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Transcript of Emergency Care
An emergency is a sudden, urgent, usually unexpected occurrance requiring immediate action.
A disaster is an event that overwhelms
the community's ability to respond.
Know the disaster plan for the facility you work in!
3 Stages of Psychological Response to Disaster:
People are stunned,
apathetic and disorganized.
People want to be
helpful. They tend to minimize their own
injuries and losses.
Some are happy
they are alive, some feel guilt for being alive.
Attention turns toward rebuilding. Strong
sense of community and brotherhood.
There are many!
Know what your responsibilities are to your patients, facility, and community!
Identify responsibilities of the
nurse in the care of disaster victims.
Explain safety measures to be employed
in an earthquake or chemical emergency.
Debriefing helps prevent
Now, let's practice!
Principles of First Aid
Check each victim before starting treatment.
Mechanism of injury!
Do NOT move the patient unless necessary!
Never remove a penetrating object!
Do not give anything by mouth- especially if decreased LOC!
If you are not confident- FAKE IT!
Direct pressure with fingers or palm of hand
Check to see if it has stopped after 5 minutes
Can use pressure dressing
Make sure dressing doesn't cut off circulation
If bleeding doesn't stop, can pinch artery as a last resort
Always suspect spine injury until ruled out!
Mechanisms for temperature regulation fail
S/S of heatstroke are increased temp, pt is very dry & hot, poss sz, confusion
Water, water, water!
What else will help?
Cool with water and fan
Prevent by eating high energy food
Covering the head
Dysrythmias are common in
patients with hypothermia
rub or massage frostbitten extremities
Wrap area in bulky dressing, seperating skin areas (between the fingers and toes)
What can you ask the patient to quickly determine if they have a spinal cord injury?
What about cardiac tamponade?
What symptoms would a patient have if they have a chest injury?
Abdominal injury? Evisceration?
Cardiac arrest due to hypothermia.
The patient is not dead until they are warm and dead!!!
Chemical exposure- skin and eye
What to do?