Dr. S. Nishan Silva

1
First Aid
Part Three

• Dr. S. Nishan Silva
• (MBBS)

2
Strokes
3
Stroke - Video
4
Dos in Strokes

• Lie down
• Assess FAST
• Vital signs also pulse rate
• Recovery position
• Call for help
• Take to the hospital with records
• Ideally before 3 hours!

5
Donts in Strokes

• No Aspirin
• Nothing to eat or drink
• Dont waste time

6
Asthma
7
Asthma - Video
8
Dos in Asthma

• Calm down autonomics
• Sit / Prop up
• Check vitals
• Ventilation
• Slow/ deep breathing
• Inhaler
• Take to the hospital

9
Donts in Asthma

• Dont lie down
• No walking
• Do not wait if the inhaler doesnt improve in 2
  attempts

10
Fits
11
Fit - Video
12
Dos in fits

• Protect the person from injury - (remove harmful
  objects from nearby) 
• Cushion their head
• Look for an epilepsy identity card or identity
  jewellery
• Aid breathing by gently placing them in the
  recovery position once the seizure has finished
  Stay with the person until recovery is complete 
• Be calmly reassuring
• Take to hospital soon
• If first attack
• If an attack lasts more than 5 minutes

13
Donts in fits

• Restrain the persons movements
• Put anything in the persons mouth 
• Try to move them unless they are in danger 
• Give them anything to eat or drink until they are
  fully recovered / even drugs
• Attempt to bring them round
• Metal in hand????

14
Poisoning
15
Poisoning - Video
16
Dos in poisoning

• Call for help
• Remove poison
• Remove contaminated clothes
• Wash eyes/ skin if contaminated wash with soap
  and water.
• Take to hospital Take poison/ information
• If too much time till hospitalizing call poison
  center
• Sri Lanka National Poison Information Centre,
  National Hospital of Sri Lanka, Tel [phone],
  0112691111 ext 2430

17
Donts in poisoning

• Do not induce vomiting
• Do not give anything to drink or eat unless
  indicated
• Do not give any drugs

18
Foreign Body - Ear
19
Foreign body in ear

• Do not probe the ear
• Remove if seeing clearly ideally with a forecep
• Look under a light
• Try to dislodge using gravity
• In case of an insect use olive / or palm oil,
  or water
• Take to an ENT surgeon

20
(No Transcript)
21
Foreign Body - Nose
22
Foreign body in nose

• Do not probe in
• Do not inhale it in
• Blow the nose out
• Take it out carefully if possible
• Use a torch / forecep
• If bleeding local compression and ice

23
Foreign Body - Ingestion

• In children specially
• What did they ingest?
• Dangerous? Like disc batteries
• Sharps / pointed?
• If so keep fasting and take
• Swallowed? Aspirated?
• If small and smooth wait.
• ? Stool softners
• More than 2 days seek help
• Throat?

24
Electrical Injury
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
Dos in Electrical injury

• Look first. Don't touch
• Turn off the source of electricity, if possible.
• Move the source away from you and the person,
  using a nonconducting object 
• Check for signs of circulation (breathing,
  coughing or movement).
• Treat Burns, fits accordingly

29
(No Transcript)
30
Donts in Electrical injury

• Don't touch the person with your bare hands
• Don't get near high-voltage wires 
• Dont use water / stay away from water.
• Dont give anything to eat or drink - aspiration

31
(No Transcript)
32
(No Transcript)
33
(No Transcript)