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LP 20 Health Q3

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SEMI – DETAILED LESSON PLAN IN MAPEH

GRADE LEVEL QUARTER / DOMAIN WEEK & DAY NO. PAGE NO.
IX 3rd QUARTER/HEALTH 7 ___

Date: MARCH 28, 2023

I. OBJECTIVES

A. Content  The learner demonstrates understanding of first aid principles and procedures.
Standards
B. Performance  The learner performs first aid procedures with accuracy.
Standards
C. Learning
Competencies/  Demonstrate properly the procedures in doing primary and secondary survey of the
Objectives victim (CAB) H9IS-IIIb-37
(Write the LC
code)

II. CONTENT SECONDARY SURVEY

III. LEARNING
RESOURCES

A. References
1. Teacher’s Guide
pages
2. Learner’s
Materials pages
3. Textbook pages
4. Additional
Materials from
Learning Learning Activity Sheets in Health 9
Resource (LR)
portal
B. Other Learning
Resources
Manila paper, scotch tape, marker
IV. PROCEDURES
I. Prayer – The teacher will ask for a volunteer to lead the prayer.
II. Checking of Attendance – To monitor the students, the teacher will check the
attendance through their permanent seating arrangement.
III. Reminding of classroom rules and norms.
 In order to have a conducive and harmonious teaching and learning process,
the teacher and the learners will establish or set their agreed classroom
1. PRIMING
rules and norms.
ACTIVITIES
IV. Review
 What was our lesson yesterday?
 What is first aid?
 What is the importance of first aid?
 Can anyone become a first aider? What are the characteristics of a good first
aider?
2. ACTIVITY
The pictures show the Steps in Assessing Emergency situation. Study the
scenario/pictures and determine what will you do if someone got an accident. Then
give a sentence or a phrase related on the pictures below.

Process Questions:
 Did you find difficulty assessing the situation?

3. ANALYSIS If yes, then you must have to learn more depth background and training skills in
performing first aid. This will guide you throughout the lesson to demonstrate the
proper procedure in assessing emergency situation and doing primary and
secondary survey of the victim as well as basic life support.
4. ABSTRACTION No matter what problem you are trying to solve, the most important thing is identifying the
problem. If you want to repair you bike, you must find out which part is broken. It’s very
similar in first aid, whenever you have to help injured on unwell casualty, you must first find
out what’s wrong.

In first aid there two most important assessment of the casualty:


1. Primary Survey
2. Secondary Survey

Using this assessment, you will be able to tell whether the person is in life threatening
situation and what injuries they may have. Basically, can give an appropriate action
depending on the findings from these assessments.

1. Primary Survey

Primary Survey of the victim is used when the victim is unconscious and to
find out and immediate life-threatening conditions
What to do
a. Danger. Before approaching the casualty, always make sure the area is safe.
b. Response. Check if the casualty is responsive or unresponsive. ...apply the ABC rule:
c. Airway. Next, you need to check that the airway is open and clear. ...
d. Breathing. You now need to check if the casualty is breathing normally. ...
e. Circulation. Locate the pulse using your middle finger if not responsive revive
circulation, perform CPR immediately.

Once you have completed the Primary Survey and treated any life-threatening
conditions, move on to a second survey. Ask a responsive casualty and those around
them questions about any incidents that may have occurs. Your aim is to find out
more about the casualty’s history, signs and symptoms. If possible, take note of their
answers.
o Leave the casualty in the position found until you are satisfied that is
safe to move them into a position more suitable for their injury or
illness.

2. Secondary Survey

Secondary Survey is used when the victim is conscious or has revived. It aims
to detect everything about the patient’s condition.

History finds out more about the casualty’s history. Use the mnemonic SAMPLE as
an easy reminder. Look out for any medical warning jewelry which may provide information
their medical history or any allergies.
Difference between signs and symptoms
Signs are details discovered by applying your senses – sight, touch, hearing and
smell during the course of the examination.
Example:
 Bleeding
 Swelling
 Deformities
Symptoms are sensations that the victim feels or experiences and may be able to
describe.
Example:
 Nausea
 Vomiting
 Heat
 Impaired sensations
 Signs and symptoms – the chief complaint of the patient
 Allergy – Do they have any allergies? For example, nuts or any medication such as
penicillin or aspirin?
 Medication – are they taking any medication?
 Previous medical history – do they suffer from any medical condition such as
diabetes, epilepsy or heart disease? Have they had any previous injuries or surgery?
 Last meal – when they last eat or drink?
 Event history – what happen and where? Is the incident due to an illness or an
accident? Ask any people nearby what happen and look for any clues that may give
you more information.

Vital signs- this includes pulse, respirations, skin signs, pupils and blood pressure. This
may include documenting the oxygen saturation level (this is highly useful when dealing with
chemical agent exposure)

o Pulse- Asses for rate, rhythm, and strength


Pulse rate may be taken in different points in the body like:
1. Axillary (armpit) 5. Subclavian (collar bone)
2. Brachial (arm above elbow) 6. Temporal (ear)
3. Carotid (neck) 7. Radial (Wrist)
4. Femoral (thigh)

What is a normal pulse?

