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07/10/18WE CARE 4 YOU
FIRST-AIDFIRST-AID
TECHNIQUESTECHNIQUES
FIRST-AIDFIRST-AID
TECHNIQUESTECHNIQUES
PAWAN KUMAR SHARMAPAWAN KUMAR SHARMA
NURSING SUPERVISORNURSING SUPERVISOR
07/10/18WE CARE 4 YOU
The first Assistance or Treatment
given to casualty
for any Injury or Sudden Illness
Before the arrival of Ambulance
or qualified medical experts
First AidFirst Aid
07/10/18WE CARE 4 YOU
• Always Be Careful
• Work with Cool mind
• Follow proper Procedure
• Good Housekeeping
Caution is better than CureCaution is better than Cure
07/10/18WE CARE 4 YOU
• Life Saving
• Preventing Worsening of the Condition
• Promote recovery
Aims of First aidAims of First aid
07/10/18WE CARE 4 YOU
Life Saving
• Maintaining an open airway
• Resuscitation, if no breathing
• Controlling Bleeding
Aims of First aidAims of First aid
07/10/18WE CARE 4 YOU
Preventing Worsening of the Condition
• Wounds Dressing
• Comfortable Support to fractures
• Keeping in comfortable condition
Aims of First AIDAims of First AID
07/10/18WE CARE 4 YOU
Promoting Recovery
• Relieving anxiety & giving confidence
• Relieving of pain & discomfort
• Gentle dealing
Aims of First aidAims of First aid
07/10/18WE CARE 4 YOU
• Reach immediately
• Keep patience
• Treatment for breathing & visible wounds first
• Use available material
• Keeping in mind the atmosphere
• Fire, loose material, running machine, etc.
• Safe place
• Light & Ventilation
• Assistance
• Consolation
Duties of a First AiderDuties of a First Aider
07/10/18WE CARE 4 YOU
• Be Calm & Quick
• Regularize Breathing
• Check Bleeding
• Shock Treatment
• Don’t do too much
• Spread Fearlessness
• No crowd, Fresh Air
• No unnecessary Unclothing
• Medical Help
Golden Rules of First aidGolden Rules of First aid
07/10/18WE CARE 4 YOU
• Diagnosis
• Treatment
• Disposal
Steps of First AidSteps of First Aid
07/10/18WE CARE 4 YOU
• History
Storey by victim or other person & Surroundings
• Symptoms
Sensation experienced by casualty
with or without questioning
• Signs
Noted by first aider
Diagnosis of the CaseDiagnosis of the Case
07/10/18WE CARE 4 YOU
Diagnosis of the CaseDiagnosis of the Case
SymptomsSymptoms
• Pain & Loss of Normal Movement
• Loss of Sensation, Cold, Heat, Thirst,
Nausea, Diziness, Weakness, etc.
• Temporary loss of Consciousness,
Loss of memory, etc.
07/10/18WE CARE 4 YOU
Diagnosis of the CaseDiagnosis of the Case
SignsSigns
• Sight
Respiration, bleeding, wounds,
foreign bodies, swelling, vomiting, etc.
• Hearing
Breathing, groan, etc.
07/10/18WE CARE 4 YOU
Diagnosis of the CaseDiagnosis of the Case
SignsSigns
• Smell
Breath, burning, gas, alcohol, etc.
• Touch
Temperature, pulse, deformity,
swelling, tenderness, etc.
07/10/18WE CARE 4 YOU
FIRST AIDFIRST AID
• Eye Injury
• Burns & Wounds
• Bleeding
• Electric Shock
• Fractures
• Bite by Dog, Snake, etc.
07/10/18WE CARE 4 YOU
Eye Injury
• Don’t attempt removal of foreign body.
• Don’t apply oil or ointment.
• Don’t use neutralizing agents or ointments.
• Wash the eye with clean water.
• Apply sterile pad and loose
bandage.
07/10/18WE CARE 4 YOU
Types of BURNSTypes of BURNSTypes of BURNSTypes of BURNS
RULES OF NINERULES OF NINERULES OF NINERULES OF NINE
07/10/18WE CARE 4 YOU
Burns
• Pour running cold water on the affected part.
• Do not apply ointments or oils or
any other substance.
• Cover the wound with sterilized cloth.
• Give artificial respiration, if needed.
