1. Upon completion of this lesson, you will be able to Understand the duties as a First Aider. How to attend a Emergency Scene. How to treat a casualty of burn How to treat a casualty of bleeding How to treat a casualty of fracture How to Lift & Move a Patient

2. Emergency aid or treatment given to someone injured,suddenly ill, etc., before regular medical services arriveor can be reached. First aid is the provision of initial limited care for anillness or Injury to a sick or injured patient until medicaltreatment can be accessed. 3. As a first aider you must respond to first aid emergencieswithin the limits of your training. Arrange without delay medical assistance, unless injuryis so minor it can be handled without professionalattention. Render appropriate first aid until transportation ofcasualty to further medical care, if necessary. Discharge treatment without endangering the life orhealth of the casualty or first aider. Report the treatment given by you. 4. Never create a second victim is the main objective of first aider. Atthe scene of an emergency, it is vital to check and fix any immediateenvironmental safety hazards before attending to the injured people. 5. Tell someone nearby to call for Emergency Services in the area. Look around before approaching injured people. Note any immediatehazards to either the injured people or bystanders, such as traffic orother dangers. Fix whatever hazards are immediately fixable. For instance, appointsomeone to slow crowd. 6. Determine whether the injured person needs to be moved. Consider spinal injury. If you do not suspect one, then you can movethe injured person fairly quickly. Take full spinal precautions if you have even the slightest suspicionof spinal cord injury. Put on latex gloves to prevent infection or transmission of disease. Move the injured person out of the dangerous area with a methodappropriate to his or her condition if you have determined that asufficiently dire hazard is present. 7. The first step is to determine thedegree and the extent of damageto body tissues. The threeclassifications are First-degreeburn, Second-degree burn &Third-degree burn 8. There are many causes of burns. Dry Heat This is the most common type of burn &includes burns caused by hot objects. Wet Heat Also know as scalds, wet heat usually refers tohot water or steam but it can also include other hot liquids. Friction When two objects rub together very quicklyfriction generates heat , causing another type of dry burn. 9. Chemical burn- Industrial and household chemicals cancause serious burns. Electrical burn These can be caused every day low-voltagecurrents and some high-voltage cables. Radiation burns Commonly know as Sunburn, most of ussuffered some degree of radiation everyday. 10. First-degree burn; The least serious burns are those inwhich only the outer layer of skin is burned. The skin isusually red, with swelling and pain sometimes present. Second-degree burn; When the first layer of skin hasbeen burned through and the second layer of skin(dermis) also is burned, Blisters develop and the skintakes on an intensely reddened, splotchy appearance. Third-degree burn; The most serious burns arepainless, involve all layers of the skin and causepermanent tissue damage. Fat, muscle and even bonemay be affected. 11. For minor burns, including first-degree burns andsecond-degree burns limited to an area no larger than 3inches Cool the burn. Hold the burned area under cold running water forat least five minutes, Don't put ice on the burn. Cover the burn with a sterile gauze bandage. Don't use fluffycotton, which may irritate the skin. Wrap the gauze loosely toavoid putting pressure on burned skin. 12. Major burns, call for emergency. Until an emergencyunit arrives; Don't remove burnt clothing. However, do make sure the victimis no longer in contact with smoldering materials or exposed tosmoke or heat. Don't immerse large severe burns in cold water. Doing socould cause shock. Check for signs of circulation (breathing, coughing ormovement). If there is no breathing or other sign of circulation,CPR Elevate the burned body part or parts. Raise above heart level,when possible. Cover the area of the burn. Use a cool, moist, sterile bandage;clean, moist cloth; or moist towels. 13. Blood is carried around the body in a transport system of arteries,capillaries and veins, any damage to this network results Bleeding.Bleeding be both External or Internal. To Stop bleeding we need to indentify the cause & the place ofbleeding. Bleeding is the major cause of death in an accident. A human body has an average of 05 to 06 liters of blood. Loosing 02 or more liters of blood can lead to death of the patient. 14. Bleeding or hemorrhaging is simply blood escaping from its vessels. There are varying degrees of seriousness. The main method of arresting the blood flow is by applying directpressure. Elevating the bleeding part if possible. If necessary treat the patient for SHOCK Apply tourniquet as a last resort. 15. This is one of the most effective ways of stopping severe bleeding inalmost any part of the body. Place the palm or fingers over the bleeding point and apply directpressure. The bleeding will usually stop after a while. Do not use the method if there is a foreign body in the wound or if afracture is suspected. With this method, there is also a slight risk of introducing germs intothe wound. To prevent this, place a clean piece of material like lint orgauze over the wound before applying pressure. 16. Tourniquet is a constricting orcompressing device used to controlVenous & Arterial circulation to anextremity for a period of time. Pressureis applied circumferentially upon theskin and underlying tissues of a limb;this pressure is transferred to the wallsof vessels, causing them to becometemporarily occluded. 17. Use a non-stretchy material, such as terry cloth or a cravat, and foldit lengthwise until it's between 1 and 2 inches wide. Tie the tourniquet around the injured arm or leg, several inchesabove the injury. Place a stick or other item strong enough to act as a windlass on theknot and tie the loose ends of the tourniquet around it. Twist the windlass to increase the pressure until the bleeding stops. Secure the windlass by tying one or both ends to the victim's arm orleg. 18. What is a Fracture? A fracture is a broken or cracked bone. There are a number ofsigns and symptoms, which can indicate that a person has afracture: Signs and Symptoms Pain. The injured part cannot be moved normally. The injured part may have an unnatural shape or position. There is swelling and sometimes bruising. There is loss of strength. There may be an irregularity or shortening of the affected limb. 19. There are 206 bones in a human body. These bones are divided in to two types called Axial & Appendicular. Axial Skeleton consist of 80 bones. Appendicular Skeleton consist of 126 bones. 20. Protection Bones can serve to protect internal organs. Shape Bones provide a frame to keep the body supported. Blood production Produces Red blood cells. Mineral storage Bones act as reserves of minerals important forthe body. Fat Storage The yellow bone marrow acts as a storage reserve offatty acids. Movement Bones help body to move properly. Sound transduction Bones are important in the mechanical aspectof Hearing. 21. Treat severe bleeding and difficulty in breathing first. Treat on the spot. Avoid unnecessary movement. Immobilize the injured part; splint the joint above and the joint belowthe injury. When treating a compound fracture avoid splints in the area. Use appropriate type of splint to the fracture. Check Vital Signs after splinting Dont over splint the patient. Immobilization is the best treatment for Fractures. 22. Dislocation occurs when bones become displaced or misaligned. Itis often caused by a sudden impact to the joint. The ligament alwaysbecome damaged as a result of a dislocation. Anyone experiencing a joint dislocation should seek medicalassistance as soon as possible. A dislocated joint can only be successfully 'reduced' into its normalposition by a trained medical professional. A dislocation should be immobilized as soon as possible. 23. Lifting & Moving a Patient incorrectly can cause more injuries. As a First Aider we must always follow the Basic principles. Plan your move before lifting Use your legs to lift, not your back Keep the weight of the object as close to your body as possible Move your body as a unit Reduce the height or distance you need to move Reposition &lift in stages The key to prevent injury is correct alignment of the spine. Team work is essential with good communication. 24. Making an emergency move only when there is immediate danger tothe patient. Emergency move should be carried out if the scene is, On fire or threat of fire Explosion or threat of explosion Unstable building Rolled over car Hostile crowd Hazardous Materials Extreme weather If the patient needs CPR Types of Emergency moves are Shirt drag, Shoulder or forearm drag, Blanket drag, Piggy back carry, Fireman drag, etc.. 25. Any Questions