Health 57A

Hlth 57A (Health 57A)
First Aid for the Community, Home, Wilderness and Disasters
is a one-unit class that is offered at De Anza College almost every quarter.

The De Anza College class is designed to cover more than the minimum first aid. Students who need first aid knowledge for their De Anza programs (or who just want to learn first aid, as many of my students have wanted as parents, coaches, scout leaders) also get in-depth coverage of laws that apply to giving first aid which makes a CPR/AED (cardiopulmonary resuscitation and automated external defibrillation) class easier.

HLTH57A students who have gone on take EMT training and lifeguard training
have told me they were much more prepared than others in their classes
.

Red Cross standard first aid patch: a patch that says Red Cross Standard First AidUpon successful completion of the course, each participant can receive an (optional) American Red Cross certification in First Aid (valid two years). Students who attend all of the four class sessions in HLTH57A have a 100% success rate at earning the Red Cross First Aid certificate.

This class is not a CPR / AED (cardiopulmonary resuscitation and automated external defibrillation) class, but includes parts of it and taking this class before you take a CPR/AED class will make the CPR/AED class easier.

We meet for only four sessions, not all quarter.

For spring quarter 2024 look in the schedule of classes for

HLTH 57A, (CRN 48785)

a 4-week course with meetings on Friday afternoons,
Fridays, April 12th, 19th, 26th and May 3rd, 1:30 – 4:20 p.m.

Enrollment and registration steps are at: https://www.deanza.edu/apply-and-register/register/index.html

High School students can take classes at De Anza College, see: https://www.deanza.edu/admissions/dual/

 

We finish before finals week and do not meet during finals week.

 

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The college website https://www.deanza.edu/return-to-campus/students.html said that proof of vaccinations are no longer required, but

“Face masks are still strongly recommended and may be required in some classrooms or offices on campus.”

Face masks will not be required in the classroom for HLTH 57A, but anyone can wear one if they want.

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We will leave doors to the classroom open for full ventilation,
so warm layers (sweater, jacket, pants rather than shorts, maybe a knit hat, etc.)
that you can put on or remove as needed, would be wise.

The college advises, and health care and child care professionals often enrolled in this class know,
that people should remember to wash hands frequently.

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(Your instructor is fully vaccinated with two Moderna shots and three boosters!)
heart with word booster

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In the schedule of classes you will see a green textbook icon,
a small round green icon with $0 in the center, or a green textbook

a green circle with a $0 in it, the icon for free textbookstextbook and words affordable textbooks

used to designate free textbooks next to listings for some classes, including HLTH57A:
“Classes with the green book (OER) designation use course materials such as textbooks
that are of zero cost to the student except for school supplies typically required in the course.”

There will be zero cost for the downloadable book/reading materials for this class.

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To find the classroom, S56, go to:

https://www.deanza.edu/maps-and-tours/

Look for the S5 building. S56 is in the bottom left hand corner of the S5 building.

Or look at the map with room numbers of buildings at:

https://www.deanza.edu/maps-and-tours/s_quad.html

And notice that the nearest restrooms are in the S6 building, across from our classroom.

simple map

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Designated quiet spaces with power and Wi-Fi on campus can be found at:
https://www.deanza.edu/students/zoom-spaces

These can be useful if you decide to take an online class that meets near the time of one of your on-campus classes.

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“The class is full and I want to add!” I receive many emails from students wanting to add the class, or who are already on the waitlist.

I can’t add anyone until after the class has met for the first time.
Sometimes students who are enrolled do not attend, making room for others,
plus I often take extra students,
so attend the first class, on time, and you might be added.

The first day of class is also the last day to add the class.

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You must check in with the person at the classroom entrance each class day before you take a seat in the classroom.

To make checking in for class go faster, please bring to class each day

either your cell phone with your name in large letters showing words Samuel Smith on a cell phone

or a piece of paper with your name printed on it in large letters.

Put your first and last name as it is on the campus records, not a nickname you prefer. For example, the person holding the paper below might usually go by Sam, rather than his name Samuel that will be on the roll sheet:

paper with Samuel Smith written on it
If people forget to bring this, we will have paper and pens, but if most everyone is prepared, checking in will go faster.

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TEXTBOOK:

As of 2022, there is a new official manual for Red Cross first aid certification classes. It combines first aid with CPR / AED for Lay Responders (CPR for the general public), and most of the book is about that kind of CPR/AED. The CPR for the general public is very different than the procedures taught in advanced CPR classes (CPR PRO) that most students in the De Anza first aid class will need, for example, Cardiopulmonary Resuscitation and Automated External Defibrillation for Professional Rescuers and Health Care Providers.

Doing reading about the lower level CPR certification
(which is not required for this class and the Red Cross first aid certification you can earn in this class)
could end up confusing people and could make taking a CPR PRO class difficult.

Since the Red Cross textbook “First Aid / CPR / AED Participants Manual” ($12.95) is not required for people to be able to certify, we will be doing some reading for the De Anza class portion of class from the Red Cross Lifeguard Manual.

