CCP Staff Trains on First Aid Skills
Twenty four CCP staff on July 19th participated in a one day First Aid Training facilitated by Denis Mbogo of Africa Air Rescue (AAR) at Maisha Poa Kawangware sponsored by Simply 2 Love. Denis a First Responder in the Rescue Department (AAR) covered the topics; Objectives of First Aid, ABC’s of life, CPR, Chocking, Asthma, Bleeding, Fractures, Heart Attack, Shock, Fainting and Epilepsy. The day began with a devotion shared by CCP’s Children and Youth Coordinator, Pastor Fredrick Mmbwaga on the importance of prioritizing God in our everyday life. Denis defined First Aid as the initial assistance given to a casualty using available materials and generally accepted principles before handing over to a more responsible person. He explained three objectives of first aid as to preserve/ save life, prevent the condition from worsening, and to promote recovery. On ABC’s of life which in full mean Airway, Breathing, and Circulation, are the primary things a first aider looks out for in an emergency situation. He explained the magnitude of their importance saying within 5-10 minutes of air blockage, a casualty may lose life or get a permanent brain damage. He clarified that the role of the aider is to ensure that life threatening emergencies which include breathing failure, heart beat failure and severe bleeding are managed as a priority. When the casualty is unconscious, not breathing and the pulse cannot be felt Denis recommended Cardiac Pulmonary Resuscitation (CPR). He explained further that it is a combination of external chest compressions and artificial ventilations or mouth to mouth respiration to oxygenate the casualty’s blood so that vital body organs are supplied until advanced care is available. About chocking which he defined as Foreign Body Airway Obstruction, he advised that the person should be encouraged to cough, and then give five back slaps going up and five abdominal thrusts commonly referred to as helmilich maneuver. If the casualty is a baby, tilt the baby at angle of 45 degrees facing downwards and give five light back slaps going up. For pregnant women or people with big bellies he recommended that helmilich maneuver be done on the chest and not on the stomach. Talking about Asthma, he said the aider should remove the casualty from the trigger which may include fumes, cold, dust, pollen, exercise, strong scent, anxiety and fur as priority. Then sit the casualty up preferably leaning forward, encourage them to try breathing normally and help take own appropriate medication if available. Concerning bleeding, Denis said it can be either internal or external. Internal bleeding may present with signs of shock, without apparent visible blood loss. It may also cause bleeding through the natural body orifices. When the bleeding is minor, the aider’s priority is to minimize the risk of infection but for severe bleeding the priority is to control the bleeding so as to minimize the risk of shock. He also talked about fractures saying they can either be open (the bone protrudes through the skin), closed (broken bone hidden inside the flesh) greenstick, (broken bendable bone) or complicated (causing injury to internal organs, major nerves and blood vessels). If the fracture is open he cautioned, do not try to force it back to position. Only aim is to stabilize the broken part and deliver the casualty to the hospital as a whole unit. If a part of the body is completely cut off carry it in a paper bag to the hospital because there is a chance of it being reconciled to the body. Heart Attack was defined as lack of blood to a part of the heart due to a clot or a raptured heart vessel. The aider should make the casualty as comfortable as possible and arrange urgent removal to the hospital. Heart attack presents as pain on the chest, jaw and arms, difficult breathing, anxiety, feeling of impending doom, abdominal pulse rate may be irregular, nausea, and abdominal discount. Denis advised that Aspirin can help because it thins the blood. Shock is the inadequate supply of blood to the internal vital organs resulting from dehydration may be because of voting, diarrhea, bleeding or excessive sweeting. Denis said the aider should cover the person to avoid further loss and rush the person to the hospital as soon as possible. Finally he talked about Faintaing and Epilepsy. Fainting is a short term inadequate supply of blood to the brain and is treated by lying the casualty flat and elevating their legs for a while. Epilepsy is massive discharge of electric activity from the brain and causes seizure. The aider should not restrain the vigorous body movements but support the head until the casualty feels better. He cautioned that Epileptic people should not be left alone. AAR also provided an ambulance and CCP staff had an opportunity to get in and learn what goes on in the ambulance.
Denis demonstrating five back slaps for a person chocking
A staff practicing CPR
CPR to a baby while on transit can be done holding the baby.
Trying to establish whether the baby is responsive or unconscious
Improvising an arm-sling
Inside the Ambulance
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