 the Y254. My name is still Valentine, funny thing. Or you can still find me at ColourMeVal. Welcome to the first segment of the day, which is health. And this is very important, okay? So please, if you have time, go grab something, 20K notes. I'm a, okay, never watch repeats. Or you go to Atwet544 channel on YouTube, but this is important, okay? I mean it because you'll see why in a little bit. Let me know. Good morning, guys. Good morning. Thank you. Forgive me and my nasal activity over here. But what is your good name? So you've been here with us before? My name is Pitambogo. I am an emergency medical technician. I took aeromedic and EMSI. What is an EMSI? An emergency medical instructor. Why? You can't imagine a fancy fancy. And what's your name? My name is Ferdosa Kasim. I'm an emergency medical technician. And I'm also a pharmacist. What is a pharmacist? It's a pharmacist. Wow! You're impressive, Nani. Okay, Karibboussana show. So today, what are we talking about? So today we are talking about pre-hospital care. And also, as you remember, the road traffic victims. Each year, that week of November, we celebrate the victims that have crashed. And also, there, we celebrate the families that have lost their loved ones because road traffic accidents have become a carnage. And every day, we are losing people on our roads because maybe of godly acts, accidents happen because of acts of God. Number two, our ignorance. We don't observe traffic rules and also negligence on our roads. Drinking and driving. Every weekend, accidents are leaving in India. Party after party. Yes. Don't tell me something. Continue, sir. Yes. So we decided to talk about road traffic, road traffic crash victims as pre-hospital care because every day we respond to cases. Somebody may ask what pre-hospital care is. Yes, what is pre-hospital care? Pre-hospital care is the moment that an emergency technician provides care on scene. For example, at a road traffic accident before taking the casualty to hospital and also en route with an ambulance. That's what we call pre-hospital care. Okay. That's not something we're supposed to do. That's not something we're supposed to do. Basically, Kenyans do that because they don't have the skills. They don't know what to do when an emergency happens. They don't know whom to call. You see, most of the time you'll find people are stealing from the victims instead of helping them. And also maybe it's a wreck, a vehicle that has been wrecked so bad. You'll find them they are trying to move the patient out. Which might not be very helpful. You see, the reason why people are dying, especially in the road traffic accident, is how they are pulled off from the vehicle. Because remember, this is called airway. If the airway is not patented, so it means that there is no air passage that is coming out. And also the spine can be compromised. So that's the reason why most casualties die because of bad management. Oh my gosh. How was it the first time you worked as an EMT? The first ever emergency scenario you went to? The first? Oh, I need you to. Yeah, there you go. The first one that I have met, it was at Embaggadi way. When I responded to an emergency. Oh, what's happening? It was a crash just ahead on collision. So there were three ladies inside. Already two are just dead on the spot. So the other one, at least she was breathing. So I had to access the patient first. Then the airway, the breathing and everything. Then immediately, immediately, you do everything. So you want to save this patient. So you check everything. The airway, the breathing, the circulation. If it's bleeding you, you control the bleeding. I don't know if it's because of the accident. Look how innocent and pretty she looks. But she's dealing with dead people and just budding to others. I don't know if it's because of the accident. I don't know if it's because of the accident. Because the first time I saw her, I thought she was even doing something administrative. Like coffee, she said because she couldn't cook for a while. No, no, no, you're actually on the ground. Yeah, I'm actually on the ground. Oh wow, that must be so exciting. That doesn't scare you. It scares me sometimes. You get nightmares, but you're used to it. Weh, yeah. That's a lie. That's a lie. You know who I like the most in my videos. Alright, so since I like practicals very, very much, we're going to come up with a couple of scenarios of what we would do to help someone maybe who is me. And we have a dummy of the day. Okay, he's not a dummy, he's a very handsome boy. He's