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August 8, 2021August 16, 2021

Community Emergency Response Guide

The key emergencies to look out are

Cardiac Arrest
Heart Attack
Strokes
Choking
Seizures
Trauma/Excessive Bleeding
Loss of Consciousness (Fainting)

CARDIAC ARREST

Discontinuation of heart beat.

  • The heart malfunctions and the heart stops beating
  • Absence of a beating heart means no blood is pumped to the brain, the lungs and kidneys. (Vital organs of life)
  • This will result in death within minutes with no treatment

What is the cause ?

  • An “electrical” problem with the heart resulting in an irregular and ineffective heartbeat. (This is known as an arrhythmia)
  • Many conditions can lead to this electrical abnormality

What does a person experiencing a cardiac arrest experience ?

  • Sudden unresponsiveness/unconsciousness will be seen
  • Abnormal breathing pattern: either not breathing at all, or having gasping respiratory efforts
  • No heartbeat or pulse when assessed at the wrist or neck region

What do you do, if you suspect a person is in cardiac arrest ? 

Immediate actions (Done rapidly)

  • Seek help. Call or have someone contact emergency services immediately
  • Ensure the person experiencing the arrest is in a safe position 
  • Make sure helpers do not crowd the scene or the person. 
  • Check for responsiveness – call loudly to the person. Tap their shoulders to get a response, and check for a pulse or heartbeat
  • Start cardiopulmonary resuscitation (CPR) right away if there is no response and no pulse
  • If an Automated External Defibrillator (AED) is available, follow the instruction and use it as soon as possible 

How do I perform CPR ? 

  • Place the patient onto their back and kneel beside them.
  • Place hands with palms on top of each other in the center of the patient’s chest.
  • Push down in repetitive motions no less than 2 inches, but allowing for full chest recoil.
  • Compress the chest at a rate of 100 beats per minute (You can compress to the rhythm of the song “Stayin Alive” by the Beegees).
  • Continue compressions until emergency services arrive or the patient resumes consciousness.

*Switch the compressor every 2 minutes to avoid fatigue. 

**For infants 4 weeks to a year old 

  • Compress the chest no more than 1.5 inches
  • Compressions should be performed with index and middle fingers

***For children age 1 to 12

  • Compress the chest the full depth of 2 inches
  • Compressions should be performed with the palm of one hand

SurefireCPR.com

HEART ATTACK

What is a heart attack?

  • A heart attack is acute disruption of blood flow to an area of the heart. 
  • Blockages in the blood vessels of the heart cause absence of blood flow. 
  • This will result in heart cell death in minutes. 

What does someone who is experiencing a heart attack feel?

  • A person experiencing a heart attack may feel chest pain, tightness, or discomfort.
  • A person may experience back, shoulder, or jaw pain. 
  • Warning signs differ between men and women:
    • Women may feel nausea, fatigue, or abdominal pain.

What do you do, if you suspect a person is having a heart attack?

  • Have a person, sit down, rest, and keep calm.
  • Even if symptoms vanish.
  • Call 911 immediately.
  • The quicker a heart attack patient can receive treatment, the better. 

herheart.org

STROKE

What is a Stroke?

  • A stroke is acute disruption of blood flow to an area of the brain. 
  • Either blockages or ruptures in the blood vessels of the brain cause absence of blood flow. 
  • This will result in brain cell death in minutes. 

What does a person having a stroke experience?
BE FAST (Each letter in the acronym stands for a warning sign of stroke)

  • B – Balance Problems. Unsteady gait, dizziness, or headaches as a person tries to maintain balance. 
  • E – Eye or vision problems. Loss of sight, doubled or blurred vision.
  • F – Facial weakness or drooping. Tingling sensation on one side of the face. 
  • A – Asymmetrical weakness/strength loss or tingling sensation in the arm, leg or both.
  • S – Speech difficulty. Slurred, garbled or nonsensical words.
  • T – If any of the symptoms above are observed, time is of the essence. Call 911 right away.

What do you do, if you suspect a person is having a stroke?

  • It is important that the time symptoms first occur is noted.
  • Do not give them medication, food, or drinks.
  • Do not let the person go to sleep. 
  • Do not let the person refuse emergency services.
  • Even if symptoms vanish
  • Call 911 immediately.
  • The quicker a stroke patient can receive treatment, the better. 

Medlife.com

CHOKING

What is choking?

  • Choking occurs when someone’s airway suddenly becomes blocked, either partially or totally, preventing breathing.
  • If not addressed rapidly this may result in loss of consciousness and/or cardiac arrest. 

How do I identify someone who may be choking?

  • Persons may place both hands around the neck (Universal sign of choking).
  • Persons may have coughing, wheezing, gagging, or change in color (blue lips or red face).
  • When choking is severe patients may not be able to speak, cry, cough, or breathe. 

What do you do if you suspect a person is choking?

Adults and Child over 1 year old :

  • Encourage person to cough to clear the blockage
  • Ask the person to spit out the object if it is in their mouth
  • Do not put fingers into the person’s mouth 
  • If this does not work: perform abdominal thrusts
    • Stand behind the person choking
    • Place your arms around their waist and bend them forward
    • Clench 1 fist and place above the belly button. 
    • Put other hand on top of fist and pull sharply inwards and upwards
    • Repeat this movement up to 5 times.
    • If this does not clear the airway, call emergency services

Infants (Up to 1 year old):

  • If you can see an object in the mouth, try to remove it.
  • Do not perform blind finger sweeps of the mouth (it may push the object further in). 
  • Lay infant face down along your thighs supporting their head with your hand. 
  • Give 5 sharp back blows with the heel of 1 hand in the middle of the back between the shoulder blades. 

*If person loses consciousness or stops breathing, perform CPR with chest compressions

LOSS OF CONSCIOUSNESS

What is loss of consciousness?

  • A state where a person lacks normal awareness of self and the surrounding environment
  • It can result from a number of different reasons, but is usually related to insufficient blood flow to the brain 

How do I identify someone who may have had loss of consciousness?

  • Persons may be lightheaded, faint, or even fall. 
  • Persons may have rapid pulses, sweating, or low blood pressure.
  • Persons may have seizures or loss of bowel or bladder function.

What do you do if someone loses consciousness?

If person lightheaded or about to pass out:

  • Make the person safe (clear the area around the person). 
  • If possible lie down or sit down.
  • Elevate feet. 

If a person has completely lost consciousness: 

  • Attempt to arouse the person: tap briskly, or yell.
  • Check for breathing or a pulse. If the person is not breathing, begin CPR. 
  • If a person is vomiting or bleeding from the mouth, place the person on their left side (recovery position).
  • If a person is bleeding heavily, locate the injury and place strong direct pressure to the wounded area to slow the flow of blood. 
  • If the person regains consciousness do not allow person to get up too quickly.

SEIZURES

What is a seizure?

  • A burst of uncontrolled electrical activity between brain cells causing temporary abnormalities in muscle tone. 

How do I identify someone who may be having a seizure?

  • Seizures may be preceded by an episode of abnormal mood, speech, sensation, or emotion. 
  • Classically, the person will have repetitive stiffening and jerking of the motions of the body.
  • There is often loss of consciousness and individuals may fall down.
  • They are typically less than 2 minutes in duration. 

What do you do if someone is having a seizure?

  • Loosen tight clothing.
  • Turn patient on side. 
  • Cushion head. 
  • Do not physically restrain or hold the person.
  • Do not place anything in the person’s mouth.
  • Ensure the safety of the patient by removing nearby hazards.
  • Time the seizure with a watch.
  • Call emergency services.

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