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BASIC FIRST AID

ERIC L. ASTILLERO, RN, EMT, CGM


UNIVERSITY INSTRUCTOR
BLS, ACLS, FA, EMAHS, PHTLS, ITLS, EMT Instructor, Assessor
Tactical Combat Casualty Care Instructor (TCCC)
DRO, CLS INSTRUCTOR
American Heart Association (AHA) Instructor
American Safety and Health Institute (ASHI) Instructor
Emergency Care and Safety Institute (ECSI) Instructor
COGNITIVE OBJECTIVES

• Define Basic First Aid


• List the 3 Three Objectives of First Aid
• List the 6 Six characteristics of a good first aider
• Identify hindrances in giving first aid
• Define Body Substance Isolation / Personal Protective
Equipment
• List down the Basic First Aid Equipment
• Define Dressing and Bandages and enumerate the uses of
both
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
Definition

▪FIRST AID response to someone who


is injured or has suddenly become ill.

A first aider is a person who takes action


while taking care to keep everyone involved
safe and to cause no further harm while
doing so. Follow the actions that most
benefit the casualty taking into account
your own skills, knowledge, and experience

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AIDER

• OBJECTIVE OF FIRST AIDER


- To Prolong life
- To Alleviate Suffering
- To prevent further or added injury
 
CHARACTERISTIC OF GOOD FIRST AIDER
1. GENTLE - shouldn’t cause pain
2. RESOURCEFUL – make best use of all things
3. OBSERVANT – Notice all signs
4. TACTFUL – shouldn’t be alarming
5. EMPATHETIC – should be comforting
6. RESPECTABLE - should maintain a professional & caring attitude
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
FIRST AID PRIORITIES

• Assess a situation quickly and calmly at risk


• Prevent cross-contamination between yourself and the casualty as best
as possible
• Comfort and reassure casualties.
• Assess the casualty: identify, as best as you can, the injury or nature of
illness affecting a casualty
• Give early treatment, and treat the casualties with the most serious
(life-threatening) conditions first.
• Arrange for appropriate help: call 911 for emergency help if you suspect
serious injury or illness;
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
KEY STEPS TO BEING AN EFFECTIVE FIRST AIDER

• Be calm in your approach


• Be aware of risks (to yourself and others)
• Build and maintain trust (from the casualty and the
bystanders)
• Give early treatment, treating the most serious (life-
threatening) conditions first
• Call appropriate help
• Remember your own needs
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
HINDRANCE IN GIVING FIRST AID

• UNFABORABLE SURROUNDING
• PRESENCE OF CROWD
• PRESSURE FROM PATIENT, RELATIVES AND
• OTHER FIRST AID RESPONDER

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


DRESSING AND BANDAGE

DRESSING – is a sterile pad or


compress applied to a wound to
promote healing and protect the
wound from further harm
Other Used:
- Controls bleeding. Protects the
wound from infection.
- Absorbs liquid from the wound such
as blood plasma, water and puss.
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
DRESSING AND BANDAGE

BANDAGE– Clean clot material use


to hold the dressing in place
- Control bleeding.
- Tie splints in place.
- Immobilize body part.
- For arm support – used as a sling

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


TRIANGULAR BANDAGE

Apex

Indicator

Side Side
Face

Base

40 x 40 x 56
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
BODY SUSBTANCE ISOLATION / PPE

▪ Are precautions taken to isolate or prevent risk of exposure


from any other type of bodily substance

PROTECTIVE EQUIPMENT PERSONAL HYGIENE EQUIPMENT CLEANING AND DISINFECTING

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


TRANSMISSION OF DISEASES

DIRECT CONTACT AIRBORNE

INDIRECT CONTACT VECTOR


ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
SOFT TISSUE INJURIES

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COGNITIVE & PSYCHOMOTOR OBJECTIVES

▪ After completing this module, participants will be able to;


▪ Discussed the skin and its functions
▪ Define what is wound and identify the two types
▪ Enumerate and explain the different types of wounds, classifications,
causes, characteristics, dangers and First Aid Management of wounds
▪ Define Burns
▪ Enumerate and explain the causes, types, factors
▪ Determine seriousness and first aid management
▪ Identify the specific body injuries
▪ Demonstrate and perform the different kinds of bandaging techniques

