Professional Documents
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First Aid Trainers Manual
First Aid Trainers Manual
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INDEX
PART I
Page
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6 Session 7 Session 8 Session 9 Session 10 Session 11 Session 12 Session 13 Session 14 Session 15 Annexes -
15-17
18-19
20-22
23-25
26-29
30-33
34-37
38-46
47-50
51-52
I
II
III
IV
V
VI
53-55
56-58
59-60
61
62
63
Pre-test
Post-test
Course Evaluation
Trainers Evaluation
First Aid Box
Transparencies and handouts
01-05
06-07
08-09
10-12
13-14
PART II
Trainers guide
1. Sessions 1 to 2
2. Sessions 3 to 8
3. Sessions 9 to 13
4, Sessions 14 to 15
01
02
03
04
PART I
SESSION 01
Topic
Learning Objectives -
Contents
1.1
1.2
1.3
1.4
Methodology
Lecture Discussion
Visual Aids
Time
30 minutes
Evaluation
Questioning
(b)
Major bones
i Skull & Spine (back bone) 33 vertebrae
(c)
Lung
Abdominal cavity
Stomach
Gall Bladder
Kidney
Intestines
Heart
(d) Skin
(e)
(f)
Respiratory system
Nose to lungs
(g)
(h)
(i)
1.2
(b)
Skeleton -
Skull
*
Ribs and breast bone: Protect Heart and lungs in the chest
cavity
(c)
Chest cavity - Accommodate lungs and heart, gullet and major blood
vessels
(d)
(e)
Respiratory system: Respiration (breathing) is the process which oxygen passes to the
blood while carbon dioxide a waste product is expelled which takes place in the lungs.
6
(f)
Circulatory system: Includes Heart and blood vessels (arteries, veins, and capillaries)
and blood
Capillaries Very small blood vessels, which has a very thin wall that allows
exchange of fluids and gases to and from tissues of the body.
Blood - A fluid contains red blood cells, white blood cells and
platelets.
- Blood carries oxygen, nutrients from digestive organs
and carries waste products to excretory organs.
(g)
(h)
Digestive System: Food we take travel along this tract and digestion take place.
(i)
1.3
1.4
Kidneys
Lungs
- Adult 60 80 beats/minute
- Child 80 100 beats/minute
SESSION 02
Topic
Learning Objectives -
Contents
2.1
2.2
2.3
Methodology
Discussion
Visual Aids
Time
30 minutes
Evaluation
Questioning
2.2
2.3
To preserve life
(b)
(c)
To promote recovery
SEESION 03
Topic
Incident Management
Learning Objective
Contents
3.1
3.2
3.3
3.4
Getting help
3.5
Methodology
Visual Aids
Time
30 minutes
Evaluation
Questioning
10
3.2
3.3
3.4
3.5
Before going to the site you may need to send for emergency help
Getting help
*
Talk to a friend or relative about your thoughts and feelings after dealing with an
accident.
11
SESSION 04
Topic
Learning Objectives -
Contents
4.2
Checking Response
4.3
4.4
4.5
4.6
DRABC
Methodology
Visual Aids
Time
01 hour
Evaluation
Practical assessment
12
4.2
4.3
13
4.4
Look
Listen and
4.5
*
4.6
I DRABC
The steps in the Primary Survey and treatment priorities in casualty management can be
remembered as DRABC
Danger
Response
Airway
Breathing
Consider your action now
Circulation
SESSION 05
Topic
Recovery position
Learning Objective
Contents
5.1
5.2
5.3
Methodology
Visual Aids
Time
01 hour
Evaluation
15
An unconscious casualty may have a blocked airway. This will results in death.
To prevent, the casualty should be placed in the Recovery Position.
1
5.2
Position the casualtys arm nearest to you at right angle and palm upward.
(Picture 1)
Keep the other arm placing the back of the hand on the cheek on your side
(Picture 2)
With your other hand pull the back of the hand on the cheek, on your side.
(Picture 3)
Recheck ABC
4
3
5.3
Practice
Everybody should practice this simple measure to save a life.
