Golden Hour Medics Ltd

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Golden Hour Medics Ltd We train Corporate Organizations, Schools, Families and Individuals on CPR & other basic First Aid s We are a member of the Nigerian Red Cross Society.

We are Golden Hour Medics limited, the number one Specialized Emergency Medical Care (First Aid) Training Organization in Nigeria. We train Corporate Organizations, Schools, Families and Individuals on the basic First Aid skills that will enable them stay prepared in the event of any common medical emergency which can occur at homes or in our work places. Our team is made up of well-trained Medical Doctors, Paramedics and HSE Experts. Our First Aid training is designed to practically educate individuals on how to respond calmly and confidently to the common medical emergency cases before help arrives and also how to prevent and manage fire outbreaks. Our organization was set up due to the need to equip every adult with basic first aid and basic life support skills. Survey shows that some of the medical cases that present to the hospitals were not successful, primarily due to no/poor first aid care they received minutes after the incident. In Nigeria, there is almost no Paramedic care; the first care after an accident is usually at the hospital and the journey to the hospital could run into hours considering several challenges. The importance of emergency care training therefore cannot be over emphasized in this environment. With our training, you will be well equipped with the basic First Aid skills required to keep someone in a medical emergency alive and stable till they get to the hospital. This of course will make your Organization stand out among equals. Our training is invaluable to every adult and teenager because in medical emergencies, every second counts. We shall train you on how to manage the following medical emergencies:

• Unconsciousness with/without breathing… CPR (Cardio Pulmonary Resuscitation),
• Choking,
• Sudden seizure,
• Ingestion of poisonous or toxic substances,
• Dislocation and fractures,
• Burns (electric, flames, steam and chemical burns),
• Bleeding from cuts and stabs,
• Animal bites & stings,
• Stroke (Cardiovascular Accident),
• Heart Attack,
• Chest and Abdominal injuries,
• Head injuries etc

We will also educate you on Healthy living and Ergonomics. Our training is very practical (with visuals) and lasts for 4 hours. It can be held at your premises or at our training center in GRA, Ikeja, Lagos. The participants will get certificate of participation and training manual after the session. Our Office is in Lagos but we have experts in different parts of the country. So far, we have trained officers of the Federal Fire Service, Nigerian Police and some Corporate staff in Organizations like Diamond bank Plc, Dupont Nemors ltd, James Cubit ltd etc and we have trained over 500 teachers and students in different parts of Lagos, Portharcourt and Abuja. Last year, we partnered with Cornerstone Insurance Plc (on their 2016 CSR project) to train over 1,000 students in 20 secondary schools in Lagos state.

Emergency management of PoisoningA poison is a substance that causes injury, illness or death if it enters the body. Poi...
25/04/2017

Emergency management of Poisoning

A poison is a substance that causes injury, illness or death if it enters the body. Poisons may enter the body in the form of liquids, solids, or gas and vapour fumes.
Poisons can enter via:
• the mouth and digestive system
• fumes through the lungs
• absorption of a chemical or plant extract through the skin
• injection of drugs of abuse
Symptoms and signs
• nausea or vomiting
• abdominal pain
• diarrhoea
• unconsciousness or deteriorating conscious state
• seizures
• breathing difficulty altered or changed behaviour – e.g. hallucination, aggression
How you can help
1. Check for dangers before approaching the patient
• Ensure safety for yourself, the patient, and any others before approaching to give first aid. If safe and necessary, remove the patient to a safer area.
• Note any information about the nature of the poisoning incident – e.g. tablets, berries, burns around the mouth, etc.
2. Check the patient’s level of consciousness
If unconscious:
• If breathing normally, turn the patient on their side in a supported position to clear the airway.
“Note that while handling an unconscious patient, it is very advisable to handle the neck with caution as poor handling might lead to injury to the cervical vertebrae and/or obstruction of the airway – leading to death thus, an unconscious patient should be moved around on a flat solid surface (eg a Plank) or the head should be supported by somebody to remain on same level with the rest of the body”.
Call for an ambulance or a ride to the hospital when conscious but
• If the mouth has burns from a corrosive poison, wipe the area with a moist cloth or tissues.

