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

Planes of the body
Anterior
 Posterior
 Superior
 Inferior
 Medial
 Lateral


Superficial
 Deep
 Internal
 External
 Proximal
 Distal



Directional Terms


Movement terms
Flexion
 Extension
 Abduction
 Adduction
 External Rotation
 Internal Rotation
 Pronation
 Supination


Lateral flexion
 Rotation
 Dorsiflexion
 Plantarflexion
 Inversion
 Eversion



Anatomic Position
Anatomical Position
 Supine
 Prone
 Sidelying
 Trendelenburg
 Reverse trendelenburg
 sitting







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.
2
3

1

4
5
6

7
8

9
10

11

12

13
14
Neck
- Contains important structures
- Cervical Vertebrae
- Spinal Cord
- Esophagus
- Trachea or Windpipe
- NAV ( vagus, carotid, jugular )
- 2nd Major Body Cavity
- Peritoneum
- Organs of Digestion and Excretion
- Boundary – Best described by
QUADRANTS
- Costal Arch (6th – 10th Ribs)
- Umbilicus (4th Lumbar)
- Iliac Crest (5th Lumbar)
- Symphysis Pubis
- Bony Ring (2 pelvic bones, 1 sacrum)
- Pelvic Bones (Ilium, Ischium, Pubis)
- Contents (Urinary Bladder, Reproductive
Organs, Rectum)




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


OBJECTIVES:
 Preserve life
 Prevent further harm
 Promote recovery

•

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
•

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




CHARACTERISTICS
Gentle

Empathetic



Resourceful

Respectful



Observant

Dedicated



Tactful

Creative


•
•
•
•
•
•
•

Name, age, sex
Chief complain
A-B-C
Vital Signs
History
Physical Examination: how?
Further History


Obtain the patient’s name.



Note the age, gender, and race.



Look for identification if the patient is
unconscious.






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






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?


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?






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






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?


Key signs used to evaluate a patient’s condition



First set is known as baseline vitals.



Repeated vital signs compared to the baseline


Vital signs always include:
–

Respirations

–

Pulse

–

Blood pressure
 Other key indicators include:

–Skin temperature and condition in adults

–Capillary refill time in children
–Pupils
–Level of consciousness






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
Adults

12 to 20 breaths/min

Children

15 to 30 breaths/min

Infants

25 to 50 breaths/min






Evaluates the effectiveness of oxygenation
Probe is placed on finger or earlobe.
Pulse oximetry is a tool.
Does not replace good patient assessment


Rate



Number of beats in 30 seconds
Strength



Bounding, strong, or weak (thready)
Regularity

–

–

–

Regular or irregular

2
Adults

60 to 100 beats/min

Children

70 to 150 beats/min

Infants

100 to 160 beats/min


Color



Pink, pale, blue, red,
or yellow
Temperature



Warm, hot, or cool
Moisture

–

–

–

Dry, moist, or wet




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



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.







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







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.




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.







Secure cuff.
Locate radial pulse.
Inflate to 200 mm Hg.
Release air until pulse is felt.
Method only obtains systolic pressure.
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)
A – Alert
V – Responsive to Verbal stimulus

P – Responsive to Pain
U – Unresponsive







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


P - Pupils



E - Equal



A - And



R - Round



R - Regular in size



L - React to Light


Reassess stable patients every 15 minutes.



Reassess unstable patients every 5 minutes.
• Chronic medical
condition in which the
blood pressure in the
arteries is elevated
• Requires the heart to
work














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.
•
•
•
•
•
•

Headache
Lightheadedness
Vertigo
Tinnitus
Altered vision
Fainting episodes
• Let the patient rest
• Give emergency
medications
• Monitor patient
• 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
• 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
•
• 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
• Risk Factors
Age
Sex
DM
High BP
Dyslipedemia/
hypercholesterolemia
• Tobacco smoking
including 2nd hand
smokers
•
•
•
•
•
• 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


