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Page 1 of 16 AMYNABAD BOY SCOUTS UNIT All the facts and data are as of 17 th March 2018 and may change in the future PROFICIENCY BADGE-FIRST AID (IBTIDAI TIBBI IMDAD) COURSE OUTLINE

PROFICIENCY BADGE-FIRST AID (IBTIDAI TIBBI IMDAD) · Page 1 of 16 AMYNABAD BOY SCOUTS UNIT All the facts and data are as of 17th March 2018 and may change in the future PROFICIENCY

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  • Page 1 of 16

    AMYNABAD BOY SCOUTS UNIT

    All the facts and data are as of 17th March 2018 and may change in the

    future

    PROFICIENCY BADGE-FIRST AID

    (IBTIDAI TIBBI IMDAD)

    COURSE OUTLINE

  • Page 2 of 16

    FIRST AID

    Help given to a wounded person, to save someone’s life, to reduce pain or the help given to

    suddenly ill person till the doctor arrives is called first aid

    GOOD FIRST AIDER

    Be prepared by regular trainings and practice

    Be a good observer

    Should know how to cure using available resources

    Be friendly and keep the condition under control

    Motivate the patient to relax him

    Keep yourself cool

    Be quick in action

    Have good communication skills

    PRINCIPLES OF FIRST AID

    Don’t consider yourself a doctor. You are there to help not for treatment

    Call doctor or ambulance immediately in case of big incidents

    Don’t panic but motivate

    Try to stop bleeding as much as possible

    Don’t waste time to recover patient’s breath.

    If patient’s face turns yellow, don’t move his head

    Cover the patient with any blanket, cloth or shirt

    Prevent the injury or illness from becoming worse

    TRIANGULAR BANDAGES

    Easiest bandages

    Take a 1 square meter cloth and join opposing end and cut in two

    Don’t tie bandages loose, they are of no use

    Don’t tighten it that much that it stops blood flow

    FOLDS - Open Bandages:- Head, chest, hand, legs, knee, shoulder - Broad fold Bandages:- Small/Half sling, lower part of leg, arm - Narrow fold Bandages:- Splints, Stop blood flow

  • Page 3 of 16

    1. Small/Half & Large/Full Arm Sling 2. Scalp Bandage 3. Knee Bandage 4. Foot Bandage 5. Hand Bandage

    https://www.youtube.com/watch?v=z1WXK405Ges

    https://www.youtube.com/watch?v=z1WXK405Ges

  • Page 4 of 16

    TRANSPORT OF CASUALITIES

    ONE PERSON AVAILABLE

    JHULA

    When patient is light.

    INSAANI BHESAKI

    Put one hand round the back of patient and put his hand round your neck and hold his hand

  • Page 5 of 16

    TWO PERSONS AVAILABLE

    CHAAR HAATHON KI NISHT(SEAT OF FOUR HANDS)

    When the patient is able to hold any of the helper.

    TEEN HATHON KI NISHT ( SEAT OF THREE HANDS)

    When patient’s one hand is not injured and his leg requires support

  • Page 6 of 16

    DO HATHON KI NISHT (SEAT OF TWO HANDS)

    When the patient cannot hold any of the helper

    AAGE PECHE HOKAR UTHANA

    When the road is narrow and patient cannot be transported by seat of hands

    STRETCHERS

    Easy and secure

    IMPROVISED (KHUD SAKHTA) STRETCHER

    Insert two coats or shirts into two parallel wood pieces.Keep the shirts in oppsite direction. Sack, sheet or carpet can also be used

    Normally the legs are in front except when:-

    - If lower parts are not injured and you are climbing mountains, head in front - If lower parts are injured and you are coming down a high place, head in

    front

  • Page 7 of 16

    ANIMAL BITES

    Never lick the wound, poison can enter your body

    1) HONEY BEE

    To reduce pain and swelling, rub ice in cloth and ammonia, Potassium Per magnate

    Remove the sting by pin by pressing the wound

    2) WASP

    Remove the sting by your nail. Apply ice and ammonia

    3) SNAKE

    Relax the patient

    Try to suck out the venom if possible

    Tie a handkerchief above the affected area so the poison does not reach the other parts

    4) SCORPION

    Same as snake bite

  • Page 8 of 16

    RESPIRATORY SYSTEM

    First you breathe air in through your nose and mouth.

    Then the air travels through your voice box, down your windpipe, and though two

    bronchii (bronchial tubes) into your lungs.

    Cilia, tiny mucous-covered hairs, in your airways trap foreign particles and germs to

    filter the air that you breathe.

    The diaphragm, abdominal muscles, and other muscles help your lungs expand and

    contract so you can inhale and exhale.

    When you inhale, the air goes through the bronchii in your lungs to blood vessels that

    connect to veins and arteries. These veins and arteries carry the blood throughout your

    body.

