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
Normal respiratory rates per minute
12-20
Normal child respiratory rate per minute
20-24
Normal infant respiratory rate per minute
24-32
Normal newborns respiratory rate per minute
up to 60
Normal Adult heart rate
80-100
Normal child heart rate
100-120
Normal Infant Heart rate
100-140
normal newborns heart rate
up 160
Age groups for Rescue breathing / CPR
Infant 0-1 year
child 1-8 years
adult 8+ years
Rescue Breathing
Adults
- Notify Capt.
- Collect the microshield rescue breathing
- Safety Approach
- Check for a response
- gently shake on shoulder - Open airways
- Check of breathing
- look for chest rises
- listen for sounds of breathing
- feel for breath against you cheek
Rescue breathing for adult
- 2 breaths to start
- Look, listen, and feel
- 1 breath every 5 seconds
- Check for circulation every few minutes
Rescue breathing for child/infant
- give 2 breaths/puffs
- Look listen and feel
- 1 breath every 3 seconds
- Check for circulation
ABC of CPR
Airways -Open airway by position head Breathing -Mouth to mouth, provides oxygen to victim Circulation -Chest compressions
Adult CPR
- 30 compression : 2 breaths @ 100 compress per minute
- Continue for 5 cycles
- Compression
- 1-1/2” t0 2-0” - Look, Listen and Feel after 1 minute
- Don’t stop until revival or medical personnel arrive on the scene
Child CPR (1-8)
- 30 compression : 2 breaths @ 100 compress per minute
- Continue fo 5 cycles
- Compression
- 1-0”-1-1/2” - Look, Listen and Feel after 1 minute
- Don’t stop until revival or medical personnel arive
Infant CPR (0-1)
- 15 compression : 2 breaths @ 100 compress per minute
- Continue for 5 cycles
- Use to fingers between nipples
- 0-1/2” to 1-0” - look, listen and feel
Decompresson Sickness Symtoms
- Depend on the where gas bubles developes in body
Decompression Heart and lungs Sysmtoms
- Crushing chest pain
- Shortness of breath
- Cyanonis -turning blue
- Confusion
- memory loss
- Combativeness
Decompression Brain or Nervous System Symtoms
- Stroke
- Nausea/vomitting
- Loss of consciousness
- paralysis
- Numbness
- confusion
- visual disturbance
Decompression Cabillaries of skin and muscles or synovial fluid sysmtoms
- tingling
- skin itching
- join pain
- Muscle Soreness
Decompression Sickness Treatment
- Administered O2
- high flow - Lie casuality flat w/ head slighly lower then heart
- Restoration of sea level pressure where possible
- Electrolyte replenishing fluids for dehydration
Sprains Sysmtoms
The same as faracture but less severe
Sprain Treatment
- rest and support injured area
- apply ice or cold compress
- Apply gentle, and even pressure
- Raise and support the injured limb
Fracture Arms and legs Treatment open fracture
- Cover wound with clean sterile bandages
- Apply pressure to control the bleeding
- W/O touching an open wound, carefully place clean padding over and aound dressing
- if bone is protruding, build pads around the bone until you can bandage over pads
- Protect injury form infection
- immoblise with use a splint
- Treat for shock
Closed Fracture and dislocation symtoms
- swelling
- tenderness to touch
- deformity
- possible discolouration to area
- Pain when moved
- Check for circulation every 10 minutes
Closed fracture and dislocation treatments
- Encourage to remain still
- Immobilse injured area
- ice pack may be used
- treat for shock
- raise limb if possible
- Check for circulation
Gunshot Wounds Treatment
- Extremiteis
- stop bleeding
- if facture immobise area - Stomach
- treat the extenal wound
- treat for shock
- assume that their is internal bleeding
- do not give food or drink - Chest
- a sucking sound indicates that the lung cavity has been punctured
- place a thick compress (sanitary towel, palastic bag) over wound to seal the opening
- if necsessary place the palm of your hand ove the opening until a covering can be obtained
- treat for shock
Angina Symptoms
- Gripping/ crushing central chest pain, may spread to jaw and down left arm
- Shortness of breath
- Weakness
- Anxiety
Angina Treatment
- help into comfortable position
- if on medication let them take it
- Calm down
- if pain persists
- suspect heart attack - Monitor
- notify capt immediately
Heat Attack Symptoms
- breathlessness
- Pain high in abdomen
- Sudden giddiness
- A sense of doom
- “Ashen” skin
- Cold, clamming skin
- blue around the lips
- rapid/ weak/ irregular pulse
- collapse w/o warning
