Simple & Easy – Emergency Preparedness
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LDS Emergency Resources – First Aid Actions pt3

LDS - Emergency Preparedness

3 – we want you to follow a systematic route of trying to provide first aid and care to people. We want you to start where you stand – that’s one of the great rules of it. If there’s chaos starting to break loose, rather than “Okay, well I’m gonna go start over there and make my way back over here” – no, just start where you are and the make the sweep of what you need to do, whether it would be a residence, an office building, a school – whatever it is, our church building, start where you stand and work yourself in a systematic way so that you make sure that you encompass all of the areas where people might be.

And then, the earliest things that I read to, is you want to do a quick sweep and then if you have help, do a more in-depth sweep. In other words, let’s take this building for example. I would not take the time to walk in every single classroom, as I look through the entire room – that would take too long for me as one person to go through. And then, I come back and yes, I’ve looked through every room, but the four people that were bleeding to death, are now dead. Be careful. Do the major search through the major rooms of the area and then come back and send somebody else, if there’s somebody else who can do it, or do a wider sweep later on. Remember, we’re under the assumption that you are by yourself and that you want to do the greatest amount of good for the greatest amount of people.

Step number 4 is that we want to tag each person. My company, we sell these really cool, they are really cool triage tags that we sell to companies that go into first aids and emergency disaster kits that you can put on – ask a person’s name, whether they’re injured – they’re also rip-off tags, so they could start off as okay and as they get worse or progressively worse, you can tear off the tags – they’re really pretty cool. You happen to be carrying those in your back pocket? No. I have some, but I don’t carry them with me on a regular basis.

And so you want to get a way to tag somebody. Take your marker to write on the person’s forehead, their hand – something that you can immediately identify all the people that need the immediate. So you could, if somebody else comes you, you tell them “I have people over there that have I’s on their forehead and some people that have D’s – do me a favor, get me all the people who have I’s over here, all the D’s over there” – you could separate them, ergo do the triage.

Once you’ve taken a walk through, you need to address what you’re gonna do to the people who need the immediate care. So what do you do for those people who need immediate care? Provide care immediately. Well that’s where it comes down to how much first aid knowledge you have. I’m gonna give you some tonight – obviously, in 40 minutes I can’t teach you everything I teach in a 8 hour course, obviously not possible.

But out of the three things we want to get down to is maintaining an open airway. A lot of people die simply because their airway closes. They’ve been hit in the head by something or become semi-unconscious, they lay down, they go to a relaxed state, their soft palate closes the airway and they die. They die from nothing else but having an open airway. So how do we open an airway? And we’re gonna talk about how to open the airway.

The other thing, one of the really big killers is serious bleeding. Bleeding profusely, you can bleed out in less than 3 minutes and so, we want to be able to control that. And we’re gonna talk about how to control that. Then, one of the other big killers is shock – I don’t mean by sticking your fingers in a socket, I mean the body’s reaction to adverse conditions. Your body, the human body, is a beautiful, wonderful device, incredibly well-manufactured, incredibly well-designed except the things in this one area. Because in a very traumatic situation, your body wants to pull its blood into its core, into its organs – that’s a good thing. Cause if you’re bleeding here and you’re why it does stop sending blood out there? Not a bad idea. The problem is, your brain is not in your core. Then the blood in your brain – you know, you didn’t bleed out this way, but you’re dead anyway. Seems like somebody messed up on that design. But shock is something that can and does kill people and it kills them kind of quietly. And so we want to be able to treat from shock as well.

And then we want to get the 6 steps to document our triage results. We want to be able to – in these situations, you’re only gonna be alone for a small period of time. Other people will come, you can take the people that were delayed, they have a booboo on their finger, their finger was bleeding – under other circumstances that can be the biggest thing that happened to them all month, that they have a serious cut on their finger. But a serious cut on their finger pales in comparison to somebody who has lost an arm or something like that. And so, you can take someone you’ve fixed and patched up and get them to help you or others to help you as well. And so, you want to be able to identify the vital locations of the victims and be able to allocate the resources that maybe e coming to you efficiently. Okay?

So, how do we find out – let’s go back to those people who need immediate attention, opening their airways – so how do we open a patient’s airway? We do it, simply by placing them on their back or a resting position, tilting their back with what’s called as the Head-Tilt/Chin-Lift Method. We tilt the head back and we push up on the bony parts of the jaw or at the corner of the jaw and push up so that the jaw moves forward. Not here on the soft part, but on the bony part of the jaw or in the corners. That should be enough, if they are capable of breathing, that they will start to breathe on their own. Then we want to look, listen and feel if they are breathing. How do we do that? Well, we place our ear next to their mouth, we look down the patient’s body, look for signs of breathing: chest rising, muscle movement (muscles don’t move if they’re not getting oxygen) and so we’re looking for those kinds of things – twitching, chest spasm, any sign of life from that patient.

Then we want to determine whether that person’s breathing. If they’re not, we’re gonna have to give them two rescue breaths: mouth-to-mouth resuscitation – your mouth on their mouth, pump them off – not like a balloon, though. Those two things, as they are going to resuscitate immediately, should give them enough opportunity to come back to life. If they are not breathing and two breaths don’t’ bring them back to life, then they are dead. Mark that somewhere on their forehead and then move on to someone else.


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