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COGNITIVE & PSYCHOMOTOR OBJECTIVES

▪ After completing this module, participants will be able to;


▪ Discussed the skin and its functions
▪ Define what is wound and identify the two types
▪ Enumerate and explain the different types of wounds, classifications,
causes, characteristics, dangers and First Aid Management of wounds
▪ Define Burns
▪ Enumerate and explain the causes, types, factors
▪ Determine seriousness and first aid management
▪ Identify the specific body injuries
▪ Demonstrate and perform the different kinds of bandaging techniques

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


TYPES OF WOUNDS

▪ Is a break in the continuity of tissue of the


body either internal or external

▪ CLOSED WOUND
▪ The soft tissue damage occurs beneath the
surface of the skin, leaving the outer layer intact,
such as contusion, and crushing injuries

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


CONTUSION ( BRUISE)

▪ A blunt blow can rupture capillaries beneath the skin,


causing blood to leak into the tissues. This process
results in bruising. Extensive contusion and swelling may
indicate deeper damage, such as a fracture or an
internal injury.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID MANAGEMENT FOR CONTUSIONS

▪ C – COLD COMPRESS
▪ S – SPLINTING
▪ P – PROVIDE COMFORT
▪ R – REST

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


TYPES OF WOUNDS

OPEN WOUND
▪ it is a break in the skin or mucus
membrane; or the protective skin layer is
damage.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: PUNCTURE

▪ An injury such as standing on a nail or being pricked by a needle


will result in a puncture wound. It has a small entry site but a deep
track of internal damage. Since germs and dirt can be carried far
into the body, the infection risk with this kind of wound is high.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: ABRASION

▪ This is a superficial wound in which the topmost layers of skin are


scraped off, leaving a raw, tender area. Abrasions are often caused
by a sliding fall or a friction burn. They can contain embedded
foreign particles that may cause infection.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: LACERATION

▪ Blunt or ripping forces result in tears or lacerations. These wounds


may bleed less than clean surface cuts, but there may be deep
tissue damage. These lacerations are often contaminated with
germs, so the risk of infection is high.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: INCISION

▪ This is caused by a clean surface cut from a sharp- edged object


such as a razor. Blood vessels are cut straight across, so bleeding
may be profuse. Structures such as tendons or nerves may be
damaged.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: EVISCERATION

▪ Is the removal of viscera (internal organs, especially those in the


abdominal cavity)

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: AVULSION

▪ A tearing away of a body part accidentally or surgically

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: BURN

▪ Is an injury involving the skin, including muscles, bones, nerves


and blood vessels. This results from heat, chemicals, electricity or
solar or other forms of radiation

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


OPEN WOUND: BURN

▪ Is an injury involving the


skin, including muscles,
bones, nerves and blood
vessels. This results from
heat, chemicals, electricity
or solar or other forms of
radiation

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COMMON EMERGENCIES

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COGNITIVE & PSYCHOMOTOR OBJECTIVES

After completing this module, participants will be


able to:
▪ Describe as the causes and signs and symptoms
and first aid management of the following;
▪ Heat Emergencies
▪ Cold Emergencies
▪ Other common emergencies

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


HEAT EMERGENCIES

Types of Heat Emergencies


▪ Heat Cramps
▪ Heat Exhaustion
▪ Heat Stroke

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


HEAT EMERGENCIES

Heat Cramps are caused by an excessive


loss of fluid through sweating

Signs:
▪ Involuntary muscle contraction or
cramping in the calf muscle or other
places.
▪ In severe cases, cramping occur in
multiple muscles due to excessive loss
of fluid and sodium
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
FIRST AID FOR HEAT CRAMPS

▪ Have the patient rest


▪ Cool the patient
▪ Give electrolytes or any salted drinks
▪ Massage the affected muscle gently but
firmly until relax
▪ Cold application on the affected muscles
▪ Monitor for signs of shock
▪ If patient loses consciousness give first
aid for unconsciousness
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
HEAT EMERGENCIES

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID FOR HEAT EXHAUSTION & STROKE

EXHAUSTION
- Have patient rest and elevate feet
- Loses tight clothing
- Have victim sip electrolyte drinks
- Cool the patient
STROKE
- Call 911
- Monitor patients ABC
- Keep patient cool as you wait for medical
help
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
COLD EMERGENCIES

