First aid and emergencies

This chapter covers first aid, including adult basic life support, automated external defibrillation, the recovery position for babies, children, and adults, adult choking, child basic life support, and the management of the choking child. How to manage emergencies such as anaphylaxis, external bleeding, burns and scalds, eye trauma, hypothermia, poisoning and overdoses, sprains, strains and fractures in the context of primary and community care are all included. Sepsis in infants, children, young people and adults, pregnancy, and postpartum women is also discussed. Finally, the identification and management of stroke is explained.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Abelsson ◽  
Per Odestrand ◽  
Annette Nygårdh

Abstract Background A rapid emergency care intervention can prevent the cardiac arrest from resulting in death. In order for Cardio Pulmonary Resuscitation (CPR) to have any real significance for the survival of the patient, it requires an educational effort educating the large masses of people of whom the youth is an important part. The aim of this study was to investigate the effect of a two-hour education intervention for youth regarding their self-confidence in performing Adult Basic Life Support (BLS). Methods A quantitative approach where data consist of a pre- and post-rating of seven statements by 50 participants during an intervention by means of BLS theoretical and practical education. Results The two-hour training resulted in a significant improvement in the participants’ self-confidence in identifying a cardiac arrest (pre 51, post 90), to perform compressions (pre 65, post 91) and ventilations (pre 64, post 86) and use a defibrillator (pre 61, post 81). In addition, to have the self-confidence to be able to perform, and to actually perform, first aid to a person suffering from a traumatic event was significantly improved (pre 54, post 89). Conclusion By providing youth with short education sessions in CPR, their self-confidence can be improved. This can lead to an increased will and ability to identify a cardiac arrest and to begin compressions and ventilations. This also includes having the confidence using a defibrillator. Short education sessions in first aid can also lead to increased self-confidence, resulting in young people considering themselves able to perform first aid to a person suffering from a traumatic event. This, in turn, results in young people perceiveing themselves as willing to commence an intervention during a traumatic event. In summary, when the youth believe in their own knowledge, they will dare to intervene.


2011 ◽  
Vol 35 (5) ◽  
pp. 299-306
Author(s):  
J.B. López-Messa ◽  
P. Herrero-Ansola ◽  
J.L. Pérez-Vela ◽  
H. Martín-Hernández

2021 ◽  
Vol 60 (1) ◽  
Author(s):  
W Laosuksri ◽  
◽  
B Chenthanakij ◽  
K Sutham ◽  
W Rangsri ◽  
...  

Objectives Basic Life Support (BLS) should be taught to everyone; however, there is a lack of Automated External Defibrillation (AED) trainers in Thailand due to the cost of the imported equipment. An AED trainer, manikin, and manikin controller system was locally developed which can display training results to help reduce the cost. Methods This is a descriptive study of a locally developed controller and feedback system, the Chiang Mai AED trainer and manikin. The controller was examined by 5 BLS instructors using a 10-point scale questionnaire consisting of 3 questions to evaluate the efficacy of the device. Correlation among BLS instructors was also calculated. Results The controller and feedback system for the Chiang Mai AED trainer and manikin worked appropriately as intended. The instructor set up either a ‘shock advised’ or a ‘no shock advised’ scenario for 2 two-minute chest compressions. The AED trainer responded promptly when the electrode pads were attached to the manikin. The controller was also able to display compression depth, compression speed, chest recoils, rescue breaths, and time to first defibrillation. Evaluation of the controller using a 10-point scale resulted in a median of 27 (interquartile range 26-29) out of 30. Intraclass correlation was 0.97 (95% confidence interval 0.90-0.99, p < 0.001). Conclusions The controller for the Chiang Mai AED trainer and manikin is effective for use in BLS training. Chiang Mai Medical Journal 2021;60(1):87-98. doi 10.12982/CMUMEDJ.2021.08


MEDISAINS ◽  
2020 ◽  
Vol 18 (1) ◽  
pp. 35
Author(s):  
Runi Pramesti Putri ◽  
Endiyono Endiyono

Background: The success of basic life support is determined by the role of the individual(s) who first encountered a patient with a heart attack, and he will be a helper in the situation. Lack of socialization and training for laypeople makes them unable to implement a right first aid in cases of cardiac arrest. There is a need for innovations in cardiac, pulmonary resuscitation for ordinary people to facilitate them in practicing compression measures.Technique: CPR mannequin is made of a plywood material in the shape of the human body; it is 34 cm long, 34 cm wide, and 6.5 cm high. There are 2 LED lights to detect the accuracy of the compression depth.Conclusion: CPR mannequin can facilitate and improve the skills of laypeople in performing cardiopulmonary resuscitation


