First Aid Exam 1 Ch. 1-9 – Flashcards

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4 primary goals of first aid
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keep victim alive, prevent condition from getting worse, promote early recovery, ensure victim receives appropriate medical care
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Why is there a need for first aid training?
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heart disease most common cause of death, strokes, unintentional injuries
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Deciding to help, common concerns
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not doing the right thing, someone else will provide better care, not sure it's an emergency, upset by blood or injury, catching a disease
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How to stay prepared for emergencies
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know first aid, be confident, have first aid kit, know emergency numbers, teach children to call 9-1-1, make others aware of medical conditions
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Describe the EMS system and different types of EMS professionals.
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dispatcher, emergency medical responders, EMTs/paramedics
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Dispatcher
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receives call, gathers info., sends help
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Emergency medical responders
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first to arrive and take over care
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EMTs/paramedics
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give more advanced care and transport victim
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Explain when to call 9-1-1 and what information to give the dispatcher
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victim may have life-threatening condition, unresponsive, condition may become life-threatening, moving victim could make condition worse, do not transport victim yourself
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Call 9-1-1 if
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unresponsive or AMS, not breathing/difficulty breathing, chest pain/discomfort, severe bleeding, head or spine injury, poisoning/overdose, vomiting blood, seizures, severe burn, drowning, threatened suicide, imminent childbirth
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Other reasons to call 9-1-1
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fire, explosion, vehicle crash, downed electrical wire, chemical spill, gas leak, unknown substance present, swiftly moving or rapidly rising water
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Information to have when calling 9-1-1
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your name and phone number you are using, location and number of victims, what happened/special circumstances, condition, sex and approximate age, what is being done
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Can you be sued?
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act only as you are trained to act, get victim's consent before giving first aid, do not move victim unnecessarily, call for help, give care until help arrives
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Good Samaritan Laws protect you when
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acting in an emergency voluntarily w/o compensation, acting as a reasonable person with training would act, performing first aid only as trained, do not abandon victim after starting care
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Must you give first aid?
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usually not as a bystander, may feel an ethical or moral obligation
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Legal obligations
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if you start first aid you must continue, if first aid is included in your job, if you are responsible for a child
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Implied consent
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unresponsive victim assumed to give consent, assumed for child if parent/guardian not present
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Refusal of care
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competent adult has right to refuse care, call 9-1-1, keep talking but do not argue, ensure there is a witness to the refusal
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3 conditions that may be negligent
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you have a duty to act, you breach that duty, your actions or inactions cause injury or damage
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Justified instances of stopping care
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exhausted and unable to continue, being in imminent danger
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Primary areas of the body
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cranial cavity, spinal column, thoracic cavity, diaphragm, abdominal cavity, pelvic cavity, extremity
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10 body systems
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respiratory, cardiovascular, nervous, musculoskeletal, integumentary, gastrointestinal, endocrine, urinary, reproductive, lymphatic and immune
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Body systems
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the organs that work together for a major function
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Respiratory system
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move air in and out of lungs, inhaled oxygen moves into blood, CO2 from blood exhaled
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Cardiovascular system
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transport blood to lungs, oxygen and nutrients to all parts of body, regulate body temp., maintain fluid balance
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Nervous system
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gather info. about environment and send to brain to be analyzed and integrated, signals from brain lead to actions, maintain homeostasis
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Musculoskeletal system
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body shape and support, protect vital organs, produce blood cells, store calcium, levers, movement, body heat, pumping action of heart and work of breathing
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Integumentary system
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protects body, regulate body temp., prevent water loss, remove some waste, produce vit. D, sensation
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Gastrointestinal system
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digestion
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Endocrine system
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produce hormones
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Urinary system
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blood transports waste to kidneys, kidneys filter and produce urine
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Reproductive system
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eggs, support and nurture fetus, childbirth, lactation, male produce and transport sperm
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Lymphatic and immune system
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defend against disease
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A responsive victim
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speaking, coughing, moving, if paralyzed-eye movements
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How to check for responsiveness
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tap on shoulder and shout "are you okay?"
