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 law, earthquake preparedness, and preparation to make a CPR/AED 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). 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.

 

Fall quarter 2022, look in the schedule of classes for

HLTH-057A-01 crn 27317

a 4-week course with meetings on Friday afternoons,
Sept. 30, Oct. 7, 14 and 21
1:30 PM-04:20 PM on campus.

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

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/

https://www.deanza.edu/return-to-campus/students.html

said, about fall quarter:

“You must upload proof of vaccination for COVID-19 before you can register for any on-campus classes.

If you already uploaded your original vaccination document for a previous quarter, you don’t need to upload it again to register for classes.

You also need to upload your booster document separately before coming to campus – if you are eligible for a booster and have not already submitted your booster document.”

(Your instructor is fully vaccinated with two Moderna shots and two boosters!)

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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,

a green circle with a $0 in it, the icon for free 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 book(s) for this class.

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As of summer (and likely fall) quarter,

You will need to wear a cloth

face covering completely over your nose and mouth at all times when in the classroom, (or restroom) including all of us who are fully vaccinated. If this rule changes we will do whatever is required.

and at any time, people can decide to wear a mask even when it is not required,

Descriptions of masks that function properly, as well as (scroll down for) drawings of how to NOT wear a mask (on your forehead, on your chin, on your arm, dangling from one ear, only over your mouth)

and that face shields are not recommended,

face shield with a red X for do not use instead of a face mask

are at:

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-coverings.html

If masks are still not required outside, we might do some of the skills briefly outside in the fresh air. We might also decide to leave doors to the classroom open for full ventilation, so warm layers (sweater, jacket, pants rather than shorts, maybe a knit hat, etc.) 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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To find the classroom, S56, go to:
http://www.deanza.edu/maps-and-tours/documents/campusmap_20180413.pdf

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. And please do also wear your face mask in the restroom.

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.

Because we only meet for four weeks, the first day of class is also the last day to add the class.

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To make checking it go faster, please bring to class a piece of paper with your name printed on it. 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
To make the writing on the paper visible, if you do not have a marker pen, you can use a ball-point pen or pencil and write over the letters a few times to make them big enough. 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:

I am updating this page to the new material.
CHECK HERE CLOSER TO FALL QUARTER FOR UPDATES.

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 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 could end up confusing people.

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 reading for the De Anza class portion from the Red Cross Lifeguard Manual. The material on first aid in the Lifeguard Manual goes into more depth than in the 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:

I will list all the reading assignments closer to the start of the quarter, but you can start with
 

Bloodborne Pathogens pages 203-top of page 211,

and Bloodborne Pathogens quick facts

 

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 consent, please note:

The emergency medical assistance for a minor (under age 18) 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.

 

Size up the scene top of page 212

 

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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

https://www.nps.gov/grte/learn/news/news-release-14-41.htm

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The Cardiac Chain of survival, Heart attack and Cardiac Arrest pages 273-274

These acronyms are not mentioned in the text, but worth noting:

OHCA = out-of-hospital cardiac arrest

POHCA = pediatric out-of-hospital cardiac arrest

 

As a preview and/or review about the basics about heart attack and cardiac arrest,

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

 

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

 

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

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 awake and only partially conscious.

and read How to Call 911

 

Care first or call first and when is a child a child ? page 217

 

Respiratory distress and asthma 233-234

 

Opioid overdose (top pf page 237

 

Anaphylaxis 239-242
and Anaphylaxis quick facts

 

 

and 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 Injuries Quick Facts

and Cold illness and injuries

and Heat Illnesses

 

Causes of head, neck and spinal injuries 341

 

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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 (page 141-143)

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)

Rule of thumb for when a cut will need stitches (page 98)
Care for bleeding (page 312)

Nosebleed care 315

Care for thermal burns (page 319)

Care for chemical burns (page 319)

Open Fracture (page 327)

Difference between sprain and strain (page 325)

Dislocation (page 325)

Splint (immobilize and secure only if______ (325)

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

Anatomic splint (page 325)

Heat cramps (page 323)

Heat exhaustion (page 323)

Heat stroke (page 323)

Care for heat-related illnesses 324

Definition and care for hypothermia (page 324)

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

Remove a stinger 321

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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.

Students receive a link to Canvas after they register for each class, on a date specified by the college. (In other words, 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 do 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: 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 can ask them in class, in person.

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 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,

There are also step-by-step Canvas Student Guides anyone can access to learn how this online system functions,
https://community.canvaslms.com/docs/DOC-10701-canvas-student-guide-table-of-contents
that show you how to perform common tasks in Canvas, from changing your profile to submitting an assignment.

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: http://www.deanza.edu/library/librarywestcomputer.html and a few laptops for loan to students: http://www.deanza.fhda.edu/library/laptop.html

A common mistake happens when, as a student described it, you have
“multiple assignment windows open at the same time” and post the wrong home work into the wrong tab. (Or even homework from a different class you are taking). When I read assignments before the quarter is over, I could catch that you submitted homework that is not correct and can contact you about it so you can change what you submitted IF there is time for you to do so before the homework deadline! BUT I do not always have the time to read everything each week and you will not get credit for turning in homework at the wrong section at Canvas.