Emergency management of food-poisoningAll foods naturally contain small amounts of bacteria. But poor handling of food, ...
25/04/2017

Emergency management of food-poisoning

All foods naturally contain small amounts of bacteria. But poor handling of food, improper cooking or inadequate storage can result in bacteria multiplying in large enough numbers to cause illness. Signs and symptoms of food poisoning vary, Generally they include:
• Diarrhea
• Nausea
• Abdominal pain
• Vomiting (sometimes)
• Dehydration (sometimes)
Whether you become ill after eating contaminated food depends on the organism, the amount of exposure, your age and your health. High-risk groups include:
• Older adults. As you get older, your immune system may not respond as quickly and as effectively to infectious organisms as when you were younger.
• Infants and young children. Their immune systems haven't fully developed.
• People with chronic diseases. Having a chronic condition, such as diabetes or AIDS, or receiving chemotherapy or radiation therapy for cancer reduces your immune response.
If you develop food poisoning:
• Rest and drink plenty of liquids.
• Don't use anti-diarrheal medications because they may slow elimination of bacteria from your system.
Foodborne illness often improves on its own within 48 hours. Call your doctor if you feel ill for longer than two or three days or if blood appears in your stools.
Call for emergency medical assistance if:
• You have severe symptoms, such as watery diarrhea that turns very bloody within 24 hours.
• You belong to a high-risk group.
• You suspect botulism poisoning. Signs and symptoms of botulism usually begin 12 to 36 hours after eating the contaminated food and may include headache, blurred vision, muscle weakness and eventual paralysis. Some people also have nausea and vomiting, constipation, urinary retention, difficulty breathing, and dry mouth. These signs and symptoms require immediate medical attentio

CHOKING IN A CHILD/ADULTWhat to do:1. Give up to 5 back blows. Hit them firmly on their back between the shoulderblades....
10/04/2017

CHOKING IN A CHILD/ADULT

What to do:
1. Give up to 5 back blows. Hit them firmly on their back between the shoulder
blades. Back blows create a strong vibration and pressure in the airways which is
enough to dislodge the blockage. If back blows do not dislodge the object, move on to step 2.

2. Give 5 abdominal thrusts (Heimlich's manoeuvre). Hold the child around the waist and pull upwards and inwards above their belle button.
If abdominal thrusts do not dislodge the object, repeat step 1 and 2.
Abdominal thrusts squeeze the air out of the lungs and this may dislodge the blockage.

3. Call your local emergency if object has not dislodged after 3 cycles of back
blows and abdominal thrusts.

Note:
- The force of the back blows depends on the age and size of the victim.
However, the most common problem with treating choking patients is the inability to apply a good force on the back blows. The force needs to have enough strength to dislodge the object.
- Do not attempt to give a choking patient a glass of water or something to eat.
This has no effect on the airway and may even worsen the situation.
- If the object goes into the lungs in the process, do not panic as the airway is
now clearer for breathing, just take the patient to the nearest hospital for proper
management.

CHOKING IN A BABYWhat to do:1. Give up to 5 back blows. Hold the face down along your thigh with their headlower than th...
07/04/2017

CHOKING IN A BABY

What to do:
1. Give up to 5 back blows. Hold the face down along your thigh with their head
lower than their bottom. Hit them firmly on their back between the shoulder blades up to 5 times.
The back blows will create a strong vibration and pressure in the airway which is
often enough to dislodge the blockage. Dislodging the object will allow them to
breathe again. Ensure you support their head while you hold them in the position
described above.
If this does not work, give Chest thrusts.

2. Give up to 5 chest thrusts. Turn the baby over so they are facing upwards and
place 2 fingers in the middle of their chest just below the ni***es. Push inward and upward up to 5 times. If chest thrusts do not dislodge the object, repeat steps 1 and 2.
Chest thrusts squeeze the air out of the baby's lungs and dislodge the blockage.

3. Call your local emergency number if objects have not dislodged after 3 cycles of
5 back blows and 5 chest thrusts.

Note:
- Hold the baby with his head lower than his bottom because with babies, the
blockage is usually liquids (eg milk or mucus). So ensuring the head is lower than
the bottom helps the liquid to drain out so gravity will be helpful.
- Supporting the head during this procedure will help to keep the airway open;
helping to facilitate the dislodging of the object.
- Do not try abdominal thrusts on babies. These thrusts are for children and adults
alone.
- It is not advisable to attempt using your finger to bring out the object as this
may push the object down the airway or damage the soft tissues in the airway.

07/04/2017

NEAR DROWNING

In near drowning, the victim tends to lose consciousness and the heart may stop beating depending on the severity of the drowning.

1. First get the victim out of the water and place him on the floor.

2. Tilt the head sideways to remove any fluid from the mouth and nose.

3. Check for breathing and if present or not, manage as an unconscious patient as stated above.

Note:
• If you suspect a neck or head injury, roll the child over by moving the entire body (head, neck, spine, and hips) together, keeping them all aligned.
• Tilt the child's head back and lift the chin. If you suspect a neck injury, do not tilt the head, just open the jaw. For a baby, be careful not to tilt the head back too far.

“Note that while handling an unconscious patient, it is very advisable to handle the neck with caution as poor handling might lead to injury to the cervical vertebrae and/or obstruction of the airway – leading to death thus, an unconscious patient should be moved around on a flat solid surface (eg a flat sheet of wood or metal) or the head should be supported by somebody to remain on same level with the rest of the body”.

