emergency manager23 June 2015

First responders in disasters

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  The key aims of first aid can be summarised in three key points, sometimes known as the three Ps:- Preserve life: The overriding aim of all medical care which includes first aid, is to save lives and minimize the threat of death. Prevent further harm: Prevent further harm also sometimes called prevent the condition from worsening, or danger of further injury, this covers both external factors, such as moving a patient away from any cause of harm, and applying first aid techniques to prevent worsening of the condition, such as applying pressure to stop a bleed becoming dangerous. Promote recovery: First aid also involves trying to start the recovery process from the illness or injury, and in some cases might involve completing a treatment, such as in the case of applying a plaster to a small wound. First responder is a person who is likely to be among the first people to arrive at and assist at the scene of an emergency such as an accident, natural disaster, or terrorist attack and has received training for this. First responders typically include police officers, firefighters, paramedics, emergency medical technicians, rescuers, deputy sheriffs and others who have joined voluntary organisations connected with this type of work. A certified first responder is one who has received certification to provide pre-hospital care in a certain jurisdiction, for example, the Certified First Responder in France. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrives. A wilderness first responder is trained to provide pre-hospital care in remote settings and will therefore have skills in ad hoc patient packaging and transport by non-motorized means. First responders must be trained to deal with a wide array of potential medical emergencies. Because of the high level of stress and uncertainty associated with the position, first responders must maintain physical and mental health. Even with such preparation, first responders face unique risks of being the first people to aid those with unknown contagions. For example, in 2003 first responders were among the earliest victims of the previously unknown SARS virus, when they cared for patients affected with the virus. Certain skills are considered essential to the provision of first aid and are taught ubiquitously. Particularly the ABCs of first aid, which focus on critical life-saving intervention, must be rendered before treatment of less serious injuries. ABC stands for Airway, Breathing, and Circulation. The same mnemonic is used by all emergency health professionals. Attention must first be brought to the airway to ensure it is clear. Obstruction (choking) is a life-threatening emergency. Following evaluation of the airway, a first aid attendant would determine adequacy of breathing and provide rescue breathing if necessary. Assessment of circulation is now not usually carried out for patients who are not breathing, with first aiders now trained to go straight to chest compressions (and thus providing artificial circulation) but pulse checks may be done on less serious patients. A first responder is a person who is likely to be among the first people to arrive at and assist at the scene of an emergency such as an accident, natural disaster, or terrorist attack and has received training for this. First responders typically include police officers, firefighters, paramedics, emergency medical technicians, rescuers, deputy sheriffs and others who have joined voluntary organisations connected with this type of work. A certified first responder is one who has received certification to provide pre-hospital care in a certain jurisdiction, for example, the Certified First Responder in France. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrives. A wilderness first responder is trained to provide pre-hospital care in remote settings and will therefore have skills in ad hoc patient packaging and transport by non-motorized means. First responders must be trained to deal with a wide array of potential medical emergencies. Because of the high level of stress and uncertainty associated with the position, first responders must maintain physical and mental health.[1] Even with such preparation, first responders face unique risks of being the first people to aid those with unknown contagions. For example, in 2003 first responders were among the earliest victims of the previously unknown SARS virus, when they cared for patients affected with the virus. Certain skills are considered essential to the provision of first aid and are taught ubiquitously. Particularly the ABCs of first aid, which focus on critical life-saving intervention, must be rendered before treatment of less serious injuries. ABC stands for Airway, Breathing, and Circulation. The same mnemonic is used by all emergency health professionals. Attention must first be brought to the airway to ensure it is clear. Obstruction (choking) is a life-threatening emergency. Following evaluation of the airway, a first aid attendant would determine adequacy of breathing and provide rescue breathing if necessary. Assessment of circulation is now not usually carried out for patients who are not breathing, with first aiders now trained to go straight to chest compressions (and thus providing artificial circulation) but pulse checks may be done on less serious patients. Some organizations add a fourth step of D for Deadly bleeding or Defibrillation, while others consider this as part of the Circulation step. Variations on techniques to evaluate and maintain the ABCs depend on the skill level of the first aider. Once the ABCs are secured, first aiders can begin additional treatments, as required. Some organizations teach the same order of priority using the 3Bs: Breathing, Bleeding, and Bones (or 4Bs: Breathing, Bleeding, Burns, and Bones). While the ABCs and 3Bs are taught to be performed sequentially, certain conditions may require the consideration of two steps simultaneously. This includes the provision of both artificial respiration and chest compressions to someone who is not breathing and has no pulse, and the consideration of cervical spine injuries when ensuring an open airways. Some experts add a fourth step of D for Deadly bleeding or Defibrillation, while others consider this as part of the Circulation step. Variations on techniques to evaluate and maintain the ABCs depend on the skill level of the first aider. Once the ABCs are secured, first aiders can begin additional treatments, as required. Some organizations teach the same order of priority using the 3Bs: Breathing, Bleeding, and Bones (or 4Bs: Breathing, Bleeding, Burns, and Bones). While the ABCs and 3Bs are taught to be performed sequentially, certain conditions may require the consideration of two steps simultaneously. This includes the provision of both artificial respiration and chest compressions to someone who is not breathing and has no pulse, and the consideration of cervical spine injuries when ensuring an open airway. .