Choking Emergencies

Choking Emergencies

1-  You are in the lunch room at witness a small grade 6 student coughing and starting to show signs of stress.  As you approach her she stops coughing and has hands on her throat.... explain the steps that you should take to provide care for her.

1. Obtain consent to help her.
2. With one feet in front and the other behind her body, bend her over and give 5 back blows.
3. Straighten her back then find belly button and given abdominal thrusts right above belly button.

2 - As you are giving care she collapses and is unconscious. What do you do now?

1. Gently lie her down on the floor, supporting her neck.
2. Call local EMS.
3. Check and remove any dislodged object in her mouth/throat.
4. Give two rescue breaths before beginning modified CPR, which is CPR cycle with checking for dislodged object in between each cycle.

3-  Name 5 signals of a possible breathing emergency.

1. Choking
2. Wheezing
3. Throat squeezing
4. Panic
5. Sudden loss of talking

4 - What do you do if person does not give you consent to care for an unconscious infant.

1. Call local EMS.
2. Guide the infant's guardian on how to care for the infant until EMS arrives.

ARC Review

 What are the major life-threatening conditions?
Sever breathing, No breathing, shock, broken ribs,  cardiac arrest, seizures and strokes.

2.              What is the first thing you do when you identify a life-threatening condition?
           First check for conciousness and then call EMS.

3.              What are the barriers to action for people at an accident scene?
           Unsure of what to do, Fear of being sued, fear of harming the person, fear of contacting diseases.

4.              Identify the major components of “Check/Call/Care”.
           Check the scene, check the person for conciousness/life-threatening conditions and breathing, Calling EMS, Caring until further help arrives.
 

5.              When you are checking for breathing, what should you be doing?

 

          Head tilt, chin lift and looking at victim's signs of breathing. Do this for no more than 10 seconds.

6.              How do you open a victim’s airway?

           Head tilt, chin lift.

7.              

                  Why do you give “Rescue Breathing”?
           To provide the victim's brains and other vital organs with oxygen in order to prevent permanent damage.
           

8.              What is the main signal of a heart attack?

            Crushing sensation in the chest, nausea, deep and irregular breathing, denial.

9.              What is the most common cause of heart attacks?

           Blocked arteries.

1           When is CPR needed? 

         When the victim is not breathing.

             When do you stop giving CPR/Rescue Breathing to a victim?

         When there is an obvious sign of life, emergency personnel take over, the scene becomes unsafe, you become exhausted,  an AED is available to use,

                What is the definition of “shock”

          When the body struggles to meet its oxygen and circulation requirements

               Give three signs of shock.

         Confusion, rapid breathing, sweaty but cool skin.

    

                What is normal breathing.

 Uncontrolled, regular and natural breathing with no noise or signs of struggle.

 

            List the changes / differences when checking and providing CPR for a:
        A.   child - First ask for permission from guardian. When checking for breathing, do not tilt the head as much as an adult, and in a "No Breathing" case start with 2 rescue breaths before starting CPR. Less air goes into rescue breathing and compressions are less deep: about 2 inches.

B.    infant- First ask for permission from guardian. When checking for breathing, do not tilt the head as much as an adult, and in a "No Breathing" case start with 2 rescue breaths before starting CPR. Less air goes into rescue breathing (cheekful) and compressions are less deep: about 1.5 inches.

Unconscious and not breathing

If Mr. Charman is not breathing, follow these steps:

1. Give chest compressions - Position your arms directly above patient. push down hard and fast in the center of the chest about 2 inches deep. Rate of compression: 100/minute. Ensure patient is lying flat on a firm surface.

2. Give 2 Rescue Breaths - Tilt head back and lift the chin up.
                                            Pinch nose shut. Breath deep into patient's mouth twice.

3. Do  Not Stop - Continue cycles of CPR.
                            Do not stop unless: Obvious sign of life is shown
                                                           An AED is ready to use.
                                                           Emergency personnel take over.
                                                           Scene becomes unsafe.
                                                           You are too exhausted.

First Aid Training / CPR

Red Cross First Aid Training / CPR and AED

Your role in the EMS system includes 4 basic steps. Describe what are they?

1) Recognize that an Emergency exists - Realize abnormal or unusual activity (noises, sights, odors, appearances/behavior)

2) Decide to Act - Make a decision to respond to the situation. This step maybe hindered by panic, fear of disease, or just being unsure.

3) Activate  the EMS system - Call local emergency number, depending on situation (9-9-9,9-1-1, etc.)

4) Give care - Take care of the victim until further help arrives. This may be through giving rescue breaths if the person is not breathing, or simply just laying them in recovery position and monitoring the situation.


