Substance Misuse & Abuse

Many substances, such as alcohol, drugs and even medications can be used improperly. When these substances are misused or abused, they poison the body. Some people may unfortunately be exposed to these chemicals while attempting to help, as many illicit substances can be absorbed through your skin. As medical technology advances so does our ability to counteract these situations, consult your local medical centers for information on “Rehabilitation, Addiction and local protocols on medications that can help counteract drugs.

“Never attempt to help a casualty of substance misuse & abuse with your “bare hands“, always ensure your Personal Protection Equipment is on before you help. Avoid secondary exposure as you may suffer adverse effects if you come into contact with the substance”

Common illicit Substances:

  1. Stimulants
  2. Hallucinogens
  3. Depressants
  4. Designer Drugs
  • STIMULANTS – Stimulants affect your brain and nervous system to speed up physical and mental activity “Speed” Many stimulants are taken as pills, but some can be absorbed or inhaled.
  • HALLUCINOGENS – Hallucinogens cause changes in mood, sensation, thought, emotion, and self-awareness “Shrooms, Fentanyl” They can cause intense fear, panic, paranoid delusions, vivid hallucinations, deep depression, tension and anxiety.
  • DEPRESSANTS – Depressants send signals to your brain and nerves that slow down physical and mental activity. “Alcohol, THC” They make you drowsy and impair your coordination and judgment, alcohol is the most widely used and abused depressant in Canada.
  • DESIGNER DRUGS – Designer drugs do not fit into any of the categories mentioned above, they are chemically altered versions of medical drugs, such as “narcotics” and “amphetamines”. The effects can be unpredictable and dangerous. One of the more commonly used designer drugs is “Ectasy“.
  • ALCOHOL POISONING – Alcohol impairs your judgment, slows down your reflexes, and makes driving unsafe. Just two drinks in less than an hour can create unsafe levels of alcohol in the blood of an average 72.5 kilo / 160 lb person. “Don’t Drink & Drive

What to watch for:

Like other poisons, the general signs and symptoms of substance misuse and abuse are similar to those of other medical emergencies.

  • Moist or flushed skin, Sweating, chills or fever, nausea or vomiting, changes in breathing, seizures, changes in level of consciousness, altered mental status, hallucinations, low body temperature

Prevention:

Many people trapped within the world of substance misuse and abuse are seeking shelter within the sensation they achieve after they use. The temporary relief they get from their current situations is what drives them to continue to use, they see it often as a way to alleviate the symptoms of their “pain, anxiety, depression, past trauma” or even to blend in with the crowd “Peer pressure” is also a common reason why some may be trapped within the use of illicit substances.

Drug prevention programs are readily available in all country’s around the world and offer a wide range of help for those who may be affected. The Naloxone Project is a project sponsored by Health Canada to help stem the flow of overdoses associated with “Fentanyl“, for more information on how to help visit your local medical center or drugs and addictions counseling center.

How to help with Substance Misuse & Abuse:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / CirculationREMEMBER – Wear gloves if available to avoid bodily fluids or powdered chemical on their clothing / skin.
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, the person is allergic or the injured persons life could be at risk. “911 will link you to the Poison Control Center if you do not have the number.”
  3. Care for the Substance Misuse & Abuse by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person

  • If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.
  • While you wait for an Ambulance:
  • a) You do not need to know exactly what substance the person has taken, just keep an eye on “Breathing / Skin Color / Temperature / Sweating / Behavior.
  • b) Provide continual care and “Never” endanger yourself, some victims of substance misuse & abuse may become combative and will be unaware of who you are even if they know you well.

While you wait for an Ambulance:

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

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Animal Bites

Each region of the world has its own unique form of predator and prey animals. For this portion lets focus on some basic animal types that you can find in many regions of the world. “Remember” never assume an animal you randomly encounter is tame, animals within parks are wild and should be treated as such. Your personal safety and safety of others around you is the most important thing when dealing with wild animals or animals that attack humans. Be safe, Be aware, Be loud, many animal attacks in the wild occur due to a startled animal that is unaware of your presence.