• Prevent shock.
07/10/18WE CARE 4 YOU
Types of WoundsTypes of WoundsTypes of WoundsTypes of Wounds
07/10/18WE CARE 4 YOU
WoundsWounds
• Stop the bleeding, if any.
• Avoid touching the wounds.
• Don’t attempt removal of any foreign body
• Cover the wound with sterilized dressing.
07/10/18WE CARE 4 YOU
Types of BleedingTypes of Bleeding
07/10/18WE CARE 4 YOU
Control of BleedingControl of Bleeding
Direct Pressure
Elevation
Cold Applications
Pressure bandage
07/10/18WE CARE 4 YOU
Bleeding First Aid
• Apply direct pressure by thumb
or finger.
• Apply dressing – gauze pad and
bandage.
• Apply indirect pressure on
pressure points.
• Apply tourniquet.
TourniquetTourniquet
Absolute last resort
in controlling
bleeding Remember -
Life or limb
Once a tourniquet is
applied, it is not to be
removed , only by a doctor
07/10/18WE CARE 4 YOU
PRESSURE POINTSPRESSURE POINTS
Pressure points are specific
sensitive areas on the
surface of the body.
Where the artery passes over a
bone close to the skin
07/10/18WE CARE 4 YOU
Electric ShockElectric Shock
• Switch off the current at once.
• Do not touch the casualty or attempt
first aid until the contact has been
broken.
• Make the air passage clear and clean.
• Restore breathing by Artificial
respiration and external cardiac
massage, if needed.
07/10/18WE CARE 4 YOU
FracturesFractures
Signs of Fracture : Pain, Tenderness,
Swelling, Loss of Power, Deformity
• Do not move the injured unless the life is
endangered from other causes.
• Deal with the hemorrhage and breathing
difficulties.
• Immobilize the fracture by using suitable
splints. Immobilization should include one
joint above and one joint below the fracture.
07/10/18WE CARE 4 YOU
Type of FracturesType of Fractures
07/10/18WE CARE 4 YOU
Fractures
Backbone Fracture
• Handle with great care.
Fracture of backbone may lead to
paralysis of limbs.
• Transport on a rigid frame, on a
stretcher
• Immediate hospitalization is needed.
07/10/18WE CARE 4 YOU
Bandages
• Roller bandages.
• Triangular bandages.
07/10/18WE CARE 4 YOU
07/10/18WE CARE 4 YOU
07/10/18WE CARE 4 YOU
Shocks
• Lay the patient on his back.
• Stop bleeding, if any.
• Relieve pain by supporting the injured part.
• Keep the patient comfortable.
• Do not cause sweating.
• Fluids may be given by mouth in small amounts,
if the patient is conscious.
• Reassure the patient.
• Arrange immediate medical aid.
07/10/18WE CARE 4 YOU
SuffocationSuffocation
• Remove the patient from the source
• Clean the airways.
• Restore breathing by artificial respiration.
• Send the patient to the hospital.
07/10/18WE CARE 4 YOU
Unconsciousness
• Make the patient lie down on his belly with
head turned to one side.
• Check breathing and pulse.
• Loosen tight clothings.
• Clean the air-way.
• Give artificial respiration and external
Cardiac Massage, if needed.
• Transport the patient to the hospital.
07/10/18WE CARE 4 YOU
Cardio Pulmonary ResuscitationCardio Pulmonary Resuscitation
Should be trained to perform this procedure
If done improperly, could harm victim
1. ABC (airway-breathing-circulation)
2. Control bleeding
3. Treat for Shock(medical
emergencies)
4. Open wounds & Burns
5. Fractures & Dislocations
6. Transportation
07/10/18WE CARE 4 YOU
Causes of Respiratory/Cardiac Arrest
Electrical
Toxic - Noxious gases
Suffocation
Trauma
Drugs
Drowning
Heart Attack
Allergic reactions
07/10/18WE CARE 4 YOU
A-B-C’sA-B-C’s
Use chin lift/head tilt
Check pulse
Attempt to Ventilate
30 Compressions to 2 Breaths
• Establish
responsiveness
Look.-listen-feel for breathing
07/10/18WE CARE 4 YOU
ARTIFICIAL RESPIRATION
Mouth to Mouth: This is appropriate and
effective technique for emergency artificial
respiration.
