NLS Assignment 3 Michael Gillespie.

1.) Given the symptoms, I would treat it as a broken limb. I would communicate with my fellow lifeguards a major first aid, and then signal a bystander to activate EMS. From the first aid kid, I would tie a soft splint to the injured leg. When the splint is finished, I would perform the secondary survey, and treat the boy for shock, as well as administer oxygen. That being finished, I would perform a detailed head-to-toe analysis, and complete a medical report. While waiting for EMS, I would continue to monitor his Vitals and ABCs. 2.) Given the symptoms, I would treat it as symptoms of heat stroke. I would immediately signal a major first aid to other lifeguards, and steer the victim towards a cooler area, and grab a bystander to activate EMS. Once the victim is in a cool area, I would focus on lowering her body temperature slowly, and keeping the victim hydrated (although not low enough for hypothermia levels). I would then treat the victim for shock, monitor her vitals, administer oxygen, and perform a head-to-toe survey to assess for any additional damage. That being done, I would fill out a medical report, and continue to monitor her vitals and ABCs. 3.) I would direct a bystander to call EMS, first of all. Next, I would signal my other lifeguards direct the victim towards a source of clean water (or eye wash station, preferably), and then rinse out the eyes for 10-15 minutes. That being done, I would cover both of his eyes with bandages, administer oxygen, treat for shock, monitor vitals, and perform a head-to-toe survey to assess for additional injury. Next, I would fill out the medical report, and continue to monitor the vitals and ABCs of the victim. 4.) Even though there is no sign of trauma to the head, I would play it safe, and treat it as a spinal injury, perhaps a stroke. I would radio that there was an unconscious victim with a suspected spinal injury, and who's suffered a stroke. I would support the victim's neck/head, and wait for

other guards to come to help and administer the oxygen. While the other guards monitor vitals, perform a head-to-toe, and fill out the forms, I would continue to monitor the ABCs of the victim until EMS arrives. 5.) Given the symptoms, I would treat it as a patient who went into Anaphylactic Shock. I would direct a bystander to activate EMS, while I signal a major first aid to the other lifeguards. I would administer oxygen therapy/oral airway as soon as possible, and (depending on pool policy) would administer an EPIpen if the victim had one for herself. That being done, I would continue to monitor her ABCs, and vitals, and perform a head-to-toe survey to assess for further injury, until EMS arrives. 6.) I would treat this emergency as a diabetic emergency. I would direct a bystander to call 911, and fetch something with sugar (ideally a fruity juice), and I would signal a major first aid to the other lifeguards. As soon as is possible, I would administer oxygen (with oral airway), while the other lifeguards would perform the checking of the vitals, and perform a head-to-toe survey, and fill out the medical paperwork, and I would continue to monitor the ABCs of the victim. (I would just do it myself if other lifeguards were not available) 7.) I would treat it as a penetrating chest wound, given the symptoms of the injury. If the knife were still in place, I would direct a bystander to call EMS, first of all, and then radio to the other lifeguards of the emergency. I would then preform the primary survey, and place a sterile, clean doughnut bandage around the knife wound, and the wrap it up with sterile dressings/bandages. I would then administer oxygen therapy (when it arrives) and assess the victim's vitals, and perform a head-to-toe survey on the victim, and fill out the medical paperwork, and continue to monitor ABCs and the vitals until EMS arrives. 8.) I would treat the child for a third-degree electrical burn, and I would treat the babysitter for shock. I would firstly direct a bystander to call EMS, and then signal other lifeguards of the major first aid. I would treat the more severe of the victims first, therefore I would cover the

burn (and its exit point) with a dry, sterile dressing, and treat the child for shock. I would then treat the babysitter for shock, and then administer oxygen to both victims. After that is finished, I would assess the vitals of the child and babysitter, and perform a head-to-toe on both victims. I would then continue to assess the ABCs and vitals until EMS arrives. (If a second lifeguard arrives to help, you could treat one of the victims at the same time while I treat the other victim). 9.) I would treat this as a case of ingested poison. I would first radio a major first aid to the other lifeguards, and then direct a bystander to call Poison Control Centre. That being done, I would administer oxygen to the victim, and then assess the ABCs and vitals of the victim, and would follow through with a head-to-toe assessment of the victim for further injury. Until further instruction is given (or help arrives) I would continue to monitor the ABCs and vitals of this victim. 10.) I would treat this as an asthma attack, given the history and symptoms. While the other

lifeguard looks for the medication, I would get the women to get out of the pool and sit against a wall (after signalling other lifeguards). I would then either get the emergency oxygen myself, or (hopefully) direct another lifeguard to do so. If the lifeguard was to come with the medication, I would help the victim self-administer the medication. However, if there was no medication, I would grab another bystander to call EMS. I would then treat for shock, then assess the ABCs and vitals of the victim. I would then complete a head-to-toe survey to assess for further injury, and then I would complete the medical paperwork, while still monitoring the victim's ABCs and vitals. 11.) Given the symptoms, and length of time that the gentleman was experiencing chest pain,