Resuscitation ◽  
2003 ◽  
Vol 59 (3) ◽  
pp. 291-314 ◽  
Author(s):  
Richard H. Whitfield ◽  
Robert G. Newcombe ◽  
Malcolm Woollard

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Istiroha Istiroha ◽  
Ahmad Hasan Basri

Giving first aid to traffic accident victims are often not carried out by medical personnel or competent people. The first helper in traffic accidents on the Daendles Highway is the neighboring community and security officers. The purpose of this study was to describe the knowledge level of security officers concerning basic life support in order to give first aid for the accidents along the Daendles Highway of Manyar Subdistrict, Gresik. This study used a descriptive design with a cross-sectional approach. The respondents in this study were 45 security officers of the company, which is spread along the Daendles Highway of Manyar Subdistrict, Gresik, East Java. The sample was taken by purposive sampling. Data were taken using questionnaires then analyzed by univariate techniques with SPSS 16. The results showed that security with good knowledge was 31.11%, sufficient knowledge was 55.56%, and insufficient knowledge was 13.33%. The characteristic group of respondents who had good knowledge was aged 26-35 years with a working period of 1-5 years and > 5 years, while the characteristics of the respondents who had insufficient knowledge were aged 36-45 years with a working period of 1-5 years and> 5 years. Increasing knowledge and skill about basic life support are needed to reduce mortality and increase the life expectancy of victims while waiting for help from medical personnel.


2021 ◽  
Vol 2 (2) ◽  
pp. 49-61
Author(s):  
I Kadek Artawan ◽  
Yupin Aungsuroch ◽  
I Gede Juanamasta ◽  
I Made Sukma Wijaya ◽  
Komang Agus Jerry Widyanata

Introduction: Cardiac arrest is the most pre-hospital emergency cases. Approximately 30.000 people have cardiac arrest in pre-hospital and about 33% have treated with bystander. Basic life support (BLS) with cardiopulmonary resuscitation (CPR) is a first aid procedure that needs to be performed in this case. Death could occur within minutes if the first aid does not adequately performed. The study aimed to know the effect of BLS courses on the community knowledge level in the North Denpasar District. Methods: The study was a pre-experimental study with a pre-posttest design. Study participant selected by cluster random sampling technique  and 199 participants chosen as study participants. To collect the community knowledge data, a questionnaire employed in this study. American Heart Association (AHA) guideline for the public published in 2015 enrolled as a reference in organizing ten questions in the questionnaire with Guttman Scale. Results: The characteristics of respondents were 27% participants were aged between 30-39 years, 56% graduated from senior high school, 55% work as employees and 90% never attended BLS training program. There was a significant mean difference from the pre-test and post-test data. The mean difference before and after the BLS course were 8.38 and 9.74, respectively. There was a significant correlation between the BLS course and the level of knowledge (p = 0.000). Conclusion: The level of knowledge about BLS before the course was 63%. It classified into a good knowledge level. The level of knowledge about BLS after the course was significantly improved. It increased to 97.5%.


2020 ◽  
Vol 1 (2) ◽  
pp. 146-154
Author(s):  
Sunarto Sunarto ◽  
Addi Mardi Harnanto

Background: Recent developments both in terms of science, population density, modern lifestyle, increased activity, congestion in terms of transportation and so on have a real impact on life in society. One impact that is not recognized is less concerned about the risks of these developments. Where this makes individuals vulnerable to a disease and other threats. One of them is a heart attack, the number of accidents has increased, so there is a risk of trauma, even resulting in cardiac arrest and stopping breathing. In line with this, first aid in emergency conditions really needs to be known by all people. So we need a guide for the flow of help, which is currently with algoritma basic life support AHA 2017. Community service goals: The community understands the flow or algorithm of first aid for people with cardiac arrest and respiratory arrest. Methods: In the implementation using question and answer lecture and demonstration models, with the module learning media. Pre-test and post-test is done by asking questions. Results: There is a difference in the results of the correct answer before and after the socialization of the AHA 2017 basic life support algorithm. The increase is between 3 and 6. Conclusion: After socialization of basic life support algorithm AHA 2017 knowledge  increased.


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