First Aid

  • Why do we learn first aid
    • To save lives
    • Prevent further life threatening incident
    • For people in society to feel more safe
    • To respond to emergency and make the doctor’s job easier
      • From life threatening to manageable
  • Outline of what to do in first aid
    1. Protect from further incident
    2. Check for life
      • Check breathing: if fainted
      • Check pulse: if heart is pumping
      • Check brain functions: make patient follow your finger with their eyes
        • If no problem: can move them and carry
      • Check limbs: if no problem, can carry
        • Legs: if can’t move -> could be spinal injury
    3. Call ambulance
    4. Calm patients: don’t let anyone move them
    5. Clean up after yourself: masks, equipment, towels

Fainting

  • Don’t block the airway by
    • Laying on a pillow/lap
    • Lay on their side instead
  • Move them to recovery position by
    • Straighten limbs and protect joints
    • One arm in V shape
  • Don’t put pressure on injured area

Cardio Pulmonary Resuscitation (CPR)

  • Purpose
    • Only for fainting, no pulse, or no breathing
    • To resuscitate the heart
    • To replace the heart’s function
  • Very time sensitive
    • Don’t spend time checking pulse if you know they aren’t breathing (drowning)
  • CPR pump 30 times (100-120 pumps/min)
    • Then 2 blows through the mouth and repeat
    • Push down 1/3 the depth of the torso
  • Body types
    • Adults: use both hands
    • Teenagers: use one hand only
    • Infants: three fingers extended only, or use thumbs

Shock

  • Cause:
    • Loss of blood
    • Lack of oxygen
    • Exhaustion
    • Intense pain
  • Symptoms: Shock stops all 3 systems of life
    • Lost/lack of consciousness: don’t let the victim fall asleep
    • No Breathing
    • No Heart beats
  • Treatment:
    • Remove the cause of the shock
    • Elevate the patient’s legs higher than their heart
    • Cover them with a blanket

Checking for life

  • Systems of life
    • Consciousness
    • Breathing
    • Heart beat
  1. Ask for a response/consciousness
  2. Check breathing: if breathing -> heart is pumping
    • Count breaths for 10 seconds
    • Times by 6 to get breaths/min
      • 12-20/min for adults
      • 20-30/min for 1-8 years old
      • 30-40/min for <1 years old
    • If not breathing start CPR
  3. Check pulse: check the wrist or neck for heart beats
    • Count pulse for 10 seconds
    • 60-80 pulse/min for adults

Choking ស្លាក់

  • The epiglottis is what keeps food/water from going down the wind pipe
    • Your mind helps determines which tube to open
  • Knock on their upper back to push the block out
  • Do the Heimlic maneuver
    • Check if they’re pregnant
  • If fainted & no breath: start CPR
  • Poisioning

Physical Injuries

  • Spilled guts:
    • Put slightly salty waters on injured area to sanitize
    • Legs must be folded at all times
  • Burns
    • Burned skin:
      • Don’t use toothpaste
      • Tie area with wet towel
      • Burned hands: don’t let fingers touch each other, or they’ll merge
        • Keep bandage wet
    • Acid burn
      • Use liquid shampoo
    • Don’t break burn bubbles
  • Snake bite
    • Get to the hospital from 8 to 12 hours
    • Don’t cut blood flow to the limb
    • Drink little amounts of water frequently.
  • Dislocated joints:
    • Spinal injury
    • Use ice
  • Broken bones:
    • Bones can cut flesh -> swollen because internal bleeding
    • don’t move the victim, wait for ambulance
    • Use brace to keep limb straight before transporting to hospital

Blood

  • Blood types: A, B, AB, and O
    • Can have A+

Types of bleeding

  • External bleeding:
    • Clean injury with slightly salty water/soap/warm-water
      • Don’t use alcohol
    • Put pressure on area
    • Nose bleed
      • Cause: hot-temperature
      • Face down while holding your nose closed
      • Keep your head/face cold: head mask
  • Internal Bleeding:
    • Symptoms:
      • Types
        • Internal organ rupture
        • Blunt force trauma to bleed inside
      • Throwing up blood
      • High heart rate
      • Low blood pressure
    • Treatment: elevate the legs higher than the heart
      • No drinking water:

References

  1. 2022-06-28’s ActionAid’s First Aid training
  2. 2022-06-29’s ActionAid’s First Aid training