Use of Aspirin in Chest Pain

As-Salam-o-Alaikum Respected Readers,

Today we will update you on “Use of Aspirin in chest pain (sign of cardiac arrest)”.

Use of Aspirin while suffering with chest pain was not addressed in 2005 guidelines but it is now included in the latest guidelines.

Courtesy to American Heart Association (AHA) for sharing with us that evidences from two large, randomized studies clearly demonstrated that the administration of aspirin within the first hours of onset of chest discomfort in people with acute coronary syndromes reduced mortality.

Let see how it is drafted in the latest guidelines.

2010 Guidelines: “While waiting for EMS to arrive, the first aid provider may encourage the victim to chew 1-adult (not enteric coated) or 2 low-dose baby aspirin if the patient has no allergy to aspirin, other contraindication to aspirin, such evidence of a stroke or recent bleeding.”

It is very clear from the above excerpt that first aid provider may encourage and not states that he/she should himself/herself can administer (if semi-conscious then it is already late for this). Meanwhile, first aid provider should also (if appropriate) ask patient of any allergy to aspirin or other contraindications if he/she knew and could be of great help for EMS personnel as well.

To Your Success,

Faisal Javed Mir

Posted in First Aid CPR and AED | 1 Comment

Modified Recovery (HAINES) Position

Today we will update you on “Modified Recovery Position” which is named as “HAINES”; High Arm IN Endangered Spine.

As we all know that there are lot of conditions associated before to take decision to put victim in recovery position. As a general rule a victim should not be moved, especially if you suspect, from the victim’s position or the nature of the injury, that the victim may have a spinal injury BUT as a real time situation dictates you to do so in a way your or victim’s life in in danger then place the victim in a modified High Arm IN Endangered Spine (HAINES) recovery position. The step by step guide to do so is:

1:- The casualty’s arm should be fully raised by ‘rotating it outwards’ to ensure it is beside the casualty’s head. This is achieved automatically by ensuring the palm is facing upwards.

2:- The casualty’s upper limb to be placed across the chest, with fingers pointing to the opposite shoulder.

3:- Bend the casualty’s nearest lower leg at the knee.

4:- The rescuer’s hand is then placed under the hollow of casualty’s neck and head to provide stabilisation.

5:- The casualty is then carefully rolled away by the rescuer, by simultaneously pushing on the casualty’s nearest shoulder with the first aider’s forearm of the stabilising hand and the casualty’s flexed knee ensuring large casualty’s do not roll into the prone position.

6:- Whilst still supporting the head and neck, place the hand of the casualty’s upper arm ‘Palm down’, placing the fingers under the Armpit of the underarm. As soon as the hand from the upper arm is placed into the armpit, ensure the Forearm is flat on the surface and is position at 90 degrees to the body. When the casualty is positioned on their side, check the airway and if required, clear with the face turned slightly downwards to permit drainage from the mouth.

We look forward to your comments (if any).

For Your Safety,
Faisal Javed Mir & First Aid to Save a Life

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We lack mindset in safety

As-Salam-o-Alaikum Respected Readers,

It is not 100% false or untrue if I say that we lack mindset in personal safety and proactive approach.

Most of the developing nations have their statistical departments working, to use their resources effectively and rather spending on reactive management like giving free (or subsidized) medicines or allocating budget to deal with hospital emergencies etc. They do investments in avoiding accidents by creating awareness through media, community centers, regulatory departments, managing industrial statistics effectively and penalizing employers, enforcing/convincing personal safety at work and guiding nation while legislation to protect human resources etc.

But unfortunately in Pakistan we lack a mindset in personal safety and proactive approach. We do not have our statistics right as we don’t know what happened in last three to four years. As the statistics released by Pakistan Statistical Bureau are three to four years behind due to any reasons those are not acceptable at all and not of any benefits to our nation. How can we correct things when we don’t know what went wrong in last one or two years. But in Pakistan we don’t know what went wrong in last 3 to four years.

“What gets measure; get done.”    

Below are some of the excerpts from Pakistan Statistical Year Book 2010. After seeing these you can image what is going wrong and where it leads!

 

So, in traffic accidents our Statistical Bureau has data up to 2008-2009. Hence we missed data for 2009-2010. This might does not look bad to some of you but see other countries have their bi-annually and even in some countries every quarter.

 

Oops this time we don’t have record for 2008-09 & 2009-10. So how come we say how much jobs are required by un-employed Pakistanis?

 

Sorry, we don’t know what happened after 2003 onward to date.

 

 

What is there nothing to present after 2002? But still mining and extraction work is in progress!

 

Now see the most dreadful acknowledgement of Statistics of Bureau in below note.

