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This is an Ofqual approved course to comply with the First Aid at Work regulations for the First Aider in the workplace. Please note: The HSE strongly recommend that all first aiders have an annual refresher to maintain the skills learned from the full FAAW course. Please read our full Terms & Conditions By booking with Phoenix Emergency Medical Solutions it is assumed that you accept these terms and conditions.
Basic Life Support (BLS) ABCs – Airway, Breathing, Circulation • Steps to follow in BLS – 1. Breathing Mouth-to-Mouth Ventilation Children and Adults • Steps to follow in Mouth-to-Mouth – 1. Circulation (CPR) • CPR is combination of artificial ventilation and artificial circulation.
Allergic Reactions • Signs of allergic reactions include difficulty breathing (wheezing), swollen lips, tongue, and ears, hives, skin swelling and itching • Treatment – 1. Bleeding (Tourniquet) • Use on arms or legs only• Is usually not necessary• Do not attempt to use unless you are specially trained. Cuts and Abrasions • It’s important to prevent infections• Never put your mouth over a wound• Don’t breath on a wound• Don’t touch with dirty fingers or cloths• Treatment – 1.
Fractures • First aid should do no more than prevent further injury • A fracture should be assumed if body part does not have normal look and function • Treatment – 1. Frostbite • Signs include skin that is pink just before frostbite and changes to whit or grayish-yellow as it develops, initial pain, numbness and cold. Heat Exhaustion • Signs include pale and clammy skin, profuse perspiration, rapid pulse, weakness, headache, nausea, cramps in abdomen and limbs.
Spine or Neck Injuries • Do not move victim unless needed• Get medical help• Do not move head except to keep airway open • If victim vomits, roll to their side. Sudden death occurs any time breathing and the heartbeat stop abruptly or unexpectedly (cardiopulmonary arrest). Basic life support (BLS), also called basic cardiac life support (BCLS), includes rapid entry into the EMS, performance of CPR, and use of techniques to clear an obstructed airway.
The automated external defibrillator (AED) or public external defibrillator is considered the definitive initial treatment of victims in cardiac arrest (Fig.
FIGURE 43-6 · Many people in the community, such as police officers, school employees, and the general public, have been trained to use the automated external defibrillator (AED).
The AED is a portable unit, with electronic paddles that attach to persons who are pulseless, unresponsive, and not breathing.
Cardiopulmonary resuscitation is a technique that artificially supports circulation and ventilation for a victim of cardiopulmonary arrest. Recently, the concept of Continuous-Chest-Compression or Compression-Only CPR has been introduced for the victim of respiratory arrest.
Emergency medical technicians (EMTs), paramedics, and many nurses are trained in advanced cardiac life support (ACLS) techniques. As soon as medical or paramedical assistance arrives at the scene of an accident, the nurse’s role is to assist.
When providing care to a client at home, plans for emergencies are included in the client’s initial plan of care. When an emergency occurs in a healthcare facility, the nurse must activate the agency’s signal for a code. Obtain necessary emergency equipment: crash cart, back board, manual breathing bag, emergency medications, heart monitor, stethoscope, blood pressure and oxygen apparatus, IV lines, suctioning equipment, and oral airways. If resuscitation measures are successful, the person’s pulse will resume, pupils will constrict, color will improve, and breathing will begin. If assisting a code team and suction is available, turn the client’s head to the side and suction the mouth.
After the person is resuscitated, a mechanical ventilator, IV therapy, or vasopressor drugs may be needed for maintenance. In addition, a code may be called in the event of strangulation, such as the person who tries to hang himself or herself, or smothering, due to inappropriate pillow placement. Key Concept Remember: You are expected to perform first aid only to the level of your training and experience, and local laws. Do not attempt to move or transport any injured person, particularly a person with a chest, back, neck, or head injury, until the EMS team arrives, except in unusual situations. Chest compression that results from an explosion or an MVA may rupture a lung and cause death from hemorrhage or suffocation.
If it is determined that pneumothorax is present, seal the wound in any way possible: use aluminum foil, petroleum jelly (Vaseline) gauze, plastic wrap, or a rolled-up dressing. When transporting a person whose chest has been punctured by a foreign object, make sure that the object remains in place. Nursing Alert In an emergency do not remove an article puncturing the chest if it is still in place. Scalp lacerations cause profuse bleeding, making even the smallest wound appear very serious.
Emergency care for a potential head injury includes having the person lie flat while restricting his or her movements. Nursing Alert Any person who has a head injury no matter how minor, should be observed carefully for at least 24 hours. If the person with a head injury must be moved, his or her head must be stabilized in a neutral position and in line with the back. Cold injuries can occur if body parts are exposed, because the body automatically cuts down blood flow to the peripheral structures and redirects it to the vital organs (heart and brain) if it becomes too cold.
