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FIRST AID STEPS ON BOARD

Based from the International Medical Guide for Ships, 3rd Edition by the World Health Organization (2007)
Prepared by: Raphael Fernandez, MD

WHAT IS FIRST AID?


First Aid is the

provision of initial care for an injury or an illness. It is usually performed by a non-medical individual until medical treatment can be accessed.

Cropped image from http://thedkblog.files.wordpress.com/2010/07/first-aidmanual.jpg

FIRST AID STEPS ON BOARD

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STEPS
STEP ONE: Assess the situation: what happened and is there still danger?
1.

2.

3.

If giving first aid will expose you to danger, do not do it but call and go for help. If a person is still in danger, remove either the person from the danger or the danger from the person before giving first aid If bystanders are in danger, warn them.

Image: http://www.ffa.int/mcs/system/files/%252Fhome/ffaadmin/%252 Ffiles/mcs/images/First%20Aid%20to%20Casualties.preview.jp g

FIRST AID STEPS ON BOARD

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STEPS
STEP TWO: If you are alone, shout for help. STEP THREE: Choose the best place for first aid.
1.

On the spot?
1. 2. 3.

No, if fire is present.

No, if dangerous gases are present


No, if there are hazards in the site of accident No, if delay in moving the patient is dangerous.

2.

In the ships infirmary or cabin?


1.

Image: http://www.cybercruises.com/images/infirmary.jpg

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STEPS
STEP FOUR: If there are several injured people, prioritize
1.
2.

Attend first to any unconscious person


If there is more than one unconscious person:
1. 2.

Check each for pulse and breathing Begin resuscitation of a person who is not breathing or has no detectable heart beat. Apply direct pressure on bleeding wound. Wait until patient has been moved to sick bay before dealing with other injuries. UNLESS you suspect spinal injury.

3.

Attend to conscious patients


1. 2.

Tokyo Terrorist Attack 1995


http://www.nrc-cnrc.gc.ca/obj/nrccnrc/images/photos/200606triage-9.jpg

FIRST AID STEPS ON BOARD

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STEPS
What NOT to do when giving first

aid:
DO NOT GIVE FIRST AID if you

have doubts about your ability to do first aid correctly. DO NOT ENTER AN ENCLOSED SPACE unless you are sure its safe. DO NOT MOVE THE PERSON without checking for:

Spinal injuries Fractured long bones http://www.healthpm.com/wpcontent/uploads/2008/03/firstaid-incident.jpg

DO NOT GIVE ANYTHING TO EAT

OR DRINK (especially alcohol)

FIRST AID STEPS ON BOARD

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Thank You
FIRST AID STEPS ON BOARD 4/19/2012

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