First aid illness Flashcards

1
Q

What illness is this? And treatment?
1. Cold and clammy skin.
2. Dizziness.
3. Nausea, and possibly vomiting

You got this babe!!!

A

Airsickness/Motion sickness
1. Offer the casualty a cool, damp washcloth to place on their forehead.
2. If possible, reseat the casualty in the middle of the aircraft e.g. to a seat over the front
edge of the wings.
3. Tell the casualty to keep their head still while resting against a seat back and focusing
on distant objects rather than trying to read or look at something inside the aircraft.
4. Offer the casualty clear liquids such as water, apple juice, ginger ale or plain tea to drink.
5. Contact MedLink if nausea is present and becomes severe or persistent

6.Good job!!!!

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2
Q

What illness is this? And treatment?
1. Anxiety.
2. Red, blotchy skin.
3. Swelling of the face and neck.
4. Puffiness around eyes.
5. Red, itchy or watery eyes.
6. Impaired breathing or wheezing.
7. Rapid pulse.
8. Mild itching.
9. Anaphylactic shock.

A

Allergic Reactions
1. Ask casualty if they have any known allergies.
2. Monitor casualty, check breathing, pulse and level of consciousness.
3. Treat any symptoms e.g. itchy rash or impaired breathing.
4. Remove the trigger if possible or move casualty away from the trigger.
5. Ask casualty if they have any medication to treat the allergic reaction, e.g. EpiPen.
6. Contact MedLink.

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3
Q

What illness is this? And treatment?
1. Odour of alcohol.
2. Partial or complete unconsciousness.
3. Face flushed at first, then pale.
4. Pulse strong, then weak.
5. Breathing slow and deep, as in sound sleep.
6. Vomiting.

A

Alcohol Intoxication
1. Cover the casualty with a coat or blanket, reassure the casualty.
2. Assess the casualty for any injuries especially head injuries, and or other medical
conditions.
3. Monitor breathing and pulse.

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4
Q

What illness is this? And treatment?
1. Distress and anxiety.
2. Difficulty in breathing.
3. Wheezing as the casualty breathes out.
4. Difficulty in speaking (whispering).
5. Grey blue skin.
6. Dry, tickly cough.
7. May be exhausted.
8. Unconsciousness may develop.
9. Breathing and heart beat may stop

A

Asthma
1. Reassure and calm the casualty.
2. Loosen tight clothing.
3. Ask casualty to breathe slowly and deeply.
4. Use inhaler if available.
5. If unconscious with breathing, put in the recovery position.
6. CPR and AED are needed if there is no breathing.
7. Contact MedLink

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5
Q

What illness is this? And treatment?
1. Possible pain or tenderness in back or neck.
2. Numbness or weakness in legs and/or arms, and difficulty moving limbs.
3. Loss of sensation in the area below the injured area.
4. Irregularity in the normal curve of the spine.
5. Difficulty in breathing.

A

Back and Neck Injuries
1. If possible, do not move the casualty from the position in which you found them.
2. Determine the nature and severity of the injury. Ask the casualty to move their toes, feet,
legs, hands, and arms, to test for loss of movement. Check if they can feel you touching
their arms and legs.
3. Stabilize the casualty’s neck. Have your helper kneeling behind the casualty’s head and
keep their head aligned with their neck and spine.
4. Put thick padding, such as rolled-up blankets or coats, on either side of their head to
support it.
5. Contact MedLink.

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6
Q

What illness is this? And treatment?
1. Evidence of major external bleeding.
2. Feels faint, giddy.
3. Looks pale.
4. Skin feels cold and clammy.
5. Pulse is rapid but weak.
6. Thirsty.
7. Restless and talkative.
8. Breathing becomes shallower, sometimes accompanied by yawning and air hunger.
9. Shock may develop.
10. Possible unconsciousness

A

Bleeding – External
1. Check if there is any foreign object or fracture at the site of the wound.
2. If there is no foreign object or fracture seen, apply direct pressure on the wound using a
clean dressing to try to stop the bleeding.
A. If unable to use direct pressure, e.g. bleeding with fracture or with large embedded
foreign object, then use indirect pressure. The indirect pressure point for the arm
is the brachial artery. This is found on the inner side of the upper arm between the
muscles. The indirect pressure point for the leg is the femoral artery. This can be
found on the leg at a point corresponding to the centre fold of the groin.
B. Indirect pressure should not be applied for more than 10 MIN at a time. Release
for a few SEC every 5 – 10 MIN to allow circulation.
3. If possible,raise the injured part higher than the heart. This will help slow down the
bleeding.
4. Treat for shock.
5. When bleeding stops or slows down, apply a further dressing (leaving the original
dressing in place) and bandage it.
6. Tiny pieces of foreign objects stuck in the skin such as broken glass, wooden splinter
can usually be successfully removed with tweezers.
7. Never try to remove objects that are embedded in the wound. It may cause further tissue
damage and bleeding. In this case, you can try to control the bleeding by applying
pressure on either side of the wound or use a ring pad and place a piece of gauze lightly
over wound to minimize the risk of germs entering it.
8. Contact MedLink.

