Health 57A

Upon successful completion of the course, each participant will receive an American Red Cross certification in First Aid (valid two years).

We meet for only four sessions, not all quarter.

Winter quarter 2014

HLTH 57A-55L (33118) meets four Friday mornings from 9:30 a.m. to 12:20, January 9, 16, 23 and 30 in S56.

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

To find the classroom, go to: http://www.deanza.fhda.edu/map/s_quad.html

Look for the S5 building and then find S56.

Enrollment and registration steps are at: http://www.deanza.fhda.edu/admissions/

"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, so attend the first class and you might be added.

TEXTBOOK:

the text is American Red Cross First Aid/CPR/AED participant's manual. (The version with the cover shown on this page is fine for this class, or you might buy one with a cover with a big Red Cross symbol on it.) The De Anza Bookstore will probably charge $9.95 for it. OR you can download it to your laptop for free (or make a printed copy) at: http://editiondigital.net/publication/?i=64159

No other text(s) or skills cards will work. If the bookstore is out of the text, do not special order it as it can take well over a week to get, go to the Red Cross office at 2731 North First Street, San Jose, or another bookstore that has it in stock.

You must have in class each day (except the first day, but it is recommended for that day) either the hardcopy textbook or a fully functional copy on a laptop.

Reading assignments:

The CPR/AED material in this text is different than the procedures taught in HLTH 57E, and I recommend you do not read those sections of the text.

Read pages 1-28, (part of the end of chapter one has different methods than are taught in HLTH 57E, CPR for the Professional Rescuer and I will describe the differences in class), 37-38, 71-150 and 163-171 (151 to 162 are optional and highly recommended for families/friends with asthma).

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.)

List three ways to minimize the risk of disease transmission (page five has the answer)

Why were Good Samaritan laws developed? (page 4 has the answer)

Difference between consent and implied consent-give two examples of each (page 5)

Three emergency action steps (page 8)

Six questions you try to answer when you 'check' (page 9)

Call first/care first (page 11)

Three situations when you can move an injured person (page 11-12)

Head tilt/chin lift (page 17)

Define shock (page 16)

Six signals of shock (page 16)

Three steps to care for shock (page 16)

Living will (page 37)

Do not resuscitate order (page 38)

Fainting occurs when there is ________ (page 73)

F.A.S.T. stands for (page 76)

Care for person who may have been poisoned (page 79)

Heat cramps (page 85)

Heat exhaustion (page 86)

Heat stroke (page 86)

Care for frostbite (page 87)

Care for hypothermia (page 88)

How to remove a tick (page 91-2)

Signals of internal bleeding (page 102)

Define bruise (page 102)

Define abrasion (page 103)

Laceration (page 103)

Avulsion (page 104)

You need a booster shot for tetanus at least every ___years (page 105)

Rule of thumb for when a cut will need stitches (page 105)

Care for thermal burns (page 110)

Care for chemical burns (page 111)

Care for bleeding (page 117)

Difference between a dressing and an occlusive dressing (page 115)

Fracture (page 121)

Dislocation (page 123)

Sprain (page 123)

Splint only if______ (125)

R. I. C. E. stands for: (page 124-5)

Anatomic splint (page 125)

Care for a person with a possible head, neck or back injury (127-8)

List four stroke risk factors (157-8)

Why/when can confusion be a signal of a medical emergency in an elderly person? (page 147)

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The De Anza library has a lab where you can access computers: http://www.deanza.edu/library/librarywestcomputer.html and a few laptops for loan to students: http://www.deanza.fhda.edu/library/laptop.html

HOMEWORK:

You will get a lot more out of the homework if you read the chapter 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 due at the beginning of the second class session:

1) Read the HLTH 57A course syllabus. It has the grading standards, requirements for 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.)

2) Read the Simple secondary survey study sheet and briefly write up the five most important things you learned from the reading. If you already knew it all, write up the most important things.

Note that I said briefly write up; these assignments do not require paragraphs and paragraphs of verbose prose. And please note that I do not accept emailed homework.

The easiest way to do this type of assignment is to run your mouse across some of the text, copy it (click Ctrl C or Apple C on many computers) and paste it (click Ctrl V or Apple V) to a blank document on your computer. You can handwrite any assignment but it must be easily readable, so block printing is preferred and must be in letters at least as big as the type on this page.

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.

3) Complete these chapter questions written by the Red Cross: (Please note that some of these only require a one word answer, and none need long answers.) Answers to questions must be in your own words, but since you will be quoting from the book for some of these questions, put quotation marks around the parts you quote. To get credit for the answers you must say what page in the text you found the answer. (Some questions have more than one page where the answer can be found, you need only list the page you found the answer on.)

Example: If one of the questions after reading chapter 8 were "What is the leading cause of head, neck or spinal injuries?" your answer could be:

motor vehicle crashes, page 126

OR

page 126 "leading causes of spinal cord injuries are motor vehicle crashes..."

OR

chart on page 126: vehicular 41.3%

Chapter 1 (Read pages 1-28)

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1. What are some common factors/reasons that keep people from responding to an emergency medical situation?

