0 00:00:00.075 --> 00:00:01.825 Flying Doctors Korea Crisis Education - Condition requiring first aid treatment Principles of wound care 1 00:00:01.825 --> 00:00:03.375 #Wound care 2 00:00:03.375 --> 00:00:08.425 (Principles of wound care: cleansing, stopping the blood, disinfection, protection) The principles of wound care are cleansing the wound and stopping the blood 3 00:00:08.425 --> 00:00:11.525 Disinfection and protection can be done at the hospitals 4 00:00:11.525 --> 00:00:18.075 #wound care - wound cleansing Wound cleansing is almost the only method to reduce the risk of infection 5 00:00:18.075 --> 00:00:23.575 The use of disinfectants or antibiotics in a hospital setting has little effect in preventing infections 6 00:00:23.575 --> 00:00:30.375 rinse the wound with flowing water, and if the contamination is severe, using soap to clean the wound is also acceptable 7 00:00:30.375 --> 00:00:36.075 #wound care - techniques to stop the bleeding Direct pressure technique is highly important as a method to achieving stopping of the blood 8 00:00:36.075 --> 00:00:40.675 (direct pressure technique: apply pressure with a clean gauze or towel to achieve the stopping of the blood) It is often advisable to keep the pressure only in the wounded area 9 00:00:40.675 --> 00:00:44.425 Fold a gauze or towel to a size that fits the wound 10 00:00:44.425 --> 00:00:47.275 Apply focused pressure specifically on the wound area 11 00:00:47.275 --> 00:00:51.525 (direct pressure technique: apply pressure with a clean gauze or towel to achieve the stopping of the blood) Direct pressure alone can often achieve stopping within 15 minutes 12 00:00:51.525 --> 00:00:54.425 Elevating the injured area above heart level is recommended 13 00:00:54.425 --> 00:00:59.825 If direct pressure doesn't work, you should use a tourniquet 14 00:00:59.825 --> 00:01:08.075 The tourniquet should be tied once with cloth on the side closer to the heart than the wound, 15 00:01:08.075 --> 00:01:12.675 Wrap a stick on the area, then twist the stick 16 00:01:12.675 --> 00:01:19.325 Secure it with enough pressure that only two fingers can barely pass through 17 00:01:19.325 --> 00:01:21.675 (for blood circulation to the extremities) release every 30 minutes 18 00:01:21.675 --> 00:01:26.425 #wound care - precautions when disinfecting wounds If you want to clean a wound at home, there are three methods : 19 00:01:26.425 --> 00:01:31.775 Hydrogen peroxide, alcohol, povidone-iodine 20 00:01:31.775 --> 00:01:36.425 Remember that disinfectants should never come into contact with the wound 21 00:01:36.425 --> 00:01:41.675 This is because disinfectants are toxic substances that kill bacteria and viruses 22 00:01:41.675 --> 00:01:45.825 If they come into contact with the wound, they can damage cells 23 00:01:45.825 --> 00:01:52.375 Therefore, only use them to clean the surrounding skin of the wound 24 00:01:52.375 --> 00:01:58.375 Use them only to the extent that bacteria cannot enter the wound 25 00:01:58.375 --> 00:01:59.875 The disinfectant effect of alcoholic drinks is minimal 26 00:01:59.875 --> 00:02:03.025 #wound care - bad wound An example of a bad wound would be a case of deep nail penetration 27 00:02:03.025 --> 00:02:07.775 In such cases, self-cleansing and disinfection are not possible, so there is a higher risk of infection 28 00:02:07.775 --> 00:02:09.425 In this case, you must go to the hospital 29 00:02:09.425 --> 00:02:13.274 For diabetic patients, even small wounds can become infected 30 00:02:13.274 --> 00:02:15.974 A crushed wound is also a bad wound 31 00:02:15.974 --> 00:02:20.624 (laceration : an injury were the skin is torn) For example, if you hit your forehead against a flat wall and develop a laceration 32 00:02:20.624 --> 00:02:24.574 If the skin is torn by blunt force on a non-sharp surface 33 00:02:24.574 --> 00:02:28.124 It is a very bad wound, so you must come to the hospital 34 00:02:28.124 --> 00:02:31.924 #wound care - bite wound Whether it’s humans or animals, there are a lot of bacteria in the mouth 35 00:02:31.924 --> 00:02:37.424 Therefore, a bitten wound must be considered a contaminated wound, and you should go to the hospital 36 00:02:37.424 --> 00:02:43.674 #wound care - snake bite wound When bit by a snake, you should never suck out the wound with your mouth 37 00:02:43.674 --> 00:02:50.974 Not only will the venom not be removed, but the person who sucked out the venom can also be exposed to the venom 38 00:02:50.974 --> 00:02:53.374 Incision is also an ineffective treatment 39 00:02:53.374 --> 00:02:57.574 Do not move if possible and keep the wound area lower than the heart 40 00:02:57.574 --> 00:03:00.824 Wrap it lightly and go to the hospital 41 00:03:00.824 --> 00:03:02.824 There is no need to catch the snake 42 00:03:02.824 --> 00:03:05.324 Knowing the type of snake does not change the treatment 43 00:03:05.324 --> 00:03:07.024 Do not attempt to catch the snake 44 00:03:07.024 --> 00:03:11.374 #wound treatment - when stung by a bee When stung by a bee, usually local symptoms occur and disappear 45 00:03:11.374 --> 00:03:13.474 (Local symptoms: swelling, pain, itching, redness) 46 00:03:13.474 --> 00:03:16.574 (Systemic symptoms: nausea/vomiting, dizziness, fainting, fever) However, if systemic symptoms occur, it is an emergency situation 47 00:03:16.574 --> 00:03:20.674 (Acute allergic reaction (Anaphylaxis): if the face swells rapidly within 15 minutes, difficulty breathing or swelling of the eyes occur) This is called Acute Allergic Reaction (=Anaphylaxis) 48 00:03:20.674 --> 00:03:24.774 If the face swells rapidly within 15 minutes or there is difficulty breathing, 49 00:03:24.774 --> 00:03:28.924 or causes swelling in the eyes, you have to head to the hospital as fast as you can 50 00:03:28.924 --> 00:03:34.624 (Emergency measures to take when stung by bees) If there are no systemic symptoms, the bee sting should be removed 51 00:03:34.624 --> 00:03:41.524 In case of honeybees, they die after removing the stinger which has a venom sac at the end of it 52 00:03:41.524 --> 00:03:45.474 Push the stinger out with a plastic card to avoid squeezing the venom sac 53 00:03:45.474 --> 00:03:48.374 (For local symptoms: ice compression /For honeybee stings, use ammonia solution/ For wasp stings, use vinegar or lemon juice) Just for local symptoms, put on ice packs 54 00:03:48.374 --> 00:03:51.324 Apply ammonia solution for honeybee stings and vinegar or lemon juice for wasp stings 55 00:03:51.324 --> 00:03:56.824 (Accompanied by systemic symptoms: To the hospital) However, if there are systemic symptoms, the patient should be rushed to the hospital 56 00:03:56.824 --> 00:04:05.124 (Allergic to bees) If one had a bee allergy, it is safe to prepare an epinephrine product in advance 57 00:04:05.124 --> 00:04:08.124 #wound care - bug bites There is no specific treatment for bites from other insects 58 00:04:08.124 --> 00:04:10.124 Just be aware of infections 59 00:04:10.124 --> 00:04:11.624 #Amputation accidents 60 00:04:11.624 --> 00:04:14.424 Emergency care is essential for any amputation accidents 61 00:04:14.424 --> 00:04:19.924 #amputation accidents - Treatment method Apply pressure to the amputated area to stop the bleeding and cover it with a clean cloth 62 00:04:19.924 --> 00:04:22.774 #Amputation accidents - Looking after the amputated parts It's extremely important to store the amputated body parts 63 00:04:22.774 --> 00:04:30.324 Clean the amputated area and wrap it with a clean cloth or gauze soaked in water 64 00:04:30.324 --> 00:04:32.774 However, if it's overly soaked or too dry it causes cell damages 65 00:04:32.774 --> 00:04:38.174 Wrap it in a damp cloth, put it in a plastic bag, and make it waterproof 66 00:04:38.174 --> 00:04:41.474 Put this entire thing in ice and take it to the hospital 67 00:04:41.474 --> 00:04:46.474 However, make sure the amputated part does not directly touch the ice 68 00:04:46.474 --> 00:04:48.724 #In case of nosebleeds 69 00:04:48.724 --> 00:04:52.624 #In case of nosebleeds - Treatment method Most nosebleeds stop within 30 minutes 70 00:04:52.624 --> 00:04:58.424 Bending the head forward with pinched nose stops the bleeding 71 00:04:58.424 --> 00:05:00.574 #In case of nosebleeds - And what not to do 72 00:05:00.574 --> 00:05:04.724 By swallowing your blood when you tilt your head backward 73 00:05:04.724 --> 00:05:06.924 it will inevitably cause vomiting, so make sure to spit out any blood that flows back to your throat 74 00:05:06.924 --> 00:05:09.124 As vomiting can lead to secondary complications 75 00:05:09.124 --> 00:05:11.324 Also, do not pick or blow your nose 76 00:05:11.324 --> 00:05:14.624 It is recommended to avoid hot drinks 77 00:05:14.624 --> 00:05:19.124 #In case of nosebleeds - when to visit the hospital In case, even if you bend forward and pinch your nose, the bleeding continues 78 00:05:19.124 --> 00:05:22.324 and blood flows backward along the throat, hospital visit is a must 79 00:05:22.324 --> 00:05:25.774 (Anticoagulant: a drug that inhibits the action of platelets involved in blood clotting) If taking anticoagulants or blood thinners 80 00:05:25.774 --> 00:05:28.699 (Anticoagulant: a drug that prevents blood from clotting and coagulating) Or have high blood pressure, it is safe to visit the hospital