\----CERTIFICATION COSTS----/

All: MONEY IS DUE THIS WEDNESDAY

Hi Juniors!

Hope you’re all keeping up to date with the lesson that was taught and put up. Email me with any questions, or use google for anything else.

Some things have CHANGED since last Wednesday. Certification now costs LESS!!

So for all you juniors I will need a cheque written out to 754 Phoenix Squadron for $41.00 this Wednesday.
I will also need $10 in cash from whoever had not paid me the previous Tuesday.
If I don’t have the total sum of $51.00 from each cadet by this Wednesday YOU WILL NOT BE CERTIFIED.

Money needs to be given to me and me only as no-one else is keeping track of payments.

Reminder: THERE’S NO PRACTICE TOMMORROW (Dec 1)
The next and final practice before certification is on Tuesday December 8

Certification will be held for a one day course on December 19.

Once again thats $41.00 cheque (with $10.00 cash from anyone who has not yet given it to me) by THIS Wednesday.

Your books will be given to you this Wednesday as soon as payment is received.

--------------------------------------------------------------------------------------

Hi Seniors!

Hope you’re all keeping up to date with the lesson that was taught and put up. Email me with any questions, or use google for anything else.

Some things have CHANGED since last Wednesday. Certification now costs LESS!!

So for all you seniors I will need a cheque written out to 754 Phoenix Squadron for $48.00 this Wednesday.
I will also need $10 in cash from whoever had not paid me the previous Tuesday.
If I don’t have the total sum of $58.00 from each cadet by this Wednesday YOU WILL NOT BE CERTIFIED.

Money needs to be given to me and me only as no-one else is keeping track of payments.

Reminder: THERE’S NO PRACTICE TOMMORROW (Dec 1)
The next and final practice before certification is on Tuesday December 8

Certification will be held for a two day course on December 19 and 20.

If you have any questions day of or have trouble finding the location give me a call at .

Once again that’s $48.00 cheque (with $10.00 cash from anyone who has not yet given it to me) by THIS Wednesday.

Your books will be given to you this Wednesday as soon as payment is received.

FSGT GORODETSKY, R

Session 2 - Lesson Plan Covering : ESM Choking Cardio Vascular Disease Stroke Shock

First Aid Session 2 – Lesson Plan
November 17, 2009


Review – Preventing Infections
• Gloves [Removal]
• Masks [Pocket, Face shield w one way valve, Face Shield]

Lessons
- ESM [Refer to page 1-12 diagrams]
Has Four Steps
Scene Survey – Here you take control of the scene and find out what happened before helping any casualties
o Hazards
o Assess (||**Number of casualties + Priority**||)

Primary Survey – Here you asses each casualty for life-threatening injury or illnesses and give life-saving first aid
o Introduce/ Permission
o Survey casualty – RBS
o Treat Life threatening

Secondary Survey – During this step the first aider performs a more thorough check for injuries and illnesses that were not revealed in the primary survey, but would benefit from first aid
o Only do this step WHEN there are no life threatening injury left, and medical help is 20+ minutes away
o Take a more detailed background
• SAMPLE – Symptoms Allergies Medication Past and present medical history Last meal Events leading to the incident
• Asses Vital signs [Should be constantly monitoring anyways]
• LOC
• Breathing
• Pulse
• Skin Temp [cap refill]
• Head-to-Toe examination
• Give first aid

Ongoing Casualty Care – here you stay with the casualty until medical help arrives and takes over
o Comfort casualty, treat SHOCK (ongoing)
o Monitor ABC’s
o Protect casualties belongings
o Report on what happened – Tell whoever takes over: what happened? Injuries involved? First Aid Given.
- **GOLDEN HOUR**
- Recovery Position {Practice}
PPT - http://www.slideworld.org/slideshow.aspx/Emergency-First-Aid-and-CPR-ppt-21617
- Shock, Unconsciousness, Fainting
o Signs symptoms of Shock
o Assessing LOC – 3 LOC
o Fainting
• Impending
• First Aid for fainting
- Chocking – Adult
o Mild obstruction
• Able to speak
• Signs of distress – eyes show fear
• Forceful coughing
• Wheezing and gagging between coughs
• Reddish face
• Grabbing the throat

In this case do not touch the casualty. Talk to them. Tell them to try and cough the object up. Don NOT pat on the back!
• Severe obstruction
• Not able to speak
• Signs of distress – eyes show fear
• Weak or no coughing
• High pitched noise or no noise when trying to breath
• Grayish face and bluish lips and ears
• Grabbing the throat

Ask: “Are you chocking?” If the casualty cannot cough forcefully, breath or speak begin Abdominal Thrusts
Give each abdominal thrust with the intention of removing the object
Use only your fist – make sure you don’t press against the ribs with your forearms.
Keep giving abdominal thrusts until: Object removed, or casualty becomes unconscious.
If becomes unconscious – lower gently to the ground – send for AED if available
Check mouth to look for any foreign matter
Give 2 breaths – watch chest for movement (rise and fall?)
Begin chest compressions. Give 30 compressions. 1 per second.
Repeat mouth check; attempt to ventilate; reposition; 2nd attempt; chest compressions
If you remove the blockage or if chest rises when you ventilate, give two breaths. If there’s is no response, continue with normal CPR. If casualty begins to respond, give Ongoing Casualty Care.


