What to do to someone choking, in a case where you cannot do a chest thrust?

To perform the Heimlich maneuver, you must stand behind the choking person, brace yourself, and with your hands in a fist, one over the other, you make a jerking J-motion just under the rib cage. This forces air up and, hopefully, dislodges the blockage.

What do you do if the person is obviously pregnant?

In the case of pregnant women or anyone who is obese, you need to use a chest thrust. This is the same as the regular maneuver, but you put your arms around the middle of the chest, between the breasts, instead.

People are often worried that they may harm the mother or baby, this will not harm them, only help them. the mother and baby are at more risk if you leave them.

We did a mock interview for a job in a nursery, we did this so we can get used to having interviews as we will get job interviews in the future, it also helped us to know what kind of questions we will get asked in a interview.

We did this to we could sell our skills of what we have learnt in this course.

I think my interview went well, although i think I should of answered the questions in more detail, and spoke up more loudly and clearly to show my self as being confident. but i kept eye contact with miss which showed i was concentrating and listening to what she was saying, i also had good body language as i sat up straight and faced her, and didn’t face the other way, and keep looking around.

I didn’t say everything i could of, such as in question one, when miss asked me about how well i worked in a team i should of also said that, i can take control of being a leader in a team, and that i have had experiences of being in charge in a team, such as when we did our scenarios in class, i had to come up with a scenario, and suggest the other people in my group what they was acting as, and what they had to do.

To sell my self a bit more to the interviewer, i should of gone in to more detail with the questions asked, and not just saying one word or short basic answers, this would of made the interview more of a success for me.

Overall, i think that my interview went well, and i know the ways of how to improve it next time

1…Teamwork is important in our nursery, how would you make sure you became a useful member of our team?

• Give my own ideas when discussing things,
• Listen to others 
• Support others ideas

3…How would you deal with a fire if you were the first person to discover it in the baby room?

• Raise the alarm so everyone knows 
• make sure the fire brigade has been called
• get the staff to help get all the children and babies out side by using fire exits, 
• do the regisiter to make sure that everyone is out of the building

8 …Where do you see yourself in five years time?

• At the moment im doing health and social care
• next year im planning on going college and carrying on doing health and social care,
• after i will go on to training to work in a nursery

This is our training video of how to bandage an arm when it is deeply cut and needs pressure put on it to slow down the bleeding.

I videoed the scene, and had to make sure that i stood back so that i could video Masie checking for danger when she came in so she is not putting her self in danger, i then had to move closer as she was bandaging Natalie’s arm to show you have to bandage it tight for pressure but not to tight that your hurting the casualty, also when she elevated her arm i had to stand back a bit to make sure i got the whole scene on video, she did this too slow down the bleeding.

We made our video on Imovie and did a voice over explaining what we was doing in the video, we also put subtitles at bottom for deaf people in case they could not hear the voice over.

This video is directed to nursery teachers, as small children often hurt themselves and we was explaining how to correctly treat a deep cut on a arm.

When i first walked in, i checked for danger to make sure that i’m not putting myself and others in danger. 

I saw that someone was unconcious on the floor so I called the ambalance straight away, I went to the casualty that was unconcious incase they wasn’t breathing as they was still and quiet. I checked her breathing and airways to make sure they was not choking, she had a pulse and her breathing fine so i put her in the recovery position as its the safest thing to do until the ambalance come.

Then I went to the casulty who cut open her hand and was screaming, I got her to calm down then cleaned the wound and wrapped her hand in a bandage, and told her to elavate it above her heart, so that the blood does not rush to her hand and she won’t loose alot of blood.

There was another casualty who was in shock from seeing the the other casualty get hit by a car, I got her to calm down and breathe slowly.

What causes asthma? having a family history of asthma, area you live in- because of pollution in the air, smoking or second hand smoking when pregnant increases the risk of the baby having asthma.

Symptoms of asthma:

First aid for asthma:

In the event of an asthma attack you should take the following steps.

• Tell the casualty to  take their reliever treatment immediately, preferably with a spacer.
• get them to sit down (don’t lie down) and try to relax.
• Wait five to 10 minutes - if there is no improvement get them to repeat one puff of their reliever treatment every minute for five minutes until the symptoms go away. Make sure they tell their GP about the attack.
• If the symptoms don’t go away, you should call their GP or an ambulance, but make sure they continue taking their reliever, preferably with a spacer, every few minutes until help arrives.

