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Upon arriving to the scene, your must first - 🧠ANSWER ✔✔Size up the
scene:
Is the area safe to enter?
Is immediate danger involved?
What happened? What is the nature of the illness/injury?
How many people involved?
Is anyone else available to help?
What is you initial impression?
Signs that indicate a life threatening emergency - 🧠ANSWER ✔✔-Loss of
consciousness
,-Abnormal skin color
-Heavy bleeding
Primary Assessment of Unconscious adult patient - 🧠ANSWER ✔✔Assess:
Consciousness
Breathing
Circulation
Level of Conciousness (LOC) Assessment - 🧠ANSWER ✔✔Tap pt on the
shoulder and ask "Are you OK?"
"AVPU"
A- Alert: Fully awake & responsive
V- Verbal: Responds to verbal stimuli
P- Painful: Responds to painful stimuli
U- Unresponsive
Airway Assessment - 🧠ANSWER ✔✔Pt must be in supine (face up) position
to evaluate.
Gently roll onto back.
,*If pt is talking- airway is open
2 Methods to open airway: - 🧠ANSWER ✔✔Head tilt-chin lift and jaw thrust
To perform the head-tilt/chin lift technique on an adult: - 🧠ANSWER ✔✔-
Press down on the forehead while pulling up on the bony part of the chin
with two to
three fingers of the other hand.
- For adults, tilt the head past a neutral position to open the airway while
avoiding
hyperextension of the neck.
modified jaw-thrust maneuver - 🧠ANSWER ✔✔The modified jaw-thrust
maneuver is used to open the airway when a patient is suspected of having
a head, neck or spinal injury.
To perform this maneuver on an adult, kneel above the patient's head and:
-Put one hand on each side of the patient's head with the thumbs near the
corners
of the mouth pointed toward the chin, using the elbows for support.
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, -Slide the fingers into position under the angles of the patient's jawbone
without moving the head or neck.
- Thrust the jaw upward without moving the head or neck to lift the jaw and
open the airway.
Once the airway is open, simultaneously check
for breathing and a carotid pulse, for at least - 🧠ANSWER ✔✔5 but no more
than 10 seconds.
Agonal breaths - 🧠ANSWER ✔✔Isolated or infrequent gasping that occurs
in the absence of normal breathing in an unconscious patient. These
breaths can occur after the heart
has stopped beating and are considered a sign of cardiac arrest. Agonal
breaths are NOT normal breathing. If the patient is demonstrating agonal
breaths, you need to care for the patient as if he or she is not breathing at
all.
Respiratory arrest - 🧠ANSWER ✔✔If the patient is not breathing but has a
definitive pulse, the patient is in respiratory arrest.
To care for a patient experiencing respiratory arrest, you must give
ventilations.