FIRST AID FIRST AID A brief introductionA brief introduction

Dr Ch Mohammad kamranDr Ch Mohammad kamran M.B.B.S F.C.P.SM.B.B.S F.C.P.S

Consultant General & Trauma Consultant General & Trauma surgeon jinnah hospital Lahore.surgeon jinnah hospital Lahore.

Aims & ObjectivesAims & Objectives• To know the base line knowledge of To know the base line knowledge of

househouse && augment the shortcomingsaugment the shortcomings && Delete the unnecessary Delete the unnecessary myths myths

Aims & objectivesAims & objectives

At the end of lecture the house At the end of lecture the house would be able to perform the fist aid would be able to perform the fist aid procedure and should be able to tell procedure and should be able to tell others about the basic concepts .others about the basic concepts .

How we achieve these How we achieve these objectivesobjectives By making the secession By making the secession

Interactive Interactive

Introduction Introduction • Provision of basic life support at the place Provision of basic life support at the place

of incidence.of incidence. It may be aIt may be a• FallFall• RTARTA• BurnBurn• Vasovagal attackVasovagal attack• A Hysterical conversion reactionA Hysterical conversion reaction

HistoryHistory• Back in early 1970sBack in early 1970s• A orthopedic surgeon crashed his A orthopedic surgeon crashed his

plane at some remote place in Usaplane at some remote place in Usa• What he saw at the site of incidence What he saw at the site of incidence

& at the near by hospital& at the near by hospital No one was trained for No one was trained for

even basic life support ……...even basic life support ……...

HistoryHistory• He him self gave the first aid to his family He him self gave the first aid to his family

at the site of accident was far superior at the site of accident was far superior than the first aid given even in the hospitalthan the first aid given even in the hospital

• So he gave the concept of training the So he gave the concept of training the doctors ,nurses ,paramedics ,rescuers and doctors ,nurses ,paramedics ,rescuers and the general population the general population

• Different courses.Different courses.

What should be the first What should be the first • Don't be panic Don't be panic

Call for helpCall for help• 1122 1122

StartStart• Assume that you are the person who Assume that you are the person who

can help ,because you have got the can help ,because you have got the training to handle the problem. till training to handle the problem. till the rescue comes in.the rescue comes in.

Contd…..Contd….. Time is very importantTime is very important Brain has got only few minutes ,to Brain has got only few minutes ,to

revive Person is unconscious if no o2 revive Person is unconscious if no o2 for one minfor one min

ABCABC• Air way Air way • BreathingBreathing• CirculationCirculation

AirwayAirway• Check it is clear …….Check it is clear ……. open the mouth and clear it open the mouth and clear it

from from any FB any FB it may be a piece it may be a piece

of cloth ,a glass ,or mud etcof cloth ,a glass ,or mud etc if clear move to Bif clear move to B

BreathingBreathingPatient is breathing or not ,just check Patient is breathing or not ,just check

that air is coming in and out from the that air is coming in and out from the mouth or nose ,mouth or nose ,

Chest is moving or notChest is moving or not

If no movement …………start CPR……If no movement …………start CPR……Will discuss…..Will discuss…..If yes move to CIf yes move to C

CirculationCirculation• Check the pulse ,Check the pulse ,• RadialRadial• CarotidCarotid if yes……..relaxif yes……..relax if no ……start CPR if no ……start CPR Imp… heart stops after the breathing …so don't Imp… heart stops after the breathing …so don't

think no breathing no circulation. think no breathing no circulation.

CPRCPR

Select a person to assist youSelect a person to assist you

CPRCPR Mouth to mouth breathingMouth to mouth breathing && Cardiac compressionCardiac compression

Aim is to give 02 and to pump the Aim is to give 02 and to pump the blood to brain. blood to brain.

What is important in CPRWhat is important in CPR• You don't know the status of neck You don't know the status of neck

bonesbones• If there is injury to neck bone If there is injury to neck bone

(cervical spine) it can cause total loss (cervical spine) it can cause total loss of body control………of body control………

• Be careful Be careful

How we support the spineHow we support the spine• hard Cervical collar……….ideal hard Cervical collar……….ideal

• You can ask some one to support the You can ask some one to support the head while you are performing the head while you are performing the CPR CPR

Shifting of patientShifting of patient

• Support the neck Support the neck • Contd.. CPRContd.. CPR• Till you reach the hospital if no Till you reach the hospital if no

facility of rescue servicesfacility of rescue services

Few other imp thingsFew other imp things• Look for any bleeding ………..give Look for any bleeding ………..give

compressioncompression• Look for any deformity Look for any deformity

……….fracture give some ……….fracture give some support ,keep it straight .support ,keep it straight .

Things not to doThings not to do• Don't try to keep the patient up rightDon't try to keep the patient up right

• Don’t put water or any eatable in the Don’t put water or any eatable in the mouth ,it can chock the personmouth ,it can chock the person

burnburn• Before that remove the person from Before that remove the person from

the scene the scene • Same ABC for serious patientsSame ABC for serious patients• For small burns ,keep them under For small burns ,keep them under

cold water ,if not available tap water cold water ,if not available tap water • Don't try to put paste or other things Don't try to put paste or other things • Remember water will decrease the Remember water will decrease the

burn injury. burn injury.

BurnBurn• In case of electric burn ………….off In case of electric burn ………….off

the main supplythe main supply• And treat accordingly………….try And treat accordingly………….try

quickly hospital helpquickly hospital help• A electric injury can kill by heart A electric injury can kill by heart

failure…….so go for ECGfailure…….so go for ECG

woundswounds• Small wounds ,scratches ……… wash Small wounds ,scratches ……… wash

with plenty of water as soon as possiblewith plenty of water as soon as possible• It will clear all the tetanus spores if It will clear all the tetanus spores if

presentpresent• How tetanus effect ? By not washingHow tetanus effect ? By not washing• ATS boosterATS booster• Clean dressingClean dressing

Poisoning Poisoning • Stomach washingStomach washing• Plenty of waterPlenty of water• Keep the person awakeKeep the person awake• Counseling Counseling

Take home messageTake home message BLS is very important to save lives BLS is very important to save lives

and to decrease the morbidity .and to decrease the morbidity .

ThanksThanks

contactcontact• My numbersMy numbers

• 0333 42342310333 4234231• 0333 44233330333 4423333• chmkamran@hotmail.comchmkamran@hotmail.com• www.medicalcarepk.comwww.medicalcarepk.com