Common Predatory animal types that you may encounter:

  1. K9, Dog, Wolf, Fox, Coyote
  2. Feline, Cat, Puma, Linx, Bob-Cat, Cougar
  3. Bear, Brown, Black, Kodiak, Grizzly
  4. Snake
  5. Marine Life

What to watch for:

  • Predator Type “Land” :Normally Carnivores / Omnivores – Posturing, growing, swiping at the ground, hissing or following you just out of sight or within a wooded area, these universal signs are of a predatory animal that is either intimidated by your presence, or is stalking you to determine if you are food.
  • Prey Type “Land”: Normally Herbivores – Hoof stamping, posturing, raised back with hissing, snorting, spitting or loud calls, may charge with head down. These universal signs are of a prey animal that is attempting to defend itself or its young.

Prevention:

When you are in a wooded, grassy or abandoned area:

  • Be loud, clapping of hands, talking loudly will help other animals know you are in the vicinity.
  • Be seen, wear brightly colored clothing that is easy to spot.
  • Be aware, consult your local fish and wildlife association before going into an unfamiliar wooded area, knowing the dangers can help you avoid them.
  • Don’t keep food on you while in wooded areas or camping, keep all food stores in a locked box away from your camp site in case predators are attracted.
  • If you have pets that go outdoors, be aware that smaller pets can be seen as food for larger predatory animals and may be taken. Keep an eye on your pets and be aware of the local Predators within your region
  • Never approach an unfamiliar animal
  • Animals in parks are not tame
  • Animals with collars are “Tagged” for research purposes and should be avoided as they me be a nuisance animal that has been tagged so that they may be removed from populated area’s.
  • The animal may seem calm, but keep your distance, getting to close may make the animal react to defend itself.

Stings from Marine Life:

“Know the water you are swimming in and stay away from stinging marine life”

Watch for – Pain, Rash, Redness, Swelling

  • How to help: While wearing gloves, remove any tentacles or pieces of the animal. Wash the area with vinegar for at least 30 seconds, if vinegar isn’t available use a mixture of baking soda and water “Make the consistency like toothpaste” and leave it on the area for 20 minutes. Then immerse the affected are in “hot” water “as hot as patient can tolerate” for 20 minutes or as long as the pain persists. ‘Do not Rub the area”. Scrape or shave the are with a razor or the edge of a knife, put a cold pack on the area for the first hour to reduce the pain “Seek Medical Attention” to verify that the bite / sting was non toxic.

Snakebites:

“Do not aggravate a snake, if out hiking watch where you are stepping, wear proper footwear when hiking”

Watch for – Intense Pain, Burning, red raised tender skin that blanches at the puncture site, liquid seeping from the wound.

  • How to help: Keep the injured site still and lower than the heart if possible. “Seek Medical Attention Immediately” by calling 911, if you have a physical description of the snake, report it to EMS personnel because it may help them provide the best treatment. Check the temperature and color of the limb beyond the site of the bite and note if it is abnormally cold or warm compared to the other limb. Report this to EMS personnel.

MYTH BUST:

  • NEVER – Apply ice, cut the wound “blood letting“, apply suction “Sucking it out“, apply a tourniquet to a snake bite. These myths will make the injury worse and can cause serious harm.
  • NEVER – Urinate on a wound, this may cause more pain and lead to further infection with psychological trauma.

How to help with animal Bites:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / Circulation” REMEMBER – Wear gloves if available to avoid bodily fluids or venom.
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, the person is allergic or the injured persons life could be at risk. “911 will link you to the Animal Control Center if you do not have the number.”
  3. Care for the animal Bite by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person”

  • If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.
  • a) Try to get the person safely away from the animal without injuring yourself. Make loud noises and get other people to help if available “Strength in numbers”
  • b) Never try to “Capture the animal” this may endanger yourself
  • c) If the wound is minor, wash it with soap and water, control any bleeding and put a dressing on the wound. Watch for signs of infection.
  • d) Seek medical aid, all animal bites and stings should be checked by a physician to ensure no infection is present and that the patients psychological well being is maintained. Being attacked by a wild animal can be traumatic.

While you wait for an Ambulance:

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Poisons #AnimalBites #AnimalAttacks #FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #AnimalBiteFirstAid