NEAR DROWNINGIn near drowning, the victim tends to lose consciousness and the heart may stop beating depending on the se...
06/04/2017

NEAR DROWNING

In near drowning, the victim tends to lose consciousness and the heart may stop beating depending on the severity of the drowning.

1. First get the victim out of the water and place him on the floor.

2. Tilt the head sideways to remove any fluid from the mouth and nose.

3. Check for breathing and if present or not, manage as an unconscious patient as stated above.

Note:
• If you suspect a neck or head injury, roll the child over by moving the entire body (head, neck, spine, and hips) together, keeping them all aligned.
• Tilt the child's head back and lift the chin. If you suspect a neck injury, do not tilt the head, just open the jaw. For a baby, be careful not to tilt the head back too far.

“Note that while handling an unconscious patient, it is very advisable to handle the neck with caution as poor handling might lead to injury to the cervical vertebrae and/or obstruction of the airway – leading to death thus, an unconscious patient should be moved around on a flat solid surface (eg a flat sheet of wood or metal) or the head should be supported by somebody to remain on same level with the rest of the body”.

IF AN ADULT IS UNCONSCIOUS & NOT BREATHINGWhat to do:1. Check for breathing by tilting the head back. If they are not br...
06/04/2017

IF AN ADULT IS UNCONSCIOUS & NOT BREATHING

What to do:
1. Check for breathing by tilting the head back. If they are not breathing, move to step 2.

2. Call your local medical emergency.

3. Give 30 chest compressions.
Place the heel of one hand on the center of the chest and the heel of the other hand on the top of the first, lacing your fingers together.

4. Push firmly downwards (about 4 cm deep) in the middle of their chest and then
release. Push hard and fast. This will help stimulate the heart to start pumping blood. Push at a rate of 100 compressions/minute (30 compressions in 18 seconds) until the patient starts breathing, if not...

5. Give 2 rescue breaths.
Tilt their head back, seal your mouth over his mouth and pinch his nose and blow 2 times into the patient. This will aid top up the oxygen in the lungs.

7. Continue with the cycle of 30 compressions to 2 rescue breaths till the patient
starts to breath but if no improvement, you start ALS after 5 cycles (of 30
compressions and 2 rescue breaths) or call your local medical emergency.

IF A CHILD IS UNCONSCIOUS & NOT BREATHINGWhat to do:1. Check for breathing by tilting the head back. If he is not breath...
06/04/2017

IF A CHILD IS UNCONSCIOUS & NOT BREATHING

What to do:
1. Check for breathing by tilting the head back. If he is not breathing, move to step 2.

2. Call your local medical emergency.
If you are alone, carry out a CPR for one minute before calling the local emergency.

PROCEDURE FOR CPR IN CHILDREN
3. Give 5 rescue breaths.
Tilt their head back, seal your mouth over his mouth and pinch his nose and blow 5 times into the child. This will aid top up the oxygen in the child's lungs.

4. Give 30 chest compressions.
Push firmly in the middle of their chest with one hand so that the chest goes
inwards then release.
This will help stimulate the heart to start pumping blood.

5. Give 2 rescue breaths then continue with the cycle of 30 compressions to 2 rescue breaths till baby starts to breath but if no improvement, you start ALS after 5 cycles of 30 compressions and 2 rescue breaths.

IF A BABY IS UNCONSCIOUS & NOT BREATHINGWhat to do:1. Check for breathing by tilting the head back. If he is not breathi...
06/04/2017

IF A BABY IS UNCONSCIOUS & NOT BREATHING

What to do:
1. Check for breathing by tilting the head back. If he is not breathing, move to step 2.

2. Tell someone to call your local medical emergency number.
If you are alone, carry out a CPR for one minute before calling the local emergency.

PROCEDURE FOR CPR IN BABIES
3. Give 5 rescue breaths.
Tilt their head back, seal your mouth over his mouth and nose and blow 5 times into the baby. This will aid top up the oxygen in the baby's lungs.

4. Give 30 chest compressions.
Push firmly in the middle of their chest with 2 fingers so that the chest goes
inwards then release.
This will help restart the heart to start pumping blood.

5. Give 2 rescue breaths then continue with the cycle of 30 compressions to 2 rescue breaths till baby starts to breath but if no improvement, you start ALS after 5 cycles of 30 compressions and 2 rescue breaths.

Note:
- It is necessary to tilt the head in order to open up the airway
- The rescue breaths should be blown deep enough to raise the chest of the baby.
- Be careful not to break the ribs during the compressions but this accident is rare
as the baby's ribs are flexible.
- There might not be immediate response to CPR but these steps will surely help the condition, maybe at the hospital.
- CPR is aimed at restarting the heart to start pumping but even if it does not
restart the heart immediately, it can keep the victim alive by acting like his heart
and lungs pending when you get to the hospital.
- If you mistakenly administer CPR while patient is breathing, do not panic as there is no evidence that suggests it will cause any damage.

Address

Bamidele Adebule Street
Lagos
100211

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