going to help us. Come, he's called Aiko. Now he's a gangster. He's a gangster. He's a gangster. Alright, so what do we need Aiko to do right now? We want him to collapse. Just collapse. We are going to have to just slip. There you go. So we can show the camera. Yes. There we go. Maybe we can have it this way. Aiko, you can just face this way. Yeah. Lala Chinni, who are you? So, so whenever these are, you get a call from a dispatcher, then you've been called to respond to a road traffic accident like this one casualty. Then me as an EMT, then as an operator, so we are two. So you have to, we have to be two so as to help each other. Yeah. So the first thing now, this is Tumifika Sasa. We don't know what's wrong with him. Yeah, we don't know what's wrong with him. So in Lehman's time, the first thing when you see there's a, there's a crash, you need to check your safety. Oh, my safety? Yes, you need to be safe. Oh, I thought you were correct. So the most important thing you'll say, safety is very important. Before you look at the casualties and also the bystanders. Assuming this is a casualty who has been hit or it's a vehicle that has crashed, right together. So if it's a vehicle that has crashed in it, what are the things you need to do? Check if the vehicle is leaking because the high chances that the vehicle can explode. Bystanders. You need to control your bystanders. So if you don't control your bystanders, you'll not be able to walk enough. Yeah, but at what time? Okay. Yes. On the ground. Yes. So one controls the bystanders. Yeah, so you need to, one needs to control the bystanders. Remember it's a traffic. So vehicles are coming. So you have to have someone controlling the traffic. What else? You guys can become patients also. So you need to ask for a bystander. Because I'll still need her help. Wow, okay. Assuming maybe you're the bystander. Yeah, now this is where you come. You're the person who is making a lot of noise. So I'll introduce myself. My name is Kefa. We'll ask you to request a crowd dot to move behind and also control traffic for us. Because we don't control traffic. There are oncoming drivers who don't know what is happening. Somebody may come full speed. Oh. So we need to be safer. Secondly, I have one casualty. Hello, hello. Can you hear me? My casualty is unresponsive. So my casualty is not responding to voice. So what am I supposed to do? Hello, hello. Can you hear me? My casualty is not responding. So I'll pinch his ear. Why am I pinching his ear? Chocosy. It's still chocosy. It's pain. I want to check if my casualty is responding to pain. Are you together? So remember, before reaching a scene you need to put on gloves. Why? To prevent infection. I don't know the condition of my casualty. So it's very important to have BSI on. But my casualty is not responding to pain. So I'll do a sternum rub. You can just do it while the person has it. Yeah, you can just do it when you're like that. So my casualty is not responding. So what do I want to do? Check for pulse. And we need to... Okay. Okay. So you can check someone else's pulse with your thumb. Yes. So you check for pulse. I know them guys. Yeah. You check for pulse. This is called the radial pulse. So my casualty is not responding to pain. You can also check the carotid. The one that is here. So assuming the casualty has no pulse. I'm a bystander. Assuming I'm not an EMT. This is not... So if I'm a bystander I need to call for an ambulance. So I today carried cards. Yay. Last time you asked me whom to call. Thank you. You can call those numbers. And these are people who are legit. Yes. So I called your car. Yeah, we have rescue.co. Okay. It's a dispatcher. So you call them. They have... You can call them. Tell them your location. Okay. They'll check for you your nearest ambulance. Which is... So you can call 0714-991-911. That's a dispatch center. So you give them your location. Most of the accidents are my casualty. And then they search for you the nearest ambulance. You can also call Red Cross. Which is 0700-395-395. Okay. So I've called for help. So I need someone to manage this airway. So I'll ask her to come and help me manage his or her airway. Come help me manage. I'll hold for you the microphone. There we go. So... As they manage. I will do a chain lift. So this is called the chain lift. So I request her to manage the airway for me. So she's managed the airway for me. This is called Jotras Manuva. Whatever she's doing. Jotras. Jotras Manuva. Jotras. Yeah. So my casualty is unresponsive. Has no pulse. So definitely my casualty