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Normal breathing
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can speak or cough
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Gasping
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not normal breathing
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Recovery position
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helps keep airway open, allows fluid to drain from mouth, prevents aspiration
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How to put a victim into recovery position
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extend arm furthest from you above head, put other arm across chest, bend nearer leg at knee, put your forearm under their shoulder with your hand around the back of the neck, roll them away from you by pushing on flexed knee and lifting with forearm, position the hand palm-down with fingers under armpit and forearm flat on surface at 90 degrees to body, bend both legs for stabilization, check airway and open mouth
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SAMPLE
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signs and symptoms, allergies, medications, previous problems, last food or drink, events
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Physical examination of a responsive victim w/o life-threatening condition
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check head to toe for bleeding or open wounds, pain, swelling or deformity, skin color, temp., condition, abnormal sensation or movement
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DOTS
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deformities, open injuries, tenderness, swelling
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Check head and neck
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skull, eyes, ears, nose, breathing, mouth, neck
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Check chest
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deformity, wounds, tenderness, bleeding, even breathing
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Check abdomen
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tenderness, swelling, bleeding/bruising, rigidity
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Check hips and pelvis
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pain, deformity
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Check upper and lower extremities
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bleeding, deformity, pain, medical alert ID, normal movement, sensation, temperature
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Examining a child or infant
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simple questions, involve parents, physical examination from toe to head, speak calmly and soothingly
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Risk factors for CV disease
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increasing age, male gender, race, heredity, smoking, high cholesterol, high BP, physical inactivity, obesity, diabetes, stress
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Preventing CV disease
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eliminating risk factors, tobacco, healthy diet, reduce cholesterol, control BP, regular exercise, manage stress
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Basic life support for adults
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past puberty (over 8 for AED), 30 chest compressions (100/min.), then 2 breaths
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Basic life support for children
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1-onset of puberty, breaths to nose and mouth for very small children
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Basic life support for infants
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birth-1 year, breaths to nose and mouth, gentle breaths
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Steps in the cardiac chain of survival
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call 9-1-1, start CPR with chest compressions, AED, effective advanced life support by emergency care professionals, integrated post-cardiac arrest care
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When to call 9-1-1 before starting CPR
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any unresponsive adult who is not breathing normally
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When to give 2 minutes of CPR before calling 9-1-1
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any infant or child who is unresponsive and not breathing normally
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Procedures for giving CPR
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determine the victim is unresponsive and not breathing, expose the chest, give 30 chest compressions, open airway and give 2 breaths, continue cycles of 30 compressions and 2 breaths, continue until victim wakes up, AED, or EMTs take over
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Steps in cardiac chain of survival
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early recognition, early CPR, early AED, early EMS, survival
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Bleeding that is light red from a shallow cut or scrape is
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capillary bleeding
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First step to act in an emergency
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survey the scene for safety
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For whom would you give breaths mouth to nose and mouth?
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infants and small children
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What should you do when breaths don't go in?
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reposition the head and try again, if it still doesn't work, resume compressions
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The #1 way to prevent the spread of infections
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wash your hands
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If you are alone and find an unresponsive child, what do you do first?
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call 911
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If there are signs of internal bleeding, how would you care for this injury?
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call 911, help victim lie on his/her back
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What is the next step after obtaining permission and putting gloves on?
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place a sterile dressing on the wound
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After putting on gloves and sterile gauze, if the wound is bleeding severely, you should
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always start below the wound and wrap toward the heart
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Correct depth of compressions for adults
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at least 2" (1/3 depth of chest)
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Correct depth of compressions for child
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1 1/2 to 2"
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Correct depth of compressions for an infant
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1 1/2"
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External bleeding that is dark red and severe is
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arterial
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Purpose of endocrine system
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produce hormones and regulate body function
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The most important reason to put a victim in recovery position
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to prevent choking on vomit
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The bladder and reproductive system are located in
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the pelvic cavity
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What is the first step in the transmission of blood born pathogens?
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victim bleeds from a cut
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Next step after determining an adult is not breathing normally
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put hand in correct position and begin CPR
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If a victim is unresponsive, you may assume they want you to provide care. This is known as
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implied consent
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Purpose of the integumentary system
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protects body, regulate body temp., prevent water loss, remove some waste, produce vit. D, sensation
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As soon as an AED arrives at the scene, what is the first step you should take?
