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DISASTER

1. When prioritizing care for disaster patients, always start with assessment using ADPIE and check for consciousness using the Glasgow Coma Scale. 2. For pulseless unconscious patients, provide chest compressions at a rate of 80-100 beats per minute, then ventilate the lungs and restore circulation. 3. Classify patients as either unstable or stable and address physiological needs like airway, breathing, and circulation before psychological needs.

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119 views55 pages

DISASTER

1. When prioritizing care for disaster patients, always start with assessment using ADPIE and check for consciousness using the Glasgow Coma Scale. 2. For pulseless unconscious patients, provide chest compressions at a rate of 80-100 beats per minute, then ventilate the lungs and restore circulation. 3. Classify patients as either unstable or stable and address physiological needs like airway, breathing, and circulation before psychological needs.

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DISASTER NURSING

(NCM 121)

By : Hermie M. Pueyo MD, RN, USRN


HOW TO PRIORITIZE

1. Always start with assessment (ADPIE)


2. Check for consciousness
3. Chest compression for pulseless unconscious patient, then
airway, breathing and circulation (CABC)
4. Classify if it is unstable or stable patient
5. Cater the physiological needs then psychological needs
Lifesaving Intervention (LSI)
CONSCIOUSNESS

1. Hey are you OK?


2. Glasgow Coma Scale
(GCS)
15 - Normal
<7 - Coma
3 - Lowest score
CARDIO-
PULMONARY
RESUSCITATION

 
CHEST COMPRESSION

- place the heel of the hand,


two finger widths above the
tip of the xiphoid
- keep the elbow straight,
use your body weight
- 1.5 – 2 inches deep
compression
- 80 -100 bpm
CHEST COMPRESSION
AIRWAY

a. Open the airway


b. 2 ventilation, check for chest rise
c. Finger-sweeping maneuver
d. Endotracheal intubation or
cricothyroidotomy
e. Note for stridor (inspiratory)
f. Heimlich maneuver
AIRWAY
2 BREATHING

Hand bag mask ventilation


/ mouth-to-mouth
Check for chest rise
ENDOTRACHEAL INTUBATION

• Hyperextend the neck


• Insertion of the tube
• Auscultate the breath sounds
• Secure the pilot balloon
EMERGENCY
CRICOTHYROIDOTOMY
FOR CONSCIOUS
PATIENT WITH
COMPLETE AIRWAY
OBSTRUCTION
BREATHING
CHEST INJURY

1. Open chest wall injury


- sucking chest wound
2. Blunt chest Injury
- tension pneumothorax
3. Rib fracture
- paradoxical respiration
SUCKING CHEST WOUND
TENSION PNEUMOTHORAX

Auscultate the breath sound


TENSION PNEUMOTHORAX

Needle or tube thoracostomy


FLAIL CHEST IN RIB FRACTURE
CIRCULATION
CARDIO-
PULMONARY
RESUSCITATION

  - one man rescuer = 15 : 2 / 30:2


    two man rescuer =  5  : 1 /  30:2
  - pupil reaction
  - check carotid pulse every 5 mins
  
WOUNDS
BLEEDING
B - Barrier
L - Locate and Examine
E - External Direct Pressure
E - Elevate
D - Dressing
Instead secure
Do not remove
NECK INJURY

Whiplash C4 – Phrenic nerve injury


HEAD INJURY
FRACTURE
FRACTURE
(shortening of the limb)

• Crepitus
Splinting
SHOCK

failure of the circulatory


system to maintain    
adequate perfusion of
the vital organs.
BURN INJURY
BURN INJURY
BURN INJURY
Emergency management
- (RACE)
- remove the source
- immerse or run it w/ cool water (15 mins)
- neck and facial burns, prioritize airway
- wound care

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