1. Annual First Aid
Update
Working Together To Save Lives
Presented by LISD Nurses

2. First Responders
 Who are first responders?
 What are the responsibilities of first responders?
 Initiate CPR immediately, while someone else is getting the AED
 Teachers
 Push button and call for help. Example: “This is an emergency! I have an
unresponsive child!”
 Clear the classroom
 Yield to the nurse(s)
 Office staff- Call nurse, first responders and 911 if needed. If it is a diabetic
emergency, the unlicensed diabetic care assistants will assist.
 Principals- Designate someone to wait for the ambulance and to direct the EMTs

3. Emergency First Aid Plan
 Know where your AED is!
 Know where the emergency equipment is located!
 Oral glucose gel, glucose tablets, CPR masks, CPR
mouth barriers, suction
 Keep the Emergency First Aid Plan in your
evacuation or crisis backpack/bucket and be
familiar with it.

4. Emergencies
 Seizures
 Heat Illness
 Asthma
 Diabetics
 Anaphylaxis

5. Emergencies cont’d
 Seizures
 All students must exit the classroom immediately
 Call the office immediately. Then the office will notify the school
nurse, parent and call 911 if the seizure lasts longer than 5
minutes
 Stay calm and keep track of time
 Move any furniture or objects that could harm them
 Do not put anything in their mouths
 Following the seizure keep the airway open, place patient on
their side
 Stay with the child until they are fully conscious

6. Emergencies cont’d
 Heat Illness
 Get victim out of the heat
 Loosen tight clothing
 Apply cool wet cloths to the skin, particularly the back of
the neck, arm pits, and groin area
 Give cool water if victim is conscious. If victim is refusing
water, has red, flushed DRY skin their condition is critical.
You should have victim cooled any way you can and
monitor breathing and pulse until medical help arrives

7. Emergencies cont’d
 Asthma
 Triggers: allergies, change in weather, animals, exercise,
excitement, strong odors, dust
 Symptoms: Shortness of breath, wheezing, coughing
 Give a quick relief inhaler right away if available. Have
the child sit down and try to keep them as calm as
possible
 Asthma emergency- marked breathlessness, inability to
speak more than short phrases, use of accessory
muscles, or drowsiness
 Treat with inhaler if available
 Call 911 and start CPR if needed
 Contact parent/ guardian

8. Emergencies cont’d
 Diabetics
 Often will say “I feel like my blood sugar is low”
 Encouraged to check their blood sugar in the classroom when they feel
low or are symptomatic
 Never send a student alone to the office if symptomatic or “feeling low”
 Signs of low blood sugar: feeling weak, looks pale, acts strangely,
sweating. If you see these signs, they need something with sugar in it
right away- Juice, candy, non diet soft drink
 If they are unconscious, do not give anything by mouth. Administer
glucagon injection if available or rub cake mate gel or glutose15
between gum and cheek.

9. Emergencies cont’d
 Anaphylaxis
 What is an anaphylactic reaction?
 Causes: food allergies (especially peanuts), insect venom,
medicines, latex
 Signs of allergic reaction:
*Mouth: itching & swelling of lips, tongue or mouth
*Throat: itching &/or tightness in throat, hoarseness, cough
*Skin: itchy rash, hives &/or swelling in face or extremities
*Gut: nausea, abdominal cramps, vomiting &/or diarrhea
*Lung: shortness of breath, repetitive coughing &/or wheezing
*Heart: “thready” pulse, fainting
ALL or ANY of the above symptoms can progress to a life
threatening reaction!

10. Emergencies cont’d
 Anaphylaxis
 Epipen
 When does the child need it?
 How do you administer it?
 Where is it located?
 Don’t wait to use it! EARLY use of epinephrine is
best, especially when it’s beyond a rash or the
mildest case of hives
 If it is given when it isn’t needed (false alarm),
there is NO harm to the child.

11. Cardiopulmonary Resuscitation (CPR)
 Compression only CPR
 AED
 Heimlich maneuver

12. Field Trips
 What do you need to take on field trips or
off-campus activities?
 Copy of Action Plans for students with asthma,
anaphylaxis risk, diabetes, or seizures.
 Emergency First Aid Plan
 Cell phone
 First aid kit with emergency supplies (inhalers,
epipens, diabetic supplies/snacks if traveling with
a diabetic)

13. Field Trips cont’d
 Head and neck injuries
 If the student falls from a distance as great as or
greater than their height and they aren’t moving,
DO NOT move them.
 Maintain an open airway, check consciousness
and breathing until help arrives

14. Questions?