CADET EXAM 23.9.2023-24.9.2023 St. John Ambulans Malaysia Kawasan Pantai Selangor
Bandaging Arm Sling Elevation Sling Do you feel any numbness? Can you move your fingers? Can I check your capillary refill? Can I check your pulse rate? Aim: To support and immobilize injured arm Types of Bandaging: 4 Questions to be Asked: 1. 2. 3. 4. Arm Sling Elevation Sling Reef Knot Right to Left, Left to Right ❌ Twist the bandage ✅ Check Danger ✅ Untie Reef Knot
5 back blows 5 abdominal trust obstruction❌clear Choking Mild Choking Severe Choking Encourge to cough it out Can you cough? Can you breath? Can you talk? 3 Questions to be Asked: 1. 2. 3. Seek for medical advice After obstruction clear If choking become serious (one of the question answer is no) fainted primary survey ❌breathing❌pulse breathing✅ pulse✅ Recovery CPR Position Check Vital Sign Recovery Position ✅Support Casualty ✅Self Introduction to Casualty Before Approach ✅Remove Danger
Stand and do the below action: Look up, down, left, right. (Act it Out) Listen, feel and smell. Cardiopulmonary Resuscitation (CPR) DANGER Kneel down, either leg at the side of head and another at the leg at side of chest Shout: Sir/Ms, Sir/Ms, Can you hear me? Can you response to me? RESPONSE (Point at one people) Sir/Ms in the (colour) shirt, please help me call 999 for an ambulance, request for an AED and report back to me with an ETA. AED- Automated External Defibrillator ETA- Estimated Time of Arrival SHOUT FOR HELP Head tilt chin lift and look inside. Either palm put on forehand and push down. Another index and middle fingers put under the chin and pull up. Use thumb to open mouth. ❌obstruction, proceed next. ✅obstruction, use pinky finger to pick it out. AIRWAY
Cardiopulmonary Resuscitation (CPR) Ear beside mouth - to hear whether have breathing sound. Two Fingers on carotid artery on neck - to feel whether have pulse rate. Eyes on chest - to see whether have rise and fall of chest. ✅Pulse, ✅Breathing - Recovery Position ✅Pulse, ❌Breathing - EAR (Expired Air Resuscitation) = Rescue Blow ❌Pulse, ✅Breathing - Impossible ❌Pulse, ❌Breathing - CPR BREATHING centre of chest hand always be straight 30 Chest Compression, 2 Rescue Blow (Covid❌need) = 1 cycle 5 cycles = 1 complete set Compression: Check Pulse and Breathing: ✅Pulse, ✅Breathing - Recovery Position ✅Pulse, ❌Breathing - EAR (Expired Air Resuscitation) = Rescue Blow ❌Pulse, ✅Breathing - Impossible ❌Pulse, ❌Breathing - Continue CPR CIRCULATION AED (refer to Shout of Help) *Can refer first aid manual for more information DIFIBRILLATION
Someone takes over you You are too exhausted to continue Present sign of life Emergency helps arrive 1. 2. 3. 4. CPR Continue Until... Depth: ≥5cm/2 inch but <6cm/2.4 inch Minimum interruption Full recoil after each compression Ratio: 30:2 After every 30 compression, proceed to 2 ventillation immediately Compression Rate: 100-120/min Avoid excessive ventillation 1. 2. 3. 4. 5. 6. 7. 7 High Quality CPR Is the danger clear? Is there any response? Shout of Help❌need ask, can proceed. Is there any obstruction? Is there any breathing? Is there any pulse? ✅Louder Voice ✅Mention every action (DRSABCD) ✅Ask the questions before proceed to the next step. 1. 2. 3. 4. 5. Covid CPR: ❌check airway ❌rescue blow ❌check breathing with ear beside mouth ✅make sure casualty wear mask ✅Compression 200-240 in 2 minutes
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