First Aid Scenario Worksheet

Scenario Worksheet Instructions: Please respond to the questions at the end of each scenario. Your answer should be limited to the available space on the page where the scenario is written (11pt Calibri). Scenario 1: You are working as a waitress in a restaurant. You go to check on your table to see how their food is. As you are walking up to the table, one of the customers begins coughing. They suddenly stop coughing and start clutching their throat. Their lips begin to turn a bluish color and the family around the table begins to panic. You are first aid certified and want to help the victim. (1) What are the initial steps you would take in this situation? (2) Describe in detail how you would help the victim. From the situation it sounds like the person has their airway passage completely blocked. First, I will make sure the person is choking and obtain consent from the person to begin to help them. As I do this, I will tell somebody (either another waitress or waiter to call 911 just in case the situation worsens. Then I will do the following: I will ask the person to stand up and have them bend over at the waist in a matter where her upper body is parallel to the ground as much as possible. Then I will start striking with the heel of my hand right in between their shoulder blades on their back. I will do this striking motion about 5 times. Once I see that this does not work, I will switch my technique. Now I will instead reposition myself with one foot in front of the other, so I have a good balance. Then with that front food I will place it in between the person’s feet to give me an even better balance and stability. Afterwards I will find the person’s navel with 2 fingers from one of my hands, then with the other hand I will make a fist and place the thumb side (from fist hand) against the person’s stomach right above the 2 fingers I positioned on the person’s navel. This is the proper placement for an abdominal thrust. So, I will five them 5 abdominal thrusts by pulling inward towards me and upward as I do them. I will keep doing sets of 5 back blows followed by 5 abdominal thrusts until the object is forced out and the person can breathe, speak, or cough forcefully. Scenario 1 Continued: As you are giving care to the choking victim, they become unresponsive and you determine that they no longer have a pulse. (1) Describe in detail how you would now care for the individual with the new information. In this type of situation, it becomes a severe emergency because the person is unresponsive and has no pulse. I will first double check if someone called 911. Then I will do the following I will lower the person on the ground to a lower flat surface and tilt their head backwards and try to open their mouth and see if I can grab the object myself which is blocking the airway. I will use one finger and I will be careful not to push the object down further. If that doesn’t work I immediately begin doing CPR in the following steps: 1) Kneel besides them and place one hand on the center of the chest and the other hand on top interlacing my fingers and bringing them off the chest. 2)Then I position my body in a way where I am kneeled and my shoulders are over my hand so I can use my body weight if needed to help the person. 3) Start off my having my arms at 180 degrees (straight) and giving 30 chest compression by consistently pushing 2 inches down (and letting the chest naturally return to its normal position). I will be giving these compressions at a rate between 100-120 compression per minute. 4) I will keep giving the person chest compression until the paramedics come to take over. Scenario 2: You are at a family get-together when your aunt starts screaming for help. You run over to your aunt to see her holding her 8-month old baby. She tells you that the baby is choking on a toy from one of the older children and she needs help. She hands you the conscious baby and you notice her lips are turning blue. (1) What are the initial steps you would take in this situation? (2) Explain in detail how you would care for the choking infant. First, I will verify that the baby is chocking and have someone call 911 (because baby cannot give feedback). Then I will ask for consent from the aunt to be able to help the baby. Next what I want to do is give the baby a combination of 5 back blows and 5 chests thrust. Here is how I will do this: - - First I will place my forearm along the infant's back and Cradling the back of its head with my hands. Then I will Place your other forearm are along the infant's front in a way where I can support her jaw with my thumb and fingers (need to be careful not to cover the mouth of the infant. Next I will flip the baby over on so they are face down with its head lower than the chest on my thigh. I will then administer five back blows firmly with the heel of my hand in between the baby’s shoulder blades. Then I will take one hand and place it on the baby’s head in a firm and stable manner in order to turn them over. I need to be very careful to hold the baby firmly and neutrally, so I don’t cause any neck or head damage when turning them over. Now they are face up with head lower than their chest. Now I am ready to give 5 chest thrusts. I will place 2 fingers in the center of the infant’s chest (below the nipple line) and press down 1.5 inches and then let the chest return to its regular state. Now I will make sure to keep on doing sets of 5 back blows and 5 chest thrusts until the object is forced out and the baby can cough forcefully, cry, breath normally or becomes unresponsive. The key when maneuvering the infant is to make sure the neck and head are always firmly supported by using knee and our thigh. Scenario 2 Continued: While you are caring for the infant, she becomes unconscious and she no longer has a pulse. (1) With this new information how would your care change? (2) Explain the new steps of care in detail. - - The baby needs immediate emergency and I will need to do CPR as quick as possible with the consent given by the other person. These are the steps to give the infant CPR. I will place 1 or 2 hands with the palm on the hand directly on the chest in between the nipple line. Using the other hand place it on the baby’s forehead to stabilize. We will then use the index finger and middle finger and go about 1.5 inches down. We will give the baby 30 chest compression using the tip of our fingers. We will not stop until somebody can take over or the EMT people came We can also tilt back the head and try to pry out the object gently and carefully with one finger. Making sure we don’t push it farther down.