Home Feedback Contents Search

Basic Of 1st Aid

sjamemblem.gif (5600 bytes)

 

Welcome To The Official Web Site Of Division Sek. Men. Keb. Sultan Ismail Of St. John Ambulance Malaysia

 

 

First Aid is the most important thing to a St. John memebr. So, in this page, we include some reference of first aid into this page. In this page  you won't find much first aid notes.For further first aid details, please refer to FIRST AID MANUAL 7th EDITION .

Being a First Aider

The Aim of First Aid:-

  • To preserve life
  • To limit the effects of the condition
  • To promote recovery

Being a First Aider, you must:-

  • Do your best
  • Weighing up the risk
  • Being criticized

The First Aider is:-

  • Highly trained
  • Examined and regularly re-examined
  • Up to date in knowledge and skill

The Practice of First Aid

Preserve life:-

  • Pay strict attention of safety
  • Follow the ABC of resuscitation
  • Look for and control any major bleeding

Limit the effects of te condition

  • Make a diagnosis of the illness or injury, if possible, by means of a thorough examination
  • Treat casualties in a sensible order of priority
  • Treat multiple injuries in a sensible order of priority. Remember the possibility of 'hidden' secondary illness or condition

Promote the casualty's recovery

  • relieve any anxiety, pain and discomfort
  • Arrange for appropriate medical attention

First Aid is the most important thing to a St. John memebr. So, in this page, we include some reference of first aid into this page. In this page  you won't find much first aid notes.For further first aid details, please refer to FIRST AID MANUAL 7th EDITION .

Being a First Aider

The Aim of First Aid:-

  • To preserve life
  • To limit the effects of the condition
  • To promote recovery

Being a First Aider, you must:-

  • Do your best
  • Weighing up the risk
  • Being criticized

The First Aider is:-

  • Highly trained
  • Examined and regularly re-examined
  • Up to date in knowledge and skill

The Practice of First Aid

Preserve life:-

  • Pay strict attention of safety
  • Follow the ABC of resuscitation
  • Look for and control any major bleeding

Limit the effects of te condition

  • Make a diagnosis of the illness or injury, if possible, by means of a thorough examination
  • Treat casualties in a sensible order of priority
  • Treat multiple injuries in a sensible order of priority. Remember the possibility of 'hidden' secondary illness or condition

Promote the casualty's recovery

  • relieve any anxiety, pain and discomfort
  • Arrange for appropriate medical attention

Making A Diagnosis

Once it is safe to start giving treatment, You must first identify what is wrong with the casualty. This is called Diagnosis.

History and External Clues + Symptoms + Signs = Diagnosis

According to above, we can now conclude that you may make a diagnosis by searching a casualty's history and external clues, the symptoms and sign on a casualty.

HISTORY AND EXTERNAL CLUES

Firstly you must know what had happen to the casualty, because everything happens must have a story behind. You can also ask the by-stander, examples:-

  • Who is the casualty?
  • What had happen to the casualty?
  • When does the accident happen?
  • Why does the accident happen?
  • How does the accident happen?

If the casualty is unconscious or uncooperative, you can look through the pockets for some clues such as,

  • an insulin syringe or sugar lump tell you that the casualty is a diabetic.
  • Medic Alert is like a necklace that gives you telephone number and medical history of the casualty.
  • Medicines like  Glyceryl Trinitrate for illness of Angina and Phenobarbitone or Phenytoin for illness of Epilepsy. Maybe some heart patient have problems of heart illness may bring medicine.
  • Inhaler are frequently carried by asthmatics and angina sufferers.

According to the external clues above, we can know what had happen to the casualty like a heart problem casualty having a heart attack and unconscious and need medical treatment, and we as the first aider must know what to do to a heart attack sufferers.

SYMPTOMS AND SIGNS

Every injury and illness manifests itself in distinctive ways that may help your diagnosis. These clues are divided into two groups : symptoms and sign. Some will be obvious, but other valuable ones may be overlooked unless you examine the casualty throughout from head to toe. A conscious casualty should be examined, wherever possible, in the position found, or or with any obvious injury comfortable supported; an unconscious casualty's airway must first be opened and secured.

Use your senses - look, listen, feel and smell. Be quick and alert, but be throughout, and do not skimp or make assumptions. Ask the casualty to describe any sensations your touch causes as the examination proceeds. Through you should handle the casualty gently, your touch must be firm enough to ensure that you will feel any swelling or irregularity, or detect a tender spot.

Examples for symptom,

  • The casualty hold his or her neck with hand, this maybe due to chocking. 

Examples for sign,

  • A contusion on casualty's leg and the casualty can't move his/her leg, this means that the casualty maybe have a broken bones on his/her leg.

The Principles of Resiscitation

For life to be sustained, a constant supply of oxygen to brain must be maintained. The oxygen is delivered to its tissues  by the circulating blood. The 'pump' that maintains this supply is the heart. If the heart stops (cardiac arrest), death will result unless urgent action is taken.

In certain circumstances, the use of a machine called a 'defibrillator', carried in many ambulances, can restart the heart. the casualty is most likely to survive if three needs are met:

  • The flow of oxygenated blood is rapidly restored to the brain by means of artificial ventilation and chest compression (CPR).
  • Defibrillation is carried out promptly.
  • the casualty quickly reaches hospital to received specialized treatment and care.

The prompt application of CPR may bridge the gap between a casualty collapse, and the arrival of an ambulance equipped with a defibrillator. The way in which CPR is performed always follows the same result - the ABC of resuscitation.

Early Access---help is immediately summoned so that a defibrillator can be brought to the casualty.

Early CPR---the techniques of resuscitation are used to but time until help arrives.

Early Defibrillation---a controlled electric shock is given to restart the heart.

Early Advanced Care---specialized treatment stabilizes the casualty's condition.

The ABC of Resuscitation

A is for AIRWAY : tilting the casualty 's head back and lifting the chin will 'open the airway' -- the tilted position lifts the casualty tongue from the cak of the throat so that it does not block the air passage.

B is for BREATHING : is a casualty is not breathing, you can breathe for his or her, and thus oxygenenate the blood, by giving 'artificial ventilation' -- blowing your own expelled air into the casualty's lungs.

C is for CIRCULATION : is the heart has stopped, 'chest compression' can be applied to force blood through the heart and around the body. They must be combined with artificial ventilation so that the blood is oxygenated.

 

 

 

 

"For The Service For Makind"

Ps: This Web Is Not For Dogs and Tai Kee Seak And His Gang

Send mail to [email protected] with questions or comments about this web site.
Copyright © 2000 ST. JOHN AMBULANS MALAYSIA BAHAGIAN SEKOLAH MENENGAH KEBANGSAAN SULTAN ISMAIL
Last modified: December 20, 2000
Hosted by www.Geocities.ws

1