Nursing in Disaster and Emergency Response: A Fundamental Role

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Learn how to carry out activities in case of disasters. How prepared are you?

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Naomy Gall

México

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Nursing in Disaster and Emergency Response: A Fundamental Role


Nursing in Disaster and Emergency Response: A Fundamental RoleVersión en línea Learn how to carry out activities in case of disasters. How prepared are you? por Naomy Gall 1 Person with arterial hemorrhage (heavy bleeding) Situation: A passerby is severely cut by glass; blood is gushing out. a Help the person walk to the hospital. b Let it bleed a little to clean it up. c Apply firm pressure to the wound or a tourniquet if the bleeding does not stop. 2 Severe Burn from a Household Explosion Situation: A patient arrives with extensive second-degree burns, intense pain, and signs of shock. a Apply sterile dressing, start IV fluids, and assess for signs of shock. b Cool directly with ice. c Break blisters and apply ointment. 3 Cardiopulmonary Arrest in the Emergency Room Situation: A patient suddenly stops breathing and has no pulse. a Immediately begin CPR and request the crash cart. b Run to call the doctor without doing anything. c Calmly take vital signs. 4 Cardiac Arrest in a Public Place Situation: A person falls to the ground, is not breathing, and is unresponsive. a Check for a pulse for 2 minutes. b Perform CPR immediately and call for help/an ambulance. c Pour water on their face. 5 Airway Obstruction (Choking) Situation: In a restaurant, a person is unable to speak or breathe. a Give them water. b Gently hit them on the back. c Perform the Heimlich maneuver. 6 Heat Syncope (Heatstroke) Situation: A person faints in the street after prolonged exposure to the sun. a Leave them on the ground and wait for them to wake up on their own. b Take them to the shade, elevate their legs, and give them water if they are conscious. c Move them roughly and give them coffee. 7 Smoke Intoxication After a House Fire Situation: A 50-year-old woman is transported after being trapped in a smoke-filled room. She presents with noisy breathing, a cough with black sputum, minor burns on her face, and confusion. Her oxygen saturation is 84% without supplemental oxygen. Soot is observed in her mouth, and she is having difficulty maintaining a patent airway. a Administer high-flow oxygen, consider intubation, and monitor vital signs. b Give her cool water to "clear" her throat. c Keep her seated but without oxygen to avoid further irritation. 8 Immediate Postpartum Hemorrhage Situation: A 28-year-old patient recently delivered vaginally. Minutes later, she begins to bleed heavily. A flaccid uterus, tachycardia, and dizziness are observed. The sheet becomes rapidly saturated, and she begins to show initial signs of shock. a Perform uterine massage, assess tone, start IV fluids, and immediately inform the medical team. b Change the sheets and say it is “normal.” c Let her rest because “the uterus will settle.” 9 Severe Traumatic Brain Injury After a Fall Situation: A 20-year-old man fell off a motorcycle without a helmet. He arrives vomiting and drowsy. He has a scalp laceration and moderate bleeding. a Clean the wound and disregard the vomiting. b Immobilize the spine, elevate the head of the bed 30°, monitor neurological signs, and prepare him for a CT scan. c Allow him to sleep "to rest." 10 Massive Bleeding from a Glass Accident Situation: A 30-year-old man trips and breaks a window. One of the shards of glass cuts his forearm deeply. Blood spurts out forcefully (bright red), soaking his clothes and the floor. He is very pale and begins to feel dizzy. a Cover it lightly with a napkin and wait for it to "go away on its own." b Remove the glass and wash the wound with water. c Apply firm, direct pressure to the wound; if it doesn't stop, apply an improvised tourniquet.

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Nursing in Disaster and Emergency Response: A Fundamental Role

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Nursing in Disaster and Emergency Response: A Fundamental RoleVersión en línea

por Naomy Gall

Person with arterial hemorrhage (heavy bleeding) Situation: A passerby is severely cut by glass; blood is gushing out.

Severe Burn from a Household Explosion Situation: A patient arrives with extensive second-degree burns, intense pain, and signs of shock.

Cardiopulmonary Arrest in the Emergency Room Situation: A patient suddenly stops breathing and has no pulse.

Cardiac Arrest in a Public Place Situation: A person falls to the ground, is not breathing, and is unresponsive.

Airway Obstruction (Choking) Situation: In a restaurant, a person is unable to speak or breathe.

Heat Syncope (Heatstroke) Situation: A person faints in the street after prolonged exposure to the sun.

Immediate Postpartum Hemorrhage Situation: A 28-year-old patient recently delivered vaginally. Minutes later, she begins to bleed heavily. A flaccid uterus, tachycardia, and dizziness are observed. The sheet becomes rapidly saturated, and she begins to show initial signs of shock.

Severe Traumatic Brain Injury After a Fall Situation: A 20-year-old man fell off a motorcycle without a helmet. He arrives vomiting and drowsy. He has a scalp laceration and moderate bleeding.

Massive Bleeding from a Glass Accident Situation: A 30-year-old man trips and breaks a window. One of the shards of glass cuts his forearm deeply. Blood spurts out forcefully (bright red), soaking his clothes and the floor. He is very pale and begins to feel dizzy.