Steps:
1. Call 911 to activate the chain of survival.
2. Move the injured away from danger to keep them safe.
3. Keep them alive until medical responders arrive:
• Apply pressure to stop bleeding.
• Help them to breathe by allowing them to sit up, lean forward, or place them in the recovery position if unconscious.
4. Talk to the injured to provide comfort.
• If in immediate danger, get them out of harm’s way before calling 911.
EMS Response Time:
• Typically 6–9 minutes, but life can be lost before responders arrive.
Good Samaritan Laws:
• Protect those who help from liability until professional help arrives.
• All 50 states and D.C. provide protection for reasonable actions to help.
• EMTs/paramedics are held to higher standards due to training.
• Laws differ by location—check your area.
Chain of Survival:
How emergency medical systems flow to keep people with life-threatening situations (LTS) alive.
• Components include:
1. You
2. Non-medical first responders
3. Emergency medicine
4. Surgeons
Impact of Stress:
In an LTS, you may experience physical and psychological effects such as:
1. Distortion of Time Assessment Loop:
• Denial
• Deliberation
• Action
2. Distortion of Senses:
• Sight (tunnel vision)
• Sound
3. Adrenaline (Fight/Flight Response):
• Temperature changes
• Shaky hands
• Loss of other functions
4. Nausea
• These are normal reactions to stress, and most people will experience them.
Calling 911:
• 911 operators are trained to:
• Assess the situation.
• Take appropriate actions.
• Help ensure safety.
Steps When Calling 911:
1. Take a deep breath.
2. Let the operator guide you.
3. Follow their specific instructions.
Types of Questions Operators Ask:
• Specific location (floor, room, landmarks).
• Severity of injuries to send appropriate help.
• Safety concerns (dangers or ongoing threats).
Stay Safe:
• Use your 5 senses (see, hear, smell) to assess the area.
• Ask yourself:
• Do you feel safe here?
• Yes: Stay and provide care.
• No: Move to a safe location and call for help.
Stop the Bleeding:
• Humans have about 5-6 liters of blood in their body.
• Losing 500 cc (half a liter) causes physiological problems.
• Losing half the blood volume can cause death, no matter the hospital care.
Key Points:
• Bleeding is irreversible if untreated.
• Body can lose fatal blood amounts in minutes.
• Apply pressure to stop bleeding.
• Major blood vessels are deep under the skin near bones—protect these areas.