Normal heart rates at rest:

 Children (ages 6 - 15) 70 – 100 beats per minute


 Adults (age 18 and over) 60 – 100 beats per minute

o Respiration- Asses for rate, depth, sound, and ease for breathing

o Skin Signs- Asses for color, temperature, and moisture

o Pupils- Check pupils for size, equality, and reaction to light. Constriction pupils in
mass casualty event are highly suggestive of nerve agent/organophosphate toxicity

o Temperature – it is important to check the temperature in the case of stroke and


high fever. Body temperature is measured by using thermometer within the:
1. Rectum (rectal)
2. Oral (mouth)
3. Axillary (armpit)

Head to Toe Examination of a Trauma Patient with Significant MOI- The physical
examination of the patient should take no more than two to three minutes.

Neck
 Examine the patient for point tenderness of deformity of the cervical spine. Any
tenderness or deformity should be an indication of a possible spine injury.
Head
 Check for scalp cuts, bruises, swellings, and other signs of injury.
 Examine the skull for deformities, depressions, and other signs of injury. Inspect
the eyelids/eyes for impaled objects or other injury. Determine pupil size, equality,
and reactions to light.
Chest
 Examine the chest for cuts, bruises, penetrations, and impaled objects. Check for
fractures. Note chest movements and look for equal expansion.

Abdomen
 Examine the abdomen for cuts, bruises, penetrations, and impaled objects. Feel the
abdomen for tenderness. Gently press on the abdomen with the palm side of the
fingers, noting any areas that are rigid, swollen, or painful. Note if the pain is in one
spot or generalized.

Lower Back
 Feel for point tenderness, deformity, and other signs of injury.

Pelvis
 Feel the pelvis for injuries and possible fractures. After checking the lower back,
slide your hands from the small of the back to the lateral wings of the pelvis. Press
in and down at the same time noting the presence of pain and/or deformity.

Genital Region
 Look for wetness caused by incontinence or bleeding or impaled objects. In male
patients check for priapism (persistent erection of the penis). This is an important
indication of spinal injury.

Lower Extremities
 Examine for deformities, swellings, bleedings, discolorations, bone protrusions and
obvious fractures. Check for a distal pulse. The most useful is the posterior
tibial pulse which is felt behind the medial ankle. If a patient is wearing boots and
has indications of a crush injury do not remove them. Check the feet for motor
function and sensation.

Upper Extremities
 Examine for deformities, swellings, bleedings, discolorations, bone protrusions and
obvious fractures. Check for the radial pulse (wrist). In children check for capillary
refill. Check for motor function and strength.

The focused physical exam of the responsive medical patient is usually brief. The most
important information is obtained through the patient history and the taking vital signs.
Focus on the exam on the body part that the patient has the complaint about.

First aid is as easy as ABC –Airway, Breathing and Circulation or CPR (cardiopulmonary
resuscitation). In any situation, apply the DRSABCD Action Plan. 
Using the same group, perform or demonstrate the steps in assessing emergency situation.
The teacher will assign different situation for each group. Be sure to observe and follow the
correct steps, you will be graded according to the following rubric.
Correctness of the procedures (25 points)
Application of basics of first aid (25 points)
TOTAL 50 POINTS
5. APPLICATION
Multiple Choice: Encircle the letter of the best answer from the given choices:

1. Internal bleeding can caused by :


a. Injury
b. Illness
c. Medication
d. All of the above
2. What is more serious?
a. Heat Stroke
b. Heat Exhaustion
c. Heat Cramps
d. Heat Rash
3. If a person has a bleeding wound what should you do?
a. Apply tourniquet right away
b. Cover the wound with a clean cloth and use continuous pressure
c. Raise the wound above the victim’s heart to slow down the bleeding
d. Both b @ c
4. The victim has pale or bluish skin color, cold skin and dull sunken eyes. These are
the symptoms of which healthy emergency?
a. High fever
b. Shock
c. Heart attack
d. None of the above
5. A person, who is unconscious not breathing, has a weak pulse need…..
a. CPR
b. Hold upside down and strike between the shoulder blade
V. EVALUATION c. Rescue breathing
d. Hold back and chest thrust
6. When can you move a victim?
a. When you need to care for another victim.
b. When the victim is in danger.
c. When it would be easier to care for the victim
d. All of the above
7. Which of these should your home first aid kit include?
a. Hydrogen peroxide
b. Calamine lotion
c. Aspirin
d. All of the above
8. What will you do for a victim who has a bleeding injury to the mouth and you
are sure that there is no head, neck or spine injury.
a. Keep victim seated with head tilted slightly forward.
b. Keep the victim seated with head tilted slightly backward.
c. Have the victim lie down on their side.
d. Either a or c
9. The first thing you do at the scene of any accident is?
a. Check for response
b. Open airway
c. Check for danger
d. Check for breathing
10. What happen when someone goes into shock?
a. Nausea
b. Fatigue
c. Profuse sweating
d. All of the above
VI. ASSIGNMENT Have an advance reading on the uses of dressing and bandaging.
V. REMARKS
VI. REFLECTION
A. No. of learners who earned 80% in the evaluation
B. No. of learners who require additional activities for remediation
C. Did the remedial lessons work? No. of learners who have caught up with the
lesson
D. No. of learners who continue to require remediation
E. Which of my teaching strategies worked well? Why did this work?
F. What difficulties did I encounter which my principal or supervisor can help me
solve?
G. What innovation or localized materials did I use/discover which I wish to share
with other teachers?

PREPARED BY: CHECKED BY:

HAZEL R. SAMSON CYNTHIA S. SACNANAS


TEACHER I MAKABAYAN. COP Head
NOTED BY:

FELGRACE P. MALIG-ON
MASTER TEACHER I

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