BMI= kg of bw/(ht in meter)²




= lbs / (ht in inches) * 703
BMI

Classification

< 18.5

underweight

18.5–24.9

normal weight

25.0–29.9

overweight

30.0–34.9

class I obesity

35.0–39.9

class II obesity

≥ 40.0

class III obesit
• Risk Factors
•
•
•
•

Psychosocial Factors
Alcohol
Use of OCP
Hyperhomocystenemia
• 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
• 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
• broad term that is
used to describe
discomfort when
breathing, and the
feeling that you
cannot draw a breath











a faster breathing rate
wheezing
blue fingernails and/or
mouth
pale or gray complexion
head sweat
flaring nostrils
Chest pain
Cough
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










Chest moving in an
unusual way as the
person breathes
Confusion
Lightheadedness
Weakness
Sleepiness
Fever
Gurgling










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


known as excessive
breathing, causes a
reduction of carbon
dioxide concentration
(below normal) of the
blood













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





Keep the patient calm
Move patient in a
quiet room
7-11 breathing






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)






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)


What to do?





Tepid sponge bath
Paracetamol
Ibuprofen
Increase water intake
• 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
•
•
•
•
•
•
•
•

Food poisoning
Cramps
Stomach flu
Gas
Indigestion
Constipation
Food allergies
Lactose intolerance
• Let patient lie down and
rest
• Give clear fluids
• Eat smaller portion meal
• Use heating pads
• Keep container nearby in
case the person vomits
• Condition that leads
to frequent, loose or
watery stools
•
•
•
•

Prevent dehydration by drinking lots of clear liquid
BRAT diet
DO NOT take anti-diarrheal medications
DO NOT give spicy, greasy or fatty food
•
•
•
•

Prevent dehydration by drinking lots of clear liquid
BRAT diet
DO NOT take anti-diarrheal medications
DO NOT give spicy, greasy or fatty food
• forceful expulsion of
the contents of one's
stomach through
the mouth and
sometimes the nose
• Causes
Food intolerance
Allergy
Hypertension
Increase intracranial
pressure
• other
•
•
•
•






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
• A state of collapse and
failure of the heart and
blood vessels to
deliver enough blood
to the body tissues to
meet their needs
• Sweaty with cool
clammy skin
• Pale
• Weak and rapid pulse
• Marked thirst
• Bluish discoloration of
the skin
•
•
•
•

Assist victims to lie down
Elevate feet higher than the heart
Turn head to one side
Assess A-B-C
• A change in behavior
or consciousness that
takes place when the
electrical activity of the
brain becomes irregular
• Head injury
• Infection of the
nervous system
• Stroke, heat stroke
• Poisoning, drug
overdose
• Low blood sugar
• 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




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
• Numbness, tingling, paralysis
on one side of the body
• Speech problems
• Dizziness
• Confusion
• Nausea or vomiting
• Decreased level of sensorium
•
•
•
•
•

THINK F.A.S.T.!!!
Facial asymmetry
Arm weakness
Speech difficulties
Time is Critical
• common sudden
illness characterized
by a partial or
complete loss of
consciousness
• caused by a temporary
reduction of blood
flow to the brain
•
•
•
•

Shock-like signals:
Cool, pale or moist skin
Nausea
Numbness or tingling in the
finger and toes
•
•
•
•

Lie down victim
Elevate legs
Loosen tight clothing
Check A-B-C
• Poison
• any substance ( solid, liquid or gas) that
causes illness or death when introduced
into the body or into the skin surface
Abdominal pain or cramps
Nausea
Vomiting
Diarrhea
Presence of oral burns, odors
or stains
• Drowsiness or loss of
consciousness
•
•
•
•
•
• WHO is the victim, Age
and weight
• WHAT was swallowed
• HOW MUCH was
swallowed
• HOW did it happened
• WHEN did it happened
• 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


INHALED POISONS


Are gaseous substances that enter
through inhalation and cause
toxicity
•
•
•
•
•
•