    When you exhale, the carbon dioxide goes out the same way, exiting your body

    through your nose and mouth

    RESCUE BREATHING [Cardiopulmonary resuscitation (CPR)]

    When heart is beating but the person is not breathing

    Artificial Respiration

    TYPES

    1) SCHAFFER METHOD

    The patient should be laid on the abdomen, one arm extended directly overhead, the other

    arm bent at the elbow, and with the face resting on the hand or the forearm so that the

    nose and mouth are free for breathing

    The resuscitator should kneel. The palms of the hands should be placed on the small

    of the back with the fingers resting on the ribs, the little finger just touching the lowest

    rib, the thumb alongside the fingers

    This operation, which should take from two to three seconds. The lower part of the chest

    and also the abdomen are thus compressed, and the air is forced out of the lungs

    https://www.youtube.com/watch?v=5mG-I_E8M9g

    https://www.youtube.com/watch?v=5mG-I_E8M9g

  • Page 9 of 16

    2) SILVESTER METHOD

    Draw his arm over his head until horizontal, retaining them for two seconds. Next, bring

    the victim’s arms down on each side of his chest and pressing inwards upon it. Leaning

    upon his arm so as to compress his chest. Remain in his position for two seconds and then

    again keep repeating the two motions at the same rate.

    https://www.youtube.com/watch?v=8mYqiv-U8Ag

    3) MOUTH TO MOUTH AND NOSE

    First tilt the head of the person back with the help of your hands. Place your hand on the

    forehead and with the other hand’s two fingers lift the victim’s chin.

    Check for any kind of obstruction, especially in the airway of the victim.

    Close the victim’s nose with a pinch and take a deep breath. Seal your lips on the mouth of

    the victim and breathe into it for many times. But do keep in mind to pause after every

    exhalation and the inhale.

    https://www.youtube.com/watch?v=_JUoHmTfymM

    CIRCULATORY SYSTEM

    The circulatory system is composed of the heart and blood vessels, including arteries,

    veins, and capillaries. Our bodies actually have two circulatory systems: The pulmonary

    circulation is a short loop from the heart to the lungs and back again, and the systemic

    circulation (the system we usually think of as our circulatory system) sends blood from

    the heart to all the other parts of our bodies and back again.

    The heart is the key organ in the circulatory system. As a hollow, muscular pump, its main

    function is to propel blood throughout the body.

    https://www.youtube.com/watch?v=8mYqiv-U8Aghttps://www.youtube.com/watch?v=_JUoHmTfymM

  • Page 10 of 16

    BLEEDING

    1) BLEEDING THROUGH ARTERY

    Bright red blood

    If artery is near the skin, blood spurt with each heart beat

    Most serious

    2) BLEEDING THROUGH VEINS

    Red with bluish shade

    Flows steadily

    3) BLEEDING THROUGH CAPILLARIES

    Red

    Flows continuously

    FIRST AID FOR BLEEDING

    Elevate the affected part

    Keep the wound away from clothes

    Place a clean cloth on the affected area and apply direct pressure

    Remove any external thing such as glass etc.

    Dress the wound properly

  • Page 11 of 16

    NOSE BLEEDING

    Press the soft part of nose with your thumb and fingers

    Ask the patient to breathe through mouth

    Bend the patient’s face towards the ground to prevent blood from returning to the body back

    Don’t let the patient touch or clean the nose for hour

    PRESSURE POINTS

    Point in the body where an artery near the skin surface passes close to bone against which it can be compressed to stop flow of blood

    26 in number (13 on each side)

    UNCONSCIOUSNESS

    When the brain stops working

    Help the patient to sit, bend forward etc.

    Ask him to take deep breaths

    Check whether there is no blockage in breathing

    ELECTRIC SHOCK

    Can lead to shocks and burning

    Throw the patient away from electric source using wood, paper, cloth and wear rubber shoes and turn it off

    Lay the patient down and cover him with warm blanket

  • Page 12 of 16

    HEART ATTACK

    A heart attack occurs when the blood flow that carries oxygen to the heart is blocked

    Symptoms:- Chest pain, weakness, problem in breathing, cold sweat

    Loosen the clothes

    CPR

    EPILEPSY

    Can happen to infants, pregnant and epilepsy patients

    Lay him down

    Remove furniture and anything that may cause harm

    Loosen the clothes

    Don’t try to stop the patient from shaking

    During shock don’t give any medicine or drink

    Motivate and relax the patient

    HOW TO SAVE SOMEONE FROM DROWNING

    Swimming

    Rope or wood

    Bowline

    Boat

    Life jackets or tubes

    BURNING

    Can be caused by fire, chemicals or other burning items

    In case of big accidents, blood loss, infections and shock may also happen

    Apply cold water and then apply burnol/mustard oil(surso ka tail)/limestone water(choone ka paani)/coconut oil.Then dress the wound

    Give the patient beverages so to prevent water shortage

    Don’t :- - Try to remove anything attached or stuck to skin - Put oil or fat to affected area - Put cotton directly

    SUNSTROKE (Loo Lagna)