You walk into health class and Mr Charman is lying on the floor.  Explain / describe the steps that you will take  once you have "decided to act". ( once you start your care you find that he is unconscious but IS breathing)

1. Look around for potential hazards (e.g. chemical spills, fire, smoke, debris, etc.)
2. If there are no hazards then proceed to get response from Mr. Charman.
3. Once there is no response then call local emergency number (9-9-9).
4. Check for broken bones, before turning him over facing up (2 limbs & 2 legs).
5. Check airway, by tilting head (lift chin and push forehead)
6. As he is breathing, put him in recovery position by extending out victim's opposite arm straight above his forehead, checking his legs to make sure they are in suitable position to turn him over.
7. Monitor situation until EMS arrives.

Describe the Front to Back  / Back to Front method of caring for an unconscious breathing patient.

To put victim in recovery position:

1. Extend opposite (from your side) arm directly out from the body, inline with the body.
2. Pull victim's opposite (from your side) leg up, bending the knees.
3. Take hold of victim's clothes around their hip, support their neck, and roll victim away from you using body weight, onto his/her side.
4. Check that victim has his/her head resting on their arm, and airway is unobstructed.

Health Goal

 

We have already talked about the basic elements of goal setting, but as a reminder, we use the SMART approach to goal setting:

• Specific
• Measurable
• Attainable
• Realistic
• Timely

For this assignment, we ask that you choose a health-related goal that you want to focus on for the duration of this semester. The goal you choose to work on should fulfill the following requirements:

a. It should be a goal that needs to be completed by the end of the semester.
b. It should be a goal that follows the SMART elements noted above
c. Keep in mind that goals that are completely under our control (i.e. losing weight) are easier to control then goals that are, to some extent, out of our control (e.g. making a team involves decisions made by others and many variables that are beyond your control)


Steps for achieving a goal

1.Select one goal to work toward.
2.List what you will do to reach this goal.
3.Identify others who can help you and support your efforts.
4.Give yourself a specific period of time to reach your goal.
5.Build in checkpoints to evaluate how you are doing.
6.Give yourself a reward once you’ve achieved the goal.

1. The area or I would like to change or improve is:

Physical Dimension

2. Pick a primary goal in your lifestyle within the above mentioned Wellness Wheel
area that you want to work on achieving.

Do some excercising, by swimming and dry-land training.

3. What health benefits would you receive if you made a change in this area?

Become fitter and have more endurance in the water.

4. What difficulties might make achieving this goal a challenge?

I have to be patient, because I getting and maintaining good technique takes a lot of time and effort before I can sprint, so I have to really concentrate.

5. The people you will ask for support and assistance are:

My parents and Mr. Goh.

In what way will they help you?

They will help train me and watch out for my stroke.

6. Three specific steps involved in making this change/improvement are (be specific)

a. Start with building endurance and stamina, swimming long distances
b. Once stamina is gained, achieve good stroke before sprinting.
c. Train 6 days/week

7. How will you record of your progress?

Record my 25m and 50m time for each stroke every 15 days until completion date.

By December, I want my 25m freestyle time to be under 13 seconds and 50m freestyle time to be under 30.


8. Date you will start / have started: 20 August 2012
9. Date you are going to complete:16 December 2012
10. Reward for completion (should be appropriate): A meal at CoCo Ichibanya.

Self Esteem Survey

Is the source a good source of information?

 

I think the source is not a very good source of information because the not all results apply to me. Also, I think the results are a generalization based on the answers given - no one is the same.

 

How accurate do you think the results are?

 

The results are reasonably accurate, but some of them don't apply to me. As mentioned, one's psychology isn't something which can be understood with just a few general questions.

 

In what circumstances might results be invalid?

 

If the answerer answers inaccurately, the results can be invalid. Also, different people have different preoccupations and psychological state, and sometimes the results that are for most people may not be applicable to certain individuals.

 

Are these types of online sites good to have available?

 

To some extent, they do more good than harm. These type of sites are good for people seeking advice and guidance, but it is also done for a commercial purpose, which can affect the integrity of the advice given.

Cut from the Team

Dear Anonymous,

We have received your letter regarding your cut from your school team. From our newspaper staff, we would like to say it’s OK. You have your whole life in front of you, so you should not fret over small cuts from your team. Instead, make use of this opportunity to learn and grow from this experience. Accept the mistakes you have made and build off them. After all, some of the best athletes in the world today have been cut from their teams before ending up in the position they are in today. Now, you should use the free time you have for your enjoyment. Do what makes you feel happy. You may end up finding another one of your strengths through this. Also, when you have found this strength, you must set realistic goals to help your strengths develop into much more. Accept your abilities and make them assets! Our last word of advice is ofcourse, to never give up.

Cheers,

Rahul & Tong