The material on first aid in the Lifeguard Manual goes into more depth than in the new First Aid / CPR / AED Participants Manual.
cover of a red Cross lifeguard training manual showing a rescue tube floating in a pool

And you can get a free download of the Red Cross Lifeguard Manual.

To get a free download of the American Red Cross Lifeguarding Manual go to:

https://arc-phss.my.salesforce.com/sfc/p/#d0000000bxKz/a/3o000000xQAP/bUEh8gQ.uIugwBMXwcZvTgCx6Qsx5f5tHZYzrsHVRxo

then click on and save (see the download icon at the top of that page).

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Reading assignments:

 

FIRST reading assignments :

If you find this in time to read the syllabus before the class starts,
you will be better able to ask questions the first time we meet,

if you do not find it before the first class, you should read it by the second class session:

– – – HLTH 57A course syllabus. It has the grading standards, requirements for certification, details about paying for the Red Cross certification card (if you want or need the certification), class rules and more. You are responsible for the material in this document. (This is also known as the ‘greensheet’ in many De Anza classes.)

If you can complete this first section of reading before the first class,
you will get more out of the lecture.

If not, you should have read these FIRST reading assignments and the SECOND reading assignments by the second class session.

Bloodborne Pathogens pages 203-top of page 211 (reminder: these pages are in the Lifeguard Manual linked to above),

and Bloodborne Pathogens quick facts which includes an adult recommended vaccinations schedule, and areas of hands that are most often missed by healthcare providers when using alcohol-based hand sanitizer.

 

Legal considerations on pages 8 & 9,
(Duty to act, Standard of care, Negligence, Abandonment, Confidentiality,
Documentation, Good Samaritan laws, Consent and Refusal of care)

As you read about implied consent, please note:

The emergency medical assistance for a minor (under age 18) who does not have a parent/ guardian present to give consent (permission for you to give care)
must be for a “life-threatening” problem, not just a small scrape.

Just because someone is a friend or brother/sister/nephew, etc. consent is not implied for them.

and read:

advance care directives which includes a link to get a free copy of an advance care directive

HIPAA

Size up the scene top of page 212

and checking the scene for safety

 

and How to Call 911

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Rule #1 Don’t make things worse

 

-don’t aggravate injuries-(don’t move anything you think might be broken)

-don’t move victim (especially if you suspect a spinal injury) unless you absolutely must

-don’t increase danger to victim

-don’t expose others to risk and create more victims

-don’t force first aid on a conscious, sane, sober adult who doesn’t want it
(get consent/explain what you are doing and keep getting consent/explaining as you go along)

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read: first aid Secondary Assessment, which is worth reading more than once because it has answers to final exam test questions

Note this important fact that many students do not know when they come into the class:
Unconsciousness and being asleep are not the same.
Also, you can be fully awake and only partially conscious.

read: levels of consciousness: person, place, time and event, which also has the answer to a question on the final exam.

Primary assessment bottom of page 213-214 and Summon EMS personnel 214

Note this at the top of page 214:

AVPU

Alert: able to respond appropriately to questions (including person, place, time and event)

Verbal: Responds appropriately to verbal stimuli when you speak or shout

Painful: Only responds to painful stimuli, such as a pinch

Unresponsive: Does not respond; no gag or cough reflex

a response could include grimacing, rolling away from your voice, moaning, (instead of talking to you)

 

Normal capillary refill , which we will “test” in class, is 2 to 3 seconds (not effective on very cold fingers)

 

Causes of fainting, altered mental status, sudden altered mental status, unconsciousness

 

Care first or call first page 217

 

Moving a victim pages 212-top of 213 and 227-228

Critical Incident Stress page 134

The Occupational Safety and Health Administration (OSHA) notes “the signs and symptoms of critical incident stress can be physical, emotional, cognitive, or behavioral. Individuals express stress in different ways and therefore manifest different reactions.” OSHA printed this list of common, normal signs:

PHYSICAL COGNITIVE EMOTIONAL BEHAVIORAL signs of critical incident stress

 

and read:
Stroke, page 308 – 309.

After you read about stroke, take a look at the answer
(and some wrong answers previous students did not get credit for)
to a question on the final exam: If you suspect a stroke

 

The class will cover material about administration of medications, either by assisting people with their prescriptions or by actually administering them to people. None of this will be adequate training or certification for any of you to be able to administer medications, the material in class is just for you to have an idea of what happens during administration. At your workplace, you might get additional training to be able to administer medications, such as an epinephrine auto-injector, naloxone, aspirin, or asthma inhaler.

 

read Respiratory distress and asthma 233-234, Anaphylaxis 239-242

and read Anaphylaxis quick facts which includes prevention and an answer to the question:
Can a person who is prescribed an epi-pen risk going into the wilderness?

 

SECOND reading assignments, which should be read (along with the first reading assignments), by the second class session:

The Cardiac Chain of survival, Heart attack, administering aspirin for a heart attack, and Cardiac Arrest pages 273-275

AFTER you read the materials, try to see if you can answer these questions.

 

Take a look at photos of
AED locations at De Anza College

and, if you want to
(especially if you already are certified in CPR/AED – cardiopulmonary resuscitation and automated external defibrillation),
find out the locations of campus AEDs nearest your classrooms.