2. What is normal breathing?

3. You see a child sitting on the sidewalk near a bike with a cut on her leg. What should you keep in mind when giving her first aid care? (List four things from the chpater you think are most important.)

4. When should you move an injured or ill person?

AGAIN, do not read chapters 2, 3 or 4 (pages 29 to 70).

Chapter 5, pages 71-83

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1) What sudden illness is caused by a blockage of blood flow to the brain?

2) What does FAST stand for?

3) If you suspect that someone might be having a stroke, how might you observe weakness or numbness in one arm?

4) For a young child or an infant, is a febrile seizure lasting less than five minutes life threatening?

5) Should you call 9-1-1 or your local emergency number if a person had a seizure that took place in the water but lasted less than 5 minutes?

6) What might cause you to suspect a person is having an allergic reaction? (List at least six signals.)

7) When should you call 9-1-1 or the local emergency number for someone you suspect is having an allergic reaction? (List four.)

8) A co-worker appears to faint after standing in the back of a crowded conference room for 20 minutes. He quickly regains consciousness and says he feels fine. Should you call 9-1-1 or the local emergency number?

9) When you are checking a person who appears to be suddenly ill, what clues might indicate the cause of the sudden illness?

10) You suspect that a young child has swallowed a large amount of prescribed medicine. The child is complaining of a stomachache. Should you give the child something to drink?

Chapter 6, pages 84-100

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1. It is a windy summer day and you notice a young boy shivering on the side of a pool. Could he be at risk for hypothermia? Why or why not? Would being young affect him differently?

2. If you suspect heat stroke and you have called 9-1-1 or the local emergency number, what should you do next, (what care should you give)?

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Homework due at the beginning of the third class session:

Chapter 7, pages 101-119

After reading chapter 7, answer these questions from a Red Cross required activity. Please note that these are short answers. To get credit you must say if it is fact or fiction (true or false) AND tell why or why not.

Again, answers to questions must be in your own words, but since you will be quoting from the book for some of these questions, put quotation marks around the parts you quote. To get credit for the answers you must say what page in the text you found the answer. (Some questions have more than one page where the answer can be found, you need only list the page you found the answer on.)

FACT OR FICTION?

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1. You should put butter on a burn to soothe the pain- Fact or fiction? Tell why or why not.

2. You should not remove any pieces of clothing that stick to the burned area. Fact or fiction? Tell why or why not.

3. You should put ice or ice water on a burn. Fact or fiction? Tell why or why not.

4. The first step in caring for a thermal burn is to cool the burn with large amounts of cold running water. Fact or fiction? Tell why or why not.

5. When caring for a chemical burn, you should brush off any dry chemicals before flushing with tap water. Fact or fiction? Tell why or why not.

6. If the eye is burned by a chemical, loosely cover it with a gloved hand or sterile dressing until EMS personnel take over. Fact or fiction? Tell why or why not.

7. You should have the person remove items of clothing that may be contaminated with chemicals when you care for a person with a chemical burn. Fact or fiction? Tell why or why not.

8. If you encounter a person with a electrical burn, your first step should be to tap the person on the shoulder and shout, "Are you okay?" Fact or fiction? Tell why or why not.

9. An electrical burn can cause cardiac and respiratory emergencies. Fact or fiction? Tell why or why not.

10. You should care for a radiation burn as you would for a thermal burn. Fact or fiction? Tell why or why not.

Chapter 8, pages 119-137

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1) How do you control bleeding when it is associated with an open fracture? (The answer to this is not obvious in the text. Give it your best educated guess. No page number is needed for this. Big hint: a tourniquet is not appropriate.)

2) If you suspect that a person has a head, neck or spinal injury and the person starts to vomit, what should you do?

3) Asher, age 8, tripped and bumped his head. At first you thought it was just a minor bump, but he will not stop crying. Now you are worried the injury might be more severe. What signals would indicate the injury is severe? (List at least 5.)

After reading chapter 8, answer these questions from a Red Cross required activity (please note that these are short answers). No page numbers are needed for this section.) Here is the scenario: "It is a beautiful day at the park. While Maggie talks to her older sister, her younger sister Martha is climbing around on playground equipment. Sensing something has just happened, Maggie turns around and notices Martha clumsily get back on her feet after an apparent fall. As Maggie walks toward Martha, she seems disoriented and off-balance."

Questions:

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1. What are the signals of an injury here? What may have happened?

What kind of injury could this be?

Take a look at the picture on the right on page 101 of your text (or on page 98 in the online text). (Martha is on the left in blue, Maggie is on the right in red).

The scenario continues:

"Martha has stumbled on her way to sit down. She continues to look confused. Maggie, who is trained in first aid, begins to offer assistance."

2. What do you see happening in this photo?

Why is the responder positioned the way she is? (She is not standing over the child, why?)

3. What care steps should the responder be following?

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Homework due at the beginning of the fourth (last) class session:

Again, the easiest way to do this type of assignment is to run your mouse across some of the text, copy it (click Ctrl C or Apple C on many computers) and paste it (click Ctrl V or Apple V) to a blank document on your computer. You can handwrite any assignment but it must be easily readable, so block printing is preferred and must be in letters at least as big as the type on this page.