16
SESSION 06
Topic
Learning Objective
Contents
6.1
Recognition features
6.2
6.3
Methodology
Visual Aids
Time
01 hour
Evaluation
Skills assessment
17
6.2
Recognition features
(Picture c)
Get back and allow the chest wall to fall (for 04 seconds)(Picture d)
18
6.3
Go for help
19
SESSION 07
Topic
Learning Objectives -
Contents
7.1
Recognition features
7.2
7.3
Methodology
Visual Aids
Time
01 hour
Evaluation
Practical/skills assessment
20
7.2
Recognition features
-
There is no pulse
Commence resuscitation
-
7.3
Go for help
21
SESSION 08
Topic
Choking
Learning Objective
Contents
8.1
8.2
8.3
Actions to be taken
Methodology
Visual Aids
Time
45 minutes
Evaluation
Practical assessment
22
08. CHOKING
8.1
8.2
8.3
Action to be taken
Give back slaps.
Reassure and bend the casualty forward and give
back slaps 5 times between shoulder blades.
Ask to cough, try to remove any obstruction.
failing with
-
If unsuccessful
Call for help
Repeat back slaps and abdominal thrusts until the
airway is clear or help arrives.
If the casualty becomes unconscious
-
Start CPR.
24
SESSION 09
Topic
Objective
II
Contents
9.1
9.2
Methodology -
Visual Aids
45 minutes
Evaluation
Practical Assessment
II
Questioning
25
Without moving the head and neck slowly and feel gently for bleeding, any injury,
swelling and deformity from scalp to foot.
Check the rate and depth of breathing and also for any smell.
Attend and treat any problems you may find, once you complete the secondary
survey.
9.2
Also record the findings to be handed over to the next level along with the casualty.
26
Observation chart
1.
Date
2.
Name
3.
Male/Female
1.Time
2.Level of response
3.Pulse/minute
4.Respiration/minute
5.Pupils
6.Skin
7.Temperature
Pupils Normal -
Unequal-
Dilated -
Constricted-C
*
Temperature
27
SESSION 10
Topic
Circulatory Disorder
Objective
Contents
10.1
Fainting
10.2
Shock
10.3
Heart attack
10.4
Angina
Methodology
Visual Aids
Time
01 hour
Evaluation
I Questioning
II Practical Assessment
28
Due to inadequate blood supply to brain for a very short period of time
Recognition by:
- Collapse and loss of consciousness
- Pale or grey, cold, clammy skin
- Slow pulse
Actions to be performed:
- Assess DRABC
- Lay down the casualty and gently raise and support the legs.
- Provide fresh air
- Reassure casualty, keep on lookers away
- When recovers slowly sit them up
- If does not regain consciousness quickly reassess RABC, turn to
recovery position and send to a hospital.
10.2 Shock
*
Recognised by:
- Pale, cold, clammy skin
- Rapid pulse, becoming weaker
29
Actions to be performed:
- DRABC and treat priorities.
- Lay down the casualty. Keep head low position (no pillows)
and raise the legs gently.
- Loosen tight clothing around neck, chest and waist
- Cover with a blanket/bed sheet
- Call for help to transport as quickly as possible
- Check breathing, pulse and level of consciousness.
- If unconscious turn to recovery position.
10.3
Heart Attack
Recognition features:
- Continuous crushing pain in the centre of the chest, spreading to
arm, neck and jaw mostly.
- Pain does not relieve by rest
30
Actions to be performed
- Assess DRABC
- Keep casualty in half sitting position with knee bent
- Call for help
- Cover with a bed sheet to keep warm
- If conscious give a tablet of Aspirin (To avoid further damage to
Heart)
10.4
Angina
This often causes with exercise and subsidise with rest
Recognition features are same as of in Heart Attack.
-
These patients may have their own medication. Let the casualty have the medication
and rest.
31
SESSION 11
Topic
Learning Objective
Contents
Methodology
11.1
Types of wounds
11.2
Minor Bleeding
11.3
Major Bleeding
11.4
11.5
11.6
Contusion (bruise)
Lecture, Discussion
Demonstration, Practice
Visual Aids
Time
01 hour
Evaluation
32
Types of wounds
(a) Incised wounds
(b) Lacerations
(c) Contusion (bruise)
(d) Abrasion
(e) Puncture wound
11.2
To prevent infection
To transport to hospital
Minor Bleeding
Actions to be performed:
If it is a small wound
11.3
Major Bleeding
Actions to be taken:
33
If there is an embedded object, apply pressure around the sides of the wound
If blood seeps through, keep another dressing on top without removing the first
dressing
When bleeding is stopped apply a sterile dressing and bandage. (Be careful not to
bandage too tightly)
11.4
Assess DRABC
Apply direct pressure with the palm of your hand using a clean pad
(Do not use fingers)
If a conscious casualty, lay down, keep head and shoulders slightly raised.