 

Let me remind to you that the above excerpt is from the Statistical Year Book of 2010 which was released in April 2011. From this you can understand the gravity of matter that we don’t know how much lives we have lost during 2009 and 2010 at work.

I remembered one of my instructors told me that the policies, standards and work instructions we have are written with the blood of our ancestors. I must say that they suffered, sacrificed their lives to our safety and we should look after not only ourselves but our colleagues and community where we live and work and to pay tribute to them while following what our system demands.

Let us share how you prepare occupational health and safety statistics in your company and how often. How and to whom you deliver the statistical data and how to allocate your budget to control what went wrong.

 

To Your Success,

Faisal Javed Mir

 

 

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Classroom CPR Vs Online CPR

As-Salam-o-Alaikum Respected Readers,

Our today’s post on Online CPR Training Class Vs Conventional Classroom CPR Training is very important to understand as many of the training providers in market are offering online CPR training courses and they issue certificates to participants as well.

First Aid to Save a Life Pakistan recommends such practices for informal learning, to create awareness, to engage students in practicing more and more; to encourage them while online practices on low risks involved if you do hands-only CPR etc. But First Aid to Save a Life Pakistan is not in favor of online CPR class and then certifies and issue certificates to participants as it is not recommended by American Heart Association. We at First Aid to Save a Life Pakistan have clear understanding of the matter and have given our words and commitment in our “Practical Skills and CPR Training” policy. Below are some of the extracts from our policy document on this issue.

“It is the policy of First Aid to Save a Life Pakistan that CPR learning curriculum’s which ignore the importance of associated physical skills practice are not adequate to meet the reasonable performance measure and should be avoided. ………………………………………………… ……………………………………………………………………………………………………..

Henceforth, First Aid to Save a Life Pakistan will not issue a certificate to those participants who have completed only theory part of any training course and have not participated in practical skills necessary to achieve reasonable outcome.”

First Aid to Save a Life Pakistan also offers blended training courses but there is mandatory requirement that every student have to appear for practical (physical) skill assessment before authorized instructor and will get completion certificate only if he demonstrates correct use of life saving skills. Instructor will also allow them time and chances to clear their misunderstandings and re-appear there required to do so.

With this we would like to quote here the extracts from American Heart Association’s latest guidelines released in October, 2010.

“Methods to improve bystanders willingness to perform CPR include formal training in CPR techniques, including compression-only (Hands-Only) CPR for those who may be unwilling or unable to perform conventional CPR; educating providers on the low risk of acquiring an infection by performing CPR; and specific training directed at helping providers overcome fear or panic when faced with a actual cardiac arrest victim.”

American Heart Association further states in the below paragraph about the role of EMS in an emergency situation and transfer of instruction to untrained bystanders which unfortunately some of the training providers misunderstood and claiming that there is no harm in online CPR training classes which we and most of other training providers did not see in below paragraph.

“EMS should provide dispatcher instruction over the telephone to help bystanders recognize victims of cardiac arrest, including victims who may still be gasping, and to encourage bystander to provide CPR if arrest is likely. Dispatchers may also instruct untrained bystanders in the performance of compression-only (Hands-Only) CPR.

With above AHA also stated in their same document, “BLS skills can be learned equally well with practice while watching (video-based) training as through longer, traditional instructor-led courses”.

Along with above AHA also recommends, “BLS courses should include periodic assessment of rescuer knowledge and skills with reinforcement provided as needed”.

Now how one can pass on reinforcement feedback when two (trainee and instructor) of them are not present at one scene? How one can go for periodic assessment sessions? Etc.

First Aid to Save a Life Pakistan wanted to clear misunderstanding in Pakistan on this issue and have posted this to answer all the misconceptions with references from latest guidelines released by AHA in October 2010.

We will look forward to you for your words on online CPR class vs traditional CPR class and appreciate if you positively take part in our upcoming survey on this subject.

To Your Success,

Faisal Javed Mir

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An independent survey backs usefulness of first aid kits

As-Salam-o-Alaikum Respected Readers,

We hope that you are finding our posts regularly and we will do our best to continue this service to you. Today we would like to share with you the results of an independent survey conducted in the United States of America. The survey was conducted by Harris Interactive® on the usefulness of first aid kits/cabinets in workplaces.

This telephone based survey was conducted in March-April this year targeting the adults and older. 68 percent of those surveyed said they would be more productive at work if provided access to a first aid kit or cabinet.

The senior director of the company said that the results of this survey has put more emphasis on the first aid kits/cabinets and largely related it to the overall productivity as well. He further stated that the increasing number of absences due to employee illness further makes the case for on-site first aid kits or cabinets in the workplace. He further added that ensuring that employees are equipped with the first aid supplies necessary to combat minor illness and injury in the workplace is essential to maximizing productivity and reducing costs for businesses.

