6.
The human skeleton is a strong, flexible
framework of 206 bones that supports the body
and protects internal organs.
In addition, the bones of the skeleton store
calcium, a mineral essential for the activity of
nerve and muscle cells.
The soft core of bone, the bone marrow, is
where red blood cells, certain white blood cells,
and blood platelets form.
26.
the provision of initial
care for an illness or
injury
usually performed by
non-expert, but trained
personnel to a sick or
injured person until
definitive medical
treatment can be accessed
28.
•
RESPONSIBILITIES
Bridge the gap between the victim and the
physician
•
Ensure his own safety, that of the victim’s, and of
bystanders
•
Gain access to the victim
•
Determine threats to the victim’s life
29. •
RESPONSIBILITIES
Call for more medical assistance as needed
•
Provide emergency care to the victim
•
Assist Emergency Medical Technicians (EMTs)
and other personnel when they arrive
•
Remember all assessments and care given to
the victim
33.
Obtain the patient’s name.
Note the age, gender, and race.
Look for identification if the patient is
unconscious.
34.
The major sign and/or symptom reported by the
patient
Symptoms
– Problems or feelings a patient reports
Signs
– Conditions that can be seen, heard, felt,
smelled, or measured
35.
S—Signs and Symptoms
– What signs and symptoms occurred at onset?
A—Allergies
– Is the patient allergic to medications, foods, or
other?
M—Medications
– What medications is the patient taking?
36.
P—Pertinent past history
Does the patient have any medical history?
L—Last oral intake
When did the patient last eat or drink?
E—Events leading to injury or illness
–
–
–
What events led to this incident?
37.
O—Onset
– When did the problem first start?
P—Provoking factors
– What creates or makes the problem worse?
Q—Quality of pain
– Description of the pain
38.
R—Radiation of pain or discomfort
– Does the pain radiate anywhere?
S—Severity
– Intensity of pain on 1-to-10 scale
T—Time
– How long has the patient had this problem?
39.
Key signs used to evaluate a patient’s condition
First set is known as baseline vitals.
Repeated vital signs compared to the baseline
41. Other key indicators include:
–Skin temperature and condition in adults
–Capillary refill time in children
–Pupils
–Level of consciousness
42.
Rate
– Number of breaths in
30 seconds 2
Quality
– Character of
breathing
Rhythm
– Regular or irregular
Effort
– Normal or labored
Noisy respiration
– Normal, stridor,
wheezing, snoring,
gurgling
Depth
– Shallow or deep
43. Adults
12 to 20 breaths/min
Children
15 to 30 breaths/min
Infants
25 to 50 breaths/min
44.
Evaluates the effectiveness of oxygenation
Probe is placed on finger or earlobe.
Pulse oximetry is a tool.
Does not replace good patient assessment
45.
46.
47.
Rate
Number of beats in 30 seconds
Strength
Bounding, strong, or weak (thready)
Regularity
–
–
–
Regular or irregular
2
48. Adults
60 to 100 beats/min
Children
70 to 150 beats/min
Infants
100 to 160 beats/min
49.
Color
Pink, pale, blue, red,
or yellow
Temperature
Warm, hot, or cool
Moisture
–
–
–
Dry, moist, or wet
50.
Evaluates the ability of the
circulatory system to
restore blood to the
capillary system
(perfusion)
Tested by depressing the
patient’s fingertip and
looking for return of blood
51.
Blood pressure is a vital sign.
A drop in blood pressure may indicate:
Loss of blood
– Loss of vascular tone
– Cardiac pumping problem
–
Blood pressure should be measured in all
patients older than 3 years.
52.
Diastolic
– Pressure during relaxing phase of the heart’s cycle
Systolic
– Pressure during contraction
Measured as millimeters of mercury (mm Hg)
Recorded as systolic/diastolic
53.
54.
Place cuff on patient’s arm.
Palpate brachial artery and place stethoscope.
Inflate cuff until you no longer hear pulse
sounds.
Continue pumping to increase pressure by an
additional 20 mm Hg.
55.
Note the systolic and diastolic pressures as
you let air escape slowly.
As soon as pulse sounds stop, open the valve
and release the air quickly.
57. Age
Range
Adults
90 to 140 mm Hg
(systolic)
80 to 110 mm Hg
(systolic)
50 to 95(systolic)
Children (1 to 8 years)
Infants (newborn to 1 year)
58. A – Alert
V – Responsive to Verbal stimulus
P – Responsive to Pain
U – Unresponsive
59.
Fixed with no reaction to light
Dilate with light and constrict
without light
React sluggishly
Unequal in size
Unequal with light or when light is
removed
60.