Heat Attact Treatment
- adminster oxygen
- Make comfortable
- usually half sittiing position with head and shoulders well supported - inform flight deck
- Make PA for Doctor
- Loosen restrictive clothing
- let the take medication if they the have it
- monitor constantly
Hypothemia symptoms
- Shivering
- cold, pale, dry skin
- apathy, disoriendtation, or irrational, occasionallly belligerence
- slow and shallow breathing
- A slow pulse
Hypothemia Treatment Land
- Warm up gradually
- Replace wet clothing
- insualte against clothing
- Give warm drinks
- if unconscious
- look, feel, listen - provide shelter
Hypothemia Treatment water
- Keep as still as possible
- assum (heart escape lessening position)
- remain in duddle position
- Do not remove clothing unless fuel soaked
- keep head above water
- place elderly, frail, infirm, infants on slides/ floatation devices
Heat Exhausetion Sysptom
- headache, dizziness and confusion
- loss of appetite
- nausea
- sweating
- pale, clammy skin
- cramps in arms legs, or abdominal wall
- rapid, weak pulse and breathing
- tired
- temperature is normal
Heat Exhaustion Treatment
- turn on air vents and keep cool
- provide with plenty of water
- monitor and record breathing, pulse and response
Heat Stroke Sysmtoms
- headache, dizziness and discomfort
- restlessness and confusion
- hot, flushed and dry skin
- rapid deterioration in rsponse
- full bounding pulse
- body temp. very high
Heat Stroke Treatment
- Keep cool
- turn on vents and recline seat
- Loosen tight clothing and remove excess clothing
- Fan casualty and spong w/ cold water
- montor
- use ice pack in on extremities
Hyperventilation (lack of CO2) Systoms
- rapid breathing
- dizzy and faints
- tingling aorund mouth and fingertips
- numbess in hands and feet
- muscle spasms and stiffness in hands and feet
- loss of balance an dinabiltity to think
Hyperventailation treatment
Have pend over and breathe slowly into paper/ airsickness bag
Hypoxia (lack of oxygen)
- rapid, distressed breathing
- Confusion and aggression
- cyanosis
- purposeless body movement
Hypomxia Treatments
- oxygen
2. Encourgage to take deep breaths
Child Birth
Stage 1.
- Contractios with an average interval 10-20 minutes
- Bloodstained disharge or expelling mucous plug
- waters flow out in a tricle or rush
Child Birth
Stage 2.
- involuntary urge to push.
- stronger, more frequent contractions
- stinging or burning sensation occurs in vagina
- head emergs and baby is pushed out
Child Birth
Stage 3
- mild contracts before afterbirth is expelled
- some bleeding occurs once afterbirh is deliverd
- severe bleeding may occur if womb does not contract sufficently or after delivery
Child Birth
Preparation
- advise the flight deck
- make pa for doctor
- collect availbe supplies
- blankets, airsickness bags, plastic garbage bags, first aid kit etc
- relocate person to suitable private area
- life armrest and line seats with blankets
- pin blanket around area to ensure privacy
- wash hands carefull and prepar tow airsick bags. - do not give mother anything to eat or drink
Child Birth
Delivery
- ensure that back and shoulders are supported
- when head is visable, avice mother to start pushing
- if membrance covers baby’s face, gently remove it
- Allow baby to come out naturally
- do not pull
- If umbilical cord is wrapped aoun the baby’s neck
- carefully pull it over the head to protect against stangulation
- Support baby and remove away from birth canal.
- gently pass the infant to the mother
- baby should start crying
- nape one finfer against sole of feet or rum back vigorously
- wrappe baby in clean blanket
- ensure baby lies on its side with head low sothat fludis or cucus can drain
Child Birth
After birth
-reassure and encourage
-keep afterbirth intact
-put in plastic bag
- Provide wam water, clean towel/paper tows and sanitary pads.
- Getly massage abdomen, just above navel, thill hell the womb contract and stop the bleeding
-If bleeding serve
-treat for shock
-adivse Capt.
Instruct mother to lower her legs and keep them together.
Child birth
Cutting the umbilical Cord
Tie umbical cord tightly. -use pink wipes Make 2 squates nots -7" from baby's navel -8" from baby's navel make 1 knot -Make one knot 2" after last knot -make cut between last two knots
In any emergecy situation what should you do?
- Asses if safe to approch
- Look, listen feel
- 4 dings to get attention
- advise capt.