Difficulty of breathing
Cyanosis
Dizziness
Headache
Seizure
Unresponsive
• Remove patient from toxic environment
• Keep airway open
• Monitor A-B-C
• Carbon Monoxide
• No taste
• No scent
• No color
Sleepy and drowsy
Headache
Dizziness
Nausea and
Vomiting
• Fatigue
• Flu-like symptoms
•
•
•
•
• Poison may enter the body through the skin
• Redness, rash,
and/or blisters on
the skin
• Burns
• Itching, skin
irritation
• Presence of liquid or
powder in the skin
• 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
• poisons may also enter the body through a break
in the skin caused by a bite, sting or syringe
•
•
•
•
•
•

Pain
Allergic reactions
Infections
Swelling
Serious Illness
Even Death
• The stinger may be
present in the bite site
• 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
•
•
•
•
•

Pain
Allergic reaction
Swelling
Infection
Venom paralysis
and death
•
•
•
•
•

Bite mark
Swelling
Pain
Nausea and vomiting
Difficulty in
breathing and
swallowing


WHAT TO DO?





Wash wound with soap and water
Antiseptic may be used
Apply cold compress
Bring victim to nearest hospital


MARINE ANIMALS
Most marine animals
will not deliberately
attack unless you
disturb them
 Painful
 Rarely fatal
 Allergic reations



SIGNS AND
SYMPTOMS





Site of contact on the
skin has a rash with
pinpoint bleeding
Burning pain
Swelling


SIGNS AND
SYMPTOMS
Nausea and vomiting
 Muscle cramping
 Diarrhea and muscle
paralysis
 Allergic reaction



WHAT TO DO?


Jellyfish sting:
irrigate/soak the affected
area with vinegar for at
least 10 minutes


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


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


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


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.


WHAT TO DO?


Jellyfish sting:

 May give over the counter pain

reliever
 Monitor victim’s condition
 Bring patient in nearest hospital


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


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


REMEMBER!!!
 Identifying the type/species of snake can greatly

help the hospital medical personnel choose the
appropriate treatment to give
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


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



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


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



LAND ANIMAL
BITE


Can result to:
 Damaged tissue

 Infection
 Tetanus
 rabies


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



WHAT TO DO?


Immediately bring the
victim to the nearest
hospital/animal bite
center


Rinse eyes exposed to
toxic substances
immediately with a
copious amount of
water unless a specific
antidote is available


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



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


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


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


HEAT EXPOSURE
Heat cramps
 Heat exhaustion
 Heat stroke



HEAT CRAMPS


Are painful tightening of the muscles that
occur after prolonged use, as in vigorous
exercise


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


HEAT EXHAUSTION
The most common
serious emergency
caused by heat
 Causes:


 Heat exposure
 Stress

 Fatigue


HEAT EXHAUSTION


Signs and symptoms
 Excessive sweating
 Pale, moist, cool skin
 Dry tongue and thirst
 Dizziness or faintness
 Irritability
 Confusion


HEAT EXHAUSTION


Signs and symptoms
 Weakness
 Nausea
 Vomiting

 Headache
 Rapid pulse
 Normal or slightly

elevated body
temperature


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



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



HEAT STOKE
Happens when the
body is exposed to
more heat than it can
handle
 Temperature may
reach 41ᵒC



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


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



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



HYPOTHERMIA


Happens when the
core temperature of
the body falls below
35ᵒC


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


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


HYPERGLYCEMIA



Level of glucose is above normal
Caused by:

 overeating without taking
medications for diabetes
regularly


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


HYPOGLYCEMIA



Level of glucose is below normal
Caused by:

 missing meals

 being overly active
physically
 taking too much diabetes
medication


HYPOGLYCEMIA


Signs and symptoms

 pale and moist skin
 intense hunger
 normal rapid breathing
 rapid weak pulse
 irritable, confused with
seizure or coma


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


ALLERGY


Is an over reaction of the body’s protective
mechanisms to unwanted substances


TRIGGERING
FACTORS
Insect bites and stings
 Medications
 Plants
 Food
 chemicals



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



SIGNS AND SYMPTOMS
Wheezing
 Respiration becomes rapid,
labored and noisy
 Increased pulse rate
 Pale skin and dizziness
 Loss of consciousness



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



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


CAUSES
Nose picking
 Traumatic injury
 High blood pressure
 Infections
 Vitamin deficiency
 Use of medications