I would treat it as a heart attack. I would signal chest pain to the other lifeguards, get a bystander to activate EMS, and then get the victim into a semi-sitting position. After completing the primary survey, I would administer oxygen therapy to the victim, and then treat

for shock, and assess the vitals of the victim, as well as performing a head-to-toe survey to assess for further injury. I would continue to monitor the vitals and ABCs until EMS arrives. 12.) I would signal public relations to the other lifeguards, first of all. Then I would ask the

victim if he feels any sort of tingling on any part of his body (especially his arms and hands). If there was no tingling, then I would just advise him to take it easy from the pool, and if he's really worried, to see a doctor afterwards. However, if there was any tingling, I would direct a bystander to call EMS, and signal a spinal injury to the other lifeguards. I would then treat it as a walking spinal, controlling the victim's movement to lower him against a wall (with the help of a bystander or another lifeguard). I would then treat the victim for shock, administer oxygen, and assess his vitals and ABCs. Then, that being done, I would perform a head-to-toe assessing for further injury, and complete any medical paperwork, while also monitoring the victim's ABCs and vitals. 13.) I would treat this as an object in the eye, given the symptoms. I would signal the other

lifeguards for a minor first aid, and then get the construction worker to attempt to flush the object out again. If that fails again, I would signal a major first aid to the other lifeguards, and I would bandage both eyes so that both were closed. That being done, I would administer oxygen therapy, treat for shock, and then assess his ABCs and vitals. I would then complete a head-totoe to examine for further injury, and then complete any medical paperwork, while continuing to monitor the victim's ABCs and vital signs. 14.) During the victim's seizure, I would signal a minor first aid to the other lifeguards. Then,

during this girl's seizure, I would clear the area of any debris, and put something soft under her head to cushion any impact the head may make with the deck. After the seizure, since she says and is feeling fine, I would recommend her to seek medical attention afterwards, when she is able. 15.) I would treat the victim, given the symptoms, as a mild-moderate hypothermia victim. I

would signal a minor first aid to any other lifeguards, and then I would pull her off to a warmer area of the pool. If her clothing is wet, I would get her to change out of that clothing into dry clothing (if she owns dry clothing). That being done, I would treat her for shock, making sure that she has a blanket to warm her up, as well as giving her oxygen treatment. I would then assess her ABCs and vitals, and perform a head-to-toe survey on the victim, assessing for further injury. Then, I would fill out any medical paperwork, and continue assessing ABCs and vitals until the hypothermia disappears. I would also prompt her to seek medical attention, upon her leaving the pool. 16.) Seeing the child cut himself, I would radio a minor first aid in to the other lifeguards.

Then, I would grab a dry, sterile band-aid that is large enough to cover the injury, after cleaning the cut out (making sure gloves are on), while having the child sit down against the wall (treating for any signs of shock) After that, I would find out if there were any other injuries, and after that, let the child continue swimming if he feels able. 17.) Seeing the child poke his thumb with the locker pin, I would radio a minor first aid to

the other lifeguards. After that, I would simply treat the child for shock, sit him down against a wall, put a band-aid on, and reassure him that everything's going to be alright (along with his parent(s)), after the child has calmed down, I would release him to his parents' care. 18.) I would treat this as a deadly bleed, given the symptoms, and how fast the blood soaks

through the bandage. I would signal a major first aid to the other lifeguards, and direct a bystander to activate EMS. Then (with gloves on), I would continue to put another layer of bandages on when the layer before it is soaked through. By then, the other lifeguard (or myself, if there is no other lifeguard) will have gotten the oxygen ready. I will continue to control the bleeding, while the other lifeguard treats for shock, and assesses the vitals, ABCs, and performs a head-to-toe survey on the victim. The other guard will continue to monitor the ABCs and vitals, while I work on controlling the bleeding.

19.)

I would treat this injury as a flail chest injury, given the circumstances and symptoms.

I would signal/radio a major first aid to the other lifeguards, and then I would direct a bystander to activate EMS, while I would complete the primary survey. If there's another guard, I would direct the guard to retrieve the emergency oxygen for oxygen therapy, while I stabilize the victim as best as possible in a semi-sitting position against the wall. While the other guard administers the oxygen therapy, I would treat for shock, monitor the victim's vitals, ABCs, and perform a head-to-toe survey on the victim, assessing for additional damage. I would then complete any medical paperwork, while still monitoring the victim's vitals and ABCs.