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7
Q

What illness is this? And treatment?
1. Looks pale.
2. Skin feels cold and clammy.
3. If bleeding continues, skin may turn blue-grey.
4. Pulse is rapid but weak.
5. Pain.
6. Swelling and tension may be seen or felt.
7. Thirsty.
8. Shock may develop.
9. The absence of obvious blood loss or bleeding from orifices.
10. Confusion, restlessness, possibly leading to collapse and unconsciousness.

A

Bleeding – Internal
1. Lay the casualty down, instruct them not to move.
2. Reassure the casualty and explain the necessity to relax.
3. Raise legs to allow more blood supply to the vital organs, if the injury allows.
4. Loosen tight clothing.
5. Keep samples of vomit and give it to emergency medical services personnel.
6. Monitor breathing and pulse.
7. Treat for shock.
8. Do not give anything by mouth.
9. Contact MedLink.

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8
Q

Possible cause of bleeding?
Bright red, frothy, coughed-up blood from mouth

A

Bleeding in the lungs

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9
Q

Possible cause of bleeding?
Mouth: Vomited blood, possibly dark
reddish-brown like coffee grounds

A

Bleeding within the digestive
system

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10
Q

Possible cause of bleeding?
Ear: Fresh, bright red blood

A

Injury to the inner ear, perforated
ear drum

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11
Q

Possible cause of bleeding?
Ear: Thin, watery blood

A

Leakage of cerebrospinal fluid
following head injury

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12
Q

Possible cause of bleeding?
Nose: Fresh, bright red blood

A

Ruptured blood vessel in the nostril

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13
Q

Possible cause of bleeding?
Nose: Thin, watery blood

A

Leakage of cerebrospinal fluid
following head injury

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14
Q

Possible cause of bleeding?
Anus: Fresh, bright red blood

A

Injury to the anus or lower bowel

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15
Q

Possible cause of bleeding?
Anus: Black, tarry offensive smelling stool

A

l Injury to the upper bowel

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16
Q

Possible cause of bleeding?
Urethra: Urine with a red or smoky
appearance

A

Bleeding from the bladder or
kidneys

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17
Q

Possible cause of bleeding?
Vagina: Either fresh or dark blood

A

Menstruation; miscarriage; disease
of, or injury to, the vagina or womb

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18
Q

What illness is this? And treatment?
1. Pain.
2. Swelling and skin discoloration.
3. The bruise begins as a pinkish red colour that can be very tender to touch.

A

Bruises
1. Place a cold compress on the bruise to help it heal faster and to reduce swelling. Apply
the cold compress for up to 15 MIN per HR. A cold compress is a clean towel soaked in
very cold water or a bag of ice wrapped in a cloth — DO NOT place ice directly on the
skin.
2. Keep the bruised area raised above the heart, if practical. This helps keep blood from
pooling in the bruised tissue.
3. Try to rest the bruised body part by not overworking muscles in that area.
4. If needed, offer Paracetamol to passenger in order to reduce pain.
5. Seek prompt medical help if there is any swelling around the bruise, especially if it occurs
at a joint. This can signal danger to nerves, muscles, and bones, all of which require a
trained physician’s attention.

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19
Q

What illness is this? And treatment?
1. Difficulty in breathing.
2. Difficulty in coughing.
3. Unable to speak.
4. Grasping the neck or pointing to the throat.
5. Congestion of the face and neck with veins becoming prominent.
6. Lips turn blue eventually.
7. Possible unconsciousness

A

Choking

Treatment for a Conscious Person Aged 1 Year and Above
1. Encourage the casualty to cough. Remove any obvious obstructions from the mouth
2. If unsuccessful, apply 5 sharp and forceful back slaps. Support person’s upper body with
one hand, and help the person to lean forward. Apply back slaps between the shoulder
blades with the heel of your hand. Stop if the obstruction clears. Check the mouth.
3. If unsuccessful, apply 5 sharp abdominal thrusts. Stand behind the casualty and make
sure that the person is bending well forward. With one hand make a fist and place the
thumb side of the fist on the casualty’s upper abdomen (between the navel and the
bottom of the breastbone). Grasp your fist firmly with the other hand and pull sharply
inward and upward against the abdomen. Stop if the obstruction clears. Check the mouth
4. If still unsuccessful, repeat 5 back slaps alternating with 5 abdominal thrusts until the
object is dislodged.