Keep the head slightly backward and open the
jaw.
Seal the casualty’s nose to prevent escape of air
by pinching with thumb and index finger.
Take a deep breath, open your mouth widely,
place it over the victim’s mouth and make a
tight seal.
Quickly blow the full breath into the mouth of
victim.
Remove your mouth from the victim and allow him
to exhale passively.
Repeat the procedure 12 to 15 times per minute,
till medical aid is arranged.
07/10/18WE CARE 4 YOU
ARTIFICIAL RESPIRATION
CAUTION
• Do not give mouth to mouth resuscitation during CPR in
the presence of toxins such as cyanide, hydrogen
sulphide, corrosives and organo-phosphates. Ventilate
the casualty by using a face mask or bag/valve/mask
assembly.
∀ Avoid mouth to mouth resuscitation if there is possibility
of transmission of infection between the victim and the
rescuer, such as HIV, Hepatitis-B, Tuberculosis,
Shigellosis, Meningococcal meningitis, Herpes simplex
virus and Salmonella. Use an interpositional airway
device which must function effectively in both its
resuscitation and protective roles, and be immediately
available at all times.
07/10/18WE CARE 4 YOU
• ABDOMINAL WOUNDS
• No time should be lost in sending the
patient to the hospital.
• Keep the patient flat on his back.
• Give nothing by mouth.
• Maintain warmth.
• If intestines protrude from the wound, do
not attempt to touch or replace them.
• Apply sterile dressing and binder on the
wound.
• Provide immediate transportation to the
hospital.
07/10/18WE CARE 4 YOU
• HEAT STROKE
• Make the patient lie down.
• Remove all clothing's except the underwear.
• Keep the patient under the fan.
• Pour cold water on the body repeatedly.
• Wash the head thoroughly with cold water and
dry it with towel.
• Record body temperature falls up to 38ºC
stop pouring water.
• Give plenty of cold water with a pinch of
common salt in each glass of water to drink.
• Send the patient to the hospital.
07/10/18WE CARE 4 YOU
• BLEEDING NOSE
• Make the patient sit on a Chair with head downward.
• Pinch the nose with fingers and thumb.
• Apply ice or cold compression.
• Do not plug the nostrils.
• Do not put water or any medicine through the nostrils.
• Send for medical aid immediately.
• FOREIGN BODY IN THE NOSE
∀ Do not try to remove the solid object.
∀ Ask the patient to breathe through mouth.
∀ Send the patient to the hospital.
07/10/18WE CARE 4 YOU
• BLEADING EAR
∀ Lay the patient with the head slightly raised.
∀ Incline the head to the affected side and apply a dry
dressing over the ear with loose bandage.
∀ Do not plug the ear.
∀ Apply pressure in front of the ear.
∀ Send for medical aid immediately.
• FOREIGN BODY IN THE EAR
∀ Solid – Do not try to remove, scratch or probe it.
∀ Insects – Put a few drops of water in the ear and turn
the head so that affected ear points upwards.
∀ Keep the head in that position for 5 minutes, then
turn the head downwards so that the water flows out.
∀ Arrange immediate medical aid.
07/10/18WE CARE 4 YOU
• SNAKE BITE
∀ Reassure the patient
∀ Do not allow the person to run or walk
∀ Apply a ligature above the wound (in between
the heart and the wound) if the bite is in the
leg or hand.
∀ Wash the wound with potassium permanganate
solution or with soap and water.
∀ Allow free bleeding.
∀ Never suck the blood from the wound.
∀ Treat for shock.
∀ Arrange immediate hospitalization, by
transporting the patient in a lying down
position.
07/10/18WE CARE 4 YOU
• DOG BITE
• Clean the wound immediately with water.
• Then wash with antiseptic soap and water.
• Do not try to stop bleeding.
• Do not cover the wound.
• Send the patient to hospital for treatment.
• INSECT BITE
• The sting bite should be pulled out.
• Apply cold compression.
• Apply vinegar diluted with water.
• Soda-bicarbonate paste should be applied at
the site.
• Prevent shock.
• Send for medial aid immediately.
 I hope you all enjoyed to be the part of this
first aid club so please become a first aid
Trainer and give first aid who Need if any
quarry call us or contact us at Occupational
Health centre .
