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Questions and Answers
What is the primary purpose of first aid?
What is the primary purpose of first aid?
Which of the following is NOT a component of the emergency action steps?
Which of the following is NOT a component of the emergency action steps?
Which of these is NOT a cause of injury mentioned in the content?
Which of these is NOT a cause of injury mentioned in the content?
What is the first step in checking the victim?
What is the first step in checking the victim?
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What should be done if the victim is conscious?
What should be done if the victim is conscious?
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What is a common situation where first aid may be required?
What is a common situation where first aid may be required?
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What is the most important principle of first aid when caring for a victim?
What is the most important principle of first aid when caring for a victim?
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Which type of bandage is most suitable for supporting injured joints?
Which type of bandage is most suitable for supporting injured joints?
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What is the purpose of using a bandage to secure dressings in place?
What is the purpose of using a bandage to secure dressings in place?
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Which type of bandage is generally used to minimize swelling in an injured limb?
Which type of bandage is generally used to minimize swelling in an injured limb?
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When applying a roller bandage, what is the recommended overlap for each turn?
When applying a roller bandage, what is the recommended overlap for each turn?
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What is the main benefit of using an open-weave bandage?
What is the main benefit of using an open-weave bandage?
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Which of the following is NOT a reason for using a bandage?
Which of the following is NOT a reason for using a bandage?
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What is the correct sequence for applying a roller bandage to a limb?
What is the correct sequence for applying a roller bandage to a limb?
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Which type of bandage would be most appropriate for supporting a sprained ankle?
Which type of bandage would be most appropriate for supporting a sprained ankle?
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Before applying a bandage, what is the most important step to ensure?
Before applying a bandage, what is the most important step to ensure?
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Which of these is NOT a common type of roller bandage?
Which of these is NOT a common type of roller bandage?
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What should be avoided when managing a victim in the recovery position?
What should be avoided when managing a victim in the recovery position?
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After confirming both pulse and breathing in an unconscious victim, what is the next step?
After confirming both pulse and breathing in an unconscious victim, what is the next step?
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What is the primary method for checking the pulse in adults?
What is the primary method for checking the pulse in adults?
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When performing the head-tilt/chin-lift technique, which direction should pressure be applied to the chin?
When performing the head-tilt/chin-lift technique, which direction should pressure be applied to the chin?
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Which of the following would indicate ineffective breathing in a victim?
Which of the following would indicate ineffective breathing in a victim?
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What is the role of an oropharyngeal airway (OPA)?
What is the role of an oropharyngeal airway (OPA)?
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What is the correct way to perform a jaw thrust maneuver?
What is the correct way to perform a jaw thrust maneuver?
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How should you open a victim's mouth for OPA insertion?
How should you open a victim's mouth for OPA insertion?
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What is the appropriate action to take if an AED advises that a shock is needed?
What is the appropriate action to take if an AED advises that a shock is needed?
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What is the appropriate action to take if you notice that the client is breathing after performing CPR?
What is the appropriate action to take if you notice that the client is breathing after performing CPR?
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What is the recommended action if you need to use an AED on a victim who has body hair?
What is the recommended action if you need to use an AED on a victim who has body hair?
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Why is it important to ensure that no one is touching the person when using an AED?
Why is it important to ensure that no one is touching the person when using an AED?
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Which of the following scenarios would necessitate stopping CPR?
Which of the following scenarios would necessitate stopping CPR?
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What is the appropriate action if you need to use an AED on a person with a medication patch on their chest?
What is the appropriate action if you need to use an AED on a person with a medication patch on their chest?
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What precautions should be taken when using an AED?
What precautions should be taken when using an AED?
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Which of the following is a shockable rhythm?
Which of the following is a shockable rhythm?
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What is the consequence of using an oropharyngeal airway (OPA) that is too small?
What is the consequence of using an oropharyngeal airway (OPA) that is too small?
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During the insertion of an OPA for an adult, what should you do when the tip approaches the back of the mouth?
During the insertion of an OPA for an adult, what should you do when the tip approaches the back of the mouth?
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What is the primary purpose of the nasopharyngeal airway (NPA)?
What is the primary purpose of the nasopharyngeal airway (NPA)?
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What is the correct position for giving chest compressions during CPR?
What is the correct position for giving chest compressions during CPR?
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What technique is used to create a tight seal between the bag-mask and the victim's face?