61.
P - Pupils
E - Equal
A - And
R - Round
R - Regular in size
L - React to Light
63. • Chronic medical
condition in which the
blood pressure in the
arteries is elevated
• Requires the heart to
work
64.
Roll up the patient’s loose sleeve. The patient should be sitting up if possible,
and the arm should be relaxed.
Wrap the inflatable cuff around the arm, above the bend of the arm.
Place the ear pieces of the stethoscope in your ears.
Place the round side of the stethoscope underneath the cuff. It should be
placed over the spot where you can feel the brachial artery pulse.
Ensure that the air valve on the bulb is closed tight.
Inflate the cuff to about 180 mm Hg.
Stop inflating and let the cuff begin deflation. You will need to turn the air
valve to let the air make its way out of the cuff.
Listen for a sound as the pressure drops. The first sound you hear will be the
measurement for the systolic blood pressure (when the artery is opening).
Make a note of this measurement either by writing it down or committing it to
memory.
Note where the measurement on the sphygmomanometer is when the last
sound you hear takes place. This will be the diastolic blood pressure
measurement.
66. • Let the patient rest
• Give emergency
medications
• Monitor patient
67. • HEART
•
•
•
is a muscular organ found
directly under the
breastbone
Weighs between 6 and 11
ounces
Pumps about 2,000 gallons
worth of blood through
your body everyday
68. • HEART
Using rhythmic
contractions, it circulates
blood through veins and
arteries which supplies
tissues with oxygenated
blood
• Activated by its own
electrical system
• Requires oxygen to work
properly
•
69. • HEART ATTACK
• Blood supply to the heart
or part of the heart is cut
off partially or
completely decreasing
the amount of oxygen
delivered to the heart
muscle….this leads to the
death of the heart muscle
70. • Risk Factors
Age
Sex
DM
High BP
Dyslipedemia/
hypercholesterolemia
• Tobacco smoking
including 2nd hand
smokers
•
•
•
•
•
71. • Risk Factors
• Short term exposures to air
pollution such as carbon
monoxide, nitrogen dioxide,
sulfur dioxide
• Family history of ischemic
heart disease
• Obesity
• Lack of physical activity
72.
BMI= kg of bw/(ht in meter)²
= lbs / (ht in inches) * 703
75. • Signs and Symptoms
Chest pain or discomfort
Upper body discomfort in
one or both arms, the
back, neck, jaw, or upper
part of the stomach
Shortness of breath
Nausea
Vomiting
Light-headedness
Breaking out in a cold
sweat
76. • What to do
• Have the person sit down,
rest, and try to keep calm
• Loosen any tight clothing
• Help the person take his
medication (if there’s any)
• If the person is unconscious
and unresponsive your
local emergency number,
then begin CPR
77. • broad term that is
used to describe
discomfort when
breathing, and the
feeling that you
cannot draw a breath
78.
a faster breathing rate
wheezing
blue fingernails and/or
mouth
pale or gray complexion
head sweat
flaring nostrils
Chest pain
Cough
79. Newborn and
infant
Up to 6 month old 30-60 breaths/ min
Infants
6 to 12 months old 24-30 breaths/min
Toddlers and
children
1 to 5 years old
20-30 breaths/min
Children
6 to 12 years
12-20 breaths/min
Adult
>12
12-20 breaths/ min
80.
Chest moving in an
unusual way as the
person breathes
Confusion
Lightheadedness
Weakness
Sleepiness
Fever
Gurgling
81.
Check A-B-C
Loosen any tight clothing
Help use prescribed
medication
Continue monitoring patient
DO NOT assume that the
person's condition is
improving if you can no
longer hear wheezing
If there are open wounds in
the neck or chest, they must
be closed immediately
83.
Tense feeling
Dizziness
Fast or deep breathing
Tingling in fingers and
hands
Stiffness or cramps in fingers
and hands
Tightness around the mouth
Cold hands or feet
Palpitations in the chest
Anxiety
85.
any body temperature
above the normal of
98.6 F (37 C)
in practice:
temperature is above
100.4 F (38 C)
A fever is any body
temperature elevation
over 100 °F (37.8 °C)
86.
