07 Nervous System Problems_Tan

7/23/2019 07 Nervous System Problems_Tan

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NERVOUSNERVOUS

SYSTEMSYSTEMPROBLEMSPROBLEMS

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The presentation slides contain herein are proprietary to the St. John A!"lance#The presentation slides contain herein are proprietary to the St. John A!"lance#

Sin$apore and are %or "se only in the &'RST A'( trainin$ co"rses cond"cted !y St.Sin$apore and are %or "se only in the &'RST A'( trainin$ co"rses cond"cted !y St.

John.John. Reprod"ction in any %or prohi!itedRe

prod"ction in any %or prohi!ited. NOT &OR SALE. NOT &OR SALE

St. JOHN AMBULANCE ASSOCIATION SINGAPORE FIRST AID TEACHING SLIDES Compiled by T. !. !HOO "#$%$&


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T)E NERVOUS SYSTEMT)E NERVOUS SYSTEM

This is ade "p o%*

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+entral Ner,o"s Syste

-!rain# spinal cord.Peripheral Ner,o"s Syste-cranial and spinal ner,es.

A"tonoic Ner,o"s Syste

-controls !ody %"nctions /di$estion# !reathin$# etc.

SJAA Nervous System Problems


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'MPA'RE( +ONS+'OUSNESS'MPA'RE( +ONS+'OUSNESS

This is the condition o% a cas"alty 0ho is

anythin$ less than %"lly conscio"s. Assess hisconscio"s le,el !y chec1in$ his response tosti"li -A V P Ucode

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A/ Alert* Eyes open2 Responds to 3"estions2

V/ Voice* Responds to ,oice2 Ans0ers siple3"estions and o!eys coands2

P/ Pain* Opens his eyes or o,es i% pinched2

U/ Unresponsi,e* Unresponsi,e to any sti"li2



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)EA( 'NJURY)EA( 'NJURY

All head in4"ries are potentially serio"s. Ass"e a

cas"alty 0ith head in4"ry ay ha,e a nec1 -spinalin4"ry. There%ore ta1e $reat care.

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Ad,ise cas"alty to see1 edical ad,ice i%*


(ro0siness# headache 0orsens.(ro0siness# headache 0orsens.

+on%"sion5stran$e !eha,io"r# eory loss#+on%"sion5stran$e !eha,io"r# eory loss#,oitin$ episodes set in since the in4"ry.,oitin$ episodes set in since the in4"ry.

)as 0ea1ness in an ar or le$)as 0ea1ness in an ar or le$or speech di%%ic"lties.or speech di%%ic"lties.

)as ,is"al pro!les.)as ,is"al pro!les.

Blood5clear %l"id lea1s %roBlood5clear %l"id lea1s %ronose or ear.nose or ear.

)as "n"s"al !reathin$ pro!les.)as "n"s"al !reathin$ pro!les.


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+ON+USS'ON+ON+USS'ON

The !rain can !e 6sha1en !y a !lo0 to the head.The !rain can !e 6sha1en !y a !lo0 to the head.

This sha1in$ is calledThis sha1in$ is calledconcussionconcussion

..

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Reco$nitionReco$nition


Brie% period o% ipaired conscio"sness.Brie% period o% ipaired conscio"sness.

(i77iness or na"sea.(i77iness or na"sea.

Meory loss# con%"sion.Meory loss# con%"sion.

Mild# $eneralised headache.Mild# $eneralised headache.


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+ON+USS'ON+ON+USS'ON cont8dcont8d

TreatentTreatent

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+hec1 le,el o% conscio"sness.+hec1 le,el o% conscio"sness.

Monitor ,ital si$ns9 0atch o"tMonitor ,ital si$ns9 0atch o"t%or deterioration o% le,el o%%or deterioration o% le,el o%

response.response.

Ad,ise cas"alty to $o to hospital i% heAd,ise cas"alty to $o to hospital i% hede,elops a headache# ,oitin$# con%"sion#de,elops a headache# ,oitin$# con%"sion#dro0siness or do"!le ,ision.dro0siness or do"!le ,ision.

+all ::; %or a!"lance i% he does not+all ::; %or a!"lance i% he does notreco,er %"lly or his le,el o% responsereco,er %"lly or his le,el o% response0orsens a%ter initial reco,ery.0orsens a%ter initial reco,ery.



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+EREBRAL +OMPRESS'ON+EREBRAL +OMPRESS'ON cont8dcont8d

TreatentTreatent

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+all ::; %or a!"lance.+all ::; %or a!"lance.