is not breathing. What am I supposed to do? I'll have to start CPR. CPR is cardiopulmonary resuscitation. It means you're acting as an artificial pump to the heart. Remember the heart is not beating. The casualty has gone into cardiac arrest. So at the center of the chest, I'll give 30 chest compressions, hard ones. Because our casualty is not a real patient. So stampina. Natuka Ufaneva Venomifam Konondo 2. So you're supposed to lock your hands. Down there. And then? Locking. You lock your hands and then? Aha. Push. 30 chest compressions. You give 30 chest compressions, hard ones. So you count one to 30. We discourage people from giving mouth to mouth. You see? A kiss of life. So nowadays we don't give the kiss of life. Infection control. Okay. Yes. This Jotras somebody? If you can manage the airway. Remember. If the child is like this. If you can manage the airway like this. If you can manage the airway. So definitely there's no air passing through. So I'm compromising the airway. So even though I'll give the chest compressions. You can go back. The casualty will not be able to breathe well. That's why we are using sounds. The casualty will not be able to breathe well. So how long am I supposed to do the CPR? I'm supposed to do the CPR for two minutes. So as you've been in Mefanya for 30 seconds. Remember that. I relax for two seconds. That is in me. That is in me. I do two minutes each. Two minutes each. I check for? The pulse. I check for pulse. Are you together? Remember why have we called for help? We've called for help early enough to prevent the casualty from going into cardiac arrest. Are you together? And we are doing CPR to buy time for the emergency medical services to have arrived. So what's the next step I'm supposed to do? Assuming the casualty has now a pulse. Stomach actually airway. She needs support. I suspect maybe there is a head injury or something. So I need to introduce myself to the patient. My name is Kefa. What is your name? I'm responsive. The casualty has now a response. Assuming there's a pulse. We've already checked for pulse. How do you check for pulse? With the over here. The radiolama? Carotid. So our casualty now is responding. So after asking the casualty, we're going to call for help. We're going to have an ambulance. That's just okay. That's just okay. You're in safe hands. I'll also reassure my casualty. That's what I'm supposed to do. I'm going to put my head to toe. I'm going to put my head to toe. Diformities, contusions, abrasions, burns, punctures, all that. Do you have puncture on your head? Yes, on my head. I have a stab wound on my head. For example, I have a stab wound on my head. I have it on my head. I have it on my head. I have it on my head. I have it on my head. So what am I supposed to do next? I want to do a head secondary survey. I'll do head to toe. Check for any deformities that you have. Is it okay? It's very, very important. He has a right to refuse treatment. He has a right. So if I don't ask for consent, I can't be sued. Facial bones, are you together? I'll check for any broken teeth, any lacerations from the mouth. There's no lacerations. The casualty is not splitting. No passages from the ears. I'll come to the neck. I'll check for swelling. No swelling. I'll come to the chest. To the chest. I want to check if the casualty has any... So I have to... Fungwa, Fungwa. Large money, Fungwa. I come back to the pond and I lose water. So for example, assuming... I have a strip. So I want to check the chest. The chest I'm checking if there's any punctures, any bumps. Also the chest is there. Continuity. Are you together? I also listen to the sounds. They are using sounds like... So the casualty's chest is very clear. How do you check? You ask to listen. How do you practice? So how do you listen? Above breath. You see. So above breath. You can hear. So you just kiss. There are using sounds. Are you together? So you just listen. Are you together? Are you after the chest? So I'm also checking if there's any blood. Are you after the abdomen? After the abdomen, there are four quadrants. So what am I supposed to do? Pulpate. Pulpating. I'm checking for any tenderness. So that's all? I always thought what I was going to say after this story. But I didn't know. I didn't know. Because we are checking for masses. Are you together? There's no internal bleeding. So how do you know a casualty is coming? Has internal bleeding? That's a good question. I am. Come down one after the other. Dermal. Are you together? So when our casualty is removing blood from the mouth. Internal