What technique is used to create a tight seal between the bag-mask and the victim's face?
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What is the recommended rate for delivering breaths using a bag-valve-mask for adults?
What is the recommended rate for delivering breaths using a bag-valve-mask for adults?
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What is the most critical factor for successful CPR according to the content provided?
What is the most critical factor for successful CPR according to the content provided?
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What is the correct hand position for chest compressions during CPR?
What is the correct hand position for chest compressions during CPR?
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When measuring an NPA, which two anatomical points should you consider?
When measuring an NPA, which two anatomical points should you consider?
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What chest compression depth is recommended during CPR for adults?
What chest compression depth is recommended during CPR for adults?
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What is the ratio of compressions to ventilations when performing CPR without an advanced airway?
What is the ratio of compressions to ventilations when performing CPR without an advanced airway?
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Why is it important to minimize interruptions in chest compressions during CPR?
Why is it important to minimize interruptions in chest compressions during CPR?
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What should be done if a victim is unresponsive and not breathing?
What should be done if a victim is unresponsive and not breathing?
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Which of the following describes the role of the LUCAS device in CPR?
Which of the following describes the role of the LUCAS device in CPR?
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What should be monitored after delivering ventilation during CPR?
What should be monitored after delivering ventilation during CPR?
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What is the suggested energy level for a Metronic defibrillator in a hospital setting?
What is the suggested energy level for a Metronic defibrillator in a hospital setting?
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Study Notes
First Aid Principles: Bandaging and CPR
- First aid involves helping behaviors and initial care for acute illnesses or injuries.
- The purpose of first aid is to preserve life, prevent suffering, prevent further complications, promote speedy recovery, assess the situation, call for help, provide appropriate care and report.
- Common injury causes include mechanical (impact, cuts), thermal (extreme temperatures), electrical (lightning, workplace), and radiation injuries.
- Common injury situations include cardiac arrest and choking.
Learning Objectives
- Understand general first aid principles.
- Understand the criteria and steps involved in quality CPR practices.
- Understand the basic concept of bandaging.
Emergency Action Steps
- Check for scene safety.
- Check the victim for responsiveness, pulse, and breathing.
- Call for help (999).
- Care for the victim and/or their relatives/friends.
Checking Responsiveness
- Unresponsive or unconscious person lying on the ground: silent, motionless.
- Tap on shoulder and ask (shout at both sides of ears.) check for response.
- Shout victim's name if known.
- Infant: check for response by flicking bottom of foot.
- If conscious, provide reassurance.
- If unconscious, check pulse and breathing.
- Perform a head-to-toe assessment to check for injury or bleeding.
Conscious Person Care
- Monitor any deterioration until ambulance arrives.
- Continue assessment.
- Provide necessary care according to general first aid principles.
- Help the victim rest in a safe and comfortable position.
- Avoid chilling or overheating the victim.
- Reassure the victim and their relatives/friends.
- Provide any needed care like bandaging.
- Maintain careful observation for any changes.
Recovery Position
- Lay the person down on their back with legs out straight.
- Kneel down beside them.
- Place the nearest arm on the floor next to their head, bent with palm facing up.
- Using the hand further away from you, pull the far arm across their chest, Guide the back of the hand towards their face resting on the cheek closest to you.
- The leg you pulled up will be straightened out in front of the person with the thigh at a right angle.
- Gently tilt their head back a little and open their mouth slightly to make it easier for them to breathe
- Rest their hand on their cheek, between their chin and the ground to stabilize.
- The procedure must be followed to help increase total airway volume and decrease stridor severity.
Checking Pulse and Breathing
- Adults: Locate and feel the carotid pulse.
- Infants: Feel for brachial pulse.
- Look for chest rising and falling with breathing, or gasping (ineffective breathing)
- Confirm pulse and breathing for 5-10 seconds.
- Breathing & pulse present = Maintain airway and recovery position.
- Pulse +ve, no breathing (or gasping) = Airway management and/or rescue breathing.
Unconsciousness
- Unconsciousness is a life-threatening emergency.
- If someone doesn't respond, assume they're unconscious.
Airway Management
- Assess the airway to ensure it is open and unobstructed.
- Unconscious person lying on back, tongue may block airway.
- Unconscious Person Airway - Use head-tilt/chin-lift or jaw thrust to open airway.
- Oropharyngeal airway (OPA) — inserted into mouth, used with unconscious patients — may stimulate gag reflex and induce vomiting, and might cause mouth or teeth trauma.
