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Esm

ESM (REscuers checklist)1. Scene assessment i. Check the environment ii. Check the peopleiii. Check the Mechanism of Injury (MOI)iv. Assure your own safety (Gloves) b. Control the scene (Assert your authority as a first aider)c. Introduce yourself and get Consent A - This is established if the patient is talking to you
B - Ask the patient to take a breath. Note any abnormalities
C - Ask the patient to show the LIPS
Verify using the 3 Questions or AVPU scale. Call 911 and Treat for Shock as early as possible if you detect a Life Threatening Emergency (ABC emergency) a. SAMPLE - Patient Historyb. Vital Signs (See next page)c. Head to Toe Assessment 4. Treat - Call 911 and treat for Shock/First Aid if there was no Primary Emergency. This is the time to give medications/immobilize
2. pulse - Asses the victim’s pulse, by checking it on the neck or on the wrist for 15 seconds. record the value and multiply by 4 (to get it to bpm). Should be between 60-100 bpm 3. breathing - Asses the victim’s breathing, but do not tell him that you are doing so as it may affect your results. Just say you couldn’t find a pulse, so you are doing it again or something to that effect. Measure for 15 seconds, record and multiply by 4. Should be between 16-20 breaths per minute 4. skin - Asses the victim’s skin color, temperature, and wetness. Should be peachy, warm to the touch and normal moisture. Call 911 if any of these readings are abnormal, and keep monitoring them every so often. THEY ARE A GOOD INDICATION OF A VICTIM DETERIORATING IN CONDITION, so record the results for the paramedics and yourself to track their progress (or digression) FA = 911 + WARTS
TREATMENT CHART
Respiratory
Anaphylaxis
Distress
Major Bleed
Ventolin
Heimlich
+ Coach Breathing
Stroke/TIA
WARTS + 911
Semi Prone
if needed
Exceptions
-allergies
Exceptions
-GI Bleed
Diabetes
Hot & Cold
(Hypoglycemic
-remove from
environment
Position
-reverse
victim to
hot to cold
(do not hold)
Poison Control
uninjured side
cold to hot
Immobilize
Call 911 unless epileptic
418-656-8090
Severity
INSULIN! Gatorade works
Use 3 sided
800-463-5060
taped ziploc
Call 911 only if
these epileptic seizures
include the following:
-more than 2 seizures
-consecutively
-more than 5 minutes
for each seizure
Heat & Chemical
Electrical
- cold water
- Scene is safe
- 15 minutes
- Locate entry & exit wound
- DRY DRESSING

Source: http://www.lifesavingcourses.ca/NLSFiles/ESM+FA.pdf

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