bleeding. Head injury. Muscle unit or fluid. Dermal. Are you together? Yes. So after that. So after checking for tenderness. My casualty has no tenderness. So I'm quite sure that my casualty has no internal bleeding. Are you together? But remember a casualty state may change at any given time. You're not assured. Are you together? So I'll come to the pelvic. To the pelvic what am I looking for? I'm looking for pelvic fracture. So it is up and down. Aiko is wishing that she was the one doing that. Sorry Aiko. So it is up and down. So there's no pelvic. The pelvic is intact. I'll look for pre-aprism. Pre-aprism is abnormal erection. Are you together? How is that accredited? What in the world is that? Okay. So abnormal erection we suspect what? Pelvic fracture. Are you together? Abnormal erection. That is what we call pre-aprism. So we find abnormal erection. Coz it means that we want to erector. I love them. So that's it. So there is no pre-aprism. And if you find that casualty cannot control his or her bowels. It means that the casualty has a pelvic fracture. Are you together? If it's a lady, I'll pulpit her and graze her. Are you together? I'll pulpit her and graze her. You see what I'm saying? We have a lady here. Aha. That is the embalance. Yes. The importance of... For example, when it comes to lady without consent. So I'll ask maybe for a bystander who is a lady. If you ask your secretary who is a lady. Who is a lady. Who is a lady. Unless casualty has any pre-consent. Are you together? So now you have a wife too. Ah, I'm saying to my wife too. But not to your wife. So what is it called? The growing. You can also see swelling. Are you together? If you see swelling you suspect what? The pelvic again. Are you together? We come back too. We are done with the growing. We come out to the... This is known as the femur. Are you together? Remember, I have to check for continuity of the bone. And also check if there is any bleeding. Are you together? So the femur is intact. Let me tell you something. Tell me. This is the most fractures that we find in accidents. Femur fracture. Are you together? And it's very, very painful. Are you together? But at times you can be fixed. It doesn't mean that you will become crippled. Are you together? And then check for continuity of the knee. And then this is known as the tibia fibula. So this is the tibia, this part of the bone. And this is the fibula. So what will I do next? So there is no bleeding, there is no fractures. I want to check for sensory neurons from the toes. Are his toes working? I've seen in the movies that they do... They... They can take something to prick. And when you do this, are you together? Can you remove your shoes? Thank God we put your pectin and go see it. Where? All right. And you try to go here? Yes sir. As you can see. So I'll ask the casualty to wiggle your toes. For me, kindly wiggle your toes. Wiggle, wiggle, wiggle, wiggle. So these motor neurons, the motor neurons are okay. The sensation. So sensory neurons are all together. And then I'll also check for circulation. Is there blood still flowing? Still flowing. So when it turns white to red, so he has circulation. The same thing that I did on this other leg. I'll do it on this other leg. So there is no bleeding. The fibula is intact. The knee is okay. The tibia is okay. The fibula. And then check for motor neurons again. Ask the casualty to wiggle his or her. Toes. Wiggle your toes for me. Casualties, motor neurons are okay. Sensory. And then check for circulation. Now I come back to the upper extremity. This is the lower extremity. So what do I do? I'll check. In the meantime, she's maintaining the air. Yes, she's maintaining the air. Are you together? So the bones are okay. The elbow. I'll do the same. Kindly squeeze your hand against mine. So motor neurons are okay. We go. Your fingers because our sensation, okay? Can you feel this? Yes. And then check for circulation. The same thing that I've done on this other hand. I'll do it on this other hand. When it comes to bleeding. The first thing we realize casualty are my hand up ults. Like you know, I'm a bleed. When I go, I'm a pulse. If you don't find any. Come and I'll put on some clothes. I'm going to wear gloves. Do direct pressure. Are you together? That's how you control bleeding. Are you together? If you don't have gloves. Come and I'll gloves. If the casualty is responding. How will you know a casualty is responding? He or she is communicating back. A casualty is communicating back to you as a patented airway. How do you know the