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



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





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


SIGNS AND SYMPTOMS





Difficulty in breathing
Feeling of something inside the nose
Fouls smelling or bloody nasal
discharge
Irritation or pain in the nose


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


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



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



LAGUNDI (Scientific name: Vitex negundo) –
Gamot sa ubo, sipon, lagnat, at hika


YERBA BUENA (Scientific name: Clinopodium
douglasii)· - Gamot sa pananakit ng katawan,
ubo, sipon, hilo, at pangangati


SAMBONG (Scientific name: Blumea
balsamifera) – Gamot sa high blood
(hypertension) bilang isang pampaihi o diuretic;
nakakalusaw ng mga bato sa bato.


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.


NIYOG-NIYOGAN (Scientific name: Quiscalis
indica) – Gamot sa bulate sa tiyan


AKAPULKO (Scientific name:· Cassia alata) –
Panlaban sa mga fungal infection sa balat gaya
ng an-an, buni, alipunga.


ULASIMANG-BATO (Scientific
name: Peperonia pellucida) – Ginhawa sa rayuma
o arthritis at gout


BAWANG (Scientific name: Alium sativum) –
Pampababa ng kolesterol (cholesterol-lowering
agent)


AMPALAYA (Scientific name: Momordica
charantia) – Pampababa ng asukal sa dugo sa
mga may diabetes (Lowers blood sugar levels)


BAYABAS (Scientific name: Psidium guajava) –
Gamot sa pagtatae (antidiarrheal) at
panghugas ng katawan na nakakaalis ng
mikrobyo (antiseptic)