Types of COLD EMERGENCIES


▪ FROST NIPS
▪ FROST BITES

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COLD EMERGENCIES

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID FOR FROSTNIP AND FROSTBITE

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


HEAD ACHE

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


HEAD ACHE

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


SCIENCE BEHID HEADACHES

HEADACHE / MIGRAINE / DIZZINESS / VERTIGO


LACK OF 8 GLASSES OF WATER EVERY DAY (1 Glass = 330ml)

Not: Juice, Coffee, Soft drinks, Ice Tea, Soup, Alcoholic Beverages

80% Water
Are you drinking 8 glasses of
70% Water water or more everyday?
M=8? T=8? W=8? TH=8? F=8? S=8? SUN=8?

Not drinking 8 glass? Blood becomes viscous and acidic


Decreases during
- Talking
- Urination By law of gravity, Blood cannot flow properly to brain
- Defecation
- Vices (2x drop)
DEHYDRATION
- Sleep late at night (2x drop) NO NEED FOR MEDICINE AS FIRST OPTION
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
BONES, JOINTS, MUSCLE INJURIES

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COGNITIVE & PSYCHOMOTOR OBJECTIVES

▪ After completing this module, participants will be able to:


▪ Discussed the Musculoskeletal System and its functions.
▪ Identify the different injuries related to bones, joint & muscle.
▪ Enumerate & explain the First Aid Management of each injury
▪ Enumerate and discuss the principles of immobilization
▪ Demonstrate the proper application of immobilization with
the use of wooden / improvised splints and triangular
bandage.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


MUSCULOSKELETAL

▪ The human body is a well


designed system in which
form, upright posture, and
movement are provided by
the musculoskeletal
system.
▪ This system also protects
the vital internal organs of
the body

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


MUSCULOSKELETAL

▪ Bones – Is a living tissue containing large


amount of calcium and phosphorus; these
minerals make it hard, rigid and strong.
▪ There are 206 bones in the adult human
skeleton,
▪ Provide protective framework.
▪ Protect vital body structures;
▪ Supports the abdominal organs
▪ Enable the body to move.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


MUSCULOSKELETAL

▪ Joints - A joint is a place at


which one bone meets
another. In a few joints
(immovable joints), the
bone edges firmly together
or are fused.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


MUSCULOSKELETAL

THREE TYPES OF MUSCLES 


▪ Skeletal Muscles
▪ Cardiac Muscles
▪ Smooth Muscles

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


MUSCLE INJURIES

MUSCLE CRAMPS
▪ Is the sudden, painful tightening of a muscle
due to prolong use, are common in legs,
abdomen, back, or any muscle that is over
used.
▪ First Aid for Muscle Cramps
▪ Have the patient stretch out the affected muscle
to counteract the cramp.
▪ Massage the cramped muscle firmly but gently.
▪ Cold application over affected muscle
▪ Get medical help if cramps persist.
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
MUSCLE INJURIES

MUSCLE STRAIN First Aid


▪ Is a painful tearing of muscle fiber due ▪ Apply cold compresses at once
to stretching. Beyond its normal range
or when cold/tight muscle is suddenly ▪ Elevate the limb to reduce
exerted swelling and bleeding within
the muscle. Rest the pulled
muscle for 24 hours
▪ Get medical help.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


MUSCLE INJURIES

SPRAIN FIRST AID


▪ Is an injury in which ligaments are ▪ Remove any clothing or
stretched and partially or completely jewellery from around the joint.
torn. ▪ Immobilize or splint the
affected part.
▪ Apply Cold compresses at
once.
▪ Elevate the affected joint with
pillow or clothing.