casualty is breathing? You look at the rise and falling of the chest. Definitely the casualty has a pulse. So what do you do next? You tell the casualty. Kindly use your hand to apply direct pressure. Come and I'll put on some clothes. Are you together? Remember we want to control. We are avoiding infections. Also we can get infection from the sweat or something. So remember if it is sticky. Sweat. Yes. If it's sticky, wet. Slimy and it's not yours. Don't touch it. Are you together? I want to know if my casualty has a spinal injury. So I want to do. I want to lower my casualty. So I manage to airway. So you have to count. In the count of 1, 2, 3, what am I supposed to do? We are going to lower the casualty on his left or right. Are you together? Yes. We are going to lower the casualty on his left or right. Are you together? That's not risky. We don't break something. No, no, no, no. As long as I want to check, how will I check for spinal injury? I would check. So we lower our casualty. So in the count of 1, 2, 3. In the count of 1, 2, 3, we need to lower our patient. But we need to have enough resources, right? Anyway, so higher. 1, 2, 3. So I've lower my casualty. I'll check for spinal injury. So there is no spinal injury, so it is intact. So we lower our casualty back. Yes. In the count of 1, 2, 3. Higher. So I want to put my casualty into recovery position. This is not recovery position. This is not recovery position. So what am I going to do? Take this hand there. And take this other hand there. And then this one, his leg. And then I will turn my casualty. Yes. So that's it. We don't see the leg. Oh, okay. Why is that important? One leg over the other? Just this is all. That's the recovery position. This is the left leg. So it's okay? It's okay. So in case the casualty wants to vomit. Yes. Thank you. Thank you so much, Aiko, for helping us out. Round of applause. Here you go. There we go. All right. So what happens just in case you find a broken bone? Do you start putting things in place? No, he just splinted back to the position. You splinted back? What does to splint mean? To splint means you use like a wooden splint. It's to stabilize the fracture. So you put, like, like, you splint, but you have to have someone to put it in place. So you're slinging it? Yes. Yes, yes. Okay. And if it's on the leg, you improvise. Improvise. Improvise can take a wooden stick. And if it's the leg, we discourage people from splinting their legs. Because they add more harm. Oh. Yeah, people add more harm. So when you make a mistake, just come back, splint it, and then it's over. What happens if your casualty is a mental health patient? Mental health patient. Very good question. So patients who are psychotic. So these are psychiatric patients. The first thing is, remember people who are casualty can be a common threat, especially a psychiatric casualty. He or she can, when I'm moving in a bar, one is a cupigapia. Not a tambooim. Not a tambooim. Not a tambooim. Not a tambooim. So you ask for help. For example, she's my helper. So we'll stop our patients when it comes to victims like that. Are you together? And also when somebody's calling for help, maybe it's a psychiatric patient who needs to inform us. Because you need to ask for more help or backup. In case patients are to be there, maybe we are to be somewhere because of the energy. So what we'll do, I'll ask for backup, or I'll ask the family members to be there, to be there, and I'll ask for straps. Are you together? And also try and reassure them. What if they can't communicate? What if they're responsive, but you don't know what's wrong, they can't tell you no more. When I was doing all that, you could see me looking at the casualty. I was looking at his response. When you're doing all that, you can see the patient. Something else, when you're calling for an ambulance, how do you call for an ambulance? You don't call for an ambulance. You need to say who you are. You call them the 4WCT. So my name is Kepha. I'm calling Red Cross. There's an accident that has happened around a long university way. Multiple injuries. So where are you calling from? I'm calling from university way. So why are you calling? There's an accident that has occurred. What has happened? There were two vehicles that were driving at a high speed and they crashed each other. So how many casualties can you see? So you have to be very calm. Yes, you need to be calm. Yes, you need to be calm. Because you need to ask for help. Because how do you say, there's an accident that has happened around the