 

Optional reading, or just scroll through, to get ready for a CPR class: CPR manikin use

Please note that the names for levels of CPR training in the United States are different than what you might have learned in another country. The European Resuscitation Council has offered BLS (Basic Life Support), ILS (Intermediate Life Support) and ALS (Advanced Life Support), as well as various levels of “Paediatric Life Support,” with different skills training than United States classes in Basic Life Support or CPR/AED for Professional Rescuers and Health Care Providers.

 

Read Opioid overdose (top of page 237)

and please be sure you noted the many risks, and ways to reduce exposure to illicit fentanyl, that are described in CDC material at the Bloodborne Pathogens quick facts that was assigned reading earlier in the class.
And note that the protocols you follow at work could be different than what you learn in this class.

 

and read first aid topics on pages 303- 327. (Warning, the wounds on page 311 are quite severe and you need to be prepared for the photos).

and read Seizures, causes of and basic care for

Injuries Quick Facts which includes: Will this wound require stitches? and Critical Burns (you do not need to call 911 for every burn, but for critical burns you do need to call).

Choking risk factors and prevention (adults and children)

Heat Illnesses which includes warnings about dehydration.

Cold illness and injuries (hypothermia, frostbite and prevention)

At altitude which details mountain sickness (AMS), that almost everyone gets when they travel to higher-than-Silicon-Valley-elevations in any mountain range. And it has details about high-altitude cerebral edema (HACE), and high-altitude pulmonary edema (HAPE). HACE and HAPE can be fatal unless people are aware of them and ready to descend to a lower altitude.
Descending (going down to a lower elevation) is the required first aid.

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Consider this situation and give some thought to what you might have been able to do to help
if you were there when it happened or just after it happened:

In Grand Teton National park, this tour bus “toppled onto its side & slid several feet down Highway 89/287, creating a mass casualty incident that sent 27 people to area hospitals & closed the park road for 5 hours . . . Twenty-four people were transported by three Grand Teton ambulances, a Jackson Hole Fire/EMS ambulance and a Grand Teton Lodge Company passenger van to receive medical care at St. John’s Medical Center in Jackson, Wyoming. Two seriously injured passengers were flown to Eastern Idaho Regional Medical Center (EIRMC) in Idaho Falls via two EIRMC life-flight helicopters that were able to land near the accident site.. . Although the bus did not completely roll over, the impact of the crash caused some level of injury to all 27 bus occupants, making this a mass casualty incident.” A park service spokesperson said: “the bus driver, who was injured in the crash, veered on to the side of the road and then overturned, apparently because the driver turned too sharply to get back to the pavement.”

emergency vehicles and tour bus on its side tour bus on its side

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THIRD reading assignments, which should be read by the third class session:

 

Causes of head, neck and spinal injuries 341

Times to suspect a spinal injury (symptoms, causes, signs of spinal injury)

and Concussion signs and symptoms, prevention

 

line of blue bubbles

After doing the reading, as an optional review, see if you can answer all of these:

– – – (You do not need to write this up or turn it in as homework or extra credit.)

Why were Good Samaritan laws developed? (page 9 has the answer)

Difference between consent and implied consent – give two examples of implied consent (page 9)

List three ways to minimize the risk of disease transmission (pages 206-208 has the answer)

Call first/care first (page 217)

Fainting occurs when a person suddenly ________ (page 307)

F.A.S.T. stands for (page 309)

Three situations when you can move an injured person 212

Define shock (page 314)

Six signs and symptoms of shock (page 314)

Minimize the effects of shock (page 314)

Signals of internal bleeding ( closed wounds) (page 310)

Define bruise (page 310)

(Warning, the wounds on page 311 are quite severe and you need to be prepared for the photos).

Define abrasion (page 311)

Laceration (page 311)

Avulsion (page 311)

Care for bleeding (page 312)

Nosebleed care (page 315)

Care for thermal burns (page 318)

Care for chemical burns (page 319)

Heat cramps (page 323)

Heat exhaustion (page 323)

Heat stroke (page 323)

Care for heat-related illnesses (page 324)

Definition and care for hypothermia (page 324)

Open Fracture (page 327)

Difference between sprain and strain (top of page 325)

Dislocation (top of page 325)

Splint (immobilize and secure only if______ (page 325)

R. I. C. E. stands for: (page 326)

Anatomic splint (page 325)

Care for person who may have been poisoned (page 322)

Remove a stinger ( page 321)

 

A transcript of what you heard in most of the videos is here.
 

line of blue bubbles

You will turn in homework assignments at the college Canvas page, by the date(s) listed on Canvas, not by printing pieces of paper and bringing them to class, not by email or by putting them in a mailbox on campus.

A modern computer with updated Web browsers (Firefox, Safari, or Chrome) and an Internet connection is all you need. Most public libraries have a few computers for people to use. The De Anza College library has a lab where you can access many computers: https://www.deanza.edu/library/librarycomputer.html and a few laptops for loan to students: http://www.deanza.fhda.edu/library/laptop.html

Students receive a link to Canvas after they register for each class, on a date specified by the college.
(I can’t tell you when to expect the link to Canvas, but it should be shortly before the quarter starts.)