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


BONES AND JOINTS INJURIES

Dislocation is the displacement of a Signs and Symptoms


bone from its normal position at a joint.
▪ Pain (Dolor)
▪ Swelling (Rubor)
▪ Redness (Calor)
▪ Misshapen Appearance
▪ Loss of Function

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FRACTURE / BROKEN BONES

are described by whether the bone is Signs and Symptoms


moved from its normal position
▪ Pain (Dolor)
▪ Swelling (Rubor)
▪ Redness (Calor)
▪ Misshapen Appearance
▪ Loss of Function

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID MANAGEMENT FOR FRACTURE /
BROKEN BONES

▪ Stabilize the patient’s ABC


▪ Check the patient’s Pulse, Motor, and Sensory before and after immobilization.
▪ Keep the patient still
▪ Cover the wound with dressing to control bleeding and prevent infection before
immobilizing an open fracture.
▪ Immobilize the injury in the position which you found it before applying cold
compress for closed fracture except for open fracture.
▪ Take steps to prevent shock
▪ Get medical help
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
POISONING

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


COGNITIVE & PSYCHOMOTOR OBJECTIVES

After completing this module, participants will be able to:


▪ Define and explain what Poison is.
▪ Enumerate the different ways in which poison may occur
▪ List down common household poison
▪ Explain as to the meaning, causes, signs and symptoms of the
followings:
▪ Ingestion poison
▪ Inhaled poison
▪ Absorbed poison
▪ Injected poison

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


POISON

Is any substance: solid, liquid or gas, that tends to impair health


or cause death when introduced into the body or into the skin
surface. A poisoning emergency can be life threatening.

WAYS IN WHICH POISONING MAY OCCUR


▪ Ingestion – by mouth
▪ Inhalation – by breathing
▪ Injection – by animal bites, stings, syringes
▪ Absorption – by skin contact
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
INGESTED POISONING

Is one that is introduced into the


digestive tract by way of the mouth
SIGNS AND SYMPTOMS
- Altered mental status
- History of ingesting poisons
- Burns around the mouth
- Odd breath odours
- Nausea, vomiting
- Abdominal pain
- Diarrhea

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID FOR INGESTED POISONING

▪ Call poison control center


▪ Try to identify the poison
▪ Place the victim on his or her left
side
▪ Monitor ABC
▪ Do not introduce vomiting
▪ Rinse mouth with cold water

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


INHALED POISONING

Is a poison breathed into the


lungs
SIGNS AND SYMPTOMS
- Difficulty of breathing
- Chest Pain
- Ringing in the ears
- Cough, Hoarseness, burning
sensation in the throat
- Cyanosis
- Dizziness, Headache
- Seizure, Unresponsiveness
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
FIRST AID FOR INHALED POISONING

▪ Call poison control center


▪ Remove the victim from the toxic
environment and into fresh air
immediately
▪ Give Oxygen if available
▪ Monitor ABC
▪ Seek medical attention or
transport patient immediately

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


ABSORBED POISONING

Is a poison that enters the body


through the skin
SIGNS AND SYMPTOMS
- History of exposure
- Liquid or powder on the skin
- Burns
- Itching, Irritation
- Redness, Rash, Blister
- Difficulty of breathing

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID FOR ABSORBED POISONING

▪ Call poison control center


▪ Remove the clothing. Dry with
cloth. If the poison is powder, dust
it off.
▪ Flush the affected area with large
amount of water for 10-20
minutes.
▪ Continually monitor the patient’s
vital signs
▪ Give oxygen if hypoxia
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
INJECTED POISON

Is a poison that enters the body


through a bite, sting or syringe
SIGNS AND SYMPTOMS
- Stinger may be present
- Pain
- Swelling
- Possible allergic reaction
- Redness
- Difficulty of breathing

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


INJECTED POISON

SPIDER BITE / BEE STING

Signs and Symptoms


- Bite Mark
- Swelling
- Redness
- Pain
- Nausea and Vomiting
- Difficulty of Breathing

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID FOR INJECTED POISONING

▪ Remove stinger.
▪ Wash wound.
▪ Cover the wound
▪ Apply cold pack
▪ Watch for signs of allergic reaction
▪ Care for shock and monitor ABC

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


INJECTED POISON

SNAKE BITES

Signs and Symptoms


- Bite Marks
- Pain
- Swelling
- Difficulty of Breathing

ERIC LAHAMAN ASTILLERO, RN, EMT, CGM


FIRST AID FOR INJECTED POISONING

▪ Call Poison Control Center


▪ Wash wound with soap and water
▪ Monitor ABC
▪ Keep bitten part still and lower
than the heart
▪ Immobilize or splint
▪ Do not apply ice on the area
▪ Transfer patient to Animal Bite
Center
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM
Thank you for listening!
I hope you learn something new
ERIC LAHAMAN ASTILLERO, RN, EMT, CGM

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