11.5
Ask the casualty to bend forward and preferably let them sit.
Pinch their nose just below the bridge for ten minutes. Ask them to breath
through mouth.
11.6
When the bleeding stops gently clean around with lukewarm water.
Contusion (bruise)
Caused by a direct blow or injury to the area resulting internal bleeding and accompanying
swelling.
Actions to be taken:
-
Assess DRABC
35
SESSION 12
Topic
Learning Objectives -
Contents
12.1
12.2
Recognition features
12.3
12.4
Methodology
Lectures, Discussion
Visual Aids
Time
30 minutes
Evaluation
Asking questions
36
12.2
Burns by dry heat e.g. fire, chemicals, friction, electricity, extreme cold
Recognition features
All burns and scalds have a depth and also have a size (extent) of burn.
Any burn more than the size of the casualtys hand is to be sent to a hospital.
-
(B)
(C)
12.3
12.4
First Aid
(I) Assess DRABC
(J) Wash the burn area with running cold water at least for ten minutes, until the pain
subsides. Do not overcool the casualty.
(K) Gently remove rings, wrist watch etc. from the affected area.
(L) Lay casualty down, treat for shock
(M)
(N) If burns in mouth and throat ensure adequate air supply, if conscious give sips of
cold water
(O) Transport to a hospital
(P) In electrical burn resuscitate, treat for shock prior to transfer.
(Q) In flash burns to eye e.g. welding, prolong glare there may be intense pain,
redness, tearing and sensitivity to light etc.
Do Not
(R) Use adhesive dressings/fluffy materials
(S) Burst the blisters
(T) Apply creams, lotions or fat to the burn area
(U) Touch the burn area
38
39
SESSION 13
Topic
Learning Objectives -
2.
3.
Contents
13.1 (a)
13.1 (b)
Recognition features
13.1 (c)
13.1 (d)
13.2 (a)
Describing a fracture
13.2 (b)
Types of fractures
13.2 (c)
Recognition features
13.2 (d)
13.2 (e)
13.3 (a)
13.3 (b)
13.3 (c)
13.4 (d)
Methodology
Visual Aids
Time
02 hours
Evaluation
40
13.1 (b)
13.1 (c)
13.1 (d)
Recognition features
*
Primary survey
Describing a fracture
A fracture is a break or a crack in a bone
(b)
Types of fractures
* Open fractures
* Closed fractures
(c)
Recognition features:
History of a recent fall
Difficulty in moving the limb
Severe pain and tenderness
Deformity or swelling
Sign of shock (in severe injury)
42
(d)
(e)
Let the casualty support the affected limb in the most comfortable position
Support with a broad fold bandage around the arm and body.
In fracture jaw
-
Transfer to hospital
43
In rib fractures
-
In pelvic fractures
-
Neck/Spine fracture
-
(II)
To prevent infection
To transfer to hospital
Bandaging
13.3
Concussion
II
Compression
III
Skull fracture
Concussion
Due to a violent blow to the head, the brain tends to shake. This will result the person to lose
consciousness briefly.
Recognition features:
-
Dizziness
Headache
Aims to be performed:
II
Compression
Bleeding or swelling cause pressure on the brain due to a violent blow to head. May be a life
threatening condition.
Recognized by:
-
confused
intense headache
unequal pupils
Primary survey
46
III
Skull Fracture
Skull fracture occurs by a blow to head or following a fall from a height.
Concussion and compression may associate with a skull fracture.
Even without a history of loss of consciousness, casualty may have a skull fracture.
Altered consciousness
Clear or blood stained fluid coming out from nose, ear etc.
Actions to be performed
-
If unconscious and breathing casualty place in the recovery position, monitor pulse, BP
every ten minutes.
If conscious casualty, lie the casualty down, raise the head and shoulder gently and support
them.
47
If any discharge through the ear, position to easy drainage from the ear, cover with a clean
pad and bandage.