1) Read Cultural issues in first aid and write up the five most important things you learned. Again, brief answers are all that is needed.

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

3) Read Disaster planning and write up the five most important things you need to do.

4) Read wilderness first aid outline and write up the five most important things you learned beyond what is in the Red Cross material in the book.

optional extra credit:

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

Even if you don't have a 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 you learned in chapter 9.

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.

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There is no longer a written 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.

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FREE FLU SHOT (bring your De Anza photo ID) to Health Services, downstairs in the Campus Center, Oct. 15, 16, 22 or 23 from 9 a.m. to 3 p.m.

Why get a flu shot? Who should get a flu shot? How does flu vaccine work?

http://www.cdc.gov/flu/protect/keyfacts.htm

Register to vote online by Oct. 20 to vote in the Nov. 4 election. http://www.deanza.edu/vote/

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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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On a weekend, February 6 - 8, 2015 , TWENTY-FIFTH ANNUAL De Anza College Outdoor Club Yosemite Valley Winter Camping trip.

Usually one of our biggest trips. Rain? Snow? Sleet? Sunshine? Raccoons (quite possibly IN the tents), 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

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The Red Cross offers free refreshers for first aid students that would be a good way to review what you learned. Copy and paste this URL into your browser:

www.redcrossrefresher.com/q/first-aid-cpr-and-aed/first-aid/challenge/

(Please note that the other CPR refreshers at that page are for Lay Responders and the skills are not the same as for Professional Rescuers that you will learn in HLTH 57E.)

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OTHER NOTES

When you call 911 from a land line telephone, such as in your house, you get dispatch for the city the phone (your house) is located in. When you call 911 from a cell phone you most often get the Highway Patrol at a central location. Sometimes, especially if you are not calling about something on the freeway/highway, it would be faster to get dispatch for the specific city the problem is happening in. This requires knowing the direct dial seven digit phone number for each dispatch.

Direct dial emergency phone numbers for most cities in Santa Clara County, California, can be found at the Santa Clara County ARES/RACES (Amateur Radio Emergency Services/Radio Amateur Civil Emergency Services) website.

http://www.scc-ares-races.org/dd-emer-nos.html

San Mateo County cities (and the San Francisco airport) direct dial phone numbers can be found at:

http://www.blackberryreact.org/smco911phones.html

When you are planning a camping trip, try to get the direct dial number for the park/Sheriff or agency in charge before you go.

In a lot of Canada you can dial 911 in an emergency just like in the U.S. But in other countries it's often a different number. http://www.sccfd.org/travel.html has most of them.

Page 14 in your text has info on reaching a person in the water, for more go to: How to rescue a drowning victim using a reaching assist or a shepherd's crook.

Page 22 discusses incident stress. To find out about the Bay Area Critical Incident Stress Management Team go to: http://www.billwilsoncenter.org/services/all/critical.html

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

Page 37 has info on advance directives, advance care directives has info and a link to where you can get a free one.

Page 89 includes Layer Your Way To Warmth. 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.

Page 94 has info about Repelling Those Pests, insect repellant has answers to questions about the percentage of DEET needed in an effective insect repellant, toxicity allergies, and more.

Pages 99 to 100 have lightning info, 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.

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.

From class discussion on burns, one of the first things we did after taking Community Emergency Response Team training was to switch from the cheap $5-ish model of smoke alarm we had in the hall to the better $25-ish model and put them in more rooms. The better models, with I (ionization) and P (photoelectric) on the box, will detect smoke faster than the cheap models.

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

https://www.cdc.gov/vhf/ebola/pdf/ems-checklist-ebola-preparedness.pdf

injuries quick facts

A link you can send to friends and family about Do it yourself earthquake preparedness: http://faculty.deanza.edu/donahuemary/stories/storyReader$4079

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/recs/schedules/adult-schedule.htm

Wilderness/camping resources:

digital Wilderness and Remote First Aid manual also includes a link to the American Red Cross Wilderness and Remote First Aid Pocket Guide

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

If you go to the Krazy Glue webpage at: http://www.krazyglue.com/faq/ and click on I've heard it was invented to seal battlefield wounds, you will find the statement "Instant Krazy Glue ® products should not be used for wound care."

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Once I get the certification cards from the Red Cross I will not be responsible for holding on to yours or for getting it to you if you did not get me a self-addressed, stamped envelope before the end of class.

If you forgot to get me an envelope before the end of class you can leave it at the faculty mailboxes. How to get a message to a De Anza instructor has a description of how to find them and a picture of the faculty mailbox drop box in the administration building.

The cards will be mailed within three weeks after the end of the quarter, longer if the Red Cross is swamped with work.

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

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)

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

http://www.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://www.deanza.fhda.edu/financialaid/index.html

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

Check out the loot:

http://www.deanza.edu/financialaid/scholarship.html

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://www.deanza.fhda.edu/registration/cashier/deferpay.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/index.html

The Biological and Health Sciences Division student handbook has lots of useful information.

It's at: http://bhs.deanza.edu/StudentHandbook.pdf

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 click on Beautiful but Deadly

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