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2. First Aid Training For the Mining Industry

3. Disclaimer/Usage Notes • Photos shown in this presentation may depict situations that are not in compliance with applicable OSHA/MSHA/FHWA requirements. • It is not the intent of the content developers to provide compliance-based training in this presentation, the intent is more to address hazard awareness in the construction and mining industry, and to recognize the overlapping hazards present in many workplaces. • It should NOT be assumed that the suggestions, comments, or recommendations contained herein constitute a thorough review of the applicable standards, nor should discussion of “issues” or “concerns” be construed as a prioritization of hazards or possible controls. Where opinions (“best practices”) have been expressed, it is important to remember that safety issues in general and jobsites specifically will require a great deal of site- or hazard-specificity – a “one size fits all” approach is not recommended, nor will it likely be very effective.

4. Disclaimer/Usage Notes (continued) • No representation is made as to the thoroughness of the presentation, nor to the exact methods of remediation to be taken. It is understood that site conditions vary constantly, and that the developers of this content cannot be held responsible for safety problems they did not address or could not anticipate, nor those which have been discussed herein or during physical presentation. It is the responsibility of the employer, its subcontractors, and its employees to comply with all pertinent rules and regulations in the jurisdiction in which they work. • It is assumed that individuals using this presentation or content to augment their training programs will be “qualified” to do so, and that said presenters will be otherwise prepared to answer questions, solve problems, and discuss issues with their audiences. • Areas of particular concern (or especially suited to discussion) have additional information provided in the “notes” section of slides throughout the program…as a presenter, you should be prepared to discuss all of the potential issues/concerns, or problems inherent in those photos particularly.

5. Securing the scene Before performing any First Aid, Check for: • 1. Electrical hazards • 2. Chemical hazards • 3. Noxious & Toxic gases • 4. Ground hazards • 5. Fire • 6. Unstable equipment

6. Chain of Survival In order for a person to survive: Early Access”911” Early CPR or First Aid You Early Defibrillation EMS on scene Early Advanced Care Hospital Pay attention to: HISTORY; what happened; from the casualty or bystanders SYMPTOMS; what only the casualty can tell you SIGNS; what you can see for yourself

7. Universal Precautions for Airborne & Bloodborn Pathogens HIV & Hepatitis Gloves & Respiratory Barrier devise are a must to prevent transmission of diseases Tuberculosis

8. DURING TREATMENT • avoid coughing, breathing, or speaking over the wound • avoid contact with body fluids • use a face shield or mask with one-way-valve when doing active resuscitation • use only clean bandages and dressings • avoid treating more than one casualty without washing hands and changing gloves • AFTER TREATMENT • clean up both casualty and yourself • clean up the immediate vicinity • dispose of dressings, bandages, gloves and soiled clothing correctly • wash hands with soap and water

9. Fundamentals of First Aid Activate EMS System “911” • 1. ABC(airway-breathing-circulation) • 2. Control bleeding • 3. Treat for Shock(medical emergencies) • 4. Open wounds & Burns • 5. Fractures & Dislocations • 6. Transportation

10. ABC’s Electrical Toxic - Noxious gases Suffocation • Causes of Respiratory/Cardiac Arrest Drowning Heart Attack Trauma Drugs Allergic reactions

11. Reaction Time Oxygenated blood flow must get to brain • If CPR/Artificial respiration is administered • Chance of brain damage 0 to 4 minutes - 4 to 6 minutes - 6 to 10 minutes- 10 minutes + - Recovery rate of victim if has atrificial respiation done immediately

12. A-B-C’s • Establish responsiveness • Use chin lift/head tilt Look.-listen-feel for breathing Attempt to Ventilate Ventilate Every 5 seconds Check pulse Recovery position

13. Cardio Pulmonary Resuscitation • Should be certified to perform this procedure • If done improperly, could harm victim • Courses available through Deep Mine Safety at no cost to mining industry

14. Airway Obstructions open closed Tongue obstructed

15. Heimlich Maneuverfor Conscious Airway Obstruction

16. Types of Bleeding Artery Spurting Steady flow • Veins Oozing • Capillary Internal Injuries

17. Types of Wounds

18. Control of Bleeding Elevation Direct Pressure Pressure bandage Cold Applications

19. Pressure Points Temporal Facial Carotid Where the artery passes over a bone close to the skin Sub-clavian Brachial Radial Ulnar Femoral Popliteal Pedal

20. Tourniquet Absolute last resort in controlling bleeding,Remember Life or the limb Once a tourniquet is applied, it is not to be removed , only by a doctor

21. Shock Shock affects are major functions of the body loss of blood flow to the tissues and organs Shock must be treated for in all accident cases

22. Treatment for Shock • Lie victim down if possible • Face is pale-raise the tail • Face is red-raise the head • Loosen tight clothing • Keep victim warm and dry • Do not give anything by mouth • No stimulants

23. HEAT EXHAUSTION • HEAT EXHAUSTION is caused by exertion accompanied by heat and high humidity. It particularly affects the very young and the elderly. • SIGNS AND SYMPTOMS • pale, clammy skin • profuse and prolonged sweating • cramps in the limbs and/or abdomen • nausea and/or vomiting • headache • lethargy • CARE AND TREATMENT • complete rest in the shade, no further exertion • cool casualty by sponging with tepid water • when nausea passes, give cool water to drink (cautiously) • ensure casualty has assistance when recovered

