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What should be the first aid taken for stroke?

What is a Stroke?

• It is also addressed by the name Cerebrovascular accident (CVA).
• There is a sudden and rapid loss in the functioning of the brain.
• The main reason behind this is when the blood supply to the brain is disturbed.

What are the actions taken for stroke?

Follow the DRSABCD Action Plan
• St John Ambulance Australia advises everyone to follow the ‘DRSABCD Action Plan’ in every emergency.
• It may help you see whether someone is undergoing a life-threatening condition and what first-aid is necessary.

D stands for pay attention to DANGER
• To you
• To others
• For the individual

R stands for check RESPONSE
• Ask the person their name.
• When someone has already established a stroke, they may not be able to talk, so grasp both their hands and ask them to squeeze.
• They will often respond by squeezing your hands.
Does the person respond?
– If so, they are conscious
– Should the person not respond, they are probably unconscious

S stands for Send for help
• Call for an ambulance or ask another person to do so.

A stands for check AIRWAY
• Check if the airway is open?
• Open the mouth and be sure the top airway that is certainly visible for you is free of foreign material.
• When the airway is not found clear, turn the person to a recovery position.
• Kneel next to the person.
• Put their arm that’s farthest by you out at right angles to their body.
• Place their nearer arm across their chest.
• Bend their nearer leg up towards the knee; the other leg needs to be straight.
• While supporting their scalp and neck, roll the person away from you.
• While they are on the side, keeps their top leg bent at the knee, with the knee touching the floor.
Recovery position
– Then tilt their head slightly backwards and downwards to let out whatever that’s from the airway.
– This can include vomit.
– Then clear the airway with your fingers.

B stands for pay attention to BREATHING
• Tilt their head back by lifting the person’s chin.
• Look for the person’s chest rising and falling?
• Listen – do you hear the individual breathing?
• Feel — is it possible to feel their breath on your cheek?
• In the event when the person is not breathing, start working on phase 2: cardiopulmonary resuscitation (CPR).
• When the person is breathing, follow steps below under ‘while awaiting help’.

C stands for Give CPR
• Turn the person onto their back.
• Kneeling next to the person, give 30 chest compression for the lower half of the breastbone.
• Use both hands with the fingers interlocked.
• Then tilt the head backwards, lift the chin and allow 2 mouth-to-mouth breaths while pinching the nose shut.
• Keep alternating between 30 compression and a couple of breaths before person shows signs of life or medical help arrives.

D stands for DEFIBRILLATION
• If the person does not respond to CPR, apply defibrillator and follow the voice prompts.
While looking forward for help – When the person is conscious:
– Lie the individual down making use of their head and shoulders raised and supported.
– Use pillows or cushions for support.
– Keep them at a comfortable temperature.
– Loosen any tight clothing.
– Wipe away any secretions from the mouth.
– Ensure the airway is see-through and open.
– Assure that help is along the way.
– Don’t give them everything to eat or drink.
When the sufferer becomes unconscious
– Keep them in the recovery position.
– This is to avoid blocking the windpipe and choking them.
– Keep monitoring their airway and breathing.
– Follow the above steps.

Advances in Stroke Interventions Stroke Rehabilitation The Stroke Book

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