Fi AidFirst Aid Mgr Zdeňka Kubíková Thermal Injuries Mgr. Zdeňka Kubíková Bc. Barbora Zuchová and others PreventionPrevention Srnský,2004 Damage of organism as a result of working of extreme temperatures, Damage of organism as a result of working of extreme temperatures, radiation, electric current (including lightning strike) Local burns, scalds, sunburn, , General sunstroke Evaluating of local damage degree and area of damage is important Evaluating of local damage degree and area of damage is important Degrees of burns:Degrees of burns: 1. degree burn1. degree burn 2. degree burn 3. degree burn Degrees of burnsDegrees of burns Fi t dFirst degree burn Second degree burnburn Third degree burn Upraveno dle ,2008 Evaluation Danger of shock Evaluation Danger of shock Child 0 2 2 % 5 %Child 0 2 years 2 % 5 % Adult 16 70 years 20 % Stelzer, 2007 BurnsBurns 1st. and 2nd. degree burn BurnsBurns 3. degree burn BurnsBurns 3.degree burn Burns consecutive careBurns consecutive care First Aid principles technical First Aid First Aid principles a s d dialling of EMS check on vital signsg then care about burned areas cooling down only to 5 % of burned areag y of the body location face, neck, hands, genitals t t t 4 8°Cwater temperature 4-8°C sterile dressing First Aid process extinguish fire, remove clothing (don´t remove any First Aid process g , g ( y clothing that sticks to burn) removal of heat conductors (rings, bracelets etc.) cooling down (cold running water 20 min ) don´t coolcooling down (cold running water 20 min.), don t cool down the whole body! sterile dressing don't break blisters don't lubricate any ointments measures against shockmeasures against shock Doctor visit with all consequential degrees - more than 1%than 1% Sunstroke x SunburnSunstroke x Sunburn Sunstroke Sunburn Hasík, 2004 Sunburn working of sun-rays directly on head and nape Sunburn working of sun rays directly on head and nape local hyperthermia of head hyperthermia oflocal hyperthermia of head, hyperthermia of brain and its covers Symptoms: high body temperature by children convulsionshigh body temperature, by children convulsions, unconsciousness Sunstroke working of closed surrounding environment, Sunstroke working of closed surrounding environment, which is warmer than body temperature (boilerrooms, kitchens etc.) general hyperthermia of organism -> the body can´t cool itselves Symptoms:y p headache, red dry skin, high body temperature, loss of consciousness Sunstroke + sunburn First Aid Sunstroke + sunburn First Aid Lay the casualty down in a cool shaded areaLay the casualty down in a cool, shaded area dialling of EMS check on vital signscheck on vital signs cooling down not on the chest! Electric current accident safety of the rescuer Electric current accident technical First Aid: disconnect lead of electric current First Aid: always dial EMS conscious casualty without obvious signs of i j ld h i d f th h t www.detstvibezurazu.cz injury, could have a serious damage of the heart conscious casualty treatement of the burn, half-sitting position unconscious casualty not breathing start CPR GL 2005 Prevention of high voltage accidents REMEMBER! Prevention of high voltage accidents REMEMBER! Even without direct contact with electric current, life threatening injury could happen (steplife threatening injury could happen (step voltage). Illustrated photo