FAK Pocket Notes
FAK Pocket Notes
STROKE
• Bleeding within brain/blood clot in
• Chest Pain/discomfort • Acute myocardial infarction /blood • Heart suddenly stopped, victim will brain (Cerebral Thrombosis)
• Insufficient blood supply to heart clot blocks coronary artery stop breathing. (Sudden Death)
Sign & Symptoms
• Narrowing coronary arteries Sign & Symptoms Causes • Sudden severe headache
Sign & Symptoms • Severe chest pain/discomfort • VF • Sudden numbness-face/facial
• Chest pain down left arm & neck • Shortness breath/suffocation • Stroke drooping, arm or leg
• Diff breathing, shortness breath • Giddiness & sweating • Electrical shock • Sudden blurring vision, Slurring
• Face may be pale • Pale face, skin cold & clammy • Drowning speech, Confuse
• Pulse rapid & weak • Nausea/vomiting • Suffocation • Trouble walking, dizziness, loss
• General body weakness • Pulse rapid, weak & irregular • Drug overdose balance/coordination
• Feeling apprehensive & fearful • Trauma Treatment
Treatment • Collapse w/out warning • Severe allergic reactions
• Complete rest/recline seat Conscious:
Treatment • recline seat, turn head to drooped
• Loosen tight clothing Sign & Symptoms
• Rest/recline seat (half seating) side (secretions drain frm mouth)
• Reassure victim • Unresponsive
• Loosen tight clothing • Administer Hi-flow O2, loose tight
• Administer Hi-flow O2 • Absence breathing
• Reassure victim clothing
• Check medications/GTN • Absence circulation
• Administer Hi-flow O2 • Page for Doc & inform PIC
• Page doc & inform PIC/ICC • Check medications/history Treatment Unconscious/breathing:
• Monitor & record vital sign (10 – 15 • Page doc & inform PIC/ICC • Page for Doc • Recovery postn
min)
• Monitor & record vital sign (10-15 • Begin CPR • Monitor: consciousness, airway,
GTN – place underneath the tongue min) breathing & circulation
(to dilate coronary arteries)
• Prepared to resuscitate • Prepared to resuscitated
• DO NOT give anything by mouth
21. GASTROINTESTINAL 22. ALLERGY REACTION 23(1-2). EXTERNAL BLEEDING 23(2-2). EXTERNAL BLEEDING
• Trapped gas: Abdominal pain • Exposed to drugs, food (shellfish/ 3 types
(stomach ache/gas pain), Intermittent nuts), animals ii. Elevation
• Arterial – bright red (oxygenated), − Elevate injured arm/leg
pain, Bloated abdomen Sign & Symptoms blood spurts out, diff to control maintain direct pressure
Causes • Swelling around eyes & lips, redness • Venous – dark red (deoxygenated, (limbs/extremities)
• Overeating of eyes blood flow steady & smooth, easier − Do not elevate – fracture till
• Too much oily/spicy food • Severe cases – get shock to control splinted
• Gastritis • Diff in breathing/shortness of breath • Capillary – slow blood flow, tends to iii. Pressure Points – Indirect Pressure
• Sitting too long Management ooze (Not more than 10 mins/2 major
• Page Doc Control External Bleeding – 4 methods points)
Sign & Symptoms • Direct pressure
• Treat for shock Brachial Artery – control
• Bloated abdomen • Elevation
• Prepared to resuscitate bleeding lower part arm &
• Heartburn • Pressure points (indirect pressure) elbow (located: along inner
• Abdominal cramps/pain • Tourniquet side upper arm)
• Nausea i. Direct pressure Femoral Artery – control
• Belching − Cover wound bleeding: thigh & lower leg
Treatment − Direct pressure – 10 mins (located: groin)
• Walk around, take soda water − Do not remove blood-stained iv. Tourniquet
• Alka-Seltzer (no allergy to aspirin) dressing – add more layer − Strap around arm/leg abv wound
• Actal tablet (aspirin allergy) & tightened – stop bleeding
− Used by trained medical
personnel-last resort
24. INTERNAL BLEEDING 25. BLEEDING FROM EAR 26. COUGHING BLOOD FROM 27. VOMITING BLOOD FROM
LUNGS STOMACH
• Sign – bruise • Due to a rupture (perforation) of the
eardrum • Blood bright red (oxygenated) & • Suspected of having some form of
Sign & Symptoms frothy because it is mixed with air abdominal emergencies
• Coughing/vomiting blood Causes
• Foreign body inside the ear • Condition may be caused by lung • Blood may be fresh/dark brown mixed
• Abdominal tenderness • Blow to the side of the head disease e.g.: tuberculosis, lung wth digested food & resembling
• Rectal bleeding • Skull fracture cancer, and abscess coffee ground
28. NOSE BLEED 29. WOUNDS 30. MUSCLE STRAIN 32. SPRAIN
• Blood vessels inside the nostrils are • Injury caused by any physical means
ruptured - leads to damage of a body • Strain/muscle pull-stretching/tearing • Sprain - joint injury caused by
Causes • Classified: Closed/Open Wounds of the muscle causing pain, swelling excessive stretching/tearing of the
• Blow to the nose A. Closed Wounds & bruising of the soft tissues supporting ligaments.