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place the unit by the victim's shoulder
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AED pads are placed
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in the upper right and lower left parts of the chest
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The heart and lungs are located in
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the thoracic cavity
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3 ways to protect yourself from bloodborne pathogens
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wearing gloves, washing hands, using other personal protective equipment
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Steps for using an AED
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place unit by victim's shoulder (away from water and metal), expose chest (shave as necessary), apply pads to chest, stand clear, follow prompts, stand clear when AED prompts to analyze rhythm again after 5 cycles of CPR, continue until victim wakes up or professionals take over, if victim begins breathing but unresponsive, put in recovery position
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How AEDs work
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automatically checks victim's heart rhythm to detect fibrillation, advises whether victim needs a shock
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Steps for adult or child responsive choking victim
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stand behind victim w/one leg between victim's legs and head to one side, make fist w/one hand-thumb side in to victim's abdomen just above navel, grasp fist w/other hand and thrust inward and upward until object expelled or unresponsive
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For pregnant choking victim
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give chest thrusts
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Steps for adult or child unresponsive choking victim
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start CPR with 30 chest compressions, open airway, give 2 rescue breaths, if it does not go in, reposition head and try again, if 2nd breath does not go in continue CPR with 30 chest compressions, look inside mouth when opening it to give breaths, remove visible object, continue CPR until victim recovers or professional takes over
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If infant is crying or coughing
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watch for object to come out
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If infant cannot cry or cough
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call 911, give alternating back blows and chest thrusts
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If infant becomes unresponsive
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give CPR starting with chest compressions, check for object in mouth before giving rescue breath
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Choking care for responsive infant
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give up to 5 back blows between shoulder blades, check for expelled object, roll infant face up, give up to 5 chest thrusts, check for expelled object, continue cycles of back blows and chest thrusts
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Severe blood loss
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>30% results in lack of oxygen and shock
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Body's control of bleeding
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vascular spasm constricts blood vessel, platelets form platelet plug, clotting seals leak in blood vessel
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Injury to major vessel close to skin surface as in scalp and face
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may cause heavy bleeding
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Bleeding from injured arteries
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more likely with deep injuries and generally more serious, blood is bright red and may spurt, needs to be controlled immediately
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Bleeding from injured veins
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generally slower and steady but can be serious, blood is darker red and flows steadily, usually easier to control
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Bleeding from capillaries
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oozes from shallow cuts or scrapes and often stops soon by itself, needs attention to prevent infection
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Control of external bleeding
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first aid need immediately to stop bleeding, apply direct pressure on wound covered with sterile dressing, press directly with gloved hand or improvised barrier
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Internal bleeding
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blood does not escape body, can be life threatening, consider mechanism of injury, may cause a bruise, can cause deeper organs to bleed severely
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First aid for simple bruises
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check for fracture or sprain, put ice pack on area, with arm or leg, wrap area with elastic bandage and keep raised
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First aid for internal bleeding
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have victim lie on back, call 911, be alert for vomiting, put in recovery position if vomits or unresponsive, keep from becoming chilled or overheated, if unresponsive monitor breathing and be ready to give CPR
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Signs and symptoms of internal bleeding
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cool, clammy skin, vomiting or coughing up blood, tender, swollen, or hard abdomen, confusion or lightheadedness, blood in urine or stool, bruise
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Types of shock
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hypovolemic, cardiogenic, neurogenic, anaphylactic
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Hypovolemic shock
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when blood volume drops
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Cardiogenic shock
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with diminished heart function
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Neurogenic shock
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with nervous system problems
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Anaphylactic shock
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extreme allergic reaction
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Compensatory shock
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1st stage, anxiety, restlessness, fear, increased breathing and heart rate
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Decompensatory shock
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2nd stage, mental status deteriorates, breathing becomes rapid and shallow, rapid heartbeat, skin becomes pale or ashen and cool, nausea and thirst occur
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Irreversible shock
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3rd stage, victim becomes unresponsive, respiratory and cardiac arrest
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Causes of shock
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severe bleeding or burns, heart failure, heart attack, head or spinal injuries, severe allergic reactions, dehydration, electrocution, serious infections, extreme emotional reactions
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Shock is caused by
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anything that significantly reduced blood flow
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Normal tissue oxygenation
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heart must efficiently pump blood, blood volume sufficient to fill blood vessels, blood vessels intact and functioning normally
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First aid for shock
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check for responsiveness, normal breathing and severe bleeding, care for life-threatening injuries first, call 911, have victim lie on back w/raised legs so feet are 6-12" above the ground, put breathing unresponsive victim in recovery position, loosen tight clothing, be alert for vomiting, maintain normal body temperature
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Describe ways to prevent exposure to known allergens
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maintain history of medication reactions, wear medical alert ID, read product labels, avoid foods if exact ingredients unknown, educate caregivers and teachers, stay away from insect nesting areas
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Describe first aid for anaphylaxis
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call 911, help victim use epinephrine auto injector, monitor breathing and be ready to give CPR, help victim sit up in position of easiest breathing, unresponsive in recovery position
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Thoracic cavity
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heart and lungs
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Abdominal cavity
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stomach, intestines, other organs
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Diaphragm
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between thoracic and abdominal cavities
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Pelvic cavity
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bladder and reproductive organs
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Spinal column
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bones of the back and neck, nerves or spinal cord running through vertebrae
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