Case Scenarios for Customizing Your Training These

slide1. Case Scenarios for Customizing Your Training These materials provide NSC authorized instructors with industry-specific case scenarios to help reinforce learning throughout the content delivered.
Case Scenarios 
Customize your first aid training sessions using these case scenarios. You’ll find relevant first aid situations that will resonate with your training audience. Each slide deck is organized by Industry. Within the slide decks, you’ll find content to support a variety of first aid situations that participants may encounter.  
Scenario Guide
Slide 3 is an interactive guide to first aid situation slides. With the presentation in Slide Show mode, each title is linked to that topic section. You’ll find a in the lower right corner of each slide that will bring you back to the Scenario guide.<br>
slide2. FA/CPR/AED Case ScenariosWHOLESALE TRADE Use to customize your First Aid Training
for your audience<br>
slide3. Scenario Guide<br>
slide4. Bleeding and Wound Care Scenarios Wholesale Trade<br>
slide5. Bleeding and Wound Care Scenario 1 T.M.M. Products, Inc. released a new nail gun, and all of its sales representatives were given nail guns to try out for the new product launch. Toby Garrett, one of the sales reps, checked the function of the nail gun he was given about 15 times. Then he placed the gun on a table and began to read the manual. The gun fired a nail, which struck Toby in the shoulder. Toby knows you are trained in first aid and goes to you for help.
What would you do before providing first aid?
How would you provide care?<br>
slide6. Bleeding and Wound CareScenario 1 Answer 1 What would you do before providing first aid?
Have Toby sit or lie down.
Direct someone to call 9-1-1 and to bring the first aid kit.
Put on medical exam gloves.<br>
slide7. Bleeding and Wound CareScenario 1 Answer 2 How would you provide care?
If there is bleeding, apply direct pressure around the edges of the nail.
Stabilize the nail in place with large dressings.
Bandage the dressings in place. Be sure to support the nail while doing this.
Treat for shock by maintaining body temperature.<br>
slide8. Bleeding and Wound Care Scenario 2 DeAnna Adkins, an employee of the Bishop Distributing Company, was sent to set up a display of craft beer in your liquor store. She began by attempting to put up a plastic banner on the wall. Because the wall had a 4-inch x 4-inch obstruction, she realized she would have to cut a hole in the banner to get it to lay flat. While using a box cutter to cut a hole in the banner, DeAnna accidentally cut her left middle finger.
Dean comes to you to ask for a band aid.
What would you do before providing first aid?
How would you provide care?
What would you do after providing first aid?<br>
slide9. Bleeding and Wound CareScenario 2 Answer 1 What would you do before providing first aid?
Direct DeAnna to sit down and to put direct pressure on her wound while you get the first aid kit.
Ask a store employee to block off the area where the injury occurred and to look for any bloody areas for clean-up.
Put on medical exam gloves.<br>
slide10. Bleeding and Wound CareScenario 2 Answer 2 How would you provide care?
Rinse DeAnna’s wound under clean, running water.
To stop the bleeding, apply direct pressure on the wound using sterile gauze.
Once the bleeding is stopped, bandage the wound.
Be prepared to treat for shock. Have DeAnna lie down and cover him to prevent heat loss.
If the laceration is deep, DeAnna will need medical care. If the bleeding is controlled and there are no signs of shock, she can be transported to a physician’s office or urgent care center. She may need stitches and/or a tetanus shot.
If the bleeding cannot be controlled or signs of shock are present, call 9-1-1.<br>
slide11. Bleeding and Wound Care Scenario 2 Answer 3 What would you do after providing first aid?
