Professional Documents
Culture Documents
Unconsciousness
- Keep the recovery position.
- If there is any possibility of spinal injury do
not move the casualty unless difficulty in
breathing makes it essential.
Shock
- Keep the casualty warm, quiet and lying
down until skilled help arrives.
Other needs
If there is no immediate danger to life
treat for all fractures and large wounds
before moving the casualty.
Priority of treating casualties may be in
following orders.
Highest priority
Second priority
Lowest priority
Respiratory arrest, airway obstruction.
Cardiac arrest.
Severe bleeding.
Severe head injuries.
Open chest wound
Open abdominal wounds
Severe shock
Burns involving respiratory tract
Unconscious.
Severe burns
Injuries to spine
Moderate bleeding
Conscious patient with head injuries.
Multiple fractures.
Minor bleeding.
Obvious mortal wounds where first response
is not helpful.
Obvious death.
Diagnosis the condition by taking history,
sings and symptoms and vital signs.
History
How the incident occurred or the illness
began.
1) Breathing rate
2) Pulse rate
3) Pupil reaction
4) Level of consciousness
5) Skin temperature
6) Skin colour
7) Ability to move
8) Reaction to pain
Count the number of respirations
Reaction to light
This provides many clues to the type of
injury.
alert - brain is functioning normally
restless - pain, hemorrhage, head injury,
brain tumour, heart attack, shock.
unconscious - coma stage.
Cold and clammy skin.
Hyperthermia.
Skin colour gives clue regarding circulation.
Head
observe skin colour, lacerations and facial
symmetry.
Assess level of consciousness.
Check pupils.
Palpate gently for depressions in the skull
Check ears and nose for fluid or blood.
Check mouth or foreign objects and
bleeding.
Neck
Observe and palpate areas of tenderness and
deformities.
Arms
palpate entire length for pain, wounds,
deformity and sensation.
Ask about pain, tingling, numbness and
movement.
Chest
Palpate clavicles and shoulders.
Observe for whether the chest expand
normally upon inspiration.
press on the sternum to check for pain.
Press gently on lateral ribs, checking for
integrity of ribs.
Abdomen
Observe abdominal wound and distention.
Palpate abdomen for tenderness and rigidity.
Pelvis
Palpate iliac crest and pubis for pain.
Observe for incontinence.
Spine
Palpate for tenderness, wounds and observe
deformities from shoulders to buttocks.
Legs
Palpate entire leg for pain, deformity, wounds
and sensation.
Ask about pain, tingling, numbness and
movement.
There are 3 step for treatment
1. Preserve life.
2. Prevent the condition worsening.
3. Promote recovery.