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first aid training

First Aid Training

All major airlines have first aid training as part of their Flight Attendant Training curriculum

 

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BURNS

TYPES OF BURNS:

First Degree

Skin is reddened. Do NOT apply ointment, unless customer insists.

Second Degree

Skin is blistered. Do NOT apply ointment.

Third Degree

Skin is black and charred. Do NOT remove clothing that might be stuck to the burn, and do NOT apply ointment.

FIRST AID:

  • Put on latex gloves.
  • Apply cool water to all types of heat burns. Do not apply ice directly to any burn. Cover burn lightly with a sterile compress bandage to keep air out. Treat for shock as necessary.

Electrical Burn

First Aid:

  • Shut off current.
  • If not breathing, notify Flight Attendant to bring CPR masks, POB, gloves and begin Rescue Breathing. Continue Rescue Breathing until relieved by qualified medical personnel.
  • Treat external burns same as heat burns.
  • Ammonia inhalants are helpful to maintain consciousness.

Chemical Burn

First Aid:

  • Put on latex gloves.
  • Remove all of the chemical by washing burned area carefully with volumes of cool water.
  • After chemical has been removed, treat as a heat burn.

Eye Burn

First Aid:

  • Put on latex gloves.
  • Wash with water. Water may be poured into the inner side and allowed to run out over outer part of eye. If burn is due to a chemical, more copious washing is necessary.
  • Cover eye with a compress bandage.

CHILDBIRTH

Procedure

  • Put on latex gloves and place mother on blankets in galley area.
  • Page for MD or DO, a nurse or paramedic would be acceptable in this circumstance. Instruct the mother to lie flat on her back with legs apart.
  • Encourage mother to grunt and groan.
  • Give her something to grab on to.
  • When labor pains are two minutes apart - watch out - here comes the baby.
  • When water bag breaks, the baby is just about due.
  • Normal birth, head first - encourage mother to strain with you.
  • After baby has been delivered, lay it on the mothers stomach.
  • Be sure to keep mother and baby warm. It is most important to keep baby warm by covering with clean shirt or other clean material. A blanket may be used if necessary, but not recommended because of its wool content and flame retardant chemicals.
  • Do not move mother or baby.
  • Keep her quiet and reassure her.
  • Assess and monitor infant for pulse and breathing.
  • You may need to clean the baby's airway by using sterile bandages found in the First Aid Kit.
  • If ground help is delayed, the umbilical cord may be cut. Clamp the cord 10 Inches, then 7 inches from the baby (only after the cord has stopped pulsating). Cut between the clamps. While cutting, keep the baby at the level of the placenta to prevent complications.

What NOT to do:

  • DO NOT hurry.
  • DO NOT pull on the baby; let the baby be born naturally.
  • DO NOT pull on the cord; let placenta (afterbirth) come naturally.
  • DO NOT tie the cord.
  • DO NOT cut the cord if ground help is available within 20 minutes.
  • DO NOT give medication.
  • DO NOT HURRY-LET NATURE TAKE HER COURSE.
  • Remember, the person attending the delivery should wear latex gloves and thoroughly scrub hands with soap and water after removal of gloves.

Miscarriage:

  • Have mother rest at seat.
  • Elevate legs.
  • Administer 02,
  • Get medical attention as soon as possible.

All aircrew are trained to handle such situation during their flight attendant training program.

DIABETES

Insulin Shock

The diabetic who has taken too much insulin, has eaten too little sugar, or has overexerted himself may go into insulin shock. Insulin shock, unlike diabetic coma, comes on suddenly.

Symptoms:

  • Ashy, white face
  • Moist clammy skin
  • Usually perspires a great deal
  • May become unconscious, dizzy, or go into convulsions
  • Breath may have an odor of alcohol
  • Rapid, pounding pulse
  • May complain of being very hungry

First Aid:

  • Needs sugar desperately.
  • If still conscious, give orange juice with sugar, teaspoon of sugar, or sips of sugar and water solution.
  • If unconscious, place teaspoon of moistened sugar under the tongue. It will be absorbed into the bloodstream.
  • Recovery will usually be rapid.

  

Diabetic Coma

May be caused by taking insufficient insulin or eating too much sugar for the amount of insulin being taken. Can be a gradual event, taking several days to develop.

Symptoms:

  • Flushed face
  • Bright red lips
  • Becomes sleepy
  • May become unconscious
  • Breathes in gasps
  • Breath has fruity odor
  • Rapid, weak pulse

First Aid:

  • Needs insulin desperately.
  • If insulin is available, and victim is still conscious, have him administer the insulin to himself.
  • If victim is unconscious, get medical attention immediately.

Remember, diabetics are supposed to carry an I.D. card or tag to identify them as such. If you are in doubt as to whether or not the victim is a diabetic, look for this information in the presence of witness(es).

If there is question of diabetic coma or insulin shock, administer sugar! If sugar is given for diabetic coma, there is little risk of seriously worsening the condition.

Convulsions occur quite often with diabetics. If the diabetic person becomes unconscious, lie the person on the floor or seat, on their side with their head turned toward the floor so that any secretions will drain from the mouth, to prevent stoppage of breathing and to keep the airway open.

YOU ARE NEVER TO ADMINISTER A HYPODERMIC INJECTION TO A CUSTOMER, DIABETIC OR OTHERWISE.

 

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