Clean any blood-spotted areas with a 10% bleach solution or a commercial blood spill kit.<br>
slide12. Bleeding and Wound CareScenario 3 Continues on next page Rowe Hardwoods, Inc. is a wholesale manufacturer and distributor of many wood products. A machine operator at Rowe was in the process of ripping lumber using a circular rip saw. The lumber to be ripped was approximately 10 feet long, 2-3 inches wide, and approximately 1 inch thick. He was cutting the lumber to a width of 0.9375 inches. He adjusted the saw’s hood guard at approximately 1.5 inches above the table and he made sure that the front and back anti-kickback fingers were in place.<br>
slide13. Bleeding and Wound CareScenario 3 Continued Because the width of the lumber was not uniform, the sides would need to be trimmed. During the process of trimming the sides, the waste portion of the lumber broke and 2 pieces of wood kicked back. One piece hit the machine operator on the buckle of his belt and the other piece of wood impaled him in his pelvic area.
You are trained in first aid and are summoned to the scene. You have brought a first aid kit with you.
What would you do before providing first aid?
How would you provide care?<br>
slide14. Bleeding and Wound CareScenario 3 Answer 1 What would you do before providing first aid?
Make sure the scene is safe or designate another employee to make the scene safe. This would include powering off/locking out the rip saw.
Check the victim for responsiveness.
Direct one of the employees to call 9-1-1 if the call has not already been made.
Obtain consent to help the victim.
Put on medical exam gloves.<br>
slide15. Bleeding and Wound CareScenario 3 Answer 2 How would you provide care?
Control any bleeding by applying direct pressure around the edges of the wood.
Dress the wound around the wood.
Stabilize the wood in place with large dressings or folded cloths.
Support the wood piece while bandaging the dressings in place.
Keep the victim still in the position found.
Be prepared to treat for shock with warmth.<br>
slide16. Burns Scenarios Wholesale Trade<br>
slide17. You are an employee at Berkshire Farms and a volunteer member of the company’s medical emergency response team. You are called to the poultry processing plant to attend to an employee who was burned in a tank containing hot water and wax.
While en route, you learn that the victim fell inside the tank when she tried to retrieve the scraper he dropped while cleaning the tank. She has already been removed from the tank when you arrive to help.
You see redness and blistering on his right arm, parts of her chest and abdomen, and the lower part of her right leg. There are three other medical emergency response team members arriving at the scene to help.
What would you do before providing care?
How would you provide care? BurnsScenario 1<br>
slide18. What would you do before providing care?
Direct someone to call 9-1-1 if it has not already been called.
Direct someone to make the scene safe if it has not yet been secured.
Direct the other team members to bring wet cloths to the area or containers of water and wet cloths. BurnsScenario 1 Answer 1<br>
slide19. How would you provide care?
Immediately cool the burn areas with running cool or cold potable water, such as tap water, for at least 10 minutes.
Keep burn blisters intact.
If it will be some time before EMS arrives, protect the burned areas by putting nonstick dressings over them and securing the dressings with a loose bandage.
Treat for shock. BurnsScenario 1 Answer<br>
slide20. Bone, Joint and Muscle Injuries Scenarios Wholesale Trade<br>
slide21. Jeff Johnson was working in a chicken-processing plant, placing and scanning product labels on boxes and crates of chicken. Jeff stepped backwards, away from a pallet of chicken, to let a powered pallet jack move between him and the stationary pallet of chicken. As he did so, his smock caught in an unguarded chain-and-sprocket assembly and wrapped around the square shaft located between the sprockets. The clothing pulled Jeff against the chain-and-sprocket assembly, and he received a laceration running from his abdomen to his right armpit. There are significant abrasions to his abdomen. He also complains of pain to his right arm and above his left knee, which struck the assembly during the incident.
You are a volunteer on the medical response team and are called to help.
What would you do before providing first aid?
How would you provide care? Bone, Joint and Muscle InjuriesScenario 1<br>
slide22. What would you do before providing first aid?
Assure the scene is safe. This may include locking out the chain-and-sprocket assembly and stopping/locking out the pallet jack.
Remove Jeff’s clothing from the machine if he has not already been freed from it.
Direct someone to call 9-1-1 and to bring you the first aid kit if you did not arrive with it. Bone, Joint and Muscle InjuriesScenario 1 Answer 1<br>
slide23. How would you provide care?