    When exposed to extreme heat

    Cause unconsciousness, fever, fast pulse, low BP

    Take the patient into shade

    Apply ice

    Give beverages but not more than a sip at a time

    Remove/loosen clothes

    Give shower

  • Page 13 of 16

    STRUCTURE OF BONES OF BODY

    Bones help to keep body straight

    It protects internal organs from damage

    206 bones

    FRACTURE

    A bone fracture is a medical condition in which there is a damage in the continuity of the

    bone. A bone fracture may be the result of high force impact or stress, or a minimal

    trauma injury as a result of certain medical conditions that weaken the bones. It can affect

    blood vessels, skin and internal organs. It can also cause infection and tear the skin and

    emerge out of it

    TYPES

    1. SIMPLE BONE FRACTURE(Saada Haddi Tootna):- The breaking of bone does

    not damage skin

    2. COMPOUND FRACTURE(Markab Haddi Tootna):- An injury in which a broken

    bone pierces the skin, causing a risk of infection or may forces itself into another

    bone

    3. GREENSTICK FRACTURE (Lachakdar Haddi Tootna):- Greenstick fractures

    usually occur most often during infancy and childhood when bones are soft. The

    bones crack while other part/bones become bent. The name is by analogy with

    green (i.e. fresh) wood which similarly breaks on the outside when be

    SYMPTOMS

    The affected area becomes small as bones forces itself over other bone

    The area looks curved/bent

    If one part is moved, the other part does not moves by it

    Extreme pain in the affected part and it swells

  • Page 14 of 16

    WOUND ON HEAD

    It can affect the brain, causing unconsciousness and slow pulse

    Lean the wound, apply medicine

    Make the patient lie down on back in such a position that his head is above the body

    Apply cloth of cold water.

    Call the doctor

    Tie triangular bandage

    https://www.youtube.com/watch?v=rnuRVSkt5nM

    BREAKING OF JAW BONE

    Can break due to fight or falling down

    Patient is not able to speak

    Blood from gums

    Tie TRIANGULAR BANDAGE

    https://www.youtube.com/watch?v=79G7UwYY-lc

    BREAKING OF BACK BONE

    Due to lifting heavy weights or falling on your back

    Keep the patient warm

    If doctor is not available, then tie bandages from both sides around natural bends of

    body like neck, waist, knee

    Join these bandages with a piece of wood from arm to toe

    Take the patient to hospital using stretcher

    BREAKING OF RIBS BONE

    Normally the 6th, 7th or 8th rib bone breaks.

    The edges of bones moves outwards damaging skin or inwards damaging the lungs. If

    lower bones break it can damage liver

    The patient may find hard breathing and blood turns bright red

    First aid

    (A) If internal organs are not damaged

    Tie two wide bandages around chest with first one below the affected

    area to give support

    Tie a 8 inch wide towel around chest using safety pins

    (B) If internal organs are affected

    Don’t tie bandages around chest

    Apply ice on the area and loosen the cloth

    Tie the arm in Gil bandage

    Take patient to doctor immediately

    BREAKING OF THIGH BONE

    Tie the both legs by bandage to keep legs straight

    If doctor is not available,lay the patient in position he is relaxed

    Tie splints as shown in picture

    https://www.youtube.com/watch?v=rnuRVSkt5nMhttps://www.youtube.com/watch?v=79G7UwYY-lc

  • Page 15 of 16

    Similar splints will be used in breaking of hip bone, leg bone(Fibula & Tibia),

    back bone.

    JOINTS AND MUSCLES DISLOCATION

    JOINT: where two or more bones meet

    CARTILAGE: The bone who helps joint to move

    MUSCLES: The meat/fat above the bone

    DISLOCATION: When near a joint one or more bone leave their natural place

    Symptoms

    Pain near joint

    Inability to move joint himself

    Swelling

    First Aid

    Don’t try to treat the dislocation but give support

    Apply ice or cold water

    If coolness doesn’t provide relief, apply towel of hot water

    SPRAINS (moch)

    Mostly in legs and wrist

    Internal injury, can’t be seen externally

    Pain in joint

    Change in colour and swelling

    Don’t use that affected part

    Apply warm water

    Massage by Iodex and tie bandage

  • Page 16 of 16

    First Aid Kit List:

    1. Gauze Dressings 2. Triangular Bandages 3. Crepe Rolled Bandages 4. Safety Pins 5. Disposable Sterile Gloves 6. Scissors 7. Alcohol-Free Cleansing Wipes 8. Sticky Tape 9. Thermometer 10. Skin Rash Cream 11. Antiseptic Cream 12. Spray To Relieve Insect Bites 13. Cough Medicine 14. Dettol 15. Pyodine 16. Doctor Bandage 17. Sanitizer 18. Saniplast 19. Notepad And Pen

    Emergency Contact Numbers

    Ismaili Helpline 32250707 Aman Ambulance 1021 Chhipa Ambulance 1020 Rescue CDGK 1122 Bomb Disposal 39212690 KESC 118 SSGC 1199 Fire Brigade 16 Police 15 Jinnah Hospital 99223307 AKU Hospital 34930051 Liaqat Hospital 111-456-456

    NOTE

    Each scout should carry his own first aid box