Treatment for a Conscious Infant (Below 1 Year Old)
1. Lay the infant face down on your forearm with the head low. Support the infant’s chest
and chin.
2. Apply 5 back slaps between the shoulder blades with the heel of your hand. Stop if the
obstruction clears. Check infant’s mouth for obstruction. Remove the object if seen.
3. If not successful, turn infant on its back and give 5 chest thrusts. Use two fingers and
push inwards and upwards (towards head) against the breastbone, one finger’s width
below the nipple line. Stop if the obstruction clears. Check the infant’s mouth.
4. If still unsuccessful, repeat 5 back slaps alternating with 5 chest thrusts until the object
is dislodged.

Treatment for an Unconscious Person (All Ages)
1. Put the casualty on a hard, flat surface and call for help.
2. Open airway and check for obstruction. Remove the object if seen.
3. Check for breathing for 10 SEC.
4. If casualty is not breathing:
A. Locate the point for chest compression as for CPR and give 30 compressions
(same CPR compression techniques according to the age of the casualty).
B. Open airway and check for obstruction.
C. Attempt to give 2 ventilations.
D. Repeat steps A to C until the airway is clear.
5. If the airway is clear but the casualty remains unconscious with breathing, place them in
the recovery position and continue to monitor the vital signs.
6. If the airway is clear but there is no breathing, being CPR.
7. Contact MedLink.

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20
Q

What illness is this? And treatment?
A. Swelling of the calf – this is usually different from the mild ankle swelling that
people may get during long haul flights.
B. Pain or tenderness in the leg – the pain is usually in one leg and may be worse
when standing or walking.
C. Redness of the affected leg

or

A. Chest pain when taking a deep breath.
B. Shortness of breath.

A

Deep Vein Thrombosis
1. Raise the leg (at least 6 IN) to prevent the clot from enlarging and to reduce swelling.
2. Loosen tight clothing.
3. If “Pulmonary Embolism” occurs, give oxygen.
4. Monitor breathing and pulse.
5. Contact MedLink.

Encourage passengers to carry out in-seat exercises as illustrated in the Discovery Magazine
and the Inflight health video.

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21
Q

What illness is this? And treatment?
1. A history of diabetes; the casualty recognizes the onset of an attack.
2. Feels weak and faint.
3. Possible hunger.
4. Muscle tremors.
5. May appear confused.
6. Sweating.
7. Looks pale.
8. Skin feels cold and clammy.
9. A stronger than normal pulse.
10. Shallow breathing.
11. Possible unconsciousness may develop.

A

Hypoglycaemia (Lack of Sugar)
1. Help the casualty to sit or lie down, and give them a sugary drink, sugar lumps, chocolate,
or other sweetened food.
2. If the casualty’s condition improves quickly, give more sweet food or drink, and let them
rest until fully recovered.
3. If the condition does not improve, contact MedLink.
4. Monitor breathing and pulse.

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22
Q

What illness is this? And treatment?
1. Dry skin.
2. Rapid pulse.
3. Deep breathing.
4. Breath smells faintly of nail varnish remover or fruity sweet breath.
5. Excessive thirst.

A

Hyperglycaemia (Too Much Sugar)
1. Make casualty as comfortable as possible.
2. Contact MedLink.
3. Monitor breathing and pulse.
Note 1: The casualty may have a medic alert or a warning card. The casualty, may also be
carrying sugar lumps, tablets, or an insulin syringe (which may look like a pen).
Note 2: If unsure whether the person is suffering from “too little sugar” or “too much sugar”,
treat for “too little sugar”. If the casualty is suffering from “too much sugar”, the
amount of sugar you give will not worsen the condition.

