PTC Aviation Cabin Crew Safety Manual PDF

CABIN CREW SAFETY MANUAL PAGE 5-1 CHAPTER 5 IN-FLIGHT MEDICAL EMERGENCIES 5.1 IN-FLIGHT FIRST AID POLICY If a passenger requires medical assistance, Cabin Crew provides First Aid as necessary, until professional medical help is availabl...

CABIN CREW SAFETY MANUAL PAGE 5-1 CHAPTER 5 IN-FLIGHT MEDICAL EMERGENCIES 5.1 IN-FLIGHT FIRST AID POLICY If a passenger requires medical assistance, Cabin Crew provides First Aid as necessary, until professional medical help is available. 5.2 CABIN CREW ROLES AND RESPONSIBILITIES  1st Cabin Crew = The Checker Checks scene if safe Assesses the passenger for consciousness Calls for assistance Remains with passenger  2nd Cabin Crew = The Caller Communicates with the Flight Deck Crew and pages for medical assistance.  3rd Cabin Crew = The Collector Gathers all necessary First Aid equipment and assists as necessary. Paging for Medical Assistance “Ladies and Gentlemen, we have a medical emergency on board. If you are a medical practitioner willing to help, please identify yourself to any of the Cabin Crew. Thank you.” (Repeat as necessary) PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 1 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-2 5.3 GENERAL GUIDELINES IN FIRST AID  Identify self and get permission to assist the victim.  Assess the victim  Ask what happened/get medical information.  Make the victim as comfortable as possible.  Check for medical identification.  Explain actions taken, step by step.  Reassure the victim, always assume they can hear you even if they are unconscious.  Calm distraught travel companions or relatives.  Prevent onlookers from gathering near the scene.  Do not leave the victim unattended.  Do not discuss the situation with other passengers.  Do not diagnose, treat symptoms with the scope of your training.  Complete all required documentation. 5.4 MEDICAL KITS AND EQUIPMENT ON BOARD 1. First Aid Kit 2. Universal Precaution Kit 3. Emergency Medical Kit 4. Automated External Defibrillator PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 2 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-3 5.4.1 FIRST AID KIT CONTENTS  Antiseptic swabs (10/packs)  Bandage adhesive strips  Bandage, gauze 7.5 cm x 4.5 cm  Bandage triangular 100 cm folded and safety pins  Dressing, Burn 10 cm x 10 cm  Dressing, compress, sterile 7.5 cm x 12 cm approximately  Dressing, gauze, sterile 10.4 cm x 10.4 cm approximately  Adhesive tape, 2.5 cm standard roll  Skin closure strips  Hand cleanser or cleaning towelettes  Pad with shield or tape for eye  Scissors, 10 cm (if permitted by applicable regulations)  Adhesive tape, surgical 1.2 cm x 4.6 m  Tweezers, splinter  Disposable gloves (several pairs)  Thermometer (non-mercury)  Resuscitation mask with one-way valve  First-aid manual (an operator may decide to have one manual per aircraft in an easily accessible location  Incident record form 5.4.2 UNIVERSAL PRECAUTION KIT CONTENTS Dry powder that can convert small liquid spill into a granulated gel Germicidal disinfectant for surface cleaning Skin wipes Face/eye mask (separate or combined) Gloves (disposable) Impermeable full length long sleeved gown that fastens at the back Large absorbent towel Pick-up scoop with scraper Bio-hazard disposal waste bag Instructions/Manual PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 3 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-4 5.4.3 EMERGENCY MEDICAL KIT CONTENTS Sphygmomanometer (electronic preferred) Stethoscope Airways, oropharyngeal (appropriate range of sizes) Syringes (appropriate range of sizes) Needles (appropriate range of sizes) Intravenous catheters (appropriate range of sizes) System for delivering intravenous fluids Antiseptic wipes Venous tourniquet Venous tourniquet Sharp disposal box Gloves (disposable) Urinary catheter (with sterile lubrication gel) Sponge gauze Tape adhesive Surgical mask Emergency tracheal catheter (or large gauge intravenous cannula) Umbilical cord clamp Thermometer (non-mercury) Torch (flashlight) and batteries (operator may choose to have one per aircraft in an easily accessible location) Bag-valve mask Basic Life Support Cards Emergency Medical Kit: Drugs Epinephrine 1:1000 Antihistamine injectable (inj.) Dextrose 50% inj. 50 ml (single dose ampule or equivalent) Nitroglycerin tablets or spray Major analgesic inj. or oral Sedative anticonvulsants inj. Antiemetic injection or Ondansetron oral dissolvable Bronchial dilator inhaler with disposable collapsible spacer Atropine injection PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 4 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-5 Adrenocortical steroid inj. or similar oral absorption equivalent Diuretic injection Medication for postpartum bleeding (Misoprostol) Chloride 0.9% (1000 ml recommended) Acetyl salicylic acid (aspirin) for oral use 5.4.4 AUTOMATED EXTERNAL DEFIBRILATOR - AED A portable device that checks the heart rhythm and can send an electric shock to the heart to try to restore a normal rhythm. If you start CPR then use an AED within a few minutes, you will have the best chance of saving a