The Canvas pages will not be available to submit the work until about a week before the class meets for the first time, but all the homework will be available at this webpage for people to read any time.

If you want to, you can do almost all the homework assignments listed at this webpage in advance of when they become available at the Canvas webpage, save them on your computer, then copy and paste them into Canvas.

(Look below for all assignments at: CLASS CALENDAR with HOMEWORK )

Once you have enrolled in the class and get the code, you can access all Canvas materials by going to any De Anza College webpage, and in the tool bar at the top, which should look like this:

row of words in a computer screen

click on the Canvas tab, which should look like this:
the word canvas with a symbol next to it

The left hand side bar at most Canvas class webpages for fully online classes might have many topics:

list of words
but you will only see a few of these at our class Canvas page.

In your fully online De Anza College classes you will have group projects, class discussions, conferences, attendance at /in Canvas, but since we will meet in person at a De Anza College classroom we will do none of those activities online.

Since we meet in person in a classroom, we will also not use the usual “conversations,” “groups,” “collaborations,” or “peer reviews” that fully online classes use to talk to and work with each other online at Canvas.

If you have questions you will not “submit” them on Canvas like you would in a totally online class, you should ask them in class, in person.

Please note that the most important calendar for our classes is not the abbreviated calendar you will find at Canvas, but rather is the one below at this webpage,

A common mistake happens when, as a student described it, you have
“multiple assignment windows open at the same time”

and post the wrong homework into the wrong tab.

(Or even homework from a different class you are taking).

I will not be notifying students if they make this mistake or if they only submit one example of something new they learned from a reading instead of the five new or most important things learned.

Each student is responsible for completing homework as described and on time, according to the deadlines at Canvas. (Students have been successful at this . . . at least 60% and often at least 70 % of each class earns an “A” grade,
some quarters as many as 87%, for example Spring 2022 when 18 students earned an “A+” grade, one an “A,” and one an “A-”
or 85% in Spring 2023, four students got perfect scores on the final, 12 students earned an “A+”, three an “A” and one an “A-”
or 75% in Fall 2023, five students got perfect scores on the final, 11 students earned an “A+”, three an “A”).

 

The newest reference for students using Canvas is at the Canvas Resource Library for Students, which the college says is “a valuable source of information for students who are new to Canvas. This is a public Canvas course, and you can share the link with students in your course”

https://deanza.instructure.com/courses/3382

Students tell me that watching these videos before they did work on Canvas helped them a lot:

https://community.canvaslms.com/videos/1124-canvas-overview-students
https://community.canvaslms.com/videos/3966-dashboard-overview-students
https://community.canvaslms.com/videos/1122-assignments-overview-students
https://community.canvaslms.com/videos/1134-quizzes-students
https://community.canvaslms.com/videos/1123-calendar-students

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CLASS CALENDAR with HOMEWORK

 

( Along with the reading assignments for each day of class listed above),

homework is listed below for each day of class.

Please note that the due date on Canvas should be the same as mentioned here at the class calendar, but most of the work is available at Canvas much earlier than it is due.

You will find at Canvas the final due date / time that each can be submitted for full credit.

Note that you should not post a link to a document you stored at another computer
(and you will not get credit for it if you do).
You need to enter the full text at the Canvas homework page so there is a permanent copy of it.

All homework must be done individually by each student, not as a group project.

Homework projects will all be listed at this class webpage, and be available here for your review after the class is over.

People have completed homework before the quarter starts, saved it on their computer, and turned it in at the start of the class.

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Homework due the second class session:

If you find this in time to read the syllabus before the class starts, you will be better able to ask questions the first time we meet,

if you do not find it before the first class, you should read it by the second class session:

– – – Read the HLTH 57A course syllabus. It has the grading standards, requirements for certification, details about paying for the Red Cross certification card (if you want or need the certification), class rules and more. You are responsible for the material in this document. (This is also known as the ‘greensheet’ in many De Anza classes.)

Complete these projects: Again, you will turn these in at Canvas.

1) Read the first aid Secondary Assessment and briefly write up the five most important new things you learned from the reading. If you already knew it all, briefly write up the most important things.

2) Read First Aid Facts and Fallacies and write up five things that you learned from the reading, either those you did not know, or that you think some or many people do not know, or some combination. You do not need to click on and read all the links, but most are short reads.

3) Read How to rescue a drowning victim using a reaching assist or a shepherd’s crook and list the five most important things at the webpage.

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You might not be completing the conscious choking skill on a class member, but if we do, or when you do in a CPR class. . .

“When practicing on a student in class you should only simulate back blows and abdominal thrusts (do not apply pressure) so you do not hurt anyone.”

to be farther apart from each other, we might use this practice method:

https://arc-phss.my.salesforce.com/sfc/p/#d0000000bxKz/a/3o000001WN7I/f31X5cywAcFNeAv72vY04HOJpMO1GTAcM9wRT0xSzzg

and note: “If the conscious choking victim is much taller than you and you can’t get into a proper position to give back blows and/or abdominal thrusts, you can ask them to kneel.”