Survey results included these:

  • 88 percent of those surveyed agreed employers should be required to provide a first aid kit or cabinet at each office or workplace;
  • 74 percent of employed adults think employers should be required to provide at least one at each work site.

The common cold is the leading cause of missed workdays, resulting in an average loss of 8.7 work hours per cold episode, which cited for the estimated economic cost of lost business productivity due to the common cold as approaching $25 billion, most of which is attributed to on-the-job productivity loss.

I would like to mention one example from my personal experience where employer was keen to distribute helmets and personal first aid kits to their employees in every Friday meeting based on their inputs of hazard identification reports in a week time. I have observed remarkable improvement in their approach towards personal safety through this incentive program. I hope someone may want to implement this idea in their company as well.

Also, see our earlier post on “Summary of achievements of first 10 years of 21st century” as well.

To Your Success,

Faisal Javed Mir

Posted in Effects of extreme temperature, First Aid, First Aid and CPR, First Aid CPR and AED, First Aid Training Programs, Industrial News, medicine information | Tagged , , , , , | Leave a comment

How to be an effective course participant?

As-Salam-o-Alaikum and very warm welcome to All,

We often come up to situations where we regret why I decided to participate in this training session or even we analyze that this training didn’t proved to be worth for me. But very less often we prepared ourselves before the upcoming training session for ideas, questions and sketch our plan how to go for course and setting an objective to meet after this training.

Today, we will look into this that how someone can chalk his pre-training plan and focus to be an effective participant who ends in great learning session.

Do you have any question(s)?

No. Why not? How come you are coming to attend a training session and you don’t have any question in mind? Your surely have but you didn’t consider it worth to write it before going to class you don’t miss it during the class. So often participant don’t write their question well before the training session and think they can get maximum from the session because they think they are very attentive and nobody can be 100% attentive during the whole session. I am not wrong it is proved with the help of independent research studies that people often lost attentiveness and their conscious mind if they listen or see something (someone) for longer than 3 minutes. Hence, we may lost what we want to ask so why not to write the questions in your mind before going to real training.

 Do you listen carefully?

Try hard to get the other persons point of view. Don’t accept ideas which seem unsound but remember: on almost every question there are several points of view. So be patience, listen carefully and learn from the experiences of other participants as well.

Don’t monopolize. Do you?

Don’t speak for more than 1 to 2 minutes or so at a time. Make your point in a few words, then give someone else a chance. Don’t make a speech as others may involve into longer discussion and main topic is left behind (a good trainer or instructor will never let this happen).

Don’t shy and why now when you have already decided once to learn/practice!

Don’t let yourself discourage from asking questions. If you didn’t understand, say so. Ask questions and remember: “my strength is made perfect in weakness.”

Disagree but in a friendly manner.

If you didn’t like any idea or comment or thinking of trainer or any other participants from class then it is good to say so but in a friendly manner. Avoid win-loss contests as I have heard that “attitudes are contagious” and you don’t want to be everyone in the class to be in a same role so disagree in a friendly manner.

“If you don’t like something change it; if you can’t change it, change the way you think about it”.

Being a volunteer student is much of learning experience.     

If there is a need of volunteer in class for demonstration of any technique then you should be the first to grab the opportunity. It could be very good learning experience. Give yourself more and more chances to learn directly from the instructor.

How you plan for lunch session during trainings?

Are you one of those who take care of public relations more than their lunch? If not then it is really good but eat wisely as the session after the lunch may be very sleepy or difficult to pay attention on lectures. Now it is the time to change your seat, make new neighbors and change the seating position as well as angle. Tell this to instructor of class before doing this and tell him the reason.

When this training session will end?

The training session will only end for you when you ask yourself, “what I have learnt and how much I have contributed in the course?” Now if you are satisfied with the answer of your question and your colleagues can notice the change then you can, you can’t relax as you have to share your experience with them, but you consider yourself a winner.

In the end remember only one thing before going to any training session, “failure to plan is planning to fail”.

To Your Success,

Faisal Javed Mir

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Electronic Media Creating Awareness on Life Saving Techniques BUT not in Pakistan!

As-Salam-o-Alaikum and Welcome Respected Readers,

Today, we would like to bring to your notice what foreign media has done to create awareness on life saving techniques from their films, tv shows, morning shows & tv series.

Some of the names where these techniques were demonstrated are:

Jurassic Park;

Mrs. Doubtfire;

What about Bob?;

Jack and Charlie;

Casino Royale;

The Sandlot; &

many other tv shows and tv series names.

I remember one quote which suits the above situation.

“Education is the cheap defense of nations”.