With Best regards,
PAWAN KUMAR SHARMA
NURSING SUPERVISOR
ADITYA WELLNESS CENTER
07/10/18WE CARE 4 YOU
Thanks

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first aid talk

  • 1. 07/10/18WE CARE 4 YOU FIRST-AIDFIRST-AID TECHNIQUESTECHNIQUES FIRST-AIDFIRST-AID TECHNIQUESTECHNIQUES PAWAN KUMAR SHARMAPAWAN KUMAR SHARMA NURSING SUPERVISORNURSING SUPERVISOR
  • 2. 07/10/18WE CARE 4 YOU The first Assistance or Treatment given to casualty for any Injury or Sudden Illness Before the arrival of Ambulance or qualified medical experts First AidFirst Aid
  • 3. 07/10/18WE CARE 4 YOU • Always Be Careful • Work with Cool mind • Follow proper Procedure • Good Housekeeping Caution is better than CureCaution is better than Cure
  • 4. 07/10/18WE CARE 4 YOU • Life Saving • Preventing Worsening of the Condition • Promote recovery Aims of First aidAims of First aid
  • 5. 07/10/18WE CARE 4 YOU Life Saving • Maintaining an open airway • Resuscitation, if no breathing • Controlling Bleeding Aims of First aidAims of First aid
  • 6. 07/10/18WE CARE 4 YOU Preventing Worsening of the Condition • Wounds Dressing • Comfortable Support to fractures • Keeping in comfortable condition Aims of First AIDAims of First AID
  • 7. 07/10/18WE CARE 4 YOU Promoting Recovery • Relieving anxiety & giving confidence • Relieving of pain & discomfort • Gentle dealing Aims of First aidAims of First aid
  • 8. 07/10/18WE CARE 4 YOU • Reach immediately • Keep patience • Treatment for breathing & visible wounds first • Use available material • Keeping in mind the atmosphere • Fire, loose material, running machine, etc. • Safe place • Light & Ventilation • Assistance • Consolation Duties of a First AiderDuties of a First Aider
  • 9. 07/10/18WE CARE 4 YOU • Be Calm & Quick • Regularize Breathing • Check Bleeding • Shock Treatment • Don’t do too much • Spread Fearlessness • No crowd, Fresh Air • No unnecessary Unclothing • Medical Help Golden Rules of First aidGolden Rules of First aid
  • 10. 07/10/18WE CARE 4 YOU • Diagnosis • Treatment • Disposal Steps of First AidSteps of First Aid
  • 11. 07/10/18WE CARE 4 YOU • History Storey by victim or other person & Surroundings • Symptoms Sensation experienced by casualty with or without questioning • Signs Noted by first aider Diagnosis of the CaseDiagnosis of the Case
  • 12. 07/10/18WE CARE 4 YOU Diagnosis of the CaseDiagnosis of the Case SymptomsSymptoms • Pain & Loss of Normal Movement • Loss of Sensation, Cold, Heat, Thirst, Nausea, Diziness, Weakness, etc. • Temporary loss of Consciousness, Loss of memory, etc.
  • 13. 07/10/18WE CARE 4 YOU Diagnosis of the CaseDiagnosis of the Case SignsSigns • Sight Respiration, bleeding, wounds, foreign bodies, swelling, vomiting, etc. • Hearing Breathing, groan, etc.
  • 14. 07/10/18WE CARE 4 YOU Diagnosis of the CaseDiagnosis of the Case SignsSigns • Smell Breath, burning, gas, alcohol, etc. • Touch Temperature, pulse, deformity, swelling, tenderness, etc.
  • 15. 07/10/18WE CARE 4 YOU FIRST AIDFIRST AID • Eye Injury • Burns & Wounds • Bleeding • Electric Shock • Fractures • Bite by Dog, Snake, etc.
  • 16. 07/10/18WE CARE 4 YOU Eye Injury • Don’t attempt removal of foreign body. • Don’t apply oil or ointment. • Don’t use neutralizing agents or ointments. • Wash the eye with clean water. • Apply sterile pad and loose bandage.
  • 17. 07/10/18WE CARE 4 YOU Types of BURNSTypes of BURNSTypes of BURNSTypes of BURNS RULES OF NINERULES OF NINERULES OF NINERULES OF NINE
  • 18. 07/10/18WE CARE 4 YOU Burns • Pour running cold water on the affected part. • Do not apply ointments or oils or any other substance. • Cover the wound with sterilized cloth. • Give artificial respiration, if needed. • Prevent shock.