• Sneezing, picking or blowing the nose • Bruise (contusions) - injury of the soft • No ligament/joint damage
Sign & Symptoms
• High blood pressure tissue beneath skin Treatment • Pain & tenderness around the joint
Treatment • Injured area - discoloured & swells • Rest & support injured part.
• Keep victim quiet and comfortable • Pain increased by movement, unable
• Sit victim down wth head leaning fwd Treatment
to bear weight
• DO NOT raise head/tilt backwards • Apply cold compress - relieve pain & • Apply ice pack/cold compress to
• Pinch nostrils & maintain direct swelling reduce pain & swelling • Swelling over the joint
pressure - 10 minutes • Fill plastic bag wth crushed ice cubes • Offer Panadol to relieve pain/seek • Bruising develops gradually
• Advise victim not to speak, swallow, & wrapped in a towel (Ice Pack)/ medical help
cough/sneeze - disrupt blood clots soak towel/cloth in cold water (Cold Treatment
• Apply ice pack/cold compress to the Compress) • Follow the RICE procedures
bridge of nose • Treat for shock (suspect internal
bleeding)
31. MUSCLE CRAMP • Rest & support injured part
• DO NOT pack nostrils with gauzes to
stop bleeding B. Open Wounds • Sudden pain in a limb caused by • Ice or cold compress, apply for 5-10
• Loosen any tight clothing around neck • Caused by injury that breaks the skin tightening/contraction of a muscle/ minutes to reduce swelling, bruising
• Offer airsickness bag or mucous membrane group of muscles & pain
• Bleeding stops, advise to rest quietly Dressing and Bandaging • Compress injury - applying crepe
• Control bleeding Treatment
• Avoid blowing nose for at least 4 hours bandage firmly over the joint
• Prevent further contamination of the • Stretching affected muscles-relieve
• Seek urgent medical attention, • Elevate and support the injured limb
wound pain and cramp (calf, thigh, foot or
(nosebleed - beyond 30 mins)
• Immobilize the injured area hand) • Seek medical help
• Prevent movement of impaled objects Unsure if injury is a sprain or
fracture, TREAT AS FRACTURE
33(2-2). FRACTURES
33. DISLOCATION 33(1-2). FRACTURES 34(1-3). HEAD INJURIES
• Dislocation is a displacement of one or • Broken bone Treatment
more bones from the joint • Classified: Closed/Open Fracture • Perform initial assessment & • Potentially serious & life threatening
stabilized the ABCs
Sign & Symptoms A. Closed Fracture • Treat for shock • Classified into open and closed head
• Intense pain & tenderness • Bone is broken but there is no break • DO NOT give anything by mouth injuries
• Unable to move the joint in the skin/external wound • DO NOT move victim before Causes
• Marked deformity of the joint splinting, unless in danger
B. Open Fracture • Hitting head against ceiling/walls
• Swelling • Open Fracture, apply firm but gentle
• Numbness/impaired circulation to the • Bone is broken, & the overlying skin is pressure to control bleeding from the with great force during turbulence
limb/digit lacerated sides of the protruding bone
• Fallen objects from the overhead bin
• Shock may occur • Caused by the fracture bone end • DO NOT push protruding bone back
protruding the skin into place. Cover open wounds with • Injury due to a fall from a height
Treatment dry, clean dressing before splinting
• Place pillow/rolled blanket between Sign & Symptoms • Apply a splint to immobilise the • Motor vehicle accidents
the arm & chest fracture limb.
• Pain and tenderness at the injury site
• Apply an arm sling to support weight • Immobilize joints abv & below the
of the forearm • Deformity, Swelling, Bruising
fracture.
• DO NOT attempt to replace/reduce the • Inability/unable to move the extremity • Splint fractured limb in its deformed
dislocation or limb postn in which it is found
• DO NOT give victim anything to eat or • Do not attempt to straighten fractured
• Victim may be in shock
drink limbs
• Be prepared to treat for shock • In Open Fracture, external wound wth
• Monitor the circulation, sensation,
• Seek urgent medical asstn. Transport bleeding & broken bone ends can be
colour & nervous function - before &
the victim in a sitting position seen
after splinting
• After splinting, keep limb elevated if
possible & seek medical attn.
