EFA - Module 1

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ELEMENTARY FIRST AID

This course covers the


mandatory competences
and the required
knowledge, understanding
and proficiencies
prescribed in Table A-VI/1-3
of the STCW Code as
amended.

ELEMENTARY FIRST AID


• An immediate help
provided to a sick or
injured person until
professional assistance
arrives
• Includes self-help or
home care if medical
assistance is not
available or delayed

ELEMENTARY FIRST AID


Bridge that fills the gap
between injured crew or
passenger and the medical
officer

Immediate Care Only

Endorse Victim to Medical


Officer upon arrival

ELEMENTARY FIRST AID


1 2 3
To alleviate To prevent
To Prolong
pain and further
Life
sufferings injury

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
ELEMENTARY FIRST AID
ELEMENTARY FIRST AID
Safety

Consciousness

Breathing

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
Radial Pulse Brachial Pulse Carotid Pulse

Femoral Pulse Posterior Dorsalis Pedis


Tibial Pulse Pulse
ELEMENTARY FIRST AID
PROCEDURE

1. Determines safety of the scene


2. Checks for consciousness
3. Checks for breathing
4. Activates medical assistance
5. Checks for pulse

FIRE PREVENTION AND FIRE FIGHTING


ELEMENTARY FIRST AID
Carry messages to and from the brain and spinal cord
to various parts of the body.

Central Nervous System Peripheral Nervous System


ELEMENTARY FIRST AID
Please click here to watch the video
https://www.youtube.com/watch?v=44B0ms3XPKU

ELEMENTARY FIRST AID


Responsible for taking in oxygen and expelling carbon
dioxide

Parts of the respiratory system

• Nose
• Cilia
• Trachea
• Bronchi
• Bronchiole
• Alveoli

ELEMENTARY FIRST AID


Please click here to watch the video
https://www.youtube.com/watch?v=zRv5tNCMpyY

ELEMENTARY FIRST AID


Responsible for the flow of blood, nutrients, hormones,
oxygen and other gases to and from cells

Basic Components

Heart Blood Vessels Blood

ELEMENTARY FIRST AID


The Heart

• Muscular organ with four


chambers
• Located behind and slightly
left of the chest
• Pumps blood through
network of blood vessels

ELEMENTARY FIRST AID


Blood Vessels

• Measures about 60,000


miles (96,560 kms.
• Transports oxygenated
blood from the heart
• Delivers oxygen and
nutrients to the cells
• Return deoxygenated
blood back to heart

ELEMENTARY FIRST AID


Blood

• Average adult has 5 to


6 liters of blood
• Made up of red blood
cells, white blood cells,
plasma, platelet

ELEMENTARY FIRST AID


Please click here to watch the video
https://www.youtube.com/watch?v=CWFyxn0qDEU

ELEMENTARY FIRST AID


Waterproof, cushion and protect the body from
infection
The Skin

• Largest organ of the human body


• Includes the skin, hair, nails,
glands and nerve receptors.
• Weighs about 6 lbs. (2.7
kilograms)
• Sheds itself about once every 27
days
• In adults, skin covers a surface
area of 18 square feet (1.7
square meters),
ELEMENTARY FIRST AID
Layers of the Skin

Epidermis – barrier to
infection
Dermis – contains
nerves, hair roots, sweat
and oil glands and blood
vessels
Hypodermis – contains
fat, blood vessels,
connective tissues that
helps maintain body
temperature

ELEMENTARY FIRST AID


Please click here to watch the video
https://www.youtube.com/watch?v=OxPlCkTKhzY

ELEMENTARY FIRST AID


Responsible for the movement of the human body,
maintains posture, and circulates blood throughout the
body

ELEMENTARY FIRST AID


Three Types of Muscle Tissue

Visceral Muscle

• Found inside of organs like the stomach, intestines,


and blood vessels
• The weakest of all muscle tissues
• Makes organs contract to move substances through
the organ
• Controlled by the unconscious part of the brain, it is
known as involuntary muscle
• Smooth muscle
ELEMENTARY FIRST AID
Three Types of Muscle Tissue

Cardiac Muscle
• Found only in the heart
• Responsible for pumping blood throughout the body
• Involuntary muscle
• Stimulates itself to contract

ELEMENTARY FIRST AID


Three Types of Muscle Tissue
Skeletal
• The only voluntary muscle tissue in the human body
• 80% to 90% of the muscles are skeletal muscles
• Every physical action that a person consciously
performs (e.g. speaking, walking, or writing) requires
skeletal muscle.
• Most skeletal muscles are attached to two bones
across a joint.
• The function of skeletal muscle is move parts of the
body
ELEMENTARY FIRST AID
Please click here to watch the video
https://www.youtube.com/watch?v=rMcg9YzNSEs

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
Please click here to watch the video
https://www.youtube.com/watch?v=aLoY1wjmVvg&t

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
The action or process of reviving someone from
unconsciousness or apparent death.

