First Aid

Musashi

The St. Johns Ambulance have put basic First Aid instruction online! Save it and stick it on your MP3 Player or Mobile Phone! You never know when it'll help, and there's no excuse now for not having some idea what to do if the worst happens!

http://www.sja.org.uk/firstaid/info/

Hope it helps someone out there!

focusing

Clever idea. They've recorded what to do in just about every emergency you're likely to see in the dojo.

Though I'd hope every instructor had their First Aid cert. before they were allowed to teach.

Quillo

Adult CPR link doesn't work...
All the others look OK.
Nice idea.

And I agreed with focusing's post that every instructor should have basic first aid certification....

Musashi

I've saved them all to my desktop in the MP3 format and they all work ok.

I agree all instructors should have First Aid Certification, but how many do?

I really think F.A. should be taught in school, as an ongoing thing or maybe in Fourth (Gap) Year? That, and road safety, would be a lot more relevant than "Peig" :rolleyes:

Quillo

Checked again and all are working now (earlier when I tried downloading that Adult CPR file if returned a html file with an error).

westliferule

I am just doing a first aid course at the moment and a little unsure of the primary and secondary survey. I just want to know do you only do the secondary survey on a unconscious casualty? Also if you find an injury when doing the survey do you continue on or do you stop and treat it?

Thanks. Please help.

arybvtcw0eolkf

westliferule wrote: »

I am just doing a first aid course at the moment and a little unsure of the primary and secondary survey. I just want to know do you only do the secondary survey on a unconscious casualty? Also if you find an injury when doing the survey do you continue on or do you stop and treat it?

Thanks. Please help.

Yes you do your secondary first aid on an uncnsious patient.

If you find a life threatening injury during the survey you stop and treat that before carrying on.

And I agree that a club should have someone at least Occupational First Aid qualified and re-certed every two years.

Ryder

primary survey is done on all patients regardless of conciosnessess levels. it consists of the standard airway (with spinal precautions), breathing, circulation etc. in order of priority. you stop and rectify any deficiencies.

the secondary survey is a global assessment for other injuries...ie sprained shoulder that come lower in the priority list.

westliferule

Thanks guys an u right in saying you Carry out a secondary survey after you check the abc an casualty is breathing? Also you are suppose to take a medical history such as signs allergy medication past history last meal n wat happen how can you do this if patient is unconscious?

Ryder

westliferule wrote: »

Thanks guys an u right in saying you Carry out a secondary survey after you check the abc an casualty is breathing? Also you are suppose to take a medical history such as signs allergy medication past history last meal n wat happen how can you do this if patient is unconscious?

primary comes first, then secondary....ie if patient is unconscious, you may need to secure the airway etc. You can't take a history of the patient isn't conscious /confused but hopefully that will rarely be the case and a hospital visit will be needed

westliferule

Thanks for that Ryder are you a medic something?? I want to join Saint John ambulance but have to pass the course first!

Chris Dowling

Selena Low Urinal wrote: »

Yes you do your secondary first aid on an uncnsious patient.

If you find a life threatening injury during the survey you stop and treat that before carrying on.

And I agree that a club should have someone at least Occupational First Aid qualified and re-certed every two years.

I do believe it is the law for every club to have atleast one instructor present per class that's certified with a minimum of Occupational First Aid!! So check your insurance policy and that your are following best practice in health and safety of your students/members

Dyr

Chris Dowling wrote: »

I do believe it is the law for every club to have atleast one instructor present per class that's certified with a minimum of Occupational First Aid!! So check your insurance policy and that your are following best practice in health and safety of your students/members

Why would you check an insurance policy for a law?

CIARAN_BOYLE

Chris Dowling wrote: »

I do believe it is the law for every club to have atleast one instructor present per class that's certified with a minimum of Occupational First Aid!! So check your insurance policy and that your are following best practice in health and safety of your students/members

I'm not sure that its the law but I know some insurance companies require it in order for insurance to valid.

Chris Dowling

I ment in my previous comment to say also instead so , thats why you should check it as unless you have your first aid cert the insurance may be invalid also!!

