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.