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Thursday, July 19, 2007

First Aid

Attended the Adult First Aid course at St John's Ambulance HQ on Beach Road in the last three days. I have learnt various life saving skills, and hope I remember and could apply them.

The class was taught to handle casualties with the following conditions: Shock, Asphyxia, Wounds & Bleeds, Burns & Scalds, Bone, Joint & Muscle Injuries, Heat Exhaustion & Heatstroke, Respiratory problem, Heart Attack, Stroke, Drowning, Epilepsy, Hyperventilation etc. We also learnt some practical skills: Recovery position, bandages/arm slings (for Fractures and Wounds), Abdominal Thrust and Chest Thrust (for choke victims), and most important of all, CPR.

CPR is a temporary intervention before the victim is attended to by medical professionals. Following are important steps to follow:

D - Danger. Ensure that the scene is safe for victim and self
R - Response. Establish responsiveness of victim. If no response, get someone to call 995
A - Airway. Open victim's Airway by Head-Tilt Chin-lift. Check Airway and remove foreign body
B - Breathing. Check for breathing by Look, Listen and Feel (up to 10 secs). If NO breathing, give 2 breaths (1 sec/breath).
C - Circulation. Check for signs of life/circulation. Check carotid pulse (up to 10 secs). If NO pulse, start CPR

CRP
- Do chest compression two fingers above sternum
- Compress vertically 4-5 cm downwards with 30 compressions: 2 ventilations ratio.
- Give 5 cycles of 30 chest compressions followed by 2 breaths
- If pulse is absent, continue with CPR cycle

Rescue Breathing
- If pulse is present, but breathing is absent, perform rescue breathing
- Give 12 rescue breathing in 5 secs interval for 1 min
- If breathing is absent, continue with Rescue Breathing

Recovery Position
- If breathing and pulse returns, stop CPR
- Place victim in recovery position if still unconscious
- Ensure there is no neck or other trauma (secondary survey)

Learning first aid knowledge reminds me of my late Godma Liley, who passed away 6 yrs ago. She was a nurse, and a very caring and altruistic one. I may never become like her, but I am a little closer to her mission, which is to save lives, physically and spiritually. After today's theory and practical exam, I am now a certified First Aider. Yeah! :)

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