Treatment for asthma

There are two basic categories of inhaler medicines that are used for asthma:

• relievers - to treat your symptoms
• preventers - to help prevent your symptoms

You should use relievers when your asthma symptoms occur. They can be short-acting or long-acting, and are usually a blue or green colour.

Short-acting relievers (known as bronchodilators) contain medicines such as salbutamol (eg Ventolin) and terbutaline (Bricanyl) that work to widen your airways and quickly ease your symptoms.

If you’re given a preventer you should use it every day - even if you don’t have symptoms. They are used to help you prevent symptoms, and are usually a brown, orange or red colour.

Preventers usually contain a steroid medicine, such as beclometasone (e.g. Qvar) or fluticasone (e.g. Flixotide) that work to reduce the inflammation of your airways.

What causes a heart attack? Most heart attacks occur as a result of coronary artery disease (CAD). CAD is the build up over time of a material called plaque on the inner walls of the coronary arteries. Eventually, a section of plaque can break open, causing a blood clot to form at the site. A heart attack occurs if the clot becomes large enough to cut off most or all of the blood flow through the artery.

First aid treatment for a heart attack: If someone has a cardiac arrest or heart attack, there are only a few minutes to act before it is too late. It is vital to know what to do beforehand. To perform CPR (cardiopulmonary resuscitation) and artificial respiration (mouth to mouth resuscitation) effectively, training and frequent practice on resuscitation dummies are essential.

How to tell if someone is having a heart attack, if the person is unconscious, if patient has pulse but not breathing,

I identified the slide and swing as a hazard because if the children are playing on them unsupervised then they could fall off and hurt themselves, to prevent this from happening the play ground should be supervised all the time when children are out side and non slippery and spongy ground should be fitted

I also put the corners of tables as a hazard as children in nursery’s are small and could run into the corner and hurt their head, to stop this happening the corners of tables should be covered with sponge or something suitable.

to make the nursery safer, locks are put on the gates, art cupboards, store rooms etc. so children don’t get to places where they shouldn’t.

A number of fire alarms are around the room in case of a fire, to alert everyone else in the building.

I would also make sure there was an accident report book and first aid kit in the classroom for easy access to the staff, but away from where the children can’t reach it.

D-danger, check for danger when entering a scene of a accident, remove any danger that might cause harm to you or the casualty.

R- response, you have to check for reponse from the casualty to see if they are still conscious or if they are just asleep, deaf or got headphones in.

A- airways, to check for clear airways, you have to look down casualty’s throat this is usually checked before doing CPR, if CPR is done while something is blocked in the casualty’s throat then doing CPR will push it down more.

B- breathing, bend down and listen to breathing, or put your cheek near the mouth to try and feel breathe. if the casualty is still not breathing do CPR

C- circulation- check pulse on wrist or neck

Performing CPR on a dummy

When doing CPR on a dummy, i had to do 30 compressions, then tilt the head back, hold the nose and do two breaths, then repeat that again.

If CPR is needed to be done on a person the airways need to be checked that they are clear before performing CPR, then the same needs to be done; 30 compressions, then tilt the casualty’s head back hold their nose and do two breaths. Repeat this again by doing another 30 compressions and two breaths.

For younger children and babies, if CPR is needed to be done, you would need to check their airways are clear, do 30 compressions using two fingers on their chest, then put your mouth over their nose and mouth and do two breaths.

How does CPR keep someone alive?

CPR is a fast acting way to save someone. You have to check for any signs of life, which will prevent you from doing CPR if it is not needed. Rescue breaths are about one second long and make the chest rise, lungs inflate, and heart pick its rhythm up. Chest thrusts done at the natural rhythm of the person’s heart rate make the heart beat manually instead of by the person’s will. It does not work automatically. CPR is done 2 breaths and 30 chest thrusts

How CPR works?

When people breathe they breathe in oxygen and breathe out carbon dioxide. When breathing in oxygen not all off it is needed and 30% of oxygen is then breathed out, this is the oxygen that is breathed in to a casualty the keep them alive.