Cardiovascular Disease
• High blood pressure
• Narrowing of the Arteries
• Angina Attack
• Heart Attack

• Signs and Symptoms
• First aid

Stroke
• Signs and symptoms
• First Aid




CPR – Cardio-Pulmonary Resuscitation

Lesson 2 - Safety, Emergency Scene Management, Level of Consciousness, Shock

Safety

In the second session of the course, you will cover "Safety and first aid", ESM (Emergency Scene Management), assessing LOC (level of consciousness), and shock.

The number one rule in giving first aid is, "Give first aid safely." Emergency scenes can be dangerous and you have to make sure your actions don't put you or anyone else in danger. Take time to look for hazards and asses the risks of any actions you take.

There is a very simple rhyme to remember when checking for hazards in an emergency situation: Fire Wire Gas Glass Thugs Drugs. Meaning, is there a fire or a flammable source nearby? Are there any loose, dangleing wires? Do you smell gas? Is there falling glass or glass on the ground within your intended path? Is there any danger from the people in your immediate surroundings? Are drugs in play (are the casualties or bystanders under the influence)? Are there used needles? ... All these things are considered hazards, and can be dangerous to your well being.

Another hazard you should always be aware about while administering first aid is the chance of infection. Disease is most commonly transmitted through bodily fluids and airborne infections. The most common fluids to be transferred while administering first aid are blood and vomit. For this reason it is always recommended to use gloves while administering first aid. Cleanly removing and safely disposing of afterwards. An effective measure in the prevention of airborne infection is the use of a face mask or shield with a one-way valve. Risk of infection is low, but with the use of gloves and face masks can be prevented even further.

Emergency Scene Management

Imagine a busy restaurant at lunch - people eating quickly and serves hurrying to get them on their way as fast as possible. Suddenly there is a commotion, and you see a women lying on the ground... what happens now?

Emergency scenes like this usually begin with a lot of confusion as people realize that there is an emergency unfolding in front of them - no one knows what to do first, who should be in charge or how they can help. In this situation, the first aider needs to follow a sequence of actions that ensure that safe and appropriate first aid is given and everyone's safety is protected. ESM (Emergency Scene Management) is activated.

Four steps of ESM:

- scene survey - here you take control of the scene and find out what happened before helping any casualties. (Check for hazards, find out what happened)

- primary survey - here you assist each casualty for life-threatening injuries or illnesses and give life-saving first aid.

- secondary survey - During this step the first aider performs a more thorough check for injuries and illnesses that were not revealed in the primary survey, but would benefit from first aid.

- ongoing casualty care - here you stay with the casualty until medical help arrives and takes over

These steps are always done in the order above, though sometimes you don't do the secondary survey (if medical help is en-route within 20 min).

Lesson 1 - General Knowledge

Before going to far into the multiple concepts of first aid, lets start of with the basic. What IS first aid? What protects us as first aiders? Why should we learn first aid? Where can we use it?

What is First Aid?

- First Aid is emergency help given to an injured or suddenly ill person using readily available materials. It can be simple, like removing a sliver from a child's finger and putting on a bandage, or it can be complicated, like giving care to many casualties in a motor vehicle collision and handing the over to medical help.

The objectives of first aid remain the same, regardless of the situation:

- Preserve Life

- Prevent the illness or injury from becoming worse

- Promote Recovery

Who is a first aider?

- A first aider is someone who takes charge of an emergency scene and gives first aid. First aiders don't diagnose or treat injuries or illnesses (except perhaps when that are very minor) - this is what medical doctors do. A first aider suspects injuries and illnesses and gives first aid.

The injured or ill person is called a casualty. [NOT a victim].

What protects us as first aiders?

- The principles of the Good Samaritan protect you, as a first aider. You are a Good Samaritan if you help a person when you have no legal duty to do so. AS a Good Samaritan, you give help without being paid, and you give it good faith (meaning you are helping because you care about the person, and not for some other reason). But whenever you assist a person in an emergency situation you should abide by the following principles:

Consent - Identify yourself as a first aider and get permission to help the injured or ill person before you touch them.

"Hi, my name is John, I am a first aider. Could I help you?"

- If the casualty is a youth under the age of 18 with a life threatening condition with no parent accompanying them, or the casualty is unconscious, consent is implied.

Reasonable skill and care - act according to the level of knowledge and skill you have.

Negligence - use common sense and make sure your actions are in the casualties best interests.

Abandonment - never abandon a casualty in your care. Stay with them until you hand them over to medical help, you hand them over to another first aider, or they no longer want your help. This is usually because the problem is no longer an emergency and further care is not needed.

Why should we learn first aid?

- There is no direct reason for why you should learn first aid. But first aid is a valuable set of skills that will improve your ability to aid someone effectively in an emergency situation. First aid will come in useful through the course of your lives; be it cadets, work, play, or a casual encounter as so often happens.

Where can we use first aid?

- The knowledge set acquired from this course, and ultimately team will provide you with the training and expertise that you'll find useful in everyday life. From saving a life, to treating a cut: the possibilities of scenarios are endless, the most important thing is to implement first aid correctly.

A well trained team will have effective communication of real time actions, amongst a high knowledge of the skill, fluent implementation, and a powerful leader/captain. We will discuss the traits of a well trained team in greater detail in the coming lessons. For now watch the following link, and note of factors you find important in the first aid given and overall detail: Bondi Beach Rescue.

Source: St. John Ambulance - Student Reference Guide