  • 19. 07/10/18WE CARE 4 YOU Types of WoundsTypes of WoundsTypes of WoundsTypes of Wounds
  • 20. 07/10/18WE CARE 4 YOU WoundsWounds • Stop the bleeding, if any. • Avoid touching the wounds. • Don’t attempt removal of any foreign body • Cover the wound with sterilized dressing.
  • 21. 07/10/18WE CARE 4 YOU Types of BleedingTypes of Bleeding
  • 22. 07/10/18WE CARE 4 YOU Control of BleedingControl of Bleeding Direct Pressure Elevation Cold Applications Pressure bandage
  • 23. 07/10/18WE CARE 4 YOU Bleeding First Aid • Apply direct pressure by thumb or finger. • Apply dressing – gauze pad and bandage. • Apply indirect pressure on pressure points. • Apply tourniquet. TourniquetTourniquet Absolute last resort in controlling bleeding Remember - Life or limb Once a tourniquet is applied, it is not to be removed , only by a doctor
  • 24. 07/10/18WE CARE 4 YOU PRESSURE POINTSPRESSURE POINTS Pressure points are specific sensitive areas on the surface of the body. Where the artery passes over a bone close to the skin
  • 25. 07/10/18WE CARE 4 YOU Electric ShockElectric Shock • Switch off the current at once. • Do not touch the casualty or attempt first aid until the contact has been broken. • Make the air passage clear and clean. • Restore breathing by Artificial respiration and external cardiac massage, if needed.
  • 26. 07/10/18WE CARE 4 YOU FracturesFractures Signs of Fracture : Pain, Tenderness, Swelling, Loss of Power, Deformity • Do not move the injured unless the life is endangered from other causes. • Deal with the hemorrhage and breathing difficulties. • Immobilize the fracture by using suitable splints. Immobilization should include one joint above and one joint below the fracture.
  • 27. 07/10/18WE CARE 4 YOU Type of FracturesType of Fractures
  • 28. 07/10/18WE CARE 4 YOU Fractures Backbone Fracture • Handle with great care. Fracture of backbone may lead to paralysis of limbs. • Transport on a rigid frame, on a stretcher • Immediate hospitalization is needed.
  • 29. 07/10/18WE CARE 4 YOU Bandages • Roller bandages. • Triangular bandages.
  • 32. 07/10/18WE CARE 4 YOU Shocks • Lay the patient on his back. • Stop bleeding, if any. • Relieve pain by supporting the injured part. • Keep the patient comfortable. • Do not cause sweating. • Fluids may be given by mouth in small amounts, if the patient is conscious. • Reassure the patient. • Arrange immediate medical aid.
  • 33. 07/10/18WE CARE 4 YOU SuffocationSuffocation • Remove the patient from the source • Clean the airways. • Restore breathing by artificial respiration. • Send the patient to the hospital.
  • 34. 07/10/18WE CARE 4 YOU Unconsciousness • Make the patient lie down on his belly with head turned to one side. • Check breathing and pulse. • Loosen tight clothings. • Clean the air-way. • Give artificial respiration and external Cardiac Massage, if needed. • Transport the patient to the hospital.
  • 35. 07/10/18WE CARE 4 YOU Cardio Pulmonary ResuscitationCardio Pulmonary Resuscitation Should be trained to perform this procedure If done improperly, could harm victim 1. ABC (airway-breathing-circulation) 2. Control bleeding 3. Treat for Shock(medical emergencies) 4. Open wounds & Burns 5. Fractures & Dislocations 6. Transportation
  • 36. 07/10/18WE CARE 4 YOU Causes of Respiratory/Cardiac Arrest Electrical Toxic - Noxious gases Suffocation Trauma Drugs Drowning Heart Attack Allergic reactions
  • 37. 07/10/18WE CARE 4 YOU A-B-C’sA-B-C’s Use chin lift/head tilt Check pulse Attempt to Ventilate 30 Compressions to 2 Breaths • Establish responsiveness Look.-listen-feel for breathing
  • 38. 07/10/18WE CARE 4 YOU ARTIFICIAL RESPIRATION Mouth to Mouth: This is appropriate and effective technique for emergency artificial respiration. Keep the head slightly backward and open the jaw. Seal the casualty’s nose to prevent escape of air by pinching with thumb and index finger. Take a deep breath, open your mouth widely, place it over the victim’s mouth and make a tight seal. Quickly blow the full breath into the mouth of victim. Remove your mouth from the victim and allow him to exhale passively. Repeat the procedure 12 to 15 times per minute, till medical aid is arranged.