Temperature in the anus
(rectum/rectal) is at or over
37.5–38.3 °C (99.5–100.9 °F)
Temperature in the mouth
(oral) is at or over 37.7 °C
(99.9 °F)
Temperature under the arm
(axillary) or in the ear (otic)
is at or over 37.2 °C (99.0 °F)
89. • caused by:
• Inflammation
• distention of an organ
• loss of the blood supply
to an organ
• contraction of the
intestinal muscles
• hyper-sensitivity to
normal intestinal
activities
91. • Let patient lie down and
rest
• Give clear fluids
• Eat smaller portion meal
• Use heating pads
• Keep container nearby in
case the person vomits
93. •
•
•
•
Prevent dehydration by drinking lots of clear liquid
BRAT diet
DO NOT take anti-diarrheal medications
DO NOT give spicy, greasy or fatty food
94. •
•
•
•
Prevent dehydration by drinking lots of clear liquid
BRAT diet
DO NOT take anti-diarrheal medications
DO NOT give spicy, greasy or fatty food
95. • forceful expulsion of
the contents of one's
stomach through
the mouth and
sometimes the nose
97.
Have the person drink small amounts of water,
sports drinks, or clear liquids
Don't give the person solid food until vomiting
has stopped
When the person can tolerate food, try small
amounts of the BRAT diet: bananas, rice,
applesauce, and toast
98. • A state of collapse and
failure of the heart and
blood vessels to
deliver enough blood
to the body tissues to
meet their needs
99. • Sweaty with cool
clammy skin
• Pale
• Weak and rapid pulse
• Marked thirst
• Bluish discoloration of
the skin
100. •
•
•
•
Assist victims to lie down
Elevate feet higher than the heart
Turn head to one side
Assess A-B-C
101. • A change in behavior
or consciousness that
takes place when the
electrical activity of the
brain becomes irregular
102. • Head injury
• Infection of the
nervous system
• Stroke, heat stroke
• Poisoning, drug
overdose
• Low blood sugar
103. • Provide a safe environment
• DO NOT attempt to hold
down or restrain a convulsing
victim
• Support victim’s head
• Sponge bath if has fever
• Loosen tight clothing
• Roll the patient to side after
seizure episode
104.
Is the loss of brain function
that results when part of
the blood flow to the brain
is suddenly cut off
This can be caused by a
blood clot or by a ruptured
blood in the brain
105. • Numbness, tingling, paralysis
on one side of the body
• Speech problems
• Dizziness
• Confusion
• Nausea or vomiting
• Decreased level of sensorium
112. • Poison
• any substance ( solid, liquid or gas) that
causes illness or death when introduced
into the body or into the skin surface
113. Abdominal pain or cramps
Nausea
Vomiting
Diarrhea
Presence of oral burns, odors
or stains
• Drowsiness or loss of
consciousness
•
•
•
•
•
114. • WHO is the victim, Age
and weight
• WHAT was swallowed
• HOW MUCH was
swallowed
• HOW did it happened
• WHEN did it happened
115. • DO NOT induce vomiting
• DO NOT give anything by
mouth
• Save and bring poison
container
• Bring the patient to the
nearest hospital
• Contact a poison control
center
NCR Poison Control Center
Emergency hotline
numbers: 928-0611 loc 707
Direct line/Fax: 921-1212
Mobile: 0922-8106595
122. • Redness, rash,
and/or blisters on
the skin
• Burns
• Itching, skin
irritation
• Presence of liquid or
powder in the skin
123. • Remove victims clothing
• Blot the poison from the skin
using a dry piece of clothe.
DO NOT rub
• If powder, brush it off
• Wash with running water
• Monitor victim
124. • poisons may also enter the body through a break
in the skin caused by a bite, sting or syringe
127. • Remove the stinger by
gently scraping the
skin surface with a
knife
• DO NOT pinch the
stinger to remove it
• Wash with water
• Apply cold compress
134.
WHAT TO DO?
Jellyfish sting:
irrigate/soak the affected
area with vinegar for at
least 10 minutes
135.
WHAT TO DO?
Jellyfish sting: If you do not
have vinegar available, rinse in
sea water,70% isopropyl
alcohol, or Safe Sea Jellyfish
After Sting®
DO NOT use fresh water
DO NOT rub the area
136.
WHAT TO DO?
Jellyfish sting:
Remove tentacles with a
stick or a pair of tweezers
Apply shaving cream or a
paste of baking soda to the
area
Shave the area with a razor
or credit card
reapply vinegar or alcohol
137.
WHAT TO DO?
Jellyfish sting:
Eye stings: rinse with a commercial saline
solution like Artifical Tears
dab the skin around the eyes with a towel
that has been soaked in vinegar
Do not place vinegar directly in the eyes
138.
WHAT TO DO?
Jellyfish sting:
Mouth stings- treat with 1/4 strength
vinegar.
Mix ¼ cup of vinegar with ¾ cup of
water. Gargle and spit out the
solution.