- Nasopharyngeal airway (NPA) – inserted into the nose.
Clear Airway
- Suctioning is used to clear the airway.
- Yankauer sucker tool is used in these procedures.
Maintaining Airway
- Procedures like oropharyngeal suctioning are crucial in clearing the airway.
OPA Insertion
- Measure the OPA, mouth opening using crossfinger technique
- Insert OPA with the curved end along roof of mouth, rotate half turn.
- Slide OPA into the throat and ensure correct placement and secure the flange on the lips.
- Make sure that the edge of the bandage by the elbow is secured by twisting the fabric and tucking it in, or using a safety pin.
NPA Insertion
- Inserting the NPA into the nose is necessary for semi-conscious clients.
- The NPA should be lubricated for comfort and to prevent nose bleeding.
- Proper size is measured from the tip of the nose to the tip of the ear.
Open/Clear/Maintain Airway
- Open: Head tilt/chin lift or jaw thrust.
- Clear: Suctioning.
- Maintain: Oropharyngeal airway OR nasopharyngeal airway or advanced airway.
Rescue Breathing
- Keep airway open. Watch for chest rise as air goes in.
Ventilation
- Proper ventilation technique like bag-valve-mask (BVM).
- Use three fingers to lift the jaw toward the mask, opening airway — E-C technique.
- Hold the mask firmly on the face, applying a tight seal.
- Use other hand to squeeze the bag (around 1/3) for 10-12 breaths per minute for adults.
- Observe chest rise for adequate ventilation.
- For adults use 30:2 compression-ventilation ratio.
Bag-Valve-Mask (BVM)
- The components of a BVM include an expiratory valve, PEEP valve, self-inflating bag, air-inlet one-way valve, and oxygen reservoir socket.
- A firm seal must be maintained between the bag and the victim's face.
- The bag should be squeezed around 1/3 of its full capacity.
CPR for Adults
- Cardiopulmonary Resuscitation (CPR) comprises chest compressions and rescue breaths when no pulse or breathing is detected (e.g., gasping).
- AED is necessary for defibrillation, when possible.
- Early CPR and Rapid Defibrillation are crucial and often work best.
- Chest compressions on a firm, flat surface or a backboard in the hospital are advised.
CPR for Adults: Chest Compression
- Kneel next to the person's upper chest.
- Place hands on the lower half of the sternum (breastbone).
- Center the hands over the heart.
- Keep arms straight and shoulders aligned directly over hands.
- Push hard straight down on the chest to the necessary depth (e.g., 5-6 cm for adults).
- Allow the chest to recoils completely after every push.
- Change compressors every 2 minutes (or sooner if fatigued).
- Maintain a 30:2 compression-ventilation ratio.
CPR for Adults: Ventilation
- Maintain the airway using the head-tilt/chin-lift or jaw-thrust technique.
- Provide rescue breaths.
- Watch for chest rise as air enters the lungs.
- Avoid excessive ventilation.
Defibrillation (AED)
- Automated External Defibrillator: Identify shockable rhythms (e.g., ventricular fibrillation (VF), pulseless ventricular tachycardia (VT)).
- Use appropriate pads, considering patient's age and size.
- Ensure no one is touching the person.
- Deliver shock when advised by AED.
- Resume CPR if advised not to give a shock.
- Follow AED instructions.
- Important to minimize interruptions in chest compression when administering CPR.
When to Stop CPR
- Life-signs are present and observed, such as breathing.
- An AED is available, ready to analyze the rhythm.
- A trained responder is taking over or ready to take over
- If you are too exhausted or the scene becomes unsafe.
Bandaging
- Bandages (strips, patches, cloth bands) are used to secure dressings or splints, maintain pressure on wounds to stop bleeding, support injured limbs, prevent further injuries, and assist in victim transport.
- Triangular bandages can be used for large dressings, slings to support limbs, and securing dressings.
- Roller bandages allow ventilation while providing support for injuries like sprains and to help secure dressings.
Simple Spiral and Figure-of-8 Bandages
- Show how to bandage a hand/leg using different techniques (e.g., spiral, figure-of-8 etc.).
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Description
Test your knowledge of first aid principles and practices. This quiz covers various components such as emergency action steps, types of bandages, and procedures for assessing victims. Perfect for anyone looking to enhance their first aid skills!