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Medical emergencies

  • 1.
  • 2.  Planes of the body Anterior  Posterior  Superior  Inferior  Medial  Lateral  Superficial  Deep  Internal  External  Proximal  Distal 
  • 4.  Movement terms Flexion  Extension  Abduction  Adduction  External Rotation  Internal Rotation  Pronation  Supination  Lateral flexion  Rotation  Dorsiflexion  Plantarflexion  Inversion  Eversion 
  • 5.  Anatomic Position Anatomical Position  Supine  Prone  Sidelying  Trendelenburg  Reverse trendelenburg  sitting 
  • 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.
  • 8.
  • 9.
  • 10. Neck - Contains important structures - Cervical Vertebrae - Spinal Cord - Esophagus - Trachea or Windpipe - NAV ( vagus, carotid, jugular )
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. - 2nd Major Body Cavity - Peritoneum - Organs of Digestion and Excretion - Boundary – Best described by QUADRANTS
  • 17.
  • 18.
  • 19. - Costal Arch (6th – 10th Ribs) - Umbilicus (4th Lumbar) - Iliac Crest (5th Lumbar) - Symphysis Pubis
  • 20. - Bony Ring (2 pelvic bones, 1 sacrum) - Pelvic Bones (Ilium, Ischium, Pubis) - Contents (Urinary Bladder, Reproductive Organs, Rectum)
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 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
  • 27.  OBJECTIVES:  Preserve life  Prevent further harm  Promote recovery
  • 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 
  • 31. • • • • • • • Name, age, sex Chief complain A-B-C Vital Signs History Physical Examination: how? Further History
  • 32.
  • 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
  • 40.  Vital signs always include: – Respirations – Pulse – Blood pressure
  • 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.
  • 56.      Secure cuff. Locate radial pulse. Inflate to 200 mm Hg. Release air until pulse is felt. Method only obtains systolic pressure.
  • 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
  • 62.  Reassess stable patients every 15 minutes.  Reassess unstable patients every 5 minutes.
  • 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
  • 74. • Risk Factors • • • • Psychosocial Factors Alcohol Use of OCP Hyperhomocystenemia
  • 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
  • 82.  known as excessive breathing, causes a reduction of carbon dioxide concentration (below normal) of the blood
  • 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
  • 84.    Keep the patient calm Move patient in a quiet room 7-11 breathing
  • 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)
  • 87.  What to do?     Tepid sponge bath Paracetamol Ibuprofen Increase water intake
  • 88.
  • 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
  • 92. • Condition that leads to frequent, loose or watery stools
  • 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
  • 96. • Causes Food intolerance Allergy Hypertension Increase intracranial pressure • other • • • •
  • 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
  • 106. • • • • • THINK F.A.S.T.!!! Facial asymmetry Arm weakness Speech difficulties Time is Critical
  • 107. • common sudden illness characterized by a partial or complete loss of consciousness • caused by a temporary reduction of blood flow to the brain
  • 108. • • • • Shock-like signals: Cool, pale or moist skin Nausea Numbness or tingling in the finger and toes
  • 109. • • • • Lie down victim Elevate legs Loosen tight clothing Check A-B-C
  • 110.
  • 111.
  • 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
  • 116.  INHALED POISONS  Are gaseous substances that enter through inhalation and cause toxicity
  • 118. • Remove patient from toxic environment • Keep airway open • Monitor A-B-C
  • 119. • Carbon Monoxide • No taste • No scent • No color
  • 120. Sleepy and drowsy Headache Dizziness Nausea and Vomiting • Fatigue • Flu-like symptoms • • • •
  • 121. • Poison may enter the body through the skin
  • 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
  • 126. • The stinger may be present in the bite site
  • 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
  • 129. • • • • • Bite mark Swelling Pain Nausea and vomiting Difficulty in breathing and swallowing
  • 130.  WHAT TO DO?     Wash wound with soap and water Antiseptic may be used Apply cold compress Bring victim to nearest hospital
  • 131.  MARINE ANIMALS Most marine animals will not deliberately attack unless you disturb them  Painful  Rarely fatal  Allergic reations 
  • 132.  SIGNS AND SYMPTOMS    Site of contact on the skin has a rash with pinpoint bleeding Burning pain Swelling
  • 133.  SIGNS AND SYMPTOMS Nausea and vomiting  Muscle cramping  Diarrhea and muscle paralysis  Allergic reaction 
  • 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 
  • 147.  LAND ANIMAL BITE  Can result to:  Damaged tissue  Infection  Tetanus  rabies
  • 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 
  • 149.  WHAT TO DO?  Immediately bring the victim to the nearest hospital/animal bite center
  • 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
  • 155.  HEAT EXPOSURE Heat cramps  Heat exhaustion  Heat stroke 
  • 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 
  • 167.  HYPOTHERMIA  Happens when the core temperature of the body falls below 35ᵒC
  • 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
  • 170.  HYPERGLYCEMIA   Level of glucose is above normal Caused by:  overeating without taking medications for diabetes regularly
  • 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
  • 176.  TRIGGERING FACTORS Insect bites and stings  Medications  Plants  Food  chemicals 
  • 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
  • 181.  CAUSES Nose picking  Traumatic injury  High blood pressure  Infections  Vitamin deficiency  Use of medications 
  • 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 
  • 189.
  • 190.  LAGUNDI (Scientific name: Vitex negundo) – Gamot sa ubo, sipon, lagnat, at hika
  • 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.
  • 194.  NIYOG-NIYOGAN (Scientific name: Quiscalis indica) – Gamot sa bulate sa tiyan
  • 195.  AKAPULKO (Scientific name:· Cassia alata) – Panlaban sa mga fungal infection sa balat gaya ng an-an, buni, alipunga.
  • 196.  ULASIMANG-BATO (Scientific name: Peperonia pellucida) – Ginhawa sa rayuma o arthritis at gout
  • 197.  BAWANG (Scientific name: Alium sativum) – Pampababa ng kolesterol (cholesterol-lowering agent)
  • 198.  AMPALAYA (Scientific name: Momordica charantia) – Pampababa ng asukal sa dugo sa mga may diabetes (Lowers blood sugar levels)
  • 199.  BAYABAS (Scientific name: Psidium guajava) – Gamot sa pagtatae (antidiarrheal) at panghugas ng katawan na nakakaalis ng mikrobyo (antiseptic)

Notas do Editor

  1. . Fresh water will cause the nematocysts to continue to release their toxin.
  2. to remove any adherent nematocysts.