or other products of conception
Miscarriage Treatment
- Administer O2
- Reassure the casualty
- PA for a Doctor
- Help her into the most comfortable position
- Provide sanitary towel
- Monitor and record breathing and pulse every 10 minutes
- Keep any expelled material
- pass it to medical services
1st Degree Burns Symptoms and treatments
Redness, swelling
- flush with cool water - cover with sterile dressing
2nd Degree Burns Symptoms and treatments
Rawness and blisters
- Flush with cool water - cover with sterile dressing - don not burst blister
3rd Degree Burn Symptoms and treatments
Damage to nerves, fat tissue and muscles
- flush with cool water - cover burn area with dry sterile dressing
Hypoglycemia Sysmptoms
- Weakness, fainting, or hunger
- Palpitations and muscle tremors
- Sweating
- Cold, clammy skin
- Confusion
- Aggitated
- exessive thirst
- Medical alert
- shallow breathing
Hypoglycemia Treatement
Conscious
-comfortable position
-give 4 packets of sugar under the tongue or sweet drink
-keep calm
Unconscious
-follow the for procedure for loss of consciousness in flight
Hyperglycemia Symptoms
- unresponsive
- Dry skin
- rapid pulse
- deep, laboured breathing
- faint smell acetone
Hyperglycemia Treatment
Conscious
-casualty will administer insulin
Unconscious
-make a PA requesting a Doctor’s assistance
-follow procedure for loss of consciousness in flight
Drug Overdose Symptoms
- Upper abdominal pain
- Nausea, and/or vomiting
- Confusion and delirium
- Lethargy and sleepiness
- Abnormally fast or slow pulse
- excitable, hyperactive, sometimes violent behaviour
- sweating
- twitching and seizures
- runny nose
- Hallucination
- Constricted pupils
- unconsciousness
Drug Overdose treatments
- Keep casualty calm
- Restrain if necessary
- If instructed
- provide large amounts of fluids - If difficulty breathing, administer O2
Ear Discomfort Treatments
!. Damp a wet wipe in a hot cup and place over the ears.
- Offer soft drink or water
- Swallow or blow through nose while pinching nostrils together
- May use menthol inhalers
- Advise the passenger to yawn, chew or swallow
- A hot drink is effective as the heat dilates the Eustachian tube.
If a passenger has the flu
- caution the passenger to extra caution as they blow their nose gently - wake the passenger prior to descent
Ear Discomfort Treatment Infant
- instruct parents to provide infant with a bottle or pacifier
- crying or laughing will accomplish the same effect as yawning
- Provide two ‘hot-cup’ which are to be placed over the infant/child’s ears. Use caution and ensure that the hot water has been removed from the cloth inside the hot-cup
Minor Epilepsy (Petit mal) Symptoms
- sudden “switching off” may stare blankly ahead
- slight or localized twitching or jerking of lips, eyelids, head or limbs
- Odd “automatic” movements, such as lip smacking, chewing or making noises
Minor Epilepsy Treatments
- Remove any possible source of harm
- Pad area if necessary
- keep calm and reassure
- monitor
Major Epilepsy Sysmtoms
- May suddenly fall unconscious, often let out a cry
- Becomes rigid, arching back
- Breathing ceases
- Convulsive movements
- clenched jaw and gargling sound
- salvia may appear at the mouth
- may be loss of bladder bowel control
- Recovers
- muscles relax, gain contol - May feel dazed or behave strangely
- Unaware of action
- may fall into a deep sleep
Major Epilepsy Treatments
- Support if fall
- loosen clothing
- maintain airway
- administer oxygen
- if teeth cannot be separated, the lips should be parted to permit passive exhalation
- Protect casualty against injury
- when convulsions cease, place in recovery position
- monitor until fully recovered
- record everything
Fainting Symptoms
- brief loss of consciousness
- slow pulse
- pale, cold skin
- sweating
- dizziness
- nausea
- possible visual disturbance
- wide staring eyes and dilated pupils
Fainting Treatment
!. Have lean forward
- if fainted, lay the down and raise and support her legs
- lossen restrictive clothing
- turn on air vents
- Keep calm
- treat any injuries that my have been caused
Choking Complete Obstruction
- Abdominal thrusts
- check breathing
- use chest thrust to obese of pregnant people
If choking victim looses consciousness
- Check for pulse
- activate emergency medical stimulator
- Commence CPR
Choking infants
Sandwich technique
- give 5 back slaps between the shoulder blades at the level of at the arm pit - then give 5 check thursts at the level of the nipples - if not conscious comment cpr or ems