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Homework due the third class session:

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1) Complete this project: a First Aid for Public Safety Personnel class listed

When To Suspect a Head, Neck, or Back Injury:

Any fall greater than victim’s height

Any motor vehicle collision

A person found unconscious for unknown reasons

Any injury that penetrates the head or trunk

A motor vehicle crash involving a driver or passengers not wearing safety belts

Any person thrown from a motor vehicle

Any injury in which a victim’s helmet is broken

Compare these to the list at: Times to suspect a spinal injury (symptoms, causes, signs of spinal injury) and write up the five times to suspect a spinal injury listed at the webpage, but not listed above, that you think you are the most likely to ever see.

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2) Complete this project: Signs and Symptoms of Concussion can be grouped into four categories:

(Quoting from an instructors manual):

“Thinking and remembering: The person may seem confused, dazed or “out of it,” or have trouble remembering recent events.

Physical: The person may feel nauseated or vomit, complain of a headache, or be sensitive to bright lights or noise.

Emotional: The person may seem irritable, sad or agitated.

Behavioral: The person may sleep more or less than usual. Children may also show changes in eating or playing habits.”

Compare this to the list at: Concussion signs and symptoms, prevention and write up the five signs and symptoms of a concussion listed at the webpage, but not listed above, that you think you are the most likely to ever see.

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3) Complete this project: Read Fire safety then write up five safety items at that fire safety webpage that you think you most need to pay attention to.

________________________________

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Homework due the fourth (last) class session:

Complete these projects

1) Read Cultural issues in first aid and write up the five most important things you learned at that webpage. If you already knew it all, briefly write up the five most important things.

(Something new from the webpage, not from your other class readings.

For example, how to obtain consent is in your readings, so you should not use it as an answer to this assignment.)

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toppled brick chimney USGS photo:

2) Read earthquake home hazards survey and write up the five most important things you need to do, as described at that webpage. If you do not find anything you think is important for you to do, write up the five things to do you think are most important for most people to do.

 

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tsunami hazard zone sign 150 pixels: sign warning of a tsunami hazard zone with a drawing of a huge wave and a person climbing up a slope

3) Read Disaster planning write up the five most important things listed at that webpage, that you need to do.

If you do not find anything you think is important for you to do, write up the five things from the webpage to do you think are most important for most people to do.

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4) The Wilderness Medical Society defines wilderness as any situation
when you are “more than one hour away from definitive medical care.”
This could be your own home after an earthquake or other disaster as well as camping.

Read wilderness first aid outline and write up the five most important things you learned by reading that webpage beyond what is in other class readings.

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optional extra credit:

One of these will be accepted as extra credit only if you completed all the other assignments due the fourth class session:

Even if you don’t have an infant or toddler, one might visit. Crawl around your home and look for unsuspected hazards at infant/child level. Write up five or more you find.

You could look for things like those listed as risks for choking at the Choking risk factors and prevention webpage:
items children can choke on
How many dust-covered cords do you have coming from that one outlet in that back corner of the room? Are you sure it is not a fire hazard? (Yes, this photo was staged.)

power strips and cords tangled together

OR

Read Leave no trace write up five things from the page you personally can do, and encourage friends to do, that can prevent injuries and other need(s) for first aid.

OR

Read vehicle repair safety write up five things from the page you personally can do, and encourage friends to do, that can prevent injuries and other need(s) for first aid.

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In preparation for the final, it could be wise to read again:

If you suspect a stroke, a question on the HLTH 57A final exam, which includes correct and WRONG answers.

levels of consciousness: person, place, time and event, also has the answer to a question on the final exam.

and the first aid Secondary Assessment S.A.M.P.L.E. and O,P,Q,R,S,T are also answers to questions on your final exam.

Knowing S.A.M.P.L.E. is required for an E.M.T. / Paramedic and in a Red Cross lifeguard certification class.

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Before the last class, read this document you will be signing at the start of class: HLTH57A card fee agreement

After the last class I will turn in the list of people who want the certification to the De Anza Cashiers Office and they will set up payments for everyone who earned it (and if you choose to pay for it). The payments might not be set up until Monday morning, so please do not expect to see anything over the weekend.

You will be paying for it on-line, the same place you paid student fees, at MyPortal in the Student section at the Bill Payment app, which looks like this:
credit card and the words bill payment

The college gave me these directions for how to pay to pass on to you:

“You should pay your certificate fee online – through MyPortal – with a VISA, MasterCard, or Discover card.
Click on the “Bill Payment” app and then on the “Pay Now” button.

Once on the payment system, if the amount due is more than your fee, you may choose to pay only the $30.00.”

It might be listed as DA B/H Red Cross Certif Fee.
The DA B/H stands for De Anza College Biological and Health Sciences
– the division at De Anza that offers the class.

If you have a credit of $30 or more in your account, the $30 will be automatically paid.

Details about the certification are in the HLTH57A course syllabus.

_______________________________________________________

You can expect to get an email with the digital cert
(that you can print in wallet card or 8 1/2 X 11 format),
within two weeks after the last day of class (the payments and paperwork takes time to complete).