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23
Q

What illness is this? And treatment?
-Weak,irregular,slow pulse
-Flushed,pale,runny nose
-Pale, needle marks, sweaty
-Soiled,disarrange clothing
-Falling, unsteady balance
-Confused, incoherent speech
-Shallow, fast or slow breath
-Enlarged, bloodshot, watery, sensitive eyes.
ATTITUDE
* Dreamy
* Sleepy
* Depressed
* Talkative
* Relaxed
* Hostile
* Antagonistic
* Anxious
* Indifferent
* Irritable
* Cocky
* Confused
Actions
* Fighting
* Scratching
* Swearing
* Drooling
* Itching
* Hiccupping
* Nausea and Vomiting
* Restless
* Loss of emotional control
* Can’t follow instructions
* Hallucinating
(Hearing voices or seeing things)

A

Drug Intoxication or Poisoning
1. If the casualty is conscious, help the casualty into a comfortable position and ask what
they have taken.
2. Contact MedLink and inform them of your suspicion that the casualty has taken drugs
and monitor their vital signs.
3. If the casualty loses consciousness, open the airway and check breathing. Follow
treatment for unconsciousness.
4. Keep samples of any vomited material and handover to ambulance personnel.

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24
Q

What illness is this? And treatment?
1. Contractions at half hour intervals gradually increasing in frequency.
2. Waters may break at this stage

A

Emergency Childbirth (First stage)
1. Reassure the mother and make her as comfortable as possible.
2. Massaging the lower back can help relieve some pain.
3. Inform the Captain and contact MedLink.
4. Page for a medical helper.
5. Select a place on the aircraft with maximum space and privacy and prepare blankets,
pillows, boiled water, sanitary pads, oxygen bottles, Universal Precaution Kit and
maternity kit from the Inflight Medical Kit. Use the biohazard waste bag to dispose of all
soiled items.

25
Q

What illness is this? And treatment?
1. Contractions are much closer (once every 5 MIN).
2. The mother will want to bear down.

A

Emergency Childbirth (Second stage)
1. Cover the floor with some newspapers, towels or blankets for warmth and to absorb
mess.
2. Help the mother into a half-sitting position with legs raised. Support her back and
shoulders.
3. Encourage the mother to push with each contraction.
4. When the baby’s head is visible, instruct mother to stop pushing and begin panting.
5. The baby’s head and shoulders will appear and the baby will be expelled naturally.
6. Support the baby as it is delivered. The baby will be slippery so handle it carefully.
7. If the umbilical cord is wrapped around the baby’s neck, check that it is loose, then very
carefully pull it over the head to avoid strangulation.
8. Wipe away any fluid or mucus from the baby’s mouth and nose.
9. The baby should start to cry at this point. If it does not cry, then check breathing. Carry
out CPR if necessary.
10. Wrap the baby in a clean cloth and lay it across the mother’s abdomen.

26
Q

What illness is this? And treatment?
Mild contractions until the placenta is delivered.

A

Emergency Childbirth (Third stage)
1. Encourage the mother to push the placenta out.
2. Do not pull on the umbilical cord.
3. Keep the placenta in a plastic bag for a doctor to examine it.
4. Clean the mother.
5. It is normal for the mother to bleed slightly. Gently massage the lower abdomen to help
the uterus to contract and stop the bleeding.

Care of the Mother
1. Provide warm water, clean towel and sanitary pad for the mother.
2. Keep the baby and placenta package near the mother.

Care of the Baby
1. As soon as the baby has been delivered, wipe away any fluid from its mouth.
2. Clean the baby up and wrap them up with anything soft and warm.
3. Do not cut the umbilical cord.

27
Q

What illness is this? And treatment?
1. Casualty suddenly falls unconscious, often letting out a strange cry.
2. The casualty’s body becomes rigid for a few seconds with arching of the back.
3. Breathing may cease for a short time.
4. Lips may turn blue.
5. Convulsive movements begin.
6. The jaw may be clenched and breathing noisily with loss of bladder or bowel control.
Saliva may appear at the mouth, blood-stained if lips or tongue is bitten.
7. Finally the muscles relax and breathing becomes normal.
8. The casualty regains consciousness, usually within a few minutes. They may feel dazed
and be unaware of their actions.
9. The casualty may want to sleep following an epileptic fit.

A

Epilepsy
1. If possible, support the casualty or ease their fall.
2. Do not move them unless they are in danger.
3. Protect the casualty from hurting themselves by padding area around the casualty.
4. Do not forcibly restrain their movements.
5. Do not put anything in their mouth or try to open it.
6. When the convulsions cease, place them in the recovery position. Stay with them until
they are completely recovered.
7. Contact MedLink.
Note: Small children may have epileptic fits with some illnesses or infections. This will be
associated with a greatly raised body temperature or fever (above 38°C). In addition
to the above treatment, sponge the child with a wet towel to lower the temperature.