Do not plug the ear.
48
SESSION 14
Topic
Poisoning
Objectives
Contents
14.1
Definition of a poison
14.2
Routes of entry
14.3
Recognition features
14.4
Methodology
Lecture, Discussion
Visual Aids
Time
30 minutes
Evaluation
Questioning
49
14. POISONING
14.1
Definition of a poison
A poison is a substance causing harmful effects to living beings including human. The
minimum dose causing harmful effects is called the toxic dose.
Poisoning can be acute (sudden) or chronic. (over a period of time
Eg. in occupational poisoning exposure to chemicals).
14.2
14.3
Route of Entry
-
Through inhalation
Through skin
Recognition features
Depend on the route of entry
Inhalation - Difficulty in breathing
Blue colouration of skin
Cough
Ingestion -
Skin
Discolouration, burns
50
14.4
To identify the poison if possible (container, bottle or the label) and send along with
the patient to hospital.
(a)
(b)
Inhaled poison:
If casualty is breathing but unconscious turn to recovery position and check RABC
Swallowed Poison
Primary survey
If conscious try to find out what was taken. Keep the casualty in the recovery
position.
Unknown
51
Also do not induce vomiting if the patient is fitting or having altered consciousness or
unconscious.
(c)
Skin contact
First aid actions
-
Primary survey
Wash the casualty properly with running water. Take care not to get splashed
into you or into casualtys eyes, mouth and nose. Wash at least for 20 minutes
especially in corrosive burns.
If unconscious, turn the casualty to the recovery position. Monitor RABC. Use a
polythene or plastic shield for resuscitation if the face is contaminated.
52
SESSION 15
Topic
Transportation of Casualties
Objectives
Contents
Methodology
Visual Aids
Time
01 1/2 hours
Evaluation
Skills assessment
53
Lifting a casualty
15.2
15.3
Alone
Picture 1
Picture 2
15.4
Picture 3
Picture 4
54
ANNEXURE I
PreTest
Time: 15 minutes
Mark with a circle on the correct answer (05 marks to each question)
1. Mark the correct sequence of actions regarding the incident management plan,
I
Get help, make safe, assess, give emergency aid, pack back.
II Make safe, get help, give emergency aid, assess and pack back.
III Assess, make safe, give emergency aid, get help, pack back.
5. When giving rescue breaths how many breaths can be given per minute?
I
10
II
15
III
20
25-30
II
72-80
III
16-18
55
7. How many chest compressions has to be given for two breaths during cardio-pulmonary
resuscitation?
I
30 compressions
II
15 compressions
III 10 compressions
(ii) 40/minute
(iii) 72/minute
.. (05 marks)
11. Mention three aims of providing first aid to a casualty with a bleeding wound.
I
(03 marks)
II (03 marks)
III (03 marks) (09 marks)
12. Mention the first aid treatment for soft tissue injuries
I
(03 marks)
II (03 marks)
III (03 marks)
IV (03 marks) (12 marks)
13.
56
14.
(03 marks)
II (03 marks)
III (03 marks)
IV (03 marks) (12 marks)
15.
(03 marks)
II (03 marks)
III (03 marks) (09 marks)
57
ANNEXURE II
PostTest
Time: 15 minutes
Mark with a circle on the correct answer (05 marks to each question)
1. Mark the correct sequence of actions regarding the incident management plan.
I
Get help, make safe, assess, give emergency aid, pack back.
II Make safe, get help, give emergency aid, assess and pack back.
III Assess, make safe, give emergency aid, get help, pack back.
5. When giving rescue breaths how many breaths can be given per minute?
I
10
II
15
III
20
25-30
II
72-80
III
16-18
58
7. How many chest compressions has to be given for two breaths during cardio-pulmonary
resuscitation?
I
30 compressions
II
15 compressions
III 10 compressions
(ii) 40/minute
(iii) 72/minute
.. (05 marks)
(05 marks)
11. Mention three aims of providing first aid to a casualty with a bleeding wound.
I
(03 marks)
II (03 marks)
III (03 marks) (09 marks)
12. Mention the first aid treatment for soft tissue injuries
I
(03 marks)
II (03 marks)
III (03 marks)
IV (03 marks) (12 marks)
(03 marks)
II (03 marks)
59
(03 marks)
II (03 marks)
III (03 marks) (09 marks)
60
Course Evaluation
1.