Beginning in spring quarter, 2022 the email with the digital cert was sent from

no-reply no-reply@redcross.org

If you look for the email with your cert by searching Red Cross it might not turn up for you
(especially if your spam system decided that “no reply” is a spam email).

The email might be titled:

Completion Certificates for your Red Cross Training

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The Final Exam

There is no longer a Red Cross multiple choice exam for certification,
but we will have a written final during the fourth (last) class session.
Almost all the questions will be given to you in advance.

You will not need a scantron.

We will start class by finishing any skills work and lecture not yet completed, then take a break, then take the final exam.

 

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OTHER NOTES

After an earthquake, for example, Radio Cupertino, at 1670 A.M. will broadcast “the latest information on the nature of the emergency, the impact of the emergency on the community, and instructions for local residents.” I am a member of the Cupertino Community Emergency Response Team (CERT) and Cupertino Medical Reserve Corps and always recommend CERT training, available for any local city you live or work in.

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Optional reading :

Generally, the vaccinations you got as a child will protect you the rest of your life, with a few exceptions. An adult recommended vaccinations schedule is at http://www.cdc.gov/vaccines/schedules/index.html

If you want to become an EMT, be sure your immunizations for TB, MMR, varicella (chicken pox), Hep. B, and tetanus are up to date before you enroll in the program.

To find out about the Bay Area Critical Incident Stress Management Team go to: http://www.billwilsoncenter.org/services/all/critical.html

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If the victim has a service dog: https://www.emsworld.com/article/219790/what-will-you-do-dog

Is your facility user friendly for all your customers/patients? Take a look at an Americans with Disabilities Act, ADA Guide for Small Businesses:

https://www.ada.gov/resources/title-iii-primer/

https://archive.ada.gov/lawenfcomm.htm has what percentage of speech reading (reading lips) by deaf people is understood (about one third of spoken words are understood) and practical suggestions for effective communication

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In class we practice removing Latex-Free Disposable Gloves

Why latex-free?

“. . . With more widespread use of Natural Rubber Latex gloves after 1987 there was an increase in reported NRL
sensitization and allergic reactions among patients and among employees, notably health care employees. In rare cases, these allergic reactions can be fatal.. .”

this is from Potential for Sensitization and Possible Allergic Reaction To Natural Rubber Latex Gloves and other Natural Rubber Products
https://www.osha.gov/sites/default/files/publications/shib012808.pdf

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epi-pen info. The U.S. Food and Drug Administration (FDA) has made updates to the patient instructions for epinephrine auto-injectors:

http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/019430s061lbl.pdf

Especially note the Injection-Related Complications, for example, “do not inject intravenously, into a buttock, digits, hands or feet.. . Hold leg firmly during injection. Lacerations, bent needles, and embedded needles have been reported when EpiPen and EpiPen Jr have been injected into the thigh of young children who are uncooperative and kick or move during an injection.”

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The Red Cross provides access to the textbook
“American Red Cross First Aid / CPR/ AED Participant’s manual”
after students have successfully completed a first aid class and earned the certification.

It includes info on the following subjects that I am offering as optional reading during our class:

Dressing for Cold Weather. Wilderness adventure books warn that ‘cotton kills’: read more about proper clothing for outdoor adventures to prevent hypothermia at: Snow or rain camp must-haves.

lowering the Risk for Tick-Borne Illnesses, insect repellant has answers to questions about the percentage of DEET needed in an effective insect repellant, toxicity allergies, and more. (Removing a tick is covered in Wilderness First Aid ).

Avoiding Lightning-Strike Injuries, Thunderstorm and lightning safety includes the answer to the question: Why can’t you swim during a lightning storm? A strike on a lake doesn’t kill all the fish in the lake.

Safety at Home. Please also see: hazardous household chemical mixtures

Bicycle safety, see also: Grand Tetons biking

Water Safety info. If you go on an Outdoor Club adventure kayaking you must wear a properly fitted, fully buckled lifejacket. Read more at: Why you should wear a lifejacket and we have assigned reading on how to do a simple pool rescue.

And if it interests you, also see: rogue or sneaker waves,

Yosemite Valley Rafting Advice

Grand Tetons kayaking,

canoe over canoe rescue

Swimming in Yosemite National Park

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Active Assailant Training (Run Hide Defend presentations) is usually held each quarter. You can search at the De Anza Homepage for Active Assailant Training.

They are usually held in Conference rooms A/B

De Anza College Conference rooms A and B are upstairs in the Campus Center.

A closed-captioned version of the active shooter “RUN / HIDE / FIGHT” video is at:

https://www.youtube.com/watch?v=5mzI_5aj4Vs

in Spanish: https://www.youtube.com/watch?v=8fgwh34h7D4&feature=youtu.be

in Vietnamese: https://www.youtube.com/watch?v=2FPJLOWvbvw&feature=youtu.be

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AED use by bystanders for Out Of Hospital Cardiac Arrest (OHCA) can save lives!

For an introduction to (CPR) cardiopulmonary resuscitation and the use of an AED, go to:

AED quick facts

and take a look at the page of photos of AED locations on our campus

In anticipation of taking a CPR certification class, please see: How to pass a Red Cross written test for advice.