Stop any bleeding by applying direct pressure over the lacerations with sterile gauze. Several layers of gauze may need to be used before bleeding is stanched. Consider using a hemostatic dressing, if available, and bleeding cannot be controlled with direct pressure.
Bandage the wounds.
Use the RICE procedure for his arm and leg injuries. Apply ice or a commercial cold pack to the injured area for 20 minutes, hold the ice/commercial cold pack in place with an elastic bandage and use a sling to immobilize the upper arm.
Treat for shock. Bone, Joint and Muscle InjuriesScenario 1 Answer 2<br>
slide24. Sudden IllnessScenarios Wholesale Trade<br>
slide25. You and your friend, Emma Fletcher, have been shipping/receiving clerks at Standard Wholesalers for the past 2 years. Your work stations are located in the back of the facility near the loading docks. Today, the roll-up door to the docks is fully open when you begin your workday at 9:00 a.m. During a break around 10:30 a.m., Emma tells you she is having some difficulty breathing but thinks it is due to the high pollen count that day. At lunch time, you see that Emma is having a hard time completing a sentence and that she is still having difficulty breathing. You know that Emma was diagnosed with asthma about a year ago.
What would you do before providing first aid?
How would you provide care? Sudden IllnessScenario 1<br>
slide26. What would you do before providing first aid?
Have Emma sit in a comfortable position.
Ask Emma if she thinks she is having an asthma attack and, if so, ask where her inhaler is. Sudden IllnessScenario 1 Answer 1<br>
slide27. Sudden IllnessScenario 1 Answer 2 How would you provide care?
Retrieve Emma’s inhaler and help her use it.
Remove the cap.
Shake the inhaler several times.
Connect the spacer if she uses one.
Allow her to use the inhaler (1 or 2 puffs, as prescribed). Remind her to hold her breath with the medication for about 10 seconds.
If breathing difficulty persists after use of the inhaler, or if she does not have an inhaler with her, call 9-1-1.<br>
slide28. Cold and Heat InjuriesScenarios Wholesale Trade<br>
slide29. George Randall, a forklift operator at Mesa Nuts, is fueling a forklift with propane and, while he is doing so, some of the liquid propane escapes causing George to suffer frostbite. George seeks your help because he knows you are trained in first aid.
What would you do before providing care?
How would you provide care? Cold and Heat InjuriesScenario 1<br>
slide30. What would you do before providing care?
Direct someone to don the proper PPE and then make sure the propane is not leaking and the forklift is locked out. Cold and Heat InjuriesScenario 1 Answer 1<br>
slide31. How would you provide care?
Remove constricting items.
Protect between his fingers with dry gauze if his fingers were affected.
Get George to medical attention as soon as possible. Cold and Heat InjuriesScenario 1 Answer 2<br>
slide32. CPR and AEDScenarios Wholesale Trade<br>
slide33. Over the last two days, there has been steady traffic in your booth at the Fall Jewelry Show. Independent jewelry store owners have purchased diamond and gemstone designs at all price points from you, so it has been a successful show.
You are writing up a large order for one of your customers when the customer suddenly grabs his chest and falls to the floor.
What would you do before providing first aid?
How would you provide care? CPR and AEDScenario 1, Part 1<br>
slide34. What would you do before providing first aid?
Make sure the scene is safe.
Check the victim quickly for responsiveness and normal breathing.
Direct someone to call 9-1-1 and to get an AED if one is available. CPR and AEDScenario 1 Answer 1<br>
slide35. CPR and AEDScenario 1 Answer 2 How would you provide care?
Provide CPR:
Expose the chest. Put the heel of your hand on the breastbone in the center of the chest and put your second hand on top of the first. Interlock the fingers.
Give 30 compressions at a rate of 100–120 per minute and at a depth of at least 2 inches but not more than 2.4 inches.