2.
(ii) 50%
(iii) 75%
(iv)
100%
(Please appropriately)
Success of the
presentation
25% 50% 75% 100%
50%
75%
100%
50%
75%
100%
3.
4.
Facilities
1.
2.
3.
4.
5.
6.
Weak
1
2
Very good
4
5
Remarks
Lecture Hall
Audio Visual
Audibility
Meals
Lodging
Handouts
5.
Comments
..
..
..
..
..
..
61
1.
2.
3.
4.
5.
6.
Trainers Name:
..
Topic
..
Time
: From to .. Date
Activity
Presentation
Audio visual used
Participatory ability
Eye contact and Audibility
Session planning and time management
Overall evaluation
Very good
Good
Fair
Weak
Remarks :
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
62
Annex IV
Trainers Evaluation
1. Nature of participation:
2. Obstacles faced during the training sessions: Silence, Dominant, Lack of response
Fair
Good
Very Good
Yes / No
Yes/Partially/Not
6. Evaluation
Satisfactory/Not
Training programme:
Trainers Name:
Trainers signature: ..
Date:.
63
Annex V
First Aid Box
Paracetamol tablets
TNT tablets
Anti bacterial liquids
Normal Saline
Surgical spirit
Gentian violet
Anti biotic cream
64
Annex VI
65
PART II
TRAINERS GUIDE
This Trainers manual on First Aid consists of 15 sessions. It is very important to go through the
trainers guide before the training. Each session has its session plan at the beginning of the content.
Session plan consist of:
(1)
The topic of the session
(2)
Objective of the topic
(3)
Contents
(4)
Methodology
(5)
Visual aids
(6)
Time allocated
(7)
Evaluation at the end of the session.
Session plan is followed by the text of the contents.
In the text: The condition is described. Its recognition features, aim of intervention and steps of the
first aid actions to be taken are clearly mentioned. Use the pictures and transparencies where
necessary.
Methodology is the EDIP method. First you explain. Then demonstrate. Let the participants imitate
and allow them to practice.
At the beginning of the first day give the Pre-test to participants. Time allocated is 15 minutes.
Collect the papers after 15 minutes.
Session 01:
Session 03
Incident Management
Let the participants think about a scenario of an accident.
E.g. I
Cut injury in a workshop
II
Road traffic accident
Discuss what actions to be taken
Refer 3.1 to 3.5. A role play would be ideal.
Session 04:
Session 05:
Recovery Position
Explain the objective of the session clearly. (Refer 5.1)
Demonstrate the steps mentioned in 5.2.
Let the participants imitate each step.
Then let them practice turning casualty to recovery position.
Finally assess how they turn a casualty to recovery position.
Session 06:
Session 07:
Session 08:
Choking
Explain the recognition features by referring 8.1, objectives of first aid (8.2) and
actions to be performed as in 8.3.
Then demonstrate, allow the participants to imitate and practice.
Assess the skill at the end of the session.
67
Session 09:
Session 10:
Circulatory Disorders
Explain the objectives of the session.
Explain Fainting, Shock, Heart attack and Angina and describe the recognition
features, aims of first aid and actions to be performed in providing first aid.
Refer 10.1 to 10.4 Demonstrate the actions and let the participants imitate and
practice.
Ask questions and assess skills at the end of the session.
Session 11:
Session 12:
Session 13:
Fracture:
Explain what a fracture is. 13.2 (a)
types of fractures 13.2 (b)
recognition features 13.2 (c)
aims of first aid 13.2 (d)
Explain and demonstrate first aid measures in various
types of fractures by referring 13.2 (e)
Allow the participants to imitate and practice.
Evaluate the knowledge and skills at the end of the session.
13.3
Session 14:
Poisoning
Define what a poison is (14.1)
Discuss how a poison enters into a human body.
Refer 14.2
Explain the recognition features of poisoning by referring 14.3.
Explain the Aims of First aid in poisoning and specific first aid measures for inhaled
swallowed and skin contacted poisons.
Evaluate by questioning.
Session 15:
Transportation of Casualties
Explain the aim of the session to the participants.
Then explain how to lift a casualty safely by referring 15.1.
15.1
15.2
15.3
15.4
70