Nursing Alert If you work in a public health care facility in a cold climate, you will likely see frostbite among homeless people, especially those who are mentally ill, inebriated, elderly, or physically debilitated. Immersion foot occurs most often in hikers and canoers when the feet are kept in moist, cold boots for several days. Ten year old Webelos Scouts Robert Nielsen and Corban Barnes were one day learning basic first aid, the next day they were saving the life of a neighbor. Many requirements must be met to earn the Arrow of Light, the highest award in Cub Scouting.  Among those requirements are to learn the Scout Motto, “Be Prepared,” and to earn the Readyman activity badge, which teaches basic first aid.


Their Webelos Den Leader, Nylene Budge from Pack 457 of Orem, UT, taught the Readyman to a group of young Webelos Scouts including Robert “Robby” and Corban.
Garn Brereton (left), Corban Barnes and family (middle), Robby Nielsen and family (right) at the Medal of Merit Award Ceremony. For their example of “Being Prepared” and of acting with courage in saving the life of a neighbor, Robert Nielsen and Corban Barnes were both awarded the Medal of Merit by the Boy Scouts of America on January 18, 2015.
The Medal of Merit honors Scouts, Venturers and Scouters who has performed some outstanding act of service of a rare or exceptional character that reflects an uncommon degree of concern for the well-being of others. Only 249 Medals of Merit were given in 2013 and there have only been a total of 6,478 since 1945. Heart Start features the best in CPR and First Aid training classes, serving Tucson and surrounding areas. Project management is the discipline of planning, organizing, and managing resources to bring about the successful completion of specific project goals and objectives. The primary challenge of project management is to achieve all of the project goals and objectives while honoring the preconceived project constraints.
Under the Project Management Consultancy Services we also provide specialized services in Engineering, Procurement & Construction Management. Traditionally also, project management includes a number of elements: four to five process groups, and a control system. Project control is that element of a project that keeps it on-track, on-time and within budget. Integrated Engineers is extremely competent and well-qualified to take up project management consultancy services of any magnitude, given its wide range of experience and highly qualified team of professionals working together. The course covers primary and secondary care including a mix of theory and practical tasks. Alternatively an external facility would need to be hired at an extra charge, payable in advance. However, within this time you can attend a 2 day re-qualification as long as your certificate is no more than 3 months to expiry or 28 days past its expiry. This is a 3 hour course, which is low cost and helps your company prove that they are going above and beyond requirements. If you interesting in "Basic Life Support (BLS) ABCs - Airway, Breathing, Circulation" powerpoint themes, you can download to use this powerpoint template for your own presentation template. It is important for all nursing students and graduate nurses to maintain current certification in CPR, to be able to assist in a sudden death emergency. It helps to provide oxygen to the brain, heart, lungs, and other organs until advanced life support can be given. ACLS includes starting intravenous (IV) lines, administering fluids and medications, using defibrillation and cardiac monitoring, administering oxygen, and opening and maintaining the airway, sometimes by inserting a tube into the person’s trachea, called intubation. At the scene of an accident or in the client’s home, however, the nurse does not have such orders and must function as a lay rescuer or first-aid person. Crash carts are usually standardized throughout a facility so everyone is familiar with the setup (Fig. Until the primary healthcare provider decides the person is out of danger, the person needs close observation in the ED or intensive care unit (ICU) in case another emergency resuscitation is required. Finally, the outcome of the resuscitation efforts and subsequent nursing care, if appropriate, are noted. This knowledge will also prove beneficial to the nurse in his or her role as a parent, sports coach, or neighbor. If the person must be moved, only persons who have special instruction and equipment should do so. Holding something over an open chest wound for a period of time may be necessary until medical assistance can be obtained. This situation occurs when air leaks out of the lung or bronchus into the chest cavity and cannot escape. A great danger exists for further injury, particularly to the spinal cord, by moving the person without proper preparation. Emergency personnel provide immobilizing equipment, such as cervical collars, head blocks, and short and long spine boards, which they will use to prepare the person for transport. The body part becomes so cold that ice crystals form in the spaces surrounding the cells; the cells then die. Noses, ears, and cheeks are vulnerable because they are continually exposed; hands and feet are vulnerable because circulation to these areas is slowest.
The frostbitten part is pale and cool to the touch and feels like a block of wood or marble. Subsequent exposure to even mild cold can cause chilblains (painful chilling and burning sensations).
The action does not necessarily need to involve rescue or saving life, but must demonstrate some aspect of Scouting ideals or skills.
A project is a temporary endeavor, having a defined beginning and end (usually constrained by date, but can be by funding or deliverables), undertaken to meet unique goals and objectives, usually to bring about beneficial change or added value. We at Integrated give immense importance to control that will be required in various different projects that need to be handled at any point in time. This course is ideal for all business types where the risk assessment requires a higher level of training as well as other areas where a more comprehensive first aid course is required.