DO NOT drink or swallow the
solution.
139.
WHAT TO DO?
Jellyfish sting:
May give over the counter pain
reliever
Monitor victim’s condition
Bring patient in nearest hospital
140.
WHAT TO DO?
Stingray sting:
Immerse irrigate the
affected area with hot
water (as hot as can
be tolerated) for at
least 20 min or for as
long as pain persists
141.
WHAT TO DO?
Stingray sting:
Wash the wound with soap and
water
Cover the wound
Immediately bring the victim to the
nearest Hospital/poison control
center
142.
REMEMBER!!!
Identifying the type/species of snake can greatly
help the hospital medical personnel choose the
appropriate treatment to give
143. COMPARISON
VENOMOUS SNAKE
e.g. cobra
NON-VENOMOUS
SNAKE
e.g. python
Cortina ,side-winding
Semi-cortina, curving
Semi- triangular
Oblong
Rectangular
Circular
SKIN
Rough
Smooth
PUPIL
Vertical, slit-like
Round
MANNER OF
ATTACK
Non-constrictor
Constrictor
BITE MARK
Fang Marks: 2
punctures
U-shaped row of
marks
MOVEMENT
SHAPE OF HEAD
BODY GIRTH
144.
WHAT TO DO?
Clean the area of the bite with soap and
water
Have the victim lying down quietly and
comfortably
Immediately bring the victim to the nearest
hospital/ animal bite center
145.
WHAT TO DO?
DO NOT suck the wound to
remove the venom
DO NOT apply tourniquet
DO NOT apply a cold
compress
DO NOT incise the bitten
area
146.
WHAT TO DO?
Apply pressure
immobilization bandage
40 and 70 mm Hg : UE
55 and 70 mm Hg: LE
Pressure is sufficient if
the bandage is
comfortably tight and
snug but allows a finger
to be slipped under it
148.
WHAT TO DO?
Wash the area of the bite
with soap and water for 30
minutes
Avoid scrubbing, which
can bruise the tissue
Control the bleeding
Cover the wound with
sterile or clean dressing
150.
Rinse eyes exposed to
toxic substances
immediately with a
copious amount of
water unless a specific
antidote is available
151.
ALCOHOL
INTOXICATION
A state by which alcohol
levels ingested exceed that of
a persons tolerance
This produces physiological
changes that manifest as
mental and physical
impairements
152.
SIGNS AND
SYMPTOMS
Odor of alcohol on the
victim’s breath or clothing
Unsteady, staggering walking
Slurred speech, unable to
carry conversation
Nausea and vomiting
Flushed face
seizure
153.
WHAT TO DO FOR A RESPONSIVE PERSON
Provide emotional support
Look for any injuries
Protect person from hurting himself
If the person becomes violent, leave, call the police
Call for emergency medical assistance
154.
WHAT TO DO FOR AN UNRESPONSIVE
PERSON?
Call for emergency medical assistance immediately
Make sure airway is clear and that person in
breathing
DO NOT give anything by mouth
Place person in side – lying position
Assume there is spinal injury if there are signs of
injury
Regulate the person’s body heat
Bring the person to the nearest hospital
156.
HEAT CRAMPS
Are painful tightening of the muscles that
occur after prolonged use, as in vigorous
exercise
157.
WHAT TO DO WITH
HEAT CRAMPS?
Move the patient away from
the potential source of heat
Have them rest
Drink plenty of water
Stretch the tightened muscle
Loosen tight clothing
158.
HEAT EXHAUSTION
The most common
serious emergency
caused by heat
Causes:
Heat exposure
Stress
Fatigue
159.
HEAT EXHAUSTION
Signs and symptoms
Excessive sweating
Pale, moist, cool skin
Dry tongue and thirst
Dizziness or faintness
Irritability
Confusion
160.
HEAT EXHAUSTION
Signs and symptoms
Weakness
Nausea
Vomiting
Headache
Rapid pulse
Normal or slightly
elevated body
temperature
161.
WHAT TO DO WITH HEAT
EXHAUSTION
The most important step is to COOL the
victim
remove any excessive layers of clothing,
especially around head and neck
move the victim to a cooler environment
lay the victim down flat and elevate his legs
162.
WHAT TO DO WITH
HEAT EXHAUSTION
Fan the victim or place cool
wet cloths on his skin
Give victim water to drink
DO NOT give alcoholic,
caffeinated or carbonated
drinks
163.
HEAT STOKE
Happens when the
body is exposed to
more heat than it can
handle
Temperature may
reach 41ᵒC
164.
