http://blonde-doctor.livejournal.com/ (![[identity profile]](https://www.dreamwidth.org/img/silk/identity/openid.png)
blonde-doctor.livejournal.com) wrote in ![[community profile]](https://www.dreamwidth.org/img/silk/identity/community.png)
fandomhigh2006-06-06 10:00 am
blonde-doctor.livejournal.com) wrote in fandomhigh2006-06-06 10:00 am
Entry tags:
First Aid, Class 3, 6/6/06
Elliot waves to the students as they come in.
"Okay, if you absolutely cannot stand the sight of blood, even fake blood ... you are seriously in the wrong class today. But if you think seeing realistic wounds will make you faint, sit through the lecture, then take some handouts and go into the hall. I'll be out after my lecture and we can figure out some alternative activities. And if you don't go now and do faint, your classmates get to practice their first response techniques on you. Got it?"
She waits to see if anyone will file out before she goes on.
"So. Wounds. Blah blah blah, circulatory system, pumps blood through the body, take a handout."
"The most important thing you need to be able to do in first aid that had to do with the circulatory system is stop the bleeding. The first thing you want to do is take a clean bandage or cloth and apply direct pressure. If that doesn't work, elevate the wound above the heart and keep pressing. If that doesn't work, you want to try putting pressure on a pulse point. For wounds of the arms or hands, that's on the inside of the inside of the wrist, which is the radial artery, or on the inside of the upper arm, which is the brachial artery. For wounds of the legs, the pressure point is at the crease in the groin, which is the femoral artery. I'm sure I don't have to give you guys the AIDS lecture, but just in case: The chances you'll catch anything from providing first aid are minuscule, but they're there. Wear rubber gloves, keep a layer of cloth between yourself and the wound if at all possible, and wash your hands well both before and after touching the wound if possible. And if you happen to have an open wound of your very own on your hands, it might not be the time to try first aid on someone else's boo-boo anyhow."
"So, the bleeding is stopped. The next thing you want to do is bandage the puppy. Clean it off with cold water. No soap, it's an irritant. If there's goop -- or, fine, foreign bodies -- in the wound, use tweezers to get them out if it makes sense. If the splinter is deep, it's in the eye or ears and larger than an eyelash, or it's, say, a great big butcher knife, leave it be until the doctor gets there."
Once the wound is washed out, you don't have to use hydrogen peroxide or iodine. If they make you happy -- and I know the peroxide fizz is sort of hypnotic -- don't stick them straight into the wound. Then rub neosporin or another antibiotic over the wound and bandage it. band-Aids work for small wounds; for bigger ones, use gauze and tape the edges down.
I'm not going to teach you guys to give stitches. It's not really part of first aid. The standard criteria for stitches, if you think a wound might need them, are: cuts that will not stop bleeding; cuts that are more than 1/4 inch long and on the hands, face, feet, or genitals; cuts in the mouth that are more than 1/2 inch long; and cuts elsewhere on the body that are gaping -- which means you can't get the edges to close, and when you look inside, you can see tissue or fat.
"The last thing you need to be aware of is shock. Which is not like, "Ohmygod, it's my birthday and you just jumped out from behind the couch with a cake." It's bad. You can recognize shock in a couple of ways. A huge gushing wound is one of them, but that's the cause, not the symptom. Symptoms might include a rapid or unusually weak pulse, clammy, grey, or colorless skin, and weakness and giddiness. To treat shock, you want to make the person keeps still. No moving, no talking, no eating, just ... still. Treat the wound, put their legs up -- unless you think the leg is broken -- wrap them in a blanket, and wait for the ambulance."
"Okay .... last chance to leave for anybody who's afraid of a little Danger Shop Blood."
She waits again.
"So the first thing you want to do is to play with the bandages again, like you did the first week. I'd like you to learn how to fold them into for the shoulder, elbow, hand, leg, knee and foot, following the directions on your handout; work alone or in pairs. After that, I'm dividing you into teams. Each team will -- well, have you ever played Operation? It's like that, only without the stupid wishbone you can never grab, or the irritating buzzer. Each team gets a Danger Shop person with at least four wounds or other problems. Treat them. I'm around if you need help."