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This type of sudden death may be reversible, with prompt action by people trained in basic and advanced life support.
The American Heart Association has expanded its standard of care to include the AED in BCLS. If it detects a shockable dysrhythmia, the unit will indicate that a shock is necessary and will automatically charge itself for delivery when the button is pushed.
CPR must be performed immediately after cardiac and respiratory arrest, or it will not reverse clinical death and biological death will follow. This procedure is not recommended in unwitnessed collapses or with unresponsive infants or children.


If it is necessary to open the client’s mouth, use an instrument, such as a tongue depressor or a spoon.
No one can predict when an injury or sudden illness will occur or when a person may be called on to assist.
The only time unqualified people should attempt extrication is when the person is in great danger if he or she is not moved.
When moving a person with a neck injury to a stretcher, immobilize his or her neck and back first, then keep the body straight.
Always treat the person who has been injured as though he or she has a back or neck injury until such is proved otherwise. Keep the person warm and check for signs of increasing intracranial pressure (ICP; see below). Stabilize the person without moving him or her, until proper equipment and assistance arrive. The body is most vulnerable to frostbite when there is a high wind, because blood rushes to the skin to warm it, then cools quickly due to rapid heat loss. Rubbing, particularly with snow, will only increase the damage and can contribute to gangrene. Treatment is often the same as for a burn, with treatment commonly being provided in a Burn Unit. When Robby and Corban heard the distressed plea, they immediately ran across the street to help. The secondary and more ambitious challenge is to optimize the allocation and integration of inputs necessary to meet pre-defined objectives.
Project control begins early in the project with planning and ends late in the project with post-implementation review, having a thorough involvement of each step in the process.
The term biological death refers to permanent damage and death of most brain cells, due to lack of oxygen. If an AED is available when you are involved in an emergency, defibrillation should be initiated before beginning CPR. The American Heart Association and the American Red Cross have established guidelines for CPR. It also should not be used if the collapse appears not to be related to a heart disorder; this would include choking, drowning, or drug overdose. The carts may be equipped with color-coded resuscitation tape (Broselow tape) for pediatric emergencies; this color-coded system gives equipment sizes, drug doses, and defibrillation settings based on height and body build. For example, you may be on a canoe trip or mountain climbing in the wilderness without available EMS assistance, or the person may be in a dangerous situation such as a burning building, a car under water, or a car that may explode.
Sometimes, if the person is lying in an abnormal position, putting that person on the stretcher in this same position may be easier and safer than trying to straighten the body. When such complications are not present, treat fractured ribs by immobilizing the person’s chest with an elastic bandage. The lung on the same side of the chest as the leak collapses because of the excess pressure. Immobilizing devices, such as the cervical collar, head blocks, or the back board, are applied by EMS personnel before the person is moved (Fig. Observe for blood or fluid draining from the nose or ears (with no known injury to the nose), bruising behind the ears or under the eyes, persistent bleeding, or a change in behavior since the accident. The mathematical calculation of temperature and wind speed is called the wind chill factor. They clearly and quickly explained the situation to adults who were able to get medical help (Be Clear).
Each project should be assessed for the appropriate level of control needed: too much control is too time consuming, too little control is very risky. The AED is best used by trained personnel, but can be used by the general public if a trained person is not available. In this case, the person must be moved, even though moving him or her might aggravate the injuries. After the client arrives at a healthcare facility, chest tubes will be inserted for continuous, closed drainage.
If the person’s condition seems to worsen, loosen the dressing to let out some air that is building up in the chest, to prevent a tension pneumothorax (described below); then reseal the wound. Skin can freeze when the wind chill factor is below the freezing point, even if the actual air temperature is considerably higher. When paramedics arrived the Scouts moved down the driveway to explain to others what had happened and to keep people away from the accident (Be Careful).
Then, if the victim is not responsive and not breathing, an airway is established and continuous chest compressions are given at about 100 per minute until a trained person can take over. In cases such as these, you will need to supervise the cautious extrication (emergency removal) of the victim. Signs of pneumothorax include difficult breathing, weak and rapid pulse, restlessness, distended neck veins, hypotension, chest and shoulder pain, and cyanosis. A tension pneumothorax that remains uncorrected will worsen, resulting in a mediastinal shift. The heart, great vessels, and trachea shift to the side opposite the injury, the unaffected side, as a result of the building air pressure on the affected side. Only specially trained personnel should apply immobilizing devices except in extreme circumstances when assistance is not available.
Separate frozen fingers and toes with cotton wedges; however, do not use bandages, ointments, or salves.
In addition, the amount of blood returning to the heart to be pumped to the body will diminish, as will the ability of the heart to pump, resulting in rapid progression toward death.
A primary healthcare provider or emergency person may place a large-bore IV needle or chest tube through the chest wall to relieve excess air pressure.



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