Balutan
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(1) This document provides information on basic first aid techniques. It discusses the introduction and objectives of first aid, as well as the equipment, bandaging, wrapping, tying techniques, and treatment for various types of wounds and injuries. (2) The types of injuries covered include cuts, lacerations, puncture wounds, bruises, gunshot wounds, small wounds, abdominal wounds, chest wounds, and snake bites. Guidance is given on stopping bleeding and basic wound care. (3) First aid is described as temporary treatment given to victims before medical help arrives, with the goals of saving lives, preventing further injury, reducing pain, and arranging transportation to the hospital. Responsibilities of first
Balutan
- 1. PERTOLONGAN CEMAS (FIRST AID) Disediakan oleh; Kpt. (KRS) Rohaidah Bakar Professionally coordinates by: Members and Affiliations: DOLIDIAS Malaysia No. 21, Jalan P9B/10, Presint 9, 62500 Putrajaya Tel/Fax 03 8881 1925 . Cellphone 012 635 3070 . www.mainayaq.com
- 3. ? PERTOLONGAN CEMAS Professionally coordinates by:
- 4. (1) PENGENALAN PERTOLONGAN CEMAS Rawatan sementara waktu yang diberikan kepada mangsa; sebelum tibanya bantuan perubatan. Variasi nama: First Aid Bantu Mula Pertolongan Cemas Professionally coordinates by:
- 5. (1) PENGENALAN PERTOLONGAN CEMAS OBJEKTIF Menyelamat nyawa Mengelak mangsa cedera lebih serius Mengurangkan kesakitan Menguruskan pemindahan ke hospital Professionally coordinates by:
- 6. (1) PENGENALAN PERTOLONGAN CEMAS APA ITU KECEMASAN? Sesuatu situasi kritikal yang mengancam nyawa Jika tidak diberi rawatan segera, kesakitan mangsa menjadi lebih serius, lebih mudarat dan mungkin menyebabkan kematian Professionally coordinates by:
- 7. (1) PENGENALAN PERTOLONGAN CEMAS CIRI-CIRI SEORANG PENYELAMAT Bertanggungjawab Berjiwa cekal, waras dan tenang Mengamati prinsip keselamatan diri Berpengetahuan dan berkeyakinan Terlatih Professionally coordinates by:
- 8. (2) PERALATAN PERTOLONGAN CEMAS ISI KOTAK FIRST AID 11) Kain Kapas 1) Termometer 12) Pin Semat 2) Mangkuk Enamel 13) Elastoplast 3) Ubat Cium 14) Ubat Luka 4) Asprin 15) Papan Tuap 5) Panadol 16) Kain Segitiga 6) Ubat Melepuh 17) Ubat Cuci Mata 7) Kain Pembalut Luka 18) Pembalut Berelastik 8) Kain Tekap 19) Pembalut Pembebat 9) Kapas 20) Pembalut Terbuka Professionally 10) Gunting 21) Adesif Lekat Sendiri coordinates by:
- 10. (3) PEMBEBATAN & PEMBALUT Pembebatan digunakan untuk menutup luka dan mengawal pendarahan. Pembalut dilakukan untuk membantu pembebatan. Professionally coordinates by:
- 11. (3) PEMBEBATAN & PEMBALUT PEMBEBATAN Professionally coordinates by:
- 12. (3) PEMBEBATAN & PEMBALUT JENIS KAIN PEMBALUT Pembalut Tiga Segi Pembalut Lebar Pembalut Kecil Pembalut Gulung Professionally coordinates by:
- 13. (3) PEMBEBATAN & PEMBALUT Pembalut Tiga Segi Professionally coordinates by:
- 14. (3) PEMBEBATAN & PEMBALUT Lipatan Tiga Segi Professionally coordinates by:
- 15. 4. IKATAN, BALUTAN & ANDUH ? Ikatan ? Balutan ? Anduh Professionally coordinates by:
- 16. (4) IKATAN, BALUTAN & ANDUH IKATAN Simpul Sila Professionally coordinates by:
- 17. (4) IKATAN, BALUTAN & ANDUH JENIS BALUTAN LUKA Luka Tangan Luka Dada Luka Bahu Luka Peha Luka Siku Luka Lengan Luka Lutut Luka Jari Professionally coordinates by:
- 18. (4) IKATAN, BALUTAN & ANDUH Balutan Luka Tangan 1 2 3 4 Professionally coordinates by:
- 19. (4) IKATAN, BALUTAN & ANDUH Balutan Luka Tangan Professionally coordinates by:
- 20. (4) IKATAN, BALUTAN & Balutan Luka Tangan ANDUH 1 2 3 4 Professionally coordinates by:
- 21. (4) IKATAN, BALUTAN & Balutan Luka Dada ANDUH Professionally coordinates by: Luka di bahagian depan
- 22. (4) IKATAN, BALUTAN & Balutan Luka Dada ANDUH Professionally coordinates by: Luka di bahagian belakang
- 23. (4) IKATAN, BALUTAN & Balutan ANDUH Luka Bahu 1 2 3 Professionally coordinates by:
- 24. (4) IKATAN, BALUTAN & Balutan Luka Peha ANDUH 1 2 3 Professionally coordinates by:
- 25. (4) IKATAN, BALUTAN & Balutan Luka Siku ANDUH 1 2 1 2 Professionally coordinates by:
- 26. (4) IKATAN, BALUTAN & Balutan Luka Lutut ANDUH 1 2 3 Professionally coordinates by:
- 27. (4) IKATAN, BALUTAN & Balutan Luka Lengan ANDUH 1 2 Professionally coordinates by:
- 28. (4) IKATAN, BALUTAN & Balutan Luka Jari ANDUH 2 1 4 3 Professionally coordinates by:
- 29. (4) IKATAN, BALUTAN & ANDUH JENIS ANDUH Anduh Besar Anduh Kecil Anduh Pergelangan Tangan Anduh Menaik Professionally coordinates by:
- 30. (4) IKATAN, BALUTAN & Anduh Besar ANDUH 2 3 1 Professionally coordinates by: 4
- 31. (4) IKATAN, BALUTAN & Anduh Menaik ANDUH 1 2 3 Professionally coordinates by:
- 32. (4) IKATAN, BALUTAN & Pembalut Cincin ANDUH 1 2 3 Professionally coordinates by:
- 33. (5) JENIS KEMALANGAN & JENIS-JENIS LUKA CARA RAWATAN 1) Luka Terhiris Professionally coordinates by:
- 35. (5) JENIS KEMALANGAN & CARA RAWATAN 2) Luka Terkoyak Professionally coordinates by:
- 37. (5) JENIS KEMALANGAN & CARA RAWATAN 3) Luka Tertikam / Tembus Professionally coordinates by:
- 38. (5) JENIS KEMALANGAN & CARA RAWATAN 4) Luka Lebam Professionally coordinates by:
- 39. (5) JENIS KEMALANGAN & CARA RAWATAN 5) Luka Kena Tembak Professionally coordinates by:
- 42. (5) JENIS KEMALANGAN & 6) Luka Kecil CARA RAWATAN CARA RAWATAN Professionally coordinates by:
- 43. (5) JENIS KEMALANGAN & CARA RAWATAN CARA RAWATAN Professionally coordinates by:
- 44. (5) JENIS KEMALANGAN & CARA RAWATAN 7) Luka di Perut Professionally coordinates by:
- 45. (5) JENIS KEMALANGAN & 8) Luka di Dada CARA RAWATAN Professionally coordinates by:
- 46. 9) Pendarahan bahagian dalam Telinga Professionally coordinates by:
- 47. (5) JENIS KEMALANGAN & CARA RAWATAN 4. PATUKAN ULAR Di Malaysia terdapat 141 spesis ular, di mana 37 daripadanya adalah berbisa. Terbahagi kepada 21 Ular Laut dan 16 Ular Darat. Professionally coordinates by:
