in flight medical care Flashcards
what are the principles of medical care? (5)
assess the situation, do no further harm, stabilise airway, breathing and circulation, give treatment within the scope of your skill level and refer to medical help
roles and responsibilities of cabin crew (7)
looking after your own personal safety, looking after the safety of your work colleagues, pax and by standers, providing basic patient assessment and care, supporting passengers legal rights, privacy and human dignity, liaising with medical care, keep records and reports and checking the equipment and kits
medical situation decision making
the situation is resolved, the situation is contained (eg medicals ready when they land), professional help is needed urgently and must be sorted as quick as possible
medical decision to divert- what we think about
medical diversions are appropriate, no unknown destinations, familiar surroundings, somewhere that has hospitals nearby
specific wording to assist your decision regarding the need to divert…
“we will need to be landing in state scheduled destination state hours/minutes until landing we will request medical assistance to the aircraft, do not specifically ask the medical for a diversion, make decisions with the pilot and communication
scene safety (before dealing with a casualty we must look out for these risks….) 9
fire,water,confined spaces,falling items, chemical spills, extreme conditions,toxic fumes infection, falls from height
personal hygiene
washing your hands then putting on sterile gloves
ppe on board and guidance for using it- facemasks
dealing with suspected infectious diseases and for passengers with an infectious disease
ppe on board and guidance for using it- gloves
for all first aid scenarios
ppe on board guidance for using it- goggles
when dealing with a suspected infectious disease
ppe on board guidance for using it- apron
first aid incidents with bodily fluids
clinical/biohazard waste
waste produced by casualtys is known as clinical waste, it is also known as biohazard and medical waste
clinical waste includes..
solid material-gloves,used dressing and other medical equipment
human waste includes..
blood,urine,feaces and vomit
how is clincal/biohazard waste disposed?
by wearing gloves and places in a sharps box or a biohazard bag or gash bag with a biohazard label
what is upk
universal precaution kit
what does a upk contain
ppe, general cleaning equipment and equipment for dealing with disposal of clinical/biohazard waste
contents of a upk (9)
biohazard disposal kit, biohazard labels, sharps disposal kit, anti bac wipes, anti static wipes, hand sanitiser, disposable gloves, goggles and face mask
contents of biohazard disposal kit (9)
protective gloves and apron, granules for absorbing bodily fluids, scoops and scraper, biohazard bag and ties, disinfectant spray, dry cloth, disinfectant wipes and instructions
sharps injury carry out the following…
encourage bleeding on the injured site, thoroughly wash the area (do not scrub + warm water) , cover the injured area with dressing, seek medical advice and carry out a cabin safety report (include location where the sharp object was found)
whats in a sharps disposal kit
sharps removal tweezers and bin, clinical waste bag and ties, hand wipes and instructions
medical action plan 1st crew member
on finding a medical situation start to deal with it and call for help communicate or press call bell 3 times
medical action plan 2nd crew member
get the assistance of the third crew member and inform on severity and location of the incident- obtain appropriate medical equipment including the aed, wash hands, put on gloves and return to help
medical action plan 3rd crew member
informs the commander, clear brief-including signs and symptoms and treatment, inform if the aed is being used and request an aed is available when landing
if necessary make a pa looking for a medic
a pa should be made for the following
doctor of medicine, midwife, nurse or paramedic
dealing with distressed relatives always ensure that
safety is maintained, they do not interfere with the treatment and explain what is happening
dealing with distressed relatives do…
answer questions- be honest and direct, allow silence between answers, allow touching and allow what is safe
dealing with distressed relatives dont…
exclude from situation, give too much technical info, talk too much and do not lie
moving and handling before lifting…
-check the size of the person, get assistance, if possible talk to them- find out if they can stand, assist them if they needed, if they are conscious explain how you are going to lift them (plan the lift check space is clear)
during lifting…
keep your back straight, keep your feet apart, relax the knees, the upward motion by raising head, lift by straightening your legs
how to lift 1-
a minimum of 3 people do not attempt lift if you feel like you cant
how to lift 2-
one person supports the head and neck to keep airway open
how to lift 3-
use one hand to lift waist band of the clothing and other under the knee, everyone must lift at the same time
DRABCDE
danger, response, airway, breathing, circulation, dysfunction, examination
airway-
absence of breathing (total blockage), foreign objects, fluid, swelling, gurgling, grunting, snoring
breathing
look, listen and feel- look for chest movement, listen for breath sounds, feel for air on cheek assess for 10 secs