HEAT STOKE
Signs and symptoms
Striking change in the
victims behavior
Loss of consciousness
Flushed, hot and dry
skin
Pulse and breathing are
rapid and weak
165.
WHAT TO DO WITH HEAT STOKE
Call for emergency medical assistance ASAP
Move the victim to coolest possible place
Remove as much of the victims clothing as
possible
Place the victim in comfortable position
166.
WHAT TO DO WITH HEAT STOKE
Apply cool packs to the victim’s neck, groin
and armpits
Cover the victim with cold wet towel or
sheets or spray the victim with cool water
Bring the victim to the hospital as fast as
possible
168.
WHAT TO DO WITH HYPOTHERMIA
Remove the victim from the cold environment
If the feet are injured, DO NOT allow the victim to
walk
Remove any wet clothing from the victim
Place dry blankets over and under the victim
DO NOT massage the victims limbs
169.
WHAT TO DO WITH HYPOTHERMIA
Handle the victim gently to avoid causing pain or
further injury to the skin
DO NOT allow the victim to eat or take coffee, tea,
cola, or tobacco
Give warm fluids for conscious victim
Bring patient to nearest hospital
171.
HYPERGLYCEMIA
Signs and symptoms
warm and dry skin
intense thirst
Vomiting
rapid deep breathing
sweet fruity odor of breath
Normal, Rapid and full pulse
restless heading to coma
172.
HYPOGLYCEMIA
Level of glucose is below normal
Caused by:
missing meals
being overly active
physically
taking too much diabetes
medication
173.
HYPOGLYCEMIA
Signs and symptoms
pale and moist skin
intense hunger
normal rapid breathing
rapid weak pulse
irritable, confused with
seizure or coma
174.
WHAT TO DO
Call for emergency medical assistance ASAP
For conscious victim with hypoglycemia, give candy
or juice drinks
If victim is unconscious, assess CAB’s and manage
accordingly
Bring the victim to the hospital ASAP
175.
ALLERGY
Is an over reaction of the body’s protective
mechanisms to unwanted substances
177.
SIGNS AND SYMPTOMS
Sneezing or an itchy runny nose
Flushing with itching, tingling or
burning sensation in the skin
Skin hives
Tightness of the chest or throat
hoarseness
178.
SIGNS AND SYMPTOMS
Wheezing
Respiration becomes rapid,
labored and noisy
Increased pulse rate
Pale skin and dizziness
Loss of consciousness
179.
WHAT TO DO
Remove the potential source of allergen
Call for emergency medical assistance
Assist the person in taking his anti-allergy
medications
Have the patient rest until medical help arrives
Assess the patient CABs and treat correspondingly
180.
WHAT TO DO
Use anaphylaxis kit
The kit contains a dose of
epinephrine (0.3mg /
0.15mg) that can be
injected into the body to
counteract the
anaphylactic reaction
182.
WHAT TO DO
Calm the patient
Patient should sit with the
upper part of the body tilted
forward and the mouth open
Pinch the soft parts of the
nose together between the
thumb and index finger
183.
WHAT TO DO
Hold the nose pinched for at
least 8 to 10 minutes
Apply ice to the base of the
nose
Seek medical help
184.
A foreign body inside a
child’s nose can be present
for a period of time
without the parent being
aware of the problem.
Potential to dislodge and
travel
185.
SIGNS AND SYMPTOMS
Difficulty in breathing
Feeling of something inside the nose
Fouls smelling or bloody nasal
discharge
Irritation or pain in the nose
186.
WHAT TO DO
Have the victim blow out of
the nose gently to try to free
the object
If visible, try to grasp it with
tweezer
187.
WHAT TO DO
DO NOT probe the nose
with cotton swab
DO NOT try to inhale the
object
DO NOT try to remove an
object that is not visible
188.
WHAT TO DO
May remove object if
visible using a tweezer
Tilt head to the side
If insect, put few drops of
baby oil or mineral oil
If button battery, urgent
removal is required
191.
YERBA BUENA (Scientific name: Clinopodium
douglasii)· - Gamot sa pananakit ng katawan,
ubo, sipon, hilo, at pangangati
192.
SAMBONG (Scientific name: Blumea
balsamifera) – Gamot sa high blood
(hypertension) bilang isang pampaihi o diuretic;
nakakalusaw ng mga bato sa bato.
193.
TSAANG GUBAT (Scientific name: Carmona
retusa) – Gamot sa sakit ng tiyan o pagtatae
(gastroenteritis) at pangmumog para maiwasan
ang mga cavites o pamumulok ng ngipin.