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
Convenzioni doppie imposizioni Doppie imposizioni e canoni: convenzioni dell’Italia di Piergiogio Valente (*) Alla data del 15 giugno 2011, il network italiano dei trattati per evitare le doppie imposizioni in materia di imposte sul reddito e per prevenire l’evasione fiscale si è ampliato, a seguito dell’entrata in vigore del trattato col Qatar. Inoltre, è entrato in vigo
CV – Dr Cecilia Salinas Personal details Cecilia Salinas Education Bachelor of Medicine and Surgery from the Faculty of Medical Sciences at the National University of Cuyo, Mendoza, 1993. Specialist in Ophthalmology at the National University of Cuyo at Mendoza Central Hospital, Argentina, 1996-2000. Master in anterior segment from the Autonomous University of Barcelona, in the O
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