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DRS ABCD Action Plan involves the organisation of 7 steps to help understand the most appropriate way to behave when meeting an unexpected emergency.
- Danger
- Response
- Send
- Airways
- Breathing
- CPR
- Defibrillator
Begin from step 1: Danger
Make sure there are no dangers in the environment surrounding you, after ensuring that yourself and others are in a safe condition, make sure the patient is in a safe location.
Now you should take full attention onto the patient. Inspect for response, such as squeezing shoulders using considerable strength, and asking names or information. Try getting information in order to make them stay conscious. If responsed, make patient calm down and comfortable. Note down important and brief information about the situation.
Go to Step 3: Send
If there is no response, send for help immediately. Call triple zero (000) for emergency assisstance, or ask another person to call. During the phone call, the servicer will ask if you want "Police, fire or ambulance", ask for an ambulance assisstance.
Move on to Step 4: Airways
Open the patient's airway. Check inside the airway (mouth) for any foreign substances (such as blood, vomit or other materials). If no substances, leave patient with the current position, and open airway by gently tilting the chin upwards, then move on to Step 5.
Put patient into recovery position to clear the airway.
- tilt head upwards
- bring the arm nearest to you in to a right angle with the patient's palm facing upwards
- bring the far arm across patient's chest and against their cheek
- put far leg into 90 degrees angle with foot flat on the ground
- roll their entire body over to your side
It is very important to ensure that the patient's airway is open for breathing and for any foreign materials to drain away. In order to achieve this, tilt their head upwards and gently tilt their chin up. If you think the patient has a spinal injury, do the best to keep their spine as still as possible to the recovery position. And instead of tilting their neck, use the jaw thrusting technique to open airway.
Ensure the patient is breathing. SEE (by looking at their chest sideways to monitor any up and down movements), HEAR (by having your head leaning on the patient's chest to detect breathing) and FEEL (by putting your hands on the patient's chest to detect any movement.) If normal breathing, put patient into recovery position and ensure patient's breathing.
Move to Step 6: CPR
- 30 chest compressions (considerable strength with left hand as support)
- tilt neck upwards
- two breaths (make sure to be two full breaths and covering the patient's mouth)
- check for breathing
- repeat
Continue CPR until help or ambulance arrives.
Move on to Step 7: Defibrillator
Continue CPR until ambulance or professional arrives and tells you to stand clear. They will attach the defibrillator (AED). It will detect the heart rates and breathing of the patience thus telling the most appropriate instructions to save the patience.Proceed the steps that the defibrillator instructs you.