Recovery Position
- Kneel on either side
- Open airway and turn head to face you
- Place hand nearest you, Palms-Up under the butt
- Place hand of opposite side with palm on shoulder nearts you
- Placing one hand under arch of the heel and the hand nearst the head under knee, cross the leg opposite you over the leg closest to you
- Now , knoeel about 4’6” away form chect. Grip chin with hand nearst head and grip the clothing at the waist, then pull the victm in you thighs
- Bring uppler elbow to the ground
- Place one hand in the bend knee. Pull it at 90 degree angle beside you.
- Recheck airways
Particle in the Eye
Treatment
- Prevent person from Rubbing the eye
- Blinking may flush out the eye
- Flush eye with warm water if blinking didn’t work
- Do not touch embedded things in the eye.
- For small embedded particles, cover both eyes slightly with a pad to prevent movement of eye
Sratched Eyeball
Treatment
- Appley steril dressing
- Cover lossely with bandage
- Have person remain seated
Chemicals in the Eye
Treatment
- Do not remove contact lens
- If possible I.D. the Chemical
- Tilt person’s head to injured side
- Flush eye with large quanity of water
- poor slowly into eye with eyelid held open
- Cover eye lightly with pad
Head Injury
Sysmptom
- Uncousiousness
- Headache, dizzineess
- Bleeding grom ears, nose or mouth
- Clear liquid may come from ears
- Swelling or wounds on head
- Pupils are uneve in size
- Pupils may be slow or fast to react
- Double Vision
- Diorientation
Head Injury
Treatments
- Help the person to lye down with head and shoulders raised
- Montior Vital signs
- Keep casualty lying down and still
- Place pillows around head to prevent movement
- Gentrly apply steril compress over bleeding wound
- If blood or liquids are comeing form nose/mouth, turn head to one side to allow drainage
- If clear liquid coming from both airs apply absorbent compress to both airs
- if drainage is coming form one ear, lean head to the side
- Treat for shock
10 Monitor levels of consciousness - If suspect neck injury don’t move
Neck and Spinal Injury
Sysmptoms
- Damged bones of the spinal column
- Pain in neck or back
- a step, irregulary curve to the spin
- Tenderness
- Damaged spinal cord
- Loss of control limbs
- loss of sensation
- abonormal sensation
- burning or tingling
- diffculty breathing
Neck and Spinal Injury
Treatment
- Reassure and instruct casualty not to move
- Support head in neutral poistion, immoblise if possible
- place pills and blankets on side of neck/ shoulders
- Monitor Vitals
- Treat for shock
Mental Distrurbance
- inform Capt.
- Ensure person has permission to travel
- treat the person with respect
- divert the person’s attention away from anything that may be harmful to them or others
5 be patient, kina and reassuring - Do not argue
Poison Ingestion
Symptoms
- Stomach pain
- Nausea
- Cramps
- Vomiting
- Mouth and tongue burn if corrosive have been taken
- Headache, dizziness and unconsciousness
- Swelling, Diffulty breathing, cold calmmy skin, respiratory or cardiac arrest
Posion Treatment
- Vomiting should not be induced except on the advice of a posion control centre
- if vomiting occurs, keep the head and shoulds elevated
- Do not give the person anything by mouth.
- if instructed dilute with milk or h2o
- Treat for shock
5 if breathing stops- cpr
- Advise capt.
Food Posoning Sysmptoms
- Pain in stomach
- Nausea
- Vomiting
- Cramps
- Dry cated tongue
Food Posining Treatment
- Make person comfortable
- treat for shock
- ID posion if possible
Circulatory Shock
- Heart fails to pump blood
- Blood vessals diulate
- Blood supply is vigtal organs may reduce is reduced thorugh blood/fluid lost
Psychogenic Shock
Person Suffers deep emotional stress
Psychongenic Shock Symptoms
- Release of Ardenaline
- Shock Develops
- Oxygen to bran weakens
Psychongence Shock Treatment
- O2
- Lay with legs elevated
- Keep Calm
- Loosen tight clothing
- Keep body temp.
- Monitor vitals
7 if couscious and very thirst get to doctor
Sinus Symptoms
- Pain under and over eyes
- Rainy or blcked nose
- Watery eyes
- Headaches
Sinus Pain Treatments
- Apply hot compress to pain source
* O2
Stroke Symptoms
- Partial/ total paralysis
- Garbled speech/ loss of speech
- Headache
- Dizziness
- Ringing in ears
- Personality change
- Loss of memory
- Twitching
- Possible loss of cosciousness
- Loss of urine and bowel control
- excessive druling
Storke treatment
- Lossen clothing
- Maintain body temp.
- Keep calm
- Have lie on one side to permit senreaton to drain
- if having problems breathing
- First Aid O2
- If breathing stops
- reasure breathing