Steady and s"pport cas"alty8s head.Steady and s"pport cas"alty8s head.

Monitor ,ital si$ns.Monitor ,ital si$ns.

(o not(o notallo0 cas"alty to eat or drin1.allo0 cas"alty to eat or drin1.

'% he !ecoes "nconscio"s# do the'% he !ecoes "nconscio"s# do the

>AB+8 chec1. There ay !e ris1 o%>AB+8 chec1. There ay !e ris1 o%spinal in4"ry.spinal in4"ry.



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SE'?URES 'N A(ULTSSE'?URES 'N A(ULTS

Epileptic sei7"res res"lt %ro rec"rrent# a4orEpileptic sei7"res res"lt %ro rec"rrent# a4or

dist"r!ances o% !rain acti,ities.dist"r!ances o% !rain acti,ities.

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Reco$nitionReco$nition

+as"alty s"ddenly loses conscio"sness.+as"alty s"ddenly loses conscio"sness.

Becoes ri$id# archin$ his !ac1.Becoes ri$id# archin$ his !ac1.

Breathin$ !ecoes di%%ic"lt9 lips $rey


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SE'?URES 'N A(ULTSSE'?URES 'N A(ULTS cont8dcont8d

TreatentTreatent

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Ma1e space %or cas"alty9 reo,eMa1e space %or cas"alty9 reo,epotentially dan$ero"s o!4ects9 note tiepotentially dan$ero"s o!4ects9 note tiesei7"re started.sei7"re started.

Protect his head 0ith so%t paddin$9Protect his head 0ith so%t paddin$9

loosen ti$ht clothin$ at nec1.loosen ti$ht clothin$ at nec1.=hen %it stops chec1 !reathin$ and p"t=hen %it stops chec1 !reathin$ and p"thi in reco,ery position.hi in reco,ery position.

Monitor ,ital si$ns9 noteMonitor ,ital si$ns9 noted"ration o% sei7"re.d"ration o% sei7"re.



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SE'?URES 'N A(ULTSSE'?URES 'N A(ULTS cont8dcont8d

+a"tion+a"tion

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(o not p"t anythin$ in cas"alty8s o"th or(o not p"t anythin$ in cas"alty8s o"th ortry to restrain hi d"rin$ the sei7"re.try to restrain hi d"rin$ the sei7"re.

+all ::; %or a!"lance i%*+all ::; %or a!"lance i%*

)e is ha,in$ repeated sei7"res or is his %irst)e is ha,in$ repeated sei7"res or is his %irstsei7"re.sei7"re.

)e is "na0are o% any reason %or the sei7"re.)e is "na0are o% any reason %or the sei7"re.

The sei7"re lasts ore than ; in. or he isThe sei7"re lasts ore than ; in. or he is

"nconscio"s %or ore than in."nconscio"s %or ore than in.



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SE'?URES 'N +)'L(RENSE'?URES 'N +)'L(REN cont8dcont8d

TreatentTreatent

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Protect the child %ro in4"ry 0ith pillo05so%tProtect the child %ro in4"ry 0ith pillo05so%tpaddin$. (o not restrain the child.paddin$. (o not restrain the child.

+ool the child9 reo,e clothes9 ens"re+ool the child9 reo,e clothes9 ens"replenty o% %resh air. (o not o,ercool hi.plenty o% %resh air. (o not o,ercool hi.

Once %it stops p"t hi in reco,ery position.Once %it stops p"t hi in reco,ery position.+all ::; %or a!"lance.+all ::; %or a!"lance.

Reass"re the child and parents5carer.Reass"re the child and parents5carer.



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SP'NAL 'NJURYSP'NAL 'NJURY cont8dcont8d

TreatentTreatent -+onscio"s +as"alty-+onscio"s +as"alty

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As1 helper to p"t rolled


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SP'NAL 'NJURYSP'NAL 'NJURY cont8dcont8d

TreatentTreatent -Unconscio"s +as"alty-Unconscio"s +as"alty

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'%'% !reathin$!reathin$# contin"e to s"pport his head# contin"e to s"pport his headand 0ait %or a!"lance.and 0ait %or a!"lance.

'%'% not !reathin$not !reathin$# start +PR.# start +PR.

'% needed# t"rn cas"alty "sin$ the'% needed# t"rn cas"alty "sin$ the lo$


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07 Nervous System Problems_Tan

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