  • 39. 07/10/18WE CARE 4 YOU ARTIFICIAL RESPIRATION CAUTION • Do not give mouth to mouth resuscitation during CPR in the presence of toxins such as cyanide, hydrogen sulphide, corrosives and organo-phosphates. Ventilate the casualty by using a face mask or bag/valve/mask assembly. ∀ Avoid mouth to mouth resuscitation if there is possibility of transmission of infection between the victim and the rescuer, such as HIV, Hepatitis-B, Tuberculosis, Shigellosis, Meningococcal meningitis, Herpes simplex virus and Salmonella. Use an interpositional airway device which must function effectively in both its resuscitation and protective roles, and be immediately available at all times.
  • 40. 07/10/18WE CARE 4 YOU • ABDOMINAL WOUNDS • No time should be lost in sending the patient to the hospital. • Keep the patient flat on his back. • Give nothing by mouth. • Maintain warmth. • If intestines protrude from the wound, do not attempt to touch or replace them. • Apply sterile dressing and binder on the wound. • Provide immediate transportation to the hospital.
  • 41. 07/10/18WE CARE 4 YOU • HEAT STROKE • Make the patient lie down. • Remove all clothing's except the underwear. • Keep the patient under the fan. • Pour cold water on the body repeatedly. • Wash the head thoroughly with cold water and dry it with towel. • Record body temperature falls up to 38ºC stop pouring water. • Give plenty of cold water with a pinch of common salt in each glass of water to drink. • Send the patient to the hospital.
  • 42. 07/10/18WE CARE 4 YOU • BLEEDING NOSE • Make the patient sit on a Chair with head downward. • Pinch the nose with fingers and thumb. • Apply ice or cold compression. • Do not plug the nostrils. • Do not put water or any medicine through the nostrils. • Send for medical aid immediately. • FOREIGN BODY IN THE NOSE ∀ Do not try to remove the solid object. ∀ Ask the patient to breathe through mouth. ∀ Send the patient to the hospital.
  • 43. 07/10/18WE CARE 4 YOU • BLEADING EAR ∀ Lay the patient with the head slightly raised. ∀ Incline the head to the affected side and apply a dry dressing over the ear with loose bandage. ∀ Do not plug the ear. ∀ Apply pressure in front of the ear. ∀ Send for medical aid immediately. • FOREIGN BODY IN THE EAR ∀ Solid – Do not try to remove, scratch or probe it. ∀ Insects – Put a few drops of water in the ear and turn the head so that affected ear points upwards. ∀ Keep the head in that position for 5 minutes, then turn the head downwards so that the water flows out. ∀ Arrange immediate medical aid.
  • 44. 07/10/18WE CARE 4 YOU • SNAKE BITE ∀ Reassure the patient ∀ Do not allow the person to run or walk ∀ Apply a ligature above the wound (in between the heart and the wound) if the bite is in the leg or hand. ∀ Wash the wound with potassium permanganate solution or with soap and water. ∀ Allow free bleeding. ∀ Never suck the blood from the wound. ∀ Treat for shock. ∀ Arrange immediate hospitalization, by transporting the patient in a lying down position.
  • 45. 07/10/18WE CARE 4 YOU • DOG BITE • Clean the wound immediately with water. • Then wash with antiseptic soap and water. • Do not try to stop bleeding. • Do not cover the wound. • Send the patient to hospital for treatment. • INSECT BITE • The sting bite should be pulled out. • Apply cold compression. • Apply vinegar diluted with water. • Soda-bicarbonate paste should be applied at the site. • Prevent shock. • Send for medial aid immediately.
  • 46.  I hope you all enjoyed to be the part of this first aid club so please become a first aid Trainer and give first aid who Need if any quarry call us or contact us at Occupational Health centre . With Best regards, PAWAN KUMAR SHARMA NURSING SUPERVISOR ADITYA WELLNESS CENTER 07/10/18WE CARE 4 YOU Thanks