28
Q

What illness is this? And treatment?
1. A brief loss of consciousness.
2. Slow and weak pulse.
3. Looks pale.
4. Sweating.
5. Skin is cold.

A

Fainting
1. If the casualty is conscious, sit them down. Ask them to lean forward and place their
head between their knees.
2. Take deep breaths.
3. If they become unconscious, lay them down. Raise their legs and monitor breathing and
pulse.
4. Contact MedLink if the passenger does not recover in a few minutes.
Note: There is no need to give oxygen to a person who has fainted. The person is
suffering from a lack of blood to the brain, not from a lack of oxygen intake.

29
Q

What illness is this? And treatment?
1. Body temperature higher than 38°C or 100.4°F.
2. Headache.
3. Muscle aches.
4. Shivering.
5. Sweating.
6. Lack of appetite.
7. Dehydration.
8. Weakness.

A

Fever
1. Offer Paracetamol. Medication is not always needed to lower a temperature. This is to
help to relieve the aches and pains that go with fever.
2. Offer plenty of fluids to avoid dehydration (avoid drinks containing caffeine, including
colas and tea as it can cause the casualty to urinate more).
3. Remove extra blankets and clothing so heat can leave the body and help lower the body
temperature.
4. A tepid/lukewarm towel applied to the forehead or neck may help. Ice packs/cold water
should not be used as it may cause shivering which raises the body temperature.
5. Contact MedLink if the fever persists after 1 HR.
Note 1: Rubs with alcohol should be avoided because it can cause poisoning when
absorbed through skin.
Note 2: Do not force the casualty to eat if they do not feel like eating. If the casualty has
diarrhoea, limit the intake of fruits and juice.

30
Q

What illness is this? And treatment?
1. Pain or tenderness.
2. Bruising and swelling.
3. Deformation of injured area, such as shortening of limb or visible broken bone ends.
4. Discoloration will appear sometimes after the injury
5. Poor blood flow in the affected area.
6. Inability to move injured area.
7. Shock.

A

Fracture and Dislocation
1. Do not try to straighten the fractured limb.
2. If there is a wound with the bone visible, do not try to push the bone back inside the
wound.
3. Control any bleeding. Cover the wound with a dressing and secure it with a bandage.
4. Do not try to replace the dislocated joint, as this might cause further injury.
5. Remove bracelets, rings and watches in case of swelling of an arm, wrist or hand.
6. Immobilise closed fracture and dislocations using an inflatable splint or a triangular
bandage.
7. Offer the casualty pain killer.
8. Check for circulation by feeling the skin, and checking the colour of the nail bed. Reapply
the bandages more loosely if necessary. Check again every 10 MIN.
9. Monitor the casualty, particularly for any signs of shock.
10. Contact MedLink.

31
Q

What illness is this? And treatment?
1. Pain in the abdomen.
2. May vomit.

A

Abdominal Pain
1. Place the person in a reclined position with knees bent or let the person sit in their most
comfortable position.
2. Do not give any pain killer or anything to eat or drink. The use of a pain killer may hinder
the doctor’s diagnosis.
3. Contact MedLink if required.
Note: For abdominal pain related to food poisoning see treatment for food poisoning

32
Q

What illness is this? And treatment?
1. Mental confusion or loss of memory.
2. Loss of consciousness.
3. Possible wound on scalp.
4. A flow of clear fluid or watery blood from one or both ears and nose.
5. Drooping of one side of the face.
6. Pulse rate slower than 60 or greater than 100 times per MIN.
7. Dizziness and/or nausea.
8. Mild headache.
9. Unequal pupil size.

A

Head Injuries
1. Keep person in reclining position with head slightly raised.
2. Keep warm.
3. Give oxygen.
4. Dress open wounds.

33
Q

What illness is this? And treatment?
1. Vice-like chest pain, which may spread to the jaw and down one or both arms. Pain
eases with rest.
2. Shortness of breath.
3. Tiredness, which is often sudden and extreme.
4. Feeling of anxiety

A

Angina Pectoris
1. Make the casualty sit comfortably.
2. Assist casualty in taking their medicine if available.
3. Give oxygen.
4. Encourage the casualty to rest. The pain should ease within a few minutes.
5. If pain persists, or returns, suspect and treat for a heart attack.
6. Contact MedLink.