university way. You don't call for an ambulance. No, not yet. You have to explain how the patient is. So that maybe the dispatch center, they might know, they might see which ambulance they dispatch. It may be an air ambulance. It may be an ambulance or an ACLS or BLS. So that means there's an accident and there's an accident. So keep an ambulance. This is what's happening right now. You have to say the condition, how the patient is here or she is bleeding. Is there any fracture? Is the patient unconscious? Yes. So after doing all that, saying who you are, where you're calling from, why you're calling, what has happened, ask the dispatcher, have you kindly confirmed you've gotten all the details that have given you your name and all the other details. And also give this person your call back number. Why you're giving back your call back number? Is it him or what? We cannot see who is calling. Are you together? I cannot recall any landline. So we need to, what do we need to do? We need to call you back. For example, at Kouni, where the ambulance from Potangia, so they need to call you, where you're exactly. Are you together? If you don't know exactly where you are, the landmarks, so what are the landmarks? What can you see? Which building can you see? How far are you from the roundabout, for example? Are you together? This week we're having an emergency, medical technician and fire symposium and also competition. Wow. We're inviting the public. It's a uniform. Yes, come on. When is it? In Shaan's actually. Oh ho, where are you from? JKI. So it will be at the Kenya Fire Training School. It's high time people realize that we are a cadre that we need to be recognized in the county ambulances because county ambulance, some of the counties have not embraced. I congratulate Nandi County. It is one of the counties that has recognized, yes. Wow. Recognize the empties. Keambu County, they have a call center. We have an EMT and also Kericho. Wow. Kericho, they have EMTs and also Kisumu, they have EMTs. Kudos to those counties that are embracing the work of EMTs. The other counties that have been left behind, it's high time to realize that we have thousands of EMTs who are waiting to have jobs. So, we are requesting. Is the ambulance in Stadia cool? And the ambulance say it's an accident. Kindly. Wow. We have a circle, we don't have money. No, we don't have money. And also, so we are inviting the public to come and see what we do, what we do best. It's all the same thing. We have a perspective. We don't know what to do, but we don't know what to do. It's high time to come and see what we do. We are also offering free first aid training. Really? Free first aid training. So, whoever is free this week. Yes, please, go. Kindly, kindly come. The other courses that will be offered is PHTLS. Wow. Which can be done by that is, can be done by by the nurses, doctors, clinical officers, any medic. And it's totally free. And also we have curriculums for the fire department. And I'm free, guys. I'm free. I'm free. It's just free. Everything is free. So, don't sit back there at home. Come and do a skill. Tomorrow it will help you somewhere. It will help you at home. Casualty is choking. We cannot even forget there's a bill that has been drafted for us. We call it baby steps. We are growing slowly. So, we are hoping soon that the bill will be passed. Where the EMTs, paramedics will be recognized. I think you're very, you're an integral part of our society. Yes. Thank you for doing what you do and doing it well. We appreciate you. Thank you. Thank you so much too. So, guys, zero seven, one four. Nine one one, nine one one is the number for ambulance or red car. Can I clarify? Yes, please. The number is zero seven one four, nine one one, nine one one. It's known as flare rescue. Flare rescue. It's a dispatcher. So, what they do is they locate for you the nearest ambulance that is Nekama Uba. The nearest ambulance that is near you and also state your emergency. So, we want emergency response to be easily, very affordable for you, for everyone in the country and anybody can access. And also, it's also very important to know the numbers of their county ambulance number, the county ambulance and also the fire departments around your place. Okay. So, I think we had way too much fun. I said, no, the time is looking. I don't know how, but I really hope you have learned something and you haven't. Please check this out on YouTube at Y-2-5-4. My name is Valentine or at Kalamifal. Stay where you are. Okay, Alex. Alex is coming with you then politics.