life. AED’s are safe, accurate and easy to use 5.5 FAINTING / UNCONSCIOUSNESS A condition which is significantly different from normal waking state. It can result from a variety of factors like insufficient oxygen flow to the brain or low blood sugar. Symptoms: Pale clammy or moist skin Dizziness Slow Pulse Loses consciousness Difficulty/inability to swallow Eyes may not react May or may not be breathing 5.5.1 FIRST AID FOR FAINTING IF RESPONSIVE: 1. Lay the victim flat on the floor and elevate legs 2. When alert, reassure and offer sips of beverage 3. Provide Oxygen as needed. PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 5 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-6 IF NOT RESPONSIVE BUT BREATHING: 1. Check for ABC : Airway, Breathing, Circulation 2. Loosen clothing around neck and waist 3. Place person on their side (Recovery Position) 4. Do not give fluids 5. Provide Oxygen as needed. IF NOT RESPONSIVE AND NOT BREATHING: 1. Begin CPR until AED is attached. 2. If necessary, move to aisle area to allow CPR. 3. Remain with the passenger until descent prior to landing IN A NUTSHELL:  If Responsive: Lay flat on floor with legs elevated.  If Not Responsive But Breathing: Side Lying Position.  If Not Responsive and Not Breathing: CPR 5.6 CPR (CARDIO PULMONARY RESUSCITATION) CPR is as easy as C-A-B C – Compression = act of pushing hard and fast on the center of victim’s chest. A – Airway = tilting the victim’s head back and lift the skin to open the airway. B – Breathing = giving mouth to mouth rescue breaths. 5.7 STEPS IN CPR  Check first if the scene is safe  Position person face up on hard flat surface  Kneel facing person’s chest  Check responsiveness: Tap and shout “HEY, HEY, ARE YOU OKAY?”  No Response  CALL for assistance: “PAGE FOR A DOCTOR!” “INFORM FLIGHT DECK!” “GET MEDICAL EQUIPMENT!”  Check for Breathing and Pulse for no more than 10 seconds 1. Look- Listen and Feel for breathing (LLF) 2. Check pulse for circulation - Carotid pulse – Adult - Brachial pulse – Infant PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 6 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-7  Negative breathing and negative pulse – Proceed to Compressions  How to do compressions: Make sure the person is lying on their back on a firm, flat surface. Take any objects (necklace) out of the way Put the heel of 1 hand on the lower half of the breastbone. Put the heel of your other hand and interlock on top of the first hand. Push straight down at least 2 inches (5 cm) at a rate of at least 100-120 compressions per minute. After each compression, let the chest come back up to its normal position. Hand Placement: ADULT= 2 hands on the lower half of the breastbone (sternum) CHILD = 2 hands or 1 hand (optional for very small child) on lower half of breastbone. INFANT = 2 fingers in the center of the chest just below nipple line. Depth of Compression: ADULT = at least 2 inches or 5 cm, not more than 2.4 inches or 6 cm CHILD = about 2 inches or 5cm INFANT = about 1.5 inches or 4 cm Reminders about giving compressions:  People often don’t push hard enough because they’re afraid of hurting the victim.  An injury is unlikely, but it is better than death.  It is better to push too hard than not hard enough. PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 7 of 8 TEL:+63 (2) 8841-5551  CABIN CREW SAFETY MANUAL PAGE 5-8  How to open airway: Use Head Tilt Chin Lift Maneuver Put 1 hand on the forehead and the fingers of your other on the bony part of the chin. Tilt the head back and lift the chin.  How to give breaths: While holding the airway open, pinch the nose closed. Take a breath. Cover the person’s mouth with your mouth. Give 2 breath (blow for 1 second each). Watch for the chest to begin to rise as you give each breath.  ADULT/CHILD/INFANT: Perform cycles of 30 compressions and 2 breaths at a rate of 100 compressions per minute 5.8 WHEN TO STOP CPR - When to Put ASTOPS to CPR A AED arrives, is attached and on S Spontaneous signs of circulation are restored T Trained and authorized medical personnel takes over O Operator is already exhausted and cannot effectively continue CPR P Physician on board instructs to discontinue resuscitation efforts (declares death) S Scene becomes unsafe 5.9 RECOVERY POSITION How to put someone in the recovery position? With the person lying on their back, kneel on the floor at their side Place the arm nearest you at a right angle to their body with their hand upwards, towards the head Tuck their other hand under the side of their head, so that the back of their hand is touching their cheek Bend the knee farthest from you to a right angle Carefully roll the person onto their side by pulling on the bent knee The top arm should be supporting the head and the bottom arm will stop you rolling them too far Open their airway by gently tilting their head back and lifting their chin, and check that nothing is blocking their airway Stay with the person and monitor their condition until help arrives PTC AVIATION TRAINING CENTER INC 3RD FLOOR, BROADLANDS PLACE BLDG, #3 MIA ROAD, PARANAQUE CITY 1701 Page 8 of 8 TEL:+63 (2) 8841-5551