34
Q

What illness is this? And treatment?
1. Continuous vice-like chest pain which may spread to the jaw and down one or both arms.
The pain does not ease with rest.
2. Discomfort occurring high in the abdomen, may feel similar to severe
indigestion/heartburn.
3. Difficulty in breathing, extreme gasping for air.
4. Sudden faintness, dizziness, or collapsing.
5. Pale, grey skin.
6. Lips turn blue.
7. Rapid, weak and irregular pulse.
8. Profuse sweating.
9. Shock.
10. Unconsciousness may develop.
11. Breathing and heart beat may stop.

A

Heart Attack
1. Treat on the spot.
2. Make the casualty comfortable in a half sitting position.
3. Assist casualty in taking their medicine if available.
4. Loosen tight clothing.
5. Give oxygen.
6. Use AED.
7. Treat shock.
8. If unconscious with breathing, put casualty in the recovery position.
9. If not breathing NORMALLY, start CPR.
10. Contact MedLink.

35
Q

What illness is this? And treatment?
1. Unnaturally fast or deep breathing.
2. Dizziness and blurring of vision.
3. Numbness and tingling sensation of hands and feet
4. No apparent change in skin colour.

A

Hyperventilation
1. Reassure the casualty.
2. Instruct the casualty to breathe slowly.
3. Contact MedLink.
Note: Do not advise the casualty to rebreathe their own air from paper bags as it may
aggravate a more serious illness

36
Q

What illness is this? And treatment?
1. Headache and dizziness.
2. Rapid, distressed breathing and gasping.
3. Difficulty speaking.
4. Anxiety and restlessness.
5. Fatigue, excessive sleepiness and loss of coordination.
6. Bluish discolouration of the skin

A

Hypoxia
1. Give oxygen.
2. Loosen tight clothing.
3. Contact MedLink.

37
Q

What illness is this? And treatment?
1. Attention seeking
2. Loss of control of behaviour
3. If unconscious, it can be distinguished from other attacks by the following:
A. Face does not change colour.
B. Person will resist any attempt to open eyes.
C. Usually falls on something soft, will not usually hit head or bite tongue.
D. Seldom occurs unless someone is present.

A

Hysterical Attack
1. Take the casualty to a less observed area.
2. Do not give more attention than necessary.

38
Q

What illness is this? And treatment?
1. Cramp-like pains in her lower abdomen.
2. Vaginal bleeding.
3. Shock.
4. Loss of the fetus.

A

Miscarriage
1. Reassure the mother, place her in a half sitting position.
2. Give her a sanitary pad or clean towel to use.
3. Check and record pulse and breathing rate.
4. Keep any expelled material for medical inspection (out of the mother’s sight, if possible).
5. Give oxygen.
6. Keep the mother warm.
7. Contact MedLink.

39
Q

What illness is this? And treatment?
1. A conscious casualty or an onlooker may tell you poisoning has occurred.
2. Casualty feels unwell, nausea, vomiting.
3. Cramping abdominal pain.
4. Diarrhoea, possibly blood-stained.
5. Possible shock.

A

Poisoning
1. If the individual is unconscious, open the airway and monitor breathing and pulse. Put
casualty in recovery position
2. For a suspected case of gaseous poisoning: immediately move the victim to a ventilated
place.
3. If chemical on skin or eyes — flush away any residual chemical on the skin or eyes with
plenty of cold water. Remove all contaminated clothing or accessories. Record details
of the chemical.
4. If swallowed poison — do not induce vomiting as this may harm the casualty further.
Maintain an open airway, breathing and circulation. Try to identify the poison.
5. For food poisoning — symptoms may appear within a few hours (about 4 HR) to a day
or so after eating the affected food. Help casualty to lie down and rest. Offer plenty of
water to drink and an airsick bag to use in case they might vomit. If possible, move
casualty close to the lavatory. Treat for shock.
6. Contact MedLink if vomiting or diarrhoea become severe or persistent.

40
Q

What illness is this? And treatment?
1. Rapid and shallow breathing.
2. Pulse rate increases, but is weak and irregular.
3. Pale, grey skin.
4. Lips turn blue.
5. Weakness and dizziness.
6. Restless and anxious.
7. Nausea, and possibly vomiting.
8. Sweating, cold and clammy skin.
9. Thirsty.
10. Finally, the heart may stop.