 

Foothill College has EMT training. “Students who successfully complete either the credit or non-credit course will receive a course completion certificate and are eligible to take the National Registry of EMT licensure exam.” “Registration is free for Noncredit EMR & EMT Courses.”

https://catalog.foothill.edu/degrees-certificates/non-credit-emergency-medical-technology/

 

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From a class discussion on burns, one of the first things we did at our house after taking Community Emergency Response Team training was to switch from the cheap $9-ish model of smoke alarm we had in the hall to the better $35+ ish model and put them in more rooms. The better models, with I (ionization) and P (photoelectric) on the box, will detect smoke much faster than the cheap models.

Community Emergency Response Team training (CERT)

Pandemic flu

fast, basic neurological exam

A link you can send to friends and family about Do it yourself earthquake preparedness:

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Wilderness/camping resources:

Some of the true stories I use in class are at: fatal, near fatal or close call incidents/accidents in camping, backpacking, climbing and mountaineering

Using a campsite food storage locker

How bears break into cars, what to do if you see a bear and more is at: Bears

At altitude has info about sunburn, hiking, diet at higher altitudes. It includes why your tent mate might seem to stop breathing and links to High Altitude Cerebral Edema and High Altitude Pulmonary Edema tutorials.

Hiking Advice has hot weather hiking advice, hiking logistics and the answer to the question: When is the best time of day to cross a mountain stream?

How to poop in the woods

Snow camp weather, hike safety and first aid considerations has trail safety notes, and info about mountain lions

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The De Anza College Outdoor Club offers a kayak day trip with a paddling lesson,
at Baylands Preserve in Palo Alto
each October and May.

 

Sunday, May 5, 2024
De Anza College Outdoor Club kayak day trip with a paddling lesson, at Baylands Preserve in Palo Alto

Baylands Preserve in Palo Alto is 16 minutes from the De Anza Campus.

You will learn to paddle the same kayak model you could use on the between-summer-and-fall-quarter trip to Grand Teton National Park.

Read details at: https://marydonahue.org/baylands-kayaking

You must sign up in advance and we have limited space for people.

tandem kayak in race

 

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LOST YOUR RED CROSS CARD(S)? Go to If you lost your Red Cross certification card

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CEUBanner.gif: banner that says authorized provider I A C E T

If you are in a profession that requires them (nursing, for example) Continuing Education Units (CEUs) might be available after you complete this course. continuing education credits (units)

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De Anza college student success center banner 80 pixels:

programs for student success in all kinds of classes, including tutorials, readiness, academic skills, instructional computing and more:

http://deanza.edu/studentsuccess/

More students qualify for financial aid than use it or even know they qualify. There are enrollment fee waivers you can apply for online which take about a week to get an answer. For all the details go to:
http://deanza.edu/fees-and-financial-aid/

You don’t have to pay for all your classes/fees at once. De Anza has an installment payment plan that allows you to defer most of your payments. Go to: http://deanza.edu/cashier/installment_plan.html

De Anza College offers many scholarships, some of which have few applicants!

Check out the loot:

http://deanza.edu/financialaid/types/scholarships.html

The De Anza College Food Pantry (also known as the Campus Cupboard) provides food to students in need. You can get a bag of groceries with few forms to fill out. http://deanza.edu/outreach/food_pantry.html

Various local businesses give discounts to De Anza Associated Student Body card holders. A page of discounts (mostly 10% off food) is at http://www.deanza.edu/dasb/discounts.html/index.html

De Anza College offers offers help to quit smoking http://www.deanza.edu/healthservices/quitsmoke.html

Thirdhand smoke is residual nicotine and other chemicals left on indoor surfaces by tobacco smoke. People are exposed to these chemicals by touching contaminated surfaces or breathing in the off-gassing from these surfaces. This residue is thought to react with common indoor pollutants to create a toxic mix including cancer causing compounds, posing a potential health hazard to nonsmokers — especially children.

Thirdhand smoke clings to clothes, furniture, drapes, walls, bedding, carpets, dust, vehicles and other surfaces long after smoking has stopped. . . ”
https://www.mayoclinic.org/healthy-lifestyle/adult-health/expert-answers/third-hand-smoke/faq-20057791

“Family Issues, romantic relationship difficulties, anxiety, stress” and other
personal issues should preferably be dealt with while they are not a big deal,
before they do become a big deal.
“From time to time, problems of everyday living can be resolved through talking with friends, family, or someone whom we trust to help us. However, there are times when seeking help outside of one’s familiar environment might be more helpful. Psychological Services is here to meet such needs.” https://www.deanza.edu/psychologicalservices/services/

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The De Anza Library has free access for current students to the New York Times. Go to the library database page: https://www.deanza.edu/library/articledata.html and click on The New York Times. At the next screen, log in with your Portal IDs. On the next screen, create an account.