34(2-3). HEAD INJURIES 34(3-3). HEAD INJURIES 35. SPINAL INJURIES 36(1-3). BURNS
Treatment • Must assume - spinal injury in all
Sign & Symptoms patients sustained head injuries • Damage to the skin caused by heat
• Laceration, contusions, haematoma or • Protect & stabilize spine at all times Sign & Symptoms • Types of Burns (6):
swelling to scalp • Avoid moving neck unnecessarily • Pain in the neck/back
• Visible fractures/deformities of skull until the spine can be appropriately • Swelling & tenderness on the spine i. Thermal burns - caused by dry heat
splinted
• Clear/blood-stained fluid (CSF) • Inability to move the neck/the back ii. Chemical Burns - strong acids/ alkalis
leakage from scalp wound (nose/ ear) • Establish an adequate airway • Numbness/tingling over the limbs solutions
• Always provide high-flow oxygen • May be paralysis frm neck/waist down
• Temporary loss of memory (amnesia) iii. Electrical Burns - contact with
• Unconscious, perform the jaw-thrust Treatment high/low-voltage electricity
• Headache/dizziness
manoeuvre to open the airway. • DO NOT move victim frm postn found
• Nausea/vomiting Maintain head & spine in neutral, in- unless in danger iv. Friction burns - friction from sliding
• Slow/irregular breathing & pulse line position • Conscious - not to move the head down a rope
• Kneel behind victim, support head &
• Unequal pupils size/Failure pupils to • Control bleeding. Provide adequate v. Cold burns – frostbite/contact with
neck-neutral postn. Place your hands
respond to light circulation dry ice
firmly around base-skull (either sides
• Visual complaints • Begin CPR if necessary & over the ears). Place pillows, vi. Radiation burns - exposure to
• Seizures • Assess level consciousness & cont.’ rolled blankets/coats besides victim’s radiation treatment
monitor it head/neck/shoulder
• Numbness in the extremities/Loss of • DO NOT pull at the neck/place
sensation/motor function • DO NOT apply pressure to an open
pillows under the head
or depress skull injury
• Period of unconsciousness • Turning required, use asstn maintain
• Dazed or confused as victim regains support – head/neck/trunk/toes
consciousness • Unconscious - jaw-thrust method
• Seek urgent medical attention
• Immobilize victim before
transportation
36(2-3). BURNS 36(3-3) BURNS 37. CHEMICAL BURNS 38. CHEMICAL BURNS OF THE
• Classifications of burns (3): General Treatment • A strong toxic substance such as EYE
i. Superficial Burns (first-degree • Ensure safety & move victim from the acid/strong alkalis contacts the body
burns) • Cause extreme pain and severe injury
burning area Treatment in the eyes
- Top outer layer of skin - epidermis • No Rescue attempts if your life at risk
(Sunburn)
• Always wear gloves when treating a • Remove chemical frm victim. A dry • Caused by acid/alkaline solutions
Signs and symptoms: chemical - in contact with water may
burn victim
Minor to moderate pain damage skin more when it is wet Treatment
• Assess victim’s CAB’s & give oxygen
Mild swelling therapy if necessary
Skin redness • Brush dry chemicals off skin & • Flush affected eye/eyes with water
• Immerse burning area in cold water clothing before flushing the victim (15 to 30 mins).
ii. Partial-Thickness Burns (second- immediately / use wet clean towel
degree burns) with water
• Cover it with dry dressing after the • If only one eye is affected, take care
- Deeper layer of skin - epidermis & • Remove victim’s clothing & shoes if to prevent any of the chemical or
burned area is cooled
some of the dermis (Blisters) contaminated with the chemical contaminated water from getting into
• DO NOT apply ointments, lotion or
Signs and symptoms: the other eye during flushing.
cream to any burn
Severe pain • Immediately begin to flush the burned
• DO NOT break any blisters on area with large amount of water (15 • Direct the water from the inner
Skin redness and swelling
purpose mins)/ until pain stopped. corner of the eye to the outward edge
Blisters formation
• DO NOT remove any clothing that is of the eye
iii. Full-Thickness Burns (third-
degree burns)
stuck to the burn • Protect yourself from any contact
• DO NOT touch the burned skin with with chemical (gloves) • After flushing, apply an eye pad or a
- Most serious type, damage all layers
bare hands clean dressing to cover the eye.
of skin. • After flushing, cover burned area with
- Pain is often absent (nerve endings • DO NOT use adhesive plaster on Transport the victim promptly to the
burns dressing dry dressing & seek urgent medical hospital for further care
have been destroyed) treatment
Signs and symptoms: • Check for other body injuries such as
No feeling of pain fracture/bleeding
Skin: dry/leathery/waxy/pale/white/ • Treat for shock & seek urgent
charred medical attention
Swelling • Prepared to resuscitate if necessary