A

Shock, me when i have to leave u
1. Treat any obvious cause of shock if possible e.g. external bleeding.
2. Lay the casualty down, keep the head low, raise and support the legs to improve the
blood supply to the vital organs i.e. brain, heart and lungs.
3. Loosen tight clothing.
4. Keep the casualty warm
5. Do not give anything to eat or drink. If they complain of thirst, moisten their lips with
water.
6. If unconscious with breathing, place them in the recovery position.
7. CPR and AED are needed if there is no breathing.
8. Monitor breathing and pulse.
9. Contact MedLink

41
Q

What illness is this? And treatment?
1. Headache.
2. Irritation of the eyes, nose, throat and sinus congestion.
3. Difficulty in breathing.
4. Coughing.
5. Burning sensation in or around the nose or mouth.
6. Diarrhoea, vomiting and nausea.
7. Unconsciousness may develop.
8. Breathing and heart beat may stop

A

Smoke, Fumes or Gas Exposure
1. Don PBE if smoke/fumes is still visible in the area to avoid inhaling the smoke/fumes
before managing the casualty.
2. Remove the casualty from the area of smoke, fumes, or gas and immediately move the
victim to a ventilated place. Give oxygen.
3. Take off all contaminated clothing and rinse the skin with water.
4. Treat as a burn if the victim shows any signs of burns.
5. If unconscious with breathing, put them in the recovery position.
6. CPR and AED are needed if there is no breathing.
7. Contact MedLink.

42
Q

What illness is this? And treatment?
1. Pain or tenderness.
2. Bruising and swelling.
3. Inability to move or pain when moving injured area

A

Strains and Sprains
1. To treat a strain or sprain, first help the casualty to sit in a comfortable position, rest the
injured part, preferably raise.
2. Use a cold compress on the affected area for up to 10 MIN to help minimize the swelling
and pain.
3. Apply comfortable support to the injured part – even pressure on the affected area by
surrounding the area with soft padding secured with a bandage.
4. Raise and support the injured limb to reduce blood flow to the injury. Check the
circulation and reapply the bandage more loosely if necessary. Check again every 10
MIN.
Note: This treatment is also known as RICE treatment.
R – Rest the injured part
I – Apply Ice pack or cold compress
C – Provide Comfortable support
E – Elevate the injured part

43
Q

What illness is this? And treatment?
1. Small puncture wounds on the skin
2. Painful muscles
3. Muscle spasms. Unable to relax the contracted muscle
4. Electrical burns
5. Confusion
6. Irregular heart rhythm
7. Breathing and heartbeat may stop.

A

Stun Gun Injury
1. Puncture wound: wound dressing
2. Sore muscles: Refer to 9.6.33 Strains and Sprains
3. Muscle spasms: gently massage the muscle affected and ask the victim to stretch the
cramping muscle.
4. Electrical burn: Refer to Burns and Scalds
5. Cardiac arrest: Refer to Heart Disorders – Cardiac Arrest

44
Q

What illness is this? And treatment?
1. Perhaps a few minutes of warnings — headache, dizziness, ringing in ears, spots before
eyes.
2. Sudden severe headache with no apparent cause.
3. Sudden confusion.
4. Depending on the seriousness, the casualty may have paralysis on one side or both
sides of the body. The casualty may be dribbling from the mouth, have slurred speech,
unequally dilated pupils and even loss of bladder or bowel control.
5. Sudden or progressive loss of consciousness.
6. Breathing and heart beat may stop.

A

Stroke
1. Lay the casualty down with their head and shoulder slightly raised. Turn the casualty’s
head to one side, and place a towel or cloth to absorb any dribble.
2. Loosen tight clothing.
3. Do not give anything to eat or drink.
4. Monitor breathing and pulse.
5. If unconscious with breathing, put casualty in the recovery position.
6. Apply CPR and AED if there is no breathing.
7. Contact MedLink.

45
Q

Treatment for Aviation Fluid Contamination

A
  1. All affected clothing should be removed.
  2. Thoroughly wash the affected area with running water.
  3. If eyes are involved, immediately gently wash with a large amount of cold water. Ensure
    both surfaces of the eye-lids are washed.
46
Q

Treatment for Blood and Body Fluid Exposure

A
  1. If eyes are involved, immediately gently wash with a large amount of cold water. Ensure
    both surfaces of the eye-lids are washed.
  2. If blood or body fluid gets in mouth, spit out any fluid, rinse mouth with water and spit out
    again.
  3. If blood or body fluid gets on broken skin, encourage bleeding by squeezing the edges
    of the area and wash with soap under running water.
  4. Consult a doctor as soon as possible for further treatment and blood tests.
47
Q

