Basic Life Support to Road Traffic Accident Victim.
District Logo. Initiative of Indian Orthopaedic Association with Maharashtra Orthopedic Association.
WHO’s 1 st ever Global Status Report on Road Safety : India suffers from the highest number of deaths in the world due to road accidents 10% of whole world About 1,14,000 annually 1 death caused by road accident every 2 minutes. Road death figures in China: 89,455 US: 42642, UK 3298 Road fatalities an "epidemic" ,that will become the world's one of biggest killer by 2030.
In India, sharp 6.1% rise every year. Real numbers could be higher since many of these accident cases are not even reported.
Save SELF, Save ONE. SOMEONE YOUR Friend, Relative, UNKNOWN Person, who is in LIFE THREATENING SITUATION of Road Accident Person is lying on road Immediate medical help may not be available Your early actions may save the life of person, before medical help arrives.
Why Golden Hour?. BIOLOGICAL DEATH follows CLINICAL DEATH (Actual death) in 3 to 5 Minutes, if OXYGEN does not reach brain during this time Basic Life saving methods (Training) help to Maintain circulation of Oxygenated Blood to Brain, during these golden minutes, before actual medical help arrives Early and Immediate care of trauma victim by using basic life saving skills, can Save Many Lives.
Trauma Statistics of India. India, ranks 1st in the number of road accident deaths across the 199 countries reported in the World Road Statistics, 2018, followed by China and US. A total of 4,49,002 road accidents have been reported in India in 2019 , Claiming 1,51,113 lives and Causing serious injuries to 4,51,361 persons. 84 % were from Working age group: 18 – 60 yrs 86 % were Males who can be Sole earning Member in the Family.
Police Harassment Don’t worry. Motor Vehicle Amendment Act 2019 Good Samaritan guidelines: who come forward to help road accident victims The Amendment defines and protects Good Samaritans As one, who voluntarily, in good faith and without expecting a reward, renders emergency medical or non-medical assistance to a victim at the scene of an accident or transports the victim to a hospital. Good Samaritan laws protect volunteers who provide aid or assistance in emergencies, from legal liability for injuries or damages.
First Aid equipments. Normally, they are available in every vehicle If not, everybody should keep a Zipper Pouch in their Vehicle Bandage : Simple and Crepe Cotton roll Band aid strips Micro pore adhesive tape Betadine Ointment Diluted Savlon Gloves disposable Cotton Cloth Safety Pins.
What should be done when you see Road Traffic Accident.
1. Securing the Accident Scene. If you are the first responder to an accident or someone who can and/ or wants to provide assistance, pull your car to the side of the road . If the victim is in the road, use your car as a barrier. Make sure your car is safely out of traffic lanes and not blocking access to the scene or victim in any way . Turn off your car’s ignition..
1. Securing the Accident Scene. Turn on your emergency flashers to alert other drivers that you are stopped. Remember that your emergency flashers will work even if your car isn’t running. Provide a barrier to victims in the road with your car and that of any other person on the scene. Make sure that barrier vehicles also have on four-way flashers to warn any oncoming vehicles..
2. Remain Calm. It’s important to you and any victims that you remain calm. This will help you to make informed and rational decisions to deal in Best way, with the accident . If you feel yourself panicking in any way, take a deep breath to refocus or delegate tasks to others at the scene . Avoid allowing any person panicking at the scene—be it a victim or bystander—to affect you. Staying calm and collected can prevent panic within the group as well as minimize any damage..
Take few seconds to quickly assess the situation..
4. Call emergency services. Once you’ve made a quick assessment of the accident scene Give a call to 100 for Police and Another call to 108 for Ambulance Give the operator information such as your location, the number of victims, and other details you noticed about the scene. Describe your specific location, including any landmarks, that can help responders find you. tell the operator about any injuries that victims may have. Inform, if there are any traffic blockages that may hinder emergency services.
5. Check the Victim. Check if the accident victim responds immediately to your presence Check whether you can open the doors Ask him to open eyes, show tongue If less injured, Try to get his personal Information: Name, mobile of kin If trapped, Try to take patient out of Vehicle without much pain or more damage.
Avoid, unless the victim is in imminent danger from fire, explosion or something else.
CPR. Cardiopulmonary Resuscitation: Starting Breath & Heart of Victim Doing CPR right away can double or even triple a person’s chance of surviving cardiac arrest . If a person is not breathing, his heartbeat will stop CPR is done to help circulation and get oxygen into the body First, open a person’s airway to check if they are breathing Don’t begin CPR if a patient is breathing normally. Following 7 steps are to be executed.
CPR Step 1. Make sure the patient is lying on his back on a firm surface. Kneel beside him and Place the heel of your hand on the centre of the chest..
CPR Step 2. Interlock fingers. Keeping your arms straight, cover the first hand with the heel of your other hand and Interlock the fingers of both hands together. Keep your fingers raised so they do not touch the patient’s chest or rib cage..
Step 3: Give Chest C ompressions. Interlock fingers. Keeping your arms straight, cover the first hand with the heel of your other hand and Interlock the fingers of both hands together. Keep your fingers raised so they do not touch the patient’s chest or rib cage..
Step 4. Open the airway Move to the patient’s head. Tilt his head and lift his chin to open the airway again. Let his mouth fall open slightly.
Step 5: Give rescue breaths. Pinch the nostrils closed with one hand and support the patient’s chin with your other hand. Take a deep breath , P ut your mouth over the patient’s, and Blow until you can see his chest rise..
Step 6. Watch chest fall. Remove your mouth from the patient’s L ook along the chest, Watch the chest fall. Repeat steps five and six once..
Step 7. Repeat chest compressions and rescue breaths. Place your hands on the chest again and R epeat the cycle of 30 chest compressions, followed by two rescue breaths. Continue the cycle..
CPR Video. —.-INDIAQ . !lvnoss€ •. AHAR4S&R.
Mouth-to-nose Rescue Breaths. It is required when You can’t open mouth Can’t make a good seal Severely injured mouth Stomach distension You can blow into the nose . With the head tilted back, close the mouth by pushing on the chin. Seal your mouth around the person’s nose, and breathe into it. Open the person’s mouth between breaths to let out air..
Recovery position. If a person is unconscious but is breathing and has no other life-threatening conditions, they should be placed in the recovery position. Putting someone in the recovery position, will keep their airway clear and open. It also ensures that any vomit or fluid won't cause them to choke..
Recovery Position Video. —.-INDIAQ . !lvnoss€ •. AHAR4S&R.
When to stop CPR. Emergency help arrives and takes over The person starts showing signs of life and starts to breathe normally You are too exhausted to continue If there is a helper, you can change over every one-to-two minutes, With minimal interruptions to chest compressions A defibrillator is ready to be used..
Take control of bleeding. .jeürf•. Put pressure bandage/cloth over bleeding area.
Foreign body Airway obstruction. Choking is caused when food or some other object blocks a person's airway and P revents them from breathing. Can occur very suddenly in patients of any age. If not rapidly treated, can quickly leads to death. Universal choking signs: Grabbing or pointing at the throat Inability to speak Inability to cough Face changing color A panicked look.
Step-1 : Ask the person to cough. Step-2 :. Ask the person to bend over with head lower than chest ,.
Clench a fist & place it above novel against stomach.
A bdominal thrusts. clench a fist & place it above novel against stomach , Jerk it firmly inward & upward with other hand Do it 3-4 times E very thrust should be hard enough to move the blockage.
Regular weight bearing exercises. Sunlight Exposure for 30 min.
It is not me alone,. Together,. We can Save many Lives on road.
I ndian Orthopedic Association, Maharashtra Orthopedic Association.