Assesing A Casualty Vital Signs

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ASSESING A

CASUALTY :
VITAL SIGNS
PREPARED BY:

CIEDELLE HONEY LOU DIMALIG- GAPASIN,RN, MAN, ED.D.


When treating a casualty, you
may need to assess and monitor
his breathing, pulse, and level of
response.
LEVEL OF RESPONSE
You need to monitor a casualty’s level of
response to assess her level of
consciousness and any change in her
condition.
Any injury or illness that affects the brain may
affect consciousness, and any deterioration is
potentially serious.
Assess the level of response using the
AVPU scale (right) and make a note of any
deterioration or improvement.
A—Is the casualty Alert? Are her eyes open and does she
respond to questions?
V—Does the casualty respond to Voice? Can she answer
questions and obey commands?
P—Does the casualty respond to Pain? Does she open her
eyes or move if pinched?
U—Is the casualty Unresponsive to any stimulus (i.e.
unconscious)?
BREATHING
• When assessing a casualty’s breathing,
check the breathing rate and listen for any
breathing difficulties or unusual noises.
• An adult’s normal breathing rate is 12–16
breaths per minute;
• In babies and young children, it is 20–30
breaths per minute.
BREATHING
When checking breathing, listen for
breaths and watch the casualty’s
chest movements.
For a baby or young child, it might be
easier to place your hand on the
chest and feel for movement of
breathing.
Record the following information:
■ Rate—count the number of breaths per minute.
■ Depth—are the breaths deep or shallow
■ Ease—are the breaths easy, difficult or painful?
■ Noise—is the breathing quiet or noisy, and if noisy,
what are the types of noise?
• Checking a casualty’s
breathing rate
• Observe the chest movements
and count the number of
breaths per minute. Use a
watch to time breaths.
• For a baby or young child,
place your hand on the chest
and feel for movement.
PULSE
• Each heartbeat creates a wave of
pressure as blood is pumped along the
arteries.
• Where arteries lie close to the skin
surface, such as on the inside of the
wrist and at the neck, this pressure wave
can be felt as a pulse.
• The
normal pulse rate in adults is 60–
100 beats per minute.
• The
rate is faster in children and may be
slower in very fit adults.
• Anabnormally fast or slow pulse may
be a sign of illness.
• The pulse may be felt at the wrist (radial pulse),
or if this is not possible, the neck (carotid pulse).
• Inbabies, the pulse in the upper arm (brachial
pulse) is easier to find.
• When checking a pulse, use your fingers(not
your thumb) and press lightly against the skin.
Brachial pulse Radial pulse Carotid pulse
Place the pads of two Place the pads of two or Place the pads of two fingers
fingers on the inner side three fingers below the in the hollow between the
of an infant’s upper wrist creases at the base of large neck muscle and the
arm. the thumb. windpipe.
BODY TEMPERATURE
• Although not a vital sign, low or high body temperature may be an
important indicator of a life-threatening problem.
• Normal body temperature is 98.6°F (37°C) but can be slightly higher or
lower.
• A temperature above 100.4ºF (38ºC) is usually caused by infection, but
can be the result of heat exhaustion or heatstroke.
• A lower body temperature may result from exposure to cold and/or wet
conditions—hypothermia.
Ear sensor
Digital thermometer Place the probe inside the
Used to measure temperature Forehead thermometer ear. Press the
under the tongue or in the A heat-sensitive strip for use on measurement key wait
armpit. a small child. Hold against the for a beeping sound, then
Leave it in place until it makes a child’s forehead for about 30 read the display. This
beeping sound (about 30 seconds. The color on the strip thermometer can be used
seconds), then read the display. indicates temperature. while a person is asleep.
THANK YOU
QUIZ
1. THE NORMAL RATE OF RESPIRATION FOR ADULTS

2. THE NORMAL RATE RESPIRATION FOR PEDIATRICS OR CHILDREN

3 – 6. WHAT TO RECORD IN ASSESSING THE RESPIRATION

7. NORMAL PULSE RATE OF ADULTS

8.-9. AREAS TO CHECK THE PULSE

10- 14. HOW TO ASSESS THE MENTAL STATUS OF PATIENT?

15. A lower body temperature may result from exposure to cold and/or wet
conditions is called _______________________.

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