What degree burn: Outer layer of skin, redness swelling and tenderness

A

1st degree, superficial burn

48
Q

What degree burn: Skin is raw and blisters

A

2nd degree, intermediate

49
Q

What degree burn: All layers of skin burnt

A

3rd degree, deep burn

50
Q

Treatment for (Superficial and Intermediate) burns

A
  1. Place the injured part under slow running cold water, immerse it in cold water or apply
    cold compress for about 10 MIN to stop the burning effect and relieve the pain.
    Cold compress in here refers to towel soak in very cold water. Ensure liquid is wrung out
    and not dripping wet, but remains cold and damp. Do not use ice.
  2. Carefully remove any jewellery, watches, or constricting clothing from the injured area
    before it starts to swell.
  3. Do not remove anything sticking to the burn as this may cause infection.
  4. No lotions or ointments should be applied on the burn.
  5. Do not break any blisters to avoid infection.
  6. Cover the area with a sterile non-adhesive dressing and then bandage the area.
  7. For any types of burn to an infant or child, MedLink must be contacted.
  8. Inform Captain.
51
Q

Treatment for electrical burns

A
  1. Cut off the electric current if possible
  2. Move the casualty away from the source.
  3. Treat as superficial and intermediate burns
  4. In additional to the above treatment, if the casualty has no signs of life, perform CPR
52
Q

Treatment for Deep Burns

A
  1. In addition to the above steps, treat for shock.
  2. Apply paraffin gauze on the wound and then bandage the area.
  3. Contact MedLink.
  4. Inform Captain.
    Note 1: When treating burns caused by extreme cold (e.g. dry ice), treat as superficial and
    intermediate burn, however, cooling the burn is not required.
    Note 2: Advice and assistance shall be proactively provided to the injured passenger and
    crew member whether they called for further assistance or not.
53
Q

Treatment for ear pain (Gas expansion)

A
  1. Ask the casualty to chew gum or suck a sweet.
  2. If it does not ease the pain, tell the casualty to swallow with their mouth wide open.
  3. If it fails to make the ears ‘pop’, tell the casualty to close their mouth, pinch their nose
    tightly and ‘blow’ through their nose.
  4. Infants should be encouraged to suck on a pacifier, drink a bottle or be breast fed.
  5. If the casualty still complains of ear pain, contact MedLink for advice.
54
Q

Treatment for Sinus Headache (Gas expansion)

A

Instruct the casualty to blow the nose one side at a time.

55
Q

Treatment for Toothache (Gas expansion) I had this that time!!!!

A
  1. Apply a heat source such as a hot towel on the affected side.
  2. Offer Paracetamol to help relieve the pain.
56
Q

Treatment for Needle-Stick Injury

A
  1. If a used needle/blade causes injury, encourage bleeding by squeezing the edges of the
    wound area.
  2. Wash the area with soap and running water.
  3. Consult a doctor as soon as possible for further treatment and blood tests
57
Q

Treatment for Nose Bleeding

A
  1. Sit the casualty down with their head well forward. Do not let their head tip back; blood
    may run down the back of the throat, which can induce vomiting.
  2. Ask casualty to pinch the soft part of the nose and breathe through their mouth.
  3. Tell casualty not to speak, swallow, cough, or sniff, as this may disturb the blood clot.
    Give them a clean cloth or tissue to wipe away any blood.
  4. Tell the casualty to spit out any blood from the mouth.
  5. Apply a cold compress to the bridge of the nose.
  6. After 10 MIN, gently release the pressure and remind the casualty to breathe through
    the mouth. Advise them to rest quietly for the remainder of the flight. Remind them not
    to sniff or blow their nose. Most people have a strong urge to blow the nose and promptly
    blow off the clot that has formed.
  7. If nose is still bleeding, reapply the pressure for another 10 MIN.
  8. If the nosebleed persists beyond 30 MIN, contact MedLink and seek medical help
    onboard.
58
Q

Treatment for Unconsciousness

A
  1. Check the casualty’s level of consciousness.
  2. Ensure airway is clear.
  3. Place in recovery position and open airway.
  4. Loosen tight clothing.
  5. Treat any serious wounds or fractures.
  6. Keep the casualty warm.
  7. Give oxygen if difficulty in breathing.
  8. Do not give anything by mouth.
  9. Do not move unnecessarily because of the possibility of back and neck injury.
  10. Do not leave the casualty unattended.
  11. Commence with CPR and use AED if required.
  12. Monitor breathing and pulse.
  13. Contact MedLink.