Unconsciousness Flashcards
5 steps of a primary survey
DR ABC
- Danger
- Response (Tap shoulders. “Are you alright?”)
- Airway (tilt head + lift chin)
- Breathing (no breathing? 999 + ask for defibrilator + CPR)
- Circulation (severe bleeding, heart attack)
CPR chest compressions
[5 things to remember]
- 30 chest compressions, 2 rescue breaths, repeat
- Use heel of hand, bottom of breastbone
- To the beat of “Stayin’ Alive”
- Only stop to recheck casualty IF regaining consciousness AND start breathing normally
- Change rescuer every 1-2 mins (if poss.)
3 ways to check breathing
LOOK for chest movements
LISTEN at the mouth for breathing sounds
FEEL for air on your cheek
agonal gasps
- when casualty is barely breathing or taking short infrequent gasps
- do NOT confuse with normal breathing
CPR rescue breaths
[6 things to remember]
- head tilt with hand on chin
- nip soft part of casualty’s nose
- blow steadily into mouth for one second
- watch for chest rising
- only stop to recheck casualty IF regaining consciousness AND start breathing normally
- change rescuer every 1-2 mins (if poss.)
CPR changeover of rescuer
[2 things to remember]
- every 1-2 minutes
- DO NOT interrupt chest compressions
safest way to remove casualty from a bed (CPR is better on hard, flat surface)
use sheets to slide casualty off bed (ideally with 2 people)
adapting resuscitation for babies / child over one year
[4 things to remember]
- begin with 5 rescue breaths
- compress chest to one third of its depth
- use two fingers for babies
- use one or two hands (as needed) for children
How do you know a collapsed casualty has vomited? What do you do?
[3 things to remember]
- after rescue breath, air comes back out with gurgling sound
- turn casualty onto their side, tilt head back, allow vomit to flow out
- use protective barrier for future rescue breaths (if poss.)
hygiene during rescue breaths
[5 things to remember]
- wipe the lips clean
- use protective barrier (esp. if you suspect infectious diseases)
- makeshift barriers include: plastic with hole in, handkerchief
- if in doubt, use chest compression only
- wear gloves + wash hands after
10 causes of unconsciousness
[acronym]
FISH SHAPED
Fainting
Imbalance of heat
Shock
Head injury
Stroke Heart attack Asphyxia Poisoning Epilepsy Diabetes
scale of consciousness
[4 stages, acronym]
Alert
Voice
Pain
Unresponsive
Secondary Survey
- 3 initial steps / considerations
History: what happened? medical history?
Signs: look for e.g. swelling, deformity, pale skin - use all your senses
Secondary Survey
- head to toe examination
[5 checks]
- head and neck
- shoulders and chest
- abdomen and pelvis
- legs and arms
- pockets and clues
Secondary Survey: head to toe examination
- head + neck
[5 checks]
- breathing (slow, shallow, difficult)
- pulse (slow, weak, irregular)
- size of pupils
- whole head + face (bruising, bleeding, deformity)
- neck (could accident have injured neck?)