Tilt his head and lift the chin to open the airway, and then give 2 rescue breaths. Each breath should be given over 1 second or until the chest rises.
Continue giving 30 compressions and 2 breaths until an AED arrives at the scene and is ready to use, professional help arrives and takes over, or the victim begins to breathe on his own.<br>
slide36. Another vendor returns to your booth with the AED. She tells you that EMS is on the way.
How would you provide care? CPR and AEDScenario 1 Part 2<br>
slide37. CPR and AEDScenario 1 Part 2 Answer 1 How would you provide care?
Direct observers to watch for EMS and guide them to the victim.
Place the AED by the victim’s shoulder and turn it on.
Quickly dry or shave the pad placement area on the chest if necessary.
Apply the adult pads to the victim’s chest. If needed, plug the cables into the AED.
Stand clear during rhythm analysis.
Follow the prompts to take one of three actions: press the shock button; stay clear while the AED automatically delivers a shock; or do not shock but immediately give CPR.<br>
slide38. Your sister-in-law asks you to watch her children while she’s away. You agree to watch your 6-month-old nephew and 3-year-old niece until your brother returns home.
After feeding, bathing and reading to the children, you get them settled in bed and head to the family room to watch a little TV. Around 10 p.m., you receive a call from your brother, who says his plane has landed and he should be home in 30–40 minutes. Then you go to check on the children. Your niece is sleeping soundly. When you check your nephew, you see that he is not breathing and is slightly blue around the mouth.
What should you do before providing first aid?
How would you provide care? CPR and AEDScenario 2<br>
slide39. What should you do before providing first aid?
Remove the infant from the crib and put him on a firm, flat surface. CPR and AED Scenario 2 Answer 1<br>
slide40. How would you provide care?
Provide CPR:
Expose the chest and put two fingers of 1 hand below the nipple line.
Give 30 compressions at a rate of 100–120 per minute and at a depth of 1½ inches (⅓ the depth of the chest).
Tilt the head and lift the chin to open the airway, and then give 2 rescue breaths. Cover the mouth and nose with your mouth. Each breath should be given 1 second or until the chest rises.
Continue giving 30 compressions and 2 breaths for 5 cycles (about 2 minutes), then call 9-1-1.
Continue providing CPR during the 9-1-1 call and until the infant recovers or EMS arrives and takes over. CPR and AED Scenario 2 Answer 2<br>
slide41. Choking Scenarios Wholesale Trade<br>
slide42. Your employer, De Angeles, Inc., sells imported specialty equipment to restaurants throughout the U.S. Every year De Angeles, Inc. has a booth at the Restaurant Association trade show, and this year, you have been asked to help staff the booth. It’s the first day of the show, and the exhibit floor is filled with food and beverage samples of all types. Samples of Italian espresso are being offered in the De Angeles booth.
As two women approach your booth, one of them begins to choke on a food sample from another vendor.
What would you do before providing first aid?
How would you provide care?
If she becomes unresponsive, how would you provide care? ChokingScenario 1<br>
slide43. What would you do before providing first aid?
Ask the victim if she is choking.
If she indicates she is not choking, encourage her to continue coughing to expel the object.
If she indicates she is choking, ask if you can help. ChokingScenario 1 Answer<br>
slide44. ChokingScenario 1 Answer 2 How would you provide care?
Have someone call 9-1-1.
Stand behind the victim with 1 leg forward between her legs.
Reach around her abdomen and locate her navel with a finger from 1 hand.
Make a fist with the other hand and place the thumb side of the fist against her abdomen just above the navel.
Grasp your fist with your other hand and thrust inward and upward into her abdomen with quick jerks. Continue abdominal thrusts until she expels the object or becomes unresponsive.<br>
slide45. How would you provide care if the victim becomes unresponsive?
Lower her to the ground, expose her chest, and start CPR by pumping the chest 30 times hard and fast.
Look inside the mouth when opening the airway to give breaths and remove any object. ChokingScenario 1 Answer 3<br>