Principles in Managing Emergencies
Ensuring Your Own Safety
Managing a Mob
Recognizing an Emergency
ABCDE approach
What Is The ABCDE Approach?
A
Airway
Ensure the airway is clear, as this is critical for breathing​
B
Breathing
Check for effective breathing and provide support if necessary
C
Circulation
Assess and manage blood flow, pulse, and control of bleeding
D
Disability
Evaluate neurological status using tools like the AVPU scale
E
Exposure
Fully expose the patient to identify hidden injuries or conditions.
All About Performing CPR
CPR should be performed when someone is unconscious, unresponsive, not breathing normally or there is no pulse, indicating cardiac arrest.
Cardio
Targets the heart; chest compressions is to manually pump the heart
Pulmonary
Involves the lungs, rescue breaths provide oxygen to the lungs and blood
Resuscitation
The combination of chest compressions and rescue breaths
Method for Chest Compressions
Method for Rescue Breaths
Chest Compressions to Rescue Breathe
Ratios
For a provider performing both chest compressions and rescue breaths, the ratio of compressions to breaths is 30:2
Manage a Bleeding Wound
Look for bleeding wounds on the casualty. You must ensure that blood loss is kept to a minimum.
Clean the Wound
Use safety gloves if available. If clean water is available, wash the wound before placing the cloth.
Apply Pressure
Apply direct pressure to the bleeding wound using a clean cloth for at least 10 minutes.
Cover the Wound
If the wound is deep, pack the wound with a clean cloth and use another cloth to apply direct pressure over the wound.
Elevate the Limb
Elevate the affected limb (if the injury is on the extremities)
​
What If The Bleeding Doesn't Stop?
Apply a tourniquet
Fainting
A transient loss of consciousness, or fainting, can be caused by many things including
Hypoglycemia
It occurs because of low sugar and is common in people who engage in physical activity without eating for long periods of time.
Give them something sweet to increase blood sugar and elevate their legs
Heat Exhaustion/Heat Stroke
It occurs due to prolonged exposure to high temperatures or physical activity in the heat, leading to dehydration and overheating of the body.
Place ice packs or cool, wet towels on the neck, armpits and groin. Also, offer chilled water or a drink with electrolytes.
Postural Hypotension
It happens when blood pressure drops suddenly upon standing up, causing dizziness or fainting due to reduced blood flow to the brain.
Help the person to lie down and elevate their legs to restore blood flow to the brain.
Convulsions
An episode characterized by erratic, usually involuntary physical movements, which may be accompanied by changes in consciousness.
How to manage convulsions?
01
Don’t put anything in their mouth
02
Don’t restrain them
03
Cushion the head
04
Remove any danger like sharp/pointed objects/toys.
05
Let the convulsion subside and time it.
Recovery Position for Convulsions
Stay with the person. If you must leave them alone at any point, or if they are unconscious, put them in this position to keep the airway clear and prevent choking.
Fire Safety
Go to a safe place
-
Always go outside when you hear a smoke alarm.
-
Always get down when there is a fire and crawl your way out.
-
Cover your mouth with a damp cloth to minimize smoke inhalation.
Managing Severe Burns
For Causality
-
Call an ambulance immediately
-
Cover the burnt area and try to elevate the limbs to prevent the victim from going into shock.
-
Make the casualty sit up if the burns are in the neck region to ensure the airway remains patent.
Managing Minor Burns
For Causality
-
Cool the burn under running tap water for 10 to 20 minutes.
-
Remove any constricting jewelry trapping the heat to reduce injury from swelling.
-
A first-aid burn gel may be used instead of water, provided enough to cover the burn.
-
Apply a sterile dressing after cooling the injured area for up to 20 minutes.
If someone is running out of a burning building and their clothes are on fire, what do you tell them to do?
Manage Choking
Choking occurs when a foreign object lodges in the throat or windpipe, blocking the flow of air.
1
If you suspect mild choking, ask the casualty to cough.
2
If there is severe choking or progression of choking, give abdominal thrusts using the Heimlich maneuver.
3
If this does not resolve the choking, call an ambulance and repeat until the object is expelled or the victim becomes unresponsive.
4
If victim becomes unresponsive and unconsciousness, begin CPR. Each time you open the mouth for breaths, open the mouth wide and look for the object.
Heart Attack (Myocardial Infarction)
A heart attack occurs when a blockage forms or there is a severe spasm in a blood vessel that restricts the flow of blood and oxygen to the heart muscle.
Fractures
​A fracture refers to any break in the continuity of the cortex of the bone. These are some ways to manage a fracture:
-
Immobilize the fracture: use splints, slings, or anything available to prevent movement.
-
Comfort the person: ensure they are seated or lying down.
-
Apply ice: to reduce swelling (wrap ice in cloth; don’t apply directly on the skin).
-
Elevate the limb (if possible)
-
Take the patient to the hospital.
Anaphylaxis and Allergies
Allergy
A damaging immune response by the body to a substance, especially a particular food, pollen, fur, or dust, to which it has become hypersensitive.
Anaphylaxis
Anaphylaxis is a severe, life-threatening allergic reaction that occurs rapidly and affects multiple body systems, requiring immediate medical attention.
Common Triggers (Allergy)
Allergy Symptoms
1
Touble Breathing
2
Hives or Rashes
3
Watery Eyes
4
Itching
5
Runny Nose
6