- 48. (5) JENIS KEMALANGAN & CARA RAWATAN SIMPTOM / TANDA AWAL 1) Sepasang lubang bekas patukkan. 2) Terasa sakit yang amat pada tempat yang kena patuk. 3) Bengkak dan merah di sekeliling patukkan. 4) Pernafasan yang tercungap-cungap 5) Kemungkinan terhenti pernafasan. 6) Berpeluh dan penglihatan berpinar-pinar. Professionally coordinates by:
- 49. (5) JENIS KEMALANGAN & CARA RAWATAN BAHAYA Patukan ular berbisa bergantung kepada spesis, amaun racun, kedudukan dan kedalaman patukkan. Boleh membawa kepada maut. Mangsa rasa terkejut dan cemas. Professionally coordinates by:
- 50. (5) JENIS KEMALANGAN & CARA RAWATAN SAIZ PATUKAN Professionally coordinates by:
- 51. (5) JENIS KEMALANGAN & CARA RAWATAN KESAN PATUKAN Professionally coordinates by:
- 52. (5) JENIS KEMALANGAN & CARA RAWATAN 5. TERKELAR, TERBAKAR DAN MELECUR Terkelar, terbakar dan melecur adalah sama keadaannya. Perbezaannya hanya dari segi tahap kecederaan. Kebiasaan terbakar melibatkan kecederaan yang lebih serius daripada melecur. Professionally coordinates by:
- 53. (5) JENIS KEMALANGAN & CARA RAWATAN Professionally coordinates by:
- 54. (5) JENIS KEMALANGAN & CARA RAWATAN MELECUR DAN LEBAM Disebabkan terkena: Simptom: Air panas Kulit melecur dan Minyak panas kemerahan Wap panas Bahagian terbakar mengelembung dan bengkak dengan cepat Sakit yang amat sangat Professionally coordinates by:
- 55. (5) JENIS KEMALANGAN & CARA RAWATAN CARA RAWATAN 1. Baringkan mangsa di tempat teduh, sejuk dan selesa. 2. Tanggalkan pakaian dan perhiasan pada anggota tercedera seperti; kasut, cincin, jam tangan, dll. 3. Jika serius elakkan beri minuman dan makanan. 4. Hantar ke hospital jika perlu. Professionally coordinates by:
- 56. (5) JENIS KEMALANGAN & CARA RAWATAN CARA RAWATAN TERBAKAR RINGAN 1 2 Professionally coordinates by:
- 57. 6. RENJATAN ELEKTRIK Renjatan elektrik boleh menyebabkan maut, mungkin mereka yang cuba membantu turut menemui maut. Professionally coordinates by:
- 58. (5) JENIS KEMALANGAN & CARA RAWATAN LANGKAH YANG PERLU DIAMBIL Matikan suis atau suis utama dan pastikan elektrik sudah terputus. Menggunakan penebat untuk menyelamatkan mangsa: 1. Gunakan galah yang panjang dan kering 2. Kerusi kayu 3. Tikar getah 4. Kain sal (tuala yang kering) 5. Plastik tebal 6. Tali atau tali nylon yang kering Professionally coordinates by:
- 59. (5) JENIS KEMALANGAN & CARA RAWATAN CARA MENGALIH BAHAYA Professionally coordinates by:
- 60. (5) JENIS KEMALANGAN & CARA RAWATAN CARA RAWATAN Sekiranya mangsa tidak bernafas, pulihkan pernafasan dari mulut ke mulut. Jika gagal segera lakukan CPR. Jika ada kesan terbakar beri rawatan terbakar. Segerakan mangsa ke hospital. Professionally coordinates by:
- 61. (5) JENIS KEMALANGAN & CARA RAWATAN PATAH & TERSELIUH 7. Kecederaan tulang meliputi patah atau retak . Kemungkinan kecederaan boleh berlaku disebabkan pukulan secara langsung atau tidak langsung, terjatuh dari bangunan yang tinggi, tarikan otot anggota yang tertindih, tembakan atau perlanggaran dan sebagainya. Professionally coordinates by:
