(aeromedical aspects and first aid)
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Heart attack care what should we consider? - ✔✔Consider the position of the casualty
(semi-sitting)
Some heart attacks show unspecific symptoms e.g. a posterior infarction/heart attack
patient may only have untypical stomach pain instead of classic chest pain
PA for medically qualified person ASAP, paramedics on arrival, diversion. Heart attack
is likely to lead to Cardiac Arrest
A passenger feels cramping chest pain spreading to the arms, neck, upper back and jaw,
breathlessness, weakness and is pale in colour. What are they suffering from? -
✔✔Angina
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,What are the special considerations for a passenger who has gone into cardiac arrest? -
✔✔Without oxygen supply, the brain tissue will begin to die within 3-5 minutes so CC
must act fast - every second counts
CPR and AED utilised immediately, PA for medically qualified person ASAP,
diversion, paramedics on arrive, ensure ambulance crew are aware of AED being used
(inform the captain)
What position would you put a passenger in who is suffering from a heart attack or
angina? - ✔✔Semi sitting position
What are the signs and symptoms of a heart attack? - ✔✔Very constricting chest pain
(vice-like) - often the worst pain casualty has ever felt
Difficulty breathing
Ashen, cold and clammy skin
Weak, rapid pulse
Nausea and vomiting
Casualty will feel very frightened and may fear death
What is the operation of portable oxygen? - ✔✔1. Inform the Flight Deck
2. No Smoking PA
3. In hatbin/stowage, check O2 flow
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, 4. Turn fully anti-clockwise and watch for green indicator
5. Turn off
6. Pass carry strap around CC or ABP neck
7. Sit passenger upright
8. Remove any cover, grease or makeup from the face
9. Turn on oxygen
10. Fit mask securely, pinch at the nose
11. Do not let go below 1/4 full
12. If the passenger requires oxygen for landing, brief ABP and ensure the Captain is
informed
What is the duration of the 120L oxygen bottle? - ✔✔Low Flow: 60 minutes at 2
litres/minute
High Flow: 30 minutes at 4 litres/minute
What is the duration of the 311L oxygen bottle? - ✔✔Low Flow: 154 minutes at 2
litres/minute
High Flow: 77 minutes at 4 litres/minute
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