In Pakistan we lack here as well but efforts were made by some of the channels only after the 2005 earthquake but those were not enough as maximum efforts were made by private channels those have viewership but not penetration as national tv channel have.

“Not Failure, but low aim, is crime”.

I hope we will not stay less fortune as we were in the past and other mediums will also contribute to create awareness on these techniques; those if implemented precisely (not 100% correctly and efficiently) will also be beneficial to save a life!

We at First Aid to Save a Life Pakistan will also trying hard and doing our part with the community training programs we have to create awareness for schools, colleges & universities students.

To Your Success,

Faisal Javed Mir

Posted in Advanced First Aid, Basic First Aid, CPR and AED, Effects of extreme temperature, First Aid, First Aid and CPR, First Aid CPR and AED, First Aid Training Programs | Tagged , , | Leave a comment

A Comparison between Our and Other Providers Training Programs

As-Salam-o-Alaikum and Welcome Respected Readers,

Today, First Aid to Save a Life Pakistan want to show you the difference between our training programs and the programs offered by other training providers in local market.

We have prepared one short presentation on this for your information and sooner will upload a video where we show you our original course book and other facilities, so you can imagine our commitment and dedication towards quality of education and services we offer to you.

We will be please to reply if you have any comments.

To Your Success,

Faisal Javed Mir

Posted in Advanced First Aid, Basic First Aid, CPR and AED, First Aid, First Aid and CPR, First Aid CPR and AED, First Aid Training Programs, Industrial News | Tagged , , , , , | 1 Comment

Do you have an AED program in your organization?

As-Salam-o-Alaikum Dear Readers,

First Aid to Save a Life Pakistan is doing their best to create an awareness on Sudden Cardiac Arrest and AED programs at masses level. Due to the lack of information and deficiencies in regulations, organizations don’t intent to follow or adopt to a current or upcoming situations where physically they don’t see losses as they don’t have proactive approach and only favors reactive management. But First Aid to Save a Life Pakistan will continue with the same courage and spirit but with more coordinated and well esteemed professionals to pass on the message, what Sudden Cardiac Arrest is and why AED program is necessary or how it can prove to be beneficial for companies and their workforce.

We will say a lot with more details on this but at the moment we would like to collect some facts to plan our future actions and will appreciate your kind participation and refer this survey link to others in Pakistan to have accessibility to maximum number of persons and/or organizations.

To Your Success,

Faisal Javed Mir

Posted in Advanced First Aid, Basic First Aid, CPR and AED, First Aid, First Aid and CPR, First Aid CPR and AED, First Aid Training Programs | Tagged , , | Leave a comment

Worthy to issue an alert on “Hyperthermia”.

As-Salam-o-Alaikum and welcome all,

With the approach of summer, different health and safety organizations release some precautionary alerts on hyperthermia. In our today’s post we will throw some light on it.

Summer can bring heat waves with unusually high temperatures that last for days and sometimes weeks. We very often forget about children, those may be at risk during hot weather as it is heightened for children left alone in vehicles. Hyperthermia (heat-stroke) is the leading cause of non-crash vehicle deaths for children under the age of fourteen. As there are no regulated facts available in Pakistan so very often we don’t come up with preparation about these things because we were never told by city, provincial or federal governmental organizations about the health related statistics and we are less fortune that not a large number of independent NGOs are working in this regard those record such events and tell us some facts so we prepare ourselves in time and educate people around us where we live and work.

“The greatest discovery of my generation is that human being can ALTER his LFIE by ALTERING his ATTITUDE.”

Excessive heat may injure the skin or deeper tissues, and in extreme cases, may so upset the working of the body that death may ensue.

Our bodies work most efficiently within a normal temperature range of 36-37° C (97-99° F) In order to keep a level temperature the body must retain heat when the environmental temperature is cold and lose heat when it becomes hot.

Body heat is under the control of a temperature control centre (“thermostat”), situated at the base of the brain, which automatically adjusts the mechanisms that keep the balance between heat loss and heat gain. This word is made up of “hyper” (high) and “thermia” from the Greek word “thermes” which is heat.

The proactive organizations do realize what can affect their workforce and issue health alerts to avoid such incidents in their workplaces. Hyperthermia can be one of the subject on which earlier health alert can be shared with workforce and as global warming is increasing so more unusual and extreme weathers can pose some serious health risks to workforce.

First Aid to Save a Life Pakistan can arrange training on this subject for your company. We have

Circadian Rhythm; and

Working in Hot Climate.

Trainings to deal with effects of extreme (hot) temperatures.

Thanks & Best Regards,

Faisal Javed Mir

Posted in Advanced First Aid, Effects of extreme temperature, First Aid Training Programs, hyperthermia | Tagged , , , , , | 1 Comment