https://www.amazon.com/medical-id-tags/s?k=medical+id+tags

locations of offices in the De Anza College Campus Center

https://www.yachtdiver.com/pdf/medical/MedLinkServiceforYachts-eBrochure.pdf

http://www.wildmed.com/three-tips-being-good-trip-medic.php

Yosemite Trip Planning videos focus on topics to help you plan your trip:
http://www.nps.gov/yose/photosmultimedia/ytp.htm

http://www.amazon.com/Closer-Learning-Near-Death-Experiences-Children/dp/0804108323

Tour Bus Accident Results in Multiple Injuries & 5-hour Closure of Hwy 89:
https://www.nps.gov/grte/learn/news/news-release-14-41.htm

https://arc-phss.my.salesforce.com/sfc/p/#d0000000bxKz/a/3o000001WN7I/f31X5cywAcFNeAv72vY04HOJpMO1GTAcM9wRT0xSzzg

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US National Library of Medicine, National Institutes of Health study from 2009 through 2014: “QuikClot combat gauze and CAT” (combat application tourniquets) “are safe and effective adjuncts for hemorrhage control in the rural civilian trauma across a wide range of injury patterns. In a rural civilian population including women, children, and elderly patients with medical comorbidities, these devices are associated with minimal morbidity beyond that of the original injury.”

https://www.ncbi.nlm.nih.gov/pubmed/27257704

US National Library of Medicine, National Institutes of Health also reported a July 2018 study Prehospital haemostatic dressings for trauma: a systematic review said, in part:

“Adverse events were only reported with QuikClot granules, resulting in burns. No adverse events were reported with QuikClot Combat Gauze use in three studies. Seven of the 17 studies did not report safety data. All studies were at risk of bias and assessed of ‘very low’ to ‘moderate’ quality.
CONCLUSIONS:

Haemostatic dressings offer effective prehospital treatment for traumatic haemorrhage. QuikClot Combat Gauze may be justified as the optimal agent due to the volume of clinical data and its safety profile, but there is a lack of high-quality clinical evidence, and randomised controlled trials are warranted.”

https://www.ncbi.nlm.nih.gov/pubmed/29728411

and see page 314 in the Red Cross lifeguard training manual, linked to above

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section of US Flag stars and stripes

If there are a multitude of items on the ballot and you only vote on one of them, your vote will still be counted.

If you are homeless, including living out of your car, you can register to vote.

There is no literacy requirement.

If you are 16 or 17 years old, you can pre-register to vote and you will automatically be registered to vote on your 18th birthday.

The main deadline to register to vote for any election is 11:59:59 p.m. Pacific Time on the 15th calendar day before that election.

If you are registering or re-registering less than 15 days before an election you will need to complete the same-day voter registration process and request your ballot in person at your county elections office or polling location.

BUT you can register to vote on election day as well.

You can register to vote online, (using a computer, iPad, tablet or smartphone) at http://registertovote.ca.gov

There actually have been elections that ended in a tie, in part because many people did not vote.

From Rock The Vote: “Millennials have the potential to be the largest voting bloc in our country but are voting at a fraction of their size, with an estimated 30 million young people staying home in 2012.”

“In 2024 millennials and Generation Z
will comprise 44% of American voters.”

bar of alternating solid colors

 

Free flu shots for students are offered each Fall quarter and often available later quarters.

Go to: http://www.deanza.fhda.edu/healthservices/

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The next on-campus blood drive will be listed at: http://www.deanza.edu/healthservices/blooddrive.html

Blood donation FAQs has reasons some people faint after giving blood and ways to prevent it, a link to the questions asked before you donate, info and links for athletes and scuba divers, precautions to take after donating blood, info on how donating blood can make you healthier, info on what the donations are needed for.

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The Outdoor Club will go on another adventure in Grand Teton National Park
any or all days, August 14 – 31 2024 +/- (between summer and fall quarter).

Participants can stay for a shorter, longer or much longer trip

(that could include ten-national-parks-in-three-weeks depending on the driving route people take).

Since there is so much to do and we travel so far (2,500 + miles total round trip mileage),
we always make the official trip dates for a long time, often longer than most people decide to go on the trip.

Some people are already saying they want to stay for the entire August 14 – 31 trip. Others may come for only a long weekend.

Read the trip webpage for all the details and links to trip activities, costs, potential overnight accommodations. . .

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Snow camp group photo 2005 120 pxls: yosemitewinter2007106 pix: groupphotowinter2004106 pxl:
snowgroupwhatyear106pix:

The weekend of Friday, Jan. 31 – depart Sunday Feb. 2, 2025 will be the THIRTY-FIFTH ANNUAL De Anza College Outdoor Club Yosemite Valley winter trip. Yosemite Valley Winter Camping trip.

Usually one of our biggest trips. Rain? Snow? Sleet? Sunshine? Raccoons (quite possibly IN the tents, but you don’t have to camp, you can get a heated tent cabin or even better overnight accommodations), Coyotes! Campfires! Night hikes, early morning hikes, long hikes to viewpoints above the valley, snowboarding, skiing, Ranger walks, Ranger snowshoe walks, ice skating, snow sculpture building. Many years we have people who have never been camping before and/or have never been in the snow. (So they’ve never been in a snowball fight, either.) Snow Camp

In advance of the Yosemite trip

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