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HOMEWORK:

 

You will get a lot more out of the homework and in-class work

if you read the material before trying to answer the questions or do the projects.

 

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.

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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.)

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The rest of this webpage has not yet been updated from spring quarter to fall quarter.
 

Homework due the second class session:

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

1) Read the Simple secondary survey study sheet 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.

Students in HLTH57A should be familiar with the material in the study sheet. Notice that I said familiar with, you do not have to memorize everything. It includes a list of times to suspect a spinal injury; reasons why a person might become unconscious or semi-conscious; typical causes of altered mental status, fainting and seizures; signs and symptoms of a concussion and more.

2) Read First Aid Facts and Fallacies and write up five things, either those you did not know, or that you think most 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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Do not read pages 43-60.

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You will likely 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 will likely 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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just above the photo of glucose tablets, it says; “You should also call 9-1-1 . . . if you are not able to immediately obtain an acceptable form of sugar.” add these words: “Do not spend time looking for sugar; call 911.”

“If the possible stroke is unwitnessed, after you call 911, try to find out the time the victim was last known to be well and free of signs and symptoms of a stroke.”

re-read the Simple secondary survey section, S.A.M.P.L.E. and O,P,Q,R,S,T of Simple secondary survey study sheet, as they are also answers to questions on your final exam.

(Knowing the Checking a Responsive Person skill, (on page 304, 335/336) and the S.A.M.P.L.E. questions to ask, are also required for an E.M.T. / Paramedic and in a Red Cross lifeguard certification class.)

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Homework due the third class session:

will be posted closer to the start of the class.

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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: Simple secondary survey study sheet 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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3) Complete this project: Signs and Symptoms of Concussion can be grouped into four categories:

(Quoting from the 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: Simple secondary survey study sheet 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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Complete this project: Read Fire safety then write up five safety items 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 new things you learned from the reading. If you already knew it all, briefly write up the five most important things. Again, brief answers are all that is needed.

(Something new, not from your text. For example, how to obtain consent is at the webpage and in your text, so you should not use it as an answer to this assignment.)

toppled brick chimney USGS photo:

2) Read earthquake home hazards survey and write up the five most important things you need to do. 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.

 

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 and write up the five most important things you need to do. 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.
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 beyond what is in the Red Cross material in your textbook.

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 what you find. AND write up the five most important things in appendix C.

OR

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

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Read (no homework or extra credit on this to turn in): If you suspect a stroke, a question on the HLTH 57A final exam.

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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 afternoon, so please wait until then to pay. 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 $27.00.”

Details about the certification are in the HLTH57A course syllabus.

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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), but not right after the class finishes as the payments and paperwork takes time to complete.

As of spring quarter, 2022 the email with the digital cert was sent from

no-reply no-reply@redcross.org

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

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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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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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kayak with Monterey Bay Aquarium in background: mom and baby sea otter 300 pixels: mom and baby sea otter

The Outdoor Club (usually May and October) Monterey ocean kayak day trip

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I recommend volunteering at a Escape from Alcatraz swim BEFORE you try to swim it:

Escape from Alcatraz ‘Sharkfest’ swim volunteering

and participating in an Outdoor Club beginners Monterey kayak trip first will give you enough kayaking experience to volunteer.

line of kayaks with Monterey Bay Aquarium behind them

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2005 pool and kayaks from above:

Every quarter the De Anza College Outdoor Club has a kayaking lesson in the De Anza pool on a weekend. Details and a few pictures from previous lessons are posted at:

kayaking / canoeing lessons

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spring 2006 flying off the surfboard: Outdoor Club surfing lessons spring quarter

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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

a Critical Incident Stress Guide is at:

https://www.osha.gov/SLTC/emergencypreparedness/guides/critical.html

advance care directives has info and a link to where you can get a free one.

You will be 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

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.”

The previous textbook had 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.

The previous textbook had info about 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.

The previous textbook had 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.

The previous textbook had Safety at Home. Please also see: hazardous household chemical mixtures

The previous textbook had 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 if it interests you, also see: rogue or sneaker waves, Kayaking / Canoeing Lessons, <a
May and October Monterey kayak trip.

Yosemite Valley Rafting Advice

Monterey ocean kayak day trip,

Grand Tetons kayaking,

canoe over canoe rescue

Swimming in Yosemite National Park

Page 156 has bike safety, see also: Grand Tetons biking

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/smbusgd.pdf

http://www.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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I will post dates for Active Assailant Training (Run Hide Defend presentations) each quarter as I find out when they will be.

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.

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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

HIPAA : the Health Insurance Portability and Accountability Act of 1996/2003.

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

Bloodborne Pathogens quick facts

https://www.osha.gov/SLTC/ebola/

https://www.cdc.gov/vhf/ebola/index.html

injuries quick facts

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?

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

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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) are 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.

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

locations of offices in the De Anza College Campus Center

http://www.youtube.com/watch?v=aIGTyANMFb4

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

http://www.nps.gov/yose/photosmultimedia/ytp.htm

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

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.”