- 62. (5) JENIS KEMALANGAN & JENIS-JENIS PATAH CARA RAWATAN Professionally coordinates by: 1 Patah tebu 2 Patah kayu muda
- 63. (5) JENIS KEMALANGAN & JENIS-JENIS PATAH CARA RAWATAN Professionally coordinates by: 3 Patah riuk 4 Patah melarat
- 64. (5) JENIS KEMALANGAN & CARA RAWATAN SIMPTOM Lebam dan bengkak Anggota tidak dapat digerakkan Terluka atau berubah bentuk Tajam/berbonjol pada kulit Sakit Professionally coordinates by:
- 65. CARA RAWATAN BLANKET LIFT: Preparation Professionally coordinates by:
- 66. CARA RAWATAN BLANKET LIFT: Rolling On Professionally coordinates by:
- 67. CARA RAWATAN BLANKET LIFT: Lifting Professionally coordinates by:
- 70. (5) JENIS KEMALANGAN & CARA RAWATAN 9. LEMAS DI AIR Professionally coordinates by:
- 71. (5) JENIS KEMALANGAN & CARA RAWATAN RAWATAN Lakukan pemeriksaan asas seperti, periksa pernafasan dan nadi. Periksa tahap kesedaran, buka salur pernafasan. Jika perlu lakukan CPR. Professionally coordinates by:
- 72. 10. KERACUNAN Apa-apa bahan jika dimasukkan ke dalam kuantiti yang mencukupi boleh mengakibatkan kemudaratan. Professionally coordinates by:
- 73. (5) JENIS KEMALANGAN & CARA RAWATAN PUNCA KERACUNAN Mulut makan, minum Paru-paru sedut gas/asap Suntikan gigitan, patukan, jarum Kulit semburan racun perosak Professionally coordinates by:
- 74. (5) JENIS KEMALANGAN & CARA RAWATAN RAWATAN 1. Pastikan persekitaran dan diri anda selamat. 2. Alihkan mangsa ke tempat yang selamat. 3. Kesan melecur pada mulut beri minum air atau susu sedikit demi sedikit. 4. Jika sesak nafas, baringkan ke posisi koma. 5. Jika tidak sedar lakukan primary survey. Professionally coordinates by:
- 75. (6) PEMULIHAN PERNAFASAN TEKNIK-TEKNIK Melalui cara: 3 1. Resusitasi secara hembusan (mulut ke mulut) 2. Resusitasi secara tekanan (kardio-pulmonari) 3. Holger Nielson Professionally coordinates by:
- 76. PEMULIHAN Holger Neilson (6) 1 PERNAFASAN Professionally coordinates by:
- 77. (6) PEMULIHAN 2 Holger Neilson PERNAFASAN Professionally coordinates by:
- 79. Rescue Breathing Is a way of breathing air into an unconscious victim who is not breathing but has a pulse.
- 80. CPR (on adults & large children) (see handout) Giving chest compressions. Position the heel of the right hand on the lower half of the breast bone, right between the nipples. Position left hand on top of the right hand. Position shoulders directly over the hands and push straight down, pushing the breastbone down 1.5 2 inches. 15 chest compressions, then 2 breaths. After 3 sets of 15 and 2 check for signs of circulation.
- 81. RICE Treatment Rest For 24 to 72 hrs. Longer rest may be required for severe injuries. Ice Apply for 20 min cycles ASAP after injury occurs. Applying cold helps reduce pain, swelling and inflammation. Compression Wrap the injury to reduce swelling. Make sure it is not too tight! Elevation Raise the injured part above heart level to reduce swelling and drain blood and fluid from the area.