[OOC:Wait for OCD is up. I may be on SP until this evening. Mod the Danger Shopees/patients as you wish.]
"Okay, if you absolutely cannot stand the sight of blood, even fake blood ... you are seriously in the wrong class today. But if you think seeing realistic wounds will make you faint, sit through the lecture, then take some handouts and go into the hall. I'll be out after my lecture and we can figure out some alternative activities. And if you don't go now and do faint, your classmates get to practice their first response techniques on you. Got it?"
She waits to see if anyone will file out before she goes on.
"So. Wounds. Blah blah blah, circulatory system, pumps blood through the body, take a handout."
"The most important thing you need to be able to do in first aid that had to do with the circulatory system is stop the bleeding. The first thing you want to do is take a clean bandage or cloth and apply direct pressure. If that doesn't work, elevate the wound above the heart and keep pressing. If that doesn't work, you want to try putting pressure on a pulse point. For wounds of the arms or hands, that's on the inside of the inside of the wrist, which is the radial artery, or on the inside of the upper arm, which is the brachial artery. For wounds of the legs, the pressure point is at the crease in the groin, which is the femoral artery. I'm sure I don't have to give you guys the AIDS lecture, but just in case: The chances you'll catch anything from providing first aid are minuscule, but they're there. Wear rubber gloves, keep a layer of cloth between yourself and the wound if at all possible, and wash your hands well both before and after touching the wound if possible. And if you happen to have an open wound of your very own on your hands, it might not be the time to try first aid on someone else's boo-boo anyhow."
"So, the bleeding is stopped. The next thing you want to do is bandage the puppy. Clean it off with cold water. No soap, it's an irritant. If there's goop -- or, fine, foreign bodies -- in the wound, use tweezers to get them out if it makes sense. If the splinter is deep, it's in the eye or ears and larger than an eyelash, or it's, say, a great big butcher knife, leave it be until the doctor gets there."
Once the wound is washed out, you don't have to use hydrogen peroxide or iodine. If they make you happy -- and I know the peroxide fizz is sort of hypnotic -- don't stick them straight into the wound. Then rub neosporin or another antibiotic over the wound and bandage it. band-Aids work for small wounds; for bigger ones, use gauze and tape the edges down.
I'm not going to teach you guys to give stitches. It's not really part of first aid. The standard criteria for stitches, if you think a wound might need them, are: cuts that will not stop bleeding; cuts that are more than 1/4 inch long and on the hands, face, feet, or genitals; cuts in the mouth that are more than 1/2 inch long; and cuts elsewhere on the body that are gaping -- which means you can't get the edges to close, and when you look inside, you can see tissue or fat.
"The last thing you need to be aware of is shock. Which is not like, "Ohmygod, it's my birthday and you just jumped out from behind the couch with a cake." It's bad. You can recognize shock in a couple of ways. A huge gushing wound is one of them, but that's the cause, not the symptom. Symptoms might include a rapid or unusually weak pulse, clammy, grey, or colorless skin, and weakness and giddiness. To treat shock, you want to make the person keeps still. No moving, no talking, no eating, just ... still. Treat the wound, put their legs up -- unless you think the leg is broken -- wrap them in a blanket, and wait for the ambulance."
"Okay .... last chance to leave for anybody who's afraid of a little Danger Shop Blood."
She waits again.
"So the first thing you want to do is to play with the bandages again, like you did the first week. I'd like you to learn how to fold them into for the shoulder, elbow, hand, leg, knee and foot, following the directions on your handout; work alone or in pairs. After that, I'm dividing you into teams. Each team will -- well, have you ever played Operation? It's like that, only without the stupid wishbone you can never grab, or the irritating buzzer. Each team gets a Danger Shop person with at least four wounds or other problems. Treat them. I'm around if you need help."
[OOC:
Re: Group Two, 6/6/06
Re: Group Two, 6/6/06
Re: Group Two, 6/6/06