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2 Breach of Duty
You failed to act or act appropriately
3 It must be proven that injury or damages occurred 4 It must be proven that your actions, or lack of actions, directly caused the injury
PART ONE
Chapter 1-12
CHAPTER ONE
Scene Safety
Bystanders
Hazards
CHAPTER TWO
Body Substance Isolation
Shirt drag
Blanket Drag
Shoulder drag
Recovery Position
CHAPTER THREE
CHAPTER FOUR
Initial Assessment
Initial Assessment
Is the scene safe?
Take BSI or PPE
Level of Responsiveness
Initial Assessment
Activation of EMS Assess the ABC-H A = Airway B = Breathing C = Circulation H = Hemorrhage Pressure Points
CHAPTER FIVE
Ongoing Assessment
D.O.T.S.
D = Deformities O = Open Injuries T = Tenderness S = Swelling
S.A.M.P.L.E. History
S = Signs and Symptoms
A = Allergies
M = Medications
P = Pertinent History L = Last Oral Intake E = Events leading up to the illness or injury
CHAPTER EIGHT
Shock
Dizziness
Anxiety Confusion Weakness
CHAPTER TEN
Soft Tissue and Bleeding
Puncture Wounds
Direct pressure if possible
Stabilize object
Slivers (remove)
Neck Wounds
Occlusive Dressing (airtight) Direct Pressure
Internal Bleeding
Treat for Shock
Nosebleeds
Lean Patient forward
CHAPTER TEN
Muscle and Bone injuries
R.I.C.E.
R = Rest
I = Ice
constricts vessels to limit the amount of internal bleeding above the level of the heart
C = Compression
E = Elevation
CHAPTER ELEVEN
Spinal Precautions
Holding inline
Log Roll Infant in car seat
CHAPTER TWELVE
Oxygen application
Chest pain Difficulty Breathing Shock Burns Seizures Significant bleeding or soft tissue injuries Allergic reactions Head injury Abdominal injury
O2 Application
PART TWO
CHAPTER THIRTEEN
Eye Injuries
takes 2 responders
CHAPTER FOURTEEN
Heat Related Emergencies
Three Types
Heat Cramps
Heat Exhaustion
Heat Stroke
If fully conscious give 8oz of cool water or fruit juice every 20 minutes
If S&S do not improve call EMS Restrict all activities for a minimum of 4 - 6 hours
usually red
remove clothing place damp cloths and ice packs in groin and armpits
(if the Pt starts to shiver stop cooling process)
CHAPTER FIFTEEN
Cold Related Emergencies
Stages of Hypothermia
Shivering Feeling of numbness Slow breathing Slow pulse Slurred speech Decreased Level of Consciousness Hard cold painless body part Death
CHAPTER SIXTEEN
Burns
Types of Burns
Thermal Chemical Electrical Radiation
Classification of Burns
First Degree - red skin w/ swelling
Superficial
Chemical Burns
Identify chemical
Check and watch airway
CHAPTER SEVENTEEN
Breathing Emergencies
Causes
Allergies
Heart problems
Inhalation injuries
Smoking Lung disease Hyperventilation
Treatment
Patients medications
Albuteral Nitroglycerine
Oxygen
CHAPTER EIGHTEEN
Cardiac Emergencies
Treatment
Ventilation's
Chest Compressions Oxygen
CHAPTER NINETEEN
Chest and Head Injuries
CHAPTER TWENTY
Abdominal Injuries
CHAPTER TWENTY-ONE
Stroke
Stroke S & S
Headache
Altered LOC
CHAPTER TWENTY-THREE
Poisoning and Overdose
CHAPTER TWENTY-FOUR
Seizures, Convulsions and Altered Mental Status
Treatment
Clear area of any hazards
DO NOT stick anything in their mouth ABCH
CHAPTER TWENTY-FIVE
Allergic Reaction
Treatment
If stung, remove stinger with a credit card EpiPen