- 82. AED (Automated External Defibrillator) What is an automated external defibrillator (AED)? An AED is a device about the size of a laptop computer that analyzes the heart's rhythm for any abnormalities and, if necessary, directs the rescuer to deliver an electrical shock to the victim. This shock, called defibrillation, may help the heart to reestablish an effective rhythm of its own.
- 83. AED (Automated External Defibrillator) How does an AED work? An AED is easy to operate. It uses voice prompts to instruct the rescuer. Once the machine is turned on, the rescuer will be prompted to apply two electrodes provided with the AED to the victim's chest. Once applied, the AED will begin to monitor the victim's heart rhythm. If a "shockable" rhythm is detected, the machine will charge itself and instruct the rescuer to stand clear of the victim and to press the shock button.
- 84. AED (Automated External Defibrillator) AEDs are required to be in most large public buildings. Such as malls, schools, and stadiums.
- 85. Splints A material or device used to protect and immobilize a body part. A splint should be used only if it can be applied without hurting the victim. Two Types of Splints Soft splints are made from blankets, towels, sheets, or bandages. Rigid splints are made from rolled-up newspapers or boards.
- 86. Appling Splints Attempt to splint the injury in the position you find it. Make sure it is not too tight! On Fractured Bones Must include the joint above and below the injured bone. On Injured Joints Must include the bone above and below the injured joint.
- 87. Slings Isa wide piece of cloth looped under an inured arm for support. Example: Triangular Bandage
- 88. Treatments for Common Injuries
- 89. Types Bleeding Wounds Bruise Isa wound blood vessels cause bleeding under the skin. Incision Isa cut caused by a sharp-edged object, such a razor, scissors, broken glass. Laceration Isa cut that causes a jagged or irregular tearing of the skin.
- 90. Types Bleeding Wounds Abrasion AKA a scrape, is a wound caused by rubbing or scraping away the skin. Avulsion Is a wound in which skin or other body tissue is separated or completely torn away from the body. Puncture Isa wound produced when a pointed instrument or projectile pierces the skin. The risk of infection is high with this type of wound.
- 91. Controlling Bleeding What is the procedure for controlling bleeding that we covered last class?
- 92. Shock Isa dangerous reduction in blood flow to the body tissues. Signs of shock includerapid, shallow breathing; cold, clammy skin; rapid, weak pulse; dizziness; weakness; and fainting. What is the treatment for shock that we covered last class?
- 93. Fractures Isa break or crack in a bone. Two Types Open Fracture There is also a break in the skin. Closed Fracture There is no break in the skin. Treatment Treat for bleeding and shock, splint the injury, apply ice.
- 94. Dislocations Isthe movement of a bone away from its joint. Treatment Splintabove and below the dislocated joint, apply a cold compress. Never try and set a dislocation!
- 95. Sprains and Strains Sprain is an injury to the ligaments, tendons, and soft tissue around a joint caused by undue stretching. Strain is an overstretching of muscles and/or tendons. Treatment Apply the RICE treatment.
- 96. Weather Related Injuries HeatCramps are painful muscle spasms in the legs and arms due to excessive fluid loss through sweating. Treatment have victim rest in a cool, shaded area; drink cool water; and stretch stiff muscles. HeatExhaustion is extreme tiredness due to the bodys inability to regulate its temperature. Treatment have victim lie down with feet elevated in a cool, shaded area; give cool water to drink.
- 97. Weather Related Injuries Heat Stroke is an overheating of the body that is life-threatening. Sweating ceases, so that the body cannot regulate its temperature. Treatment have victim lie in cool, wet towels or sheets; place ice backs near the neck, armpits, and groin.
- 98. Weather Related Injuries Frostbite is the freezing of body parts, often the tissues of the extremities. Treatment do not attempt rewarming; handle the affected area carefully and try to keep it warm. Hypothermia is a reduction of the body temperature so that it is lower than normal. Treatment move the victim to a warm environment; remove any wet clothing; cover their head with blankets.