Deise Musashi

Don't listen to lads (especially me) on the internet, you have no way of knowing if our advice is correct and within your clinical practice guidelines for whatever level of training you are on. An advanced Paramedic can do things that would land me in jail for example!

Go and get training from the local Adult Education place, Saint John's/Order of Malta/Red Cross Branch. Once you are trained, keep your practice up, you need contact with casualties to gain experience and practice the skills.

Primary survey is AcBC, unless there is very heavy bleeding (or depending on your level of training) then it's CAcB.
No point maintaining an airway if all the casualties blood is spilling out of them, deal with life threatening bleeding then airway, C-Spine and breathing.

If the person is conscious (AVPU scale) then you get a history (SAMPLE) and investigate any medication/allergies/pain (OPQRST). You can also be doing a head to toe at this point while you ask your questions. It's worth doing as, an example I was given in a competition, a stroke patient had a broken leg but wasn't aware of it themselves as it was the side affected by the stroke.

A persons main complaint my not be their only complaint, secondary survey and the history should direct you to other possible injuries or medical problems. Take in to account the mechanism of injury, a fall from height is probably a query spinal for example.

Main thing is as a first aider you may be the first contact the casualty has, don't be the last!
Get on the phone and get help, or tell a bystander to do it if you are busy and help is available.

The Red Cross has a first aid app for smartphones now, may be of use to someone lads!

http://www.redcross.org.uk/What-we-do/First-aid/Mobile-app

Ryder

Deise Musashi wrote: »

Don't listen to lads (especially me) on the internet, you have no way of knowing if our advice is correct and within your clinical practice guidelines for whatever level of training you are on. An advanced Paramedic can do things that would land me in jail for example!

Go and get training from the local Adult Education place, Saint John's/Order of Malta/Red Cross Branch. Once you are trained, keep your practice up, you need contact with casualties to gain experience and practice the skills.

Primary survey is AcBC, unless there is very heavy bleeding (or depending on your level of training) then it's CAcB.
No point maintaining an airway if all the casualties blood is spilling out of them, deal with life threatening bleeding then airway, C-Spine and breathing.

If the person is conscious (AVPU scale) then you get a history (SAMPLE) and investigate any medication/allergies/pain (OPQRST). You can also be doing a head to toe at this point while you ask your questions. It's worth doing as, an example I was given in a competition, a stroke patient had a broken leg but wasn't aware of it themselves as it was the side affected by the stroke.

A persons main complaint my not be their only complaint, secondary survey and the history should direct you to other possible injuries or medical problems. Take in to account the mechanism of injury, a fall from height is probably a query spinal for example.

Main thing is as a first aider you may be the first contact the casualty has, don't be the last!
Get on the phone and get help, or tell a bystander to do it if you are busy and help is available.

The Red Cross has a first aid app for smartphones now, may be of use to someone lads!

http://www.redcross.org.uk/What-we-do/First-aid/Mobile-app

sorry, I'm a lurker on this forum, but that advice is absolutely wrong. Nothing takes precedence to securing an airway, if it's compromised

If not, you can progress to breathing, circ etc. In your example of a bleeding victim, if he's sitting up talking then fine stop the bleeding, but if he's sustained facial injury and can't breath, hell be dead if you prioritize the bleeding

Btw, agree with everything else

Deise Musashi

Nothing takes precedence to securing an airway, if it's compromised

Completely agree, and this is why training is more important than the internet

In certain circumstances bleeding takes precedence over airway, a guy roaring in pain with a major arterial bleed for example.
He's obviously conscious, has an airway (roaring), but the priority is stopping arterial blood loss as that's the life threatening condition (and shock).
If the bleeding isn't stopped then shortly he won't need an airway as there will be nothing to carry oxygen around the body.

A good class will cover a lot of different scenarios and you will learn what you need to know, and when to change the priorities. Proper training and then practice and refresher training. Best practice changes quite often, you need to keep up the training to stay current.

I would predict that a lot of changes will come from lessons learned by the American and UK combat lifesaver medics. Their experience in use of tourniquets, and treating abdominal/pelvic wounds will eventually filter through to day to day first aid courses.
This will take years to see, but that's how these things change.

Best of luck with it, more knowledge is always a good thing.