ELEMENTARY FIRST AID


No Breathing With Pulse

Respiratory
Arrest

Rescue Breathing
(12 breaths per minute for 2 minutes)

ELEMENTARY FIRST AID


Head-Tilt-Chin Lift

ELEMENTARY FIRST AID


Please click here to watch the video
https://www.youtube.com/watch?v=cPaV8GP3Yjc

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
ELEMENTARY FIRST AID
PROCEDURE

1. Identifies victim's condition as no breathing but


with pulse
2. Opens the airway using head-tilt-chin-lift
maneuver
3. Seals the nose and the mouth prior to ventilation
4. Provides 1 ventilation every 5 seconds up to 24
cycles

ELEMENTARY FIRST AID


No Breathing No Pulse

Cardiac
Arrest

Cardio Pulmonary Resuscitation


(30 compressions and 2 breaths,
5 cycles in 2 minutes)

ELEMENTARY FIRST AID


COMPRESSION SITE

ELEMENTARY FIRST AID


Please click here to watch the video
https://www.youtube.com/watch?v=TbyV6Z_WQJQ

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
PROCEDURE
1. Identifies victim's condition as breathless and
pulseless
2. Places heel of one hand over the center lower half
of the chest
3. Interlocks fingers of both hand, with one hand on
top of the other
4. Delivers 30 compression at the rate of 100/min
5. Compresses the chest at the depth of at least 2
inches
6. Compresses the chest with arms perpendicular to
victim's chest at all times
ELEMENTARY FIRST AID
PROCEDURE

7. Observes complete chest recoil during compressions


8. Compresses the chest without jerking, bouncing,
bending or massaging
9. Opens the airway using head-tilt-chin-lift maneuver
10. Provides 2 ventilations at 1 sec each after 30
compressions
11.Ventilates with victim's nose and mouth sealed to
avoid leaks
12. Completes five cycles correctly
13. Rechecks pulse and breathing for not more than 10
secs ELEMENTARY FIRST AID
Please click here to watch the video
https://www.youtube.com/watch?v=hTWefylIY2E

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
ELEMENTARY FIRST AID
PROCEDURE

1. Lifts the hand farther next to the head with palms


up
2. Places the other hand on victim's side
3. Bends up the farther knee of the victim
4. Supports the head, shoulder and hips of victim
5. Rolls the victim to side in a smooth motion
6. Bends the other knee on top of the other
7. Slides the hand from the side to victim's face
palms down

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
3. Stand
1. Attach Pad
Clear

2. Plug 4. Analyze/
Connector Shock

ELEMENTARY FIRST AID


Please click here to watch the video
https://www.youtube.com/watch?v=wAa_C0SIqiE

ELEMENTARY FIRST AID


• With good airway exchange
• With poor airway exchange
• Complete obstruction

ELEMENTARY FIRST AID


HEIMLICH MANEUVER

Abdominal Thrust

Chest Thrust

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
Interview A.M.P.L.E.

Check Vital Signs T.P.R.B.P

Head to Toe Exam D.C.A.P.B.T.L.S

ELEMENTARY FIRST AID


1. Allergies
2. Medications,
3. Past illness/Pregnancy
4. Last oral intake
5. Events/Environment
relating to injury

ELEMENTARY FIRST AID


Body Temperature Pulse Rate
(36.5 – 37.5 Celcius) (60 – 100 beats/min)

Respiratory Rate Blood Pressure


(12 – 20 breathes/min) (90 – 130/60 – 90 mmHg)
ELEMENTARY FIRST AID
Impaled
Objects

ELEMENTARY FIRST AID


ELEMENTARY FIRST AID
ELEMENTARY FIRST AID

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