24. HEAT STROKE • Heat stroke is potentially fatal. In this condition, the body's temperature regulation center in the brain has been rendered inoperable, and the temperature continually rises, causing eventual brain damage. Immediate active intervention is necessary to avoid coma and death. • SIGNS AND SYMPTOMS flushed, hot, dry skin the casualty has ceased sweating rapid, strong pulse (sometimes irregular) irrational or aggressive behavior staggering gait visual disturbances vomiting collapse and seizures coma - death • CARE AND TREATMENT urgent ambulance transport complete rest in shade remove casualty's clothing cool casualty with any means possible be prepared to resuscitate as required nothing by mouth - dehydration is required by intravenous fluids administered by a doctor or ambulance crew

25. HYPOTHERMIA • HYPOTHERMIA is a potentially fatal condition that especially affects the elderly. The body's core temperature has been lowered to the extent that the brain function is impaired and the heart's activity is about to be compromised. Urgent first aid intervention is required. • SIGNS AND SYMPTOMS pale, cold skin - no capillary return when fingernails are pressed slow pulse, sometimes skipping a beat slow, shallow respirations blurred, or double, vision casualty is silent, appears asleep, difficult to rouse; may be unconscious casualty experiences a sense of 'wellbeing' absence of shivering If very cold, may have non-reacting pupils and appear 'death-like' • CARE AND TREATMENT urgent ambulance transport warm casualty slowly, wrap in 'space blanket' or similar if wet, leave less bulky clothing on and warm slowly once casualty commences shivering, reassess heating nothing by mouth until fully recovered be prepared for sudden collapse and resuscitation

26. Diabetic emergencies Find out if victim has past diabetic history • Insulin Shock (Hypoglycemia) • Result of insufficient sugar- Fast onset • Cold clammy skin, pale, rapid respiration's and pulse, incoherent • Treat by giving sugar bases products • Diabetic coma (Ketoacidosis) • Too much sugar or insufficient insulin- Slow onset • Warm, dry skin, slow respirations, smell of rotten fruit on breath • True medical emergency, activate EMS system immediately

27. Snake & Spider bites Rattlesnake Copperhead Black Widow Brown Recluse Limit activity Constricting bandage above Cold application Advanced medical attention

28. Burns Thermal burns Cool application Don’t break blisters Dry sterile dressing, treat for shock Cool application

29. Severe Burns and ScaldsTreatment: • Cool the burn area with water for 10 to 20 minutes. Or use Burn Jel. • Lay the casualty down and make him as comfortable as possible, protecting burn area from ground contact. • Gently remove any rings, watches, belts or constricting clothing from the injured area before it begins to swell. • Cover the injured area loosely with sterile unmediated dressing or similar non fluffy material and bandage. • Don't remove anything that is sticking to the burn. • Don't apply lotions, ointments, butter or fat to the injury. • Don't break blisters or otherwise interfere with the injured area. • Don't over-cool the patient and cause shivering. • If breathing and heartbeat stop, begin resuscitation immediately, • If casualty is unconscious but breathing normally, place in the recovery position. • Treat for shock. • Send for medical attention.

30. Minor Burns and ScaldsTreatment: • Place the injured part under slowly running water, or soak in cold water for 10 minutes or as long as pain persists. • Gently remove any rings, watches, belts, and shoes from the injured area before it starts to swell. • Dress with clean, sterile, non fluffy material. • Don't use adhesive dressings. • Don't apply lotions, ointments or fat to burn/ scald. • Don't break blisters or otherwise interfere. • If in doubt, seek medical aid.

31. Chemical Burns • Treatment: • Flood the area with slowly running water for at least ten minutes. • Gently remove contaminated clothing while flooding injured area, taking care not to contaminate yourself. • Continue treatment for SEVERE BURNS • Remove to hospital.

32. Fractures & Dislocations Must treat for bleeding first Don’t straighten break Treat the way you found it Do not push bones back into place

33. Dislocations The most common dislocations occur in the shoulder, elbow, finger, or thumb. LOOK FOR THESE SIGNS:1. swelling2. deformed look3. pain and tenderness4. possible discoloration of the affected area IF A DISLOCATION IS SUSPECTED...1. Apply a splint to the joint to keep it from moving.2. Try to keep joint elevated to slow bloodflow to the area3. A doctor should be contacted to have the bone set back into its socket.

34. Splints Can be formed to shape of deformity Must be a straight line break Be careful of temperature change

35. HeadInjuries A sharp blow to the head could result in a concussion, a jostling of the brain inside its protective, bony covering. A more serious head injury may result in contusions, or bruises to the brain. OTHER SYMPTOMS TO LOOK FOR IF YOU SUSPECT A VICTIM MAY HAVE A BRAIN INJURY:1. clear or reddish fluid draining from the ears, nose, or mouth2. difficulty in speaking3. headache4. unequal size of pupils5. pale skin6. paralysis of an arm or leg (opposite side of the injury) or face (same side of the injury) PROPER CARE:1. While waiting on help to arrive, keep the victim lying down in the recovery position2. Control any bleeding, and be sure that he is breathing properly.3. Do not give the victim any liquids to drink.4. If the victim becomes unconscious for any amount of time, keep track of this information so that you can report it when medical help arrives.

36. Neck & Spinal Injuries • CARE AND TREATMENT • ABC • extreme care in initial examination — minimal movement • urgent ambulance transport • apply cervical collar • treat for shock • treat any other injuries • maintain body heat • if movement required, 'log roll' and use assistants • always maintain casualty's head in line with the shoulders

37. Lifting techniques Two person carry Lift & roll 4 person straddle