Emergency Trauma Care - When there is no time to lose.

Someday you may find yourself in a life or death medical situation. You or a loved one may need IMMEDIATE help in dealing with a severe trauma wound or shut down of body functions. Perhaps 911 is too far away, perhaps they cannot be relied on at all.

 

With this engaging skillshare we are fortunate to have one of our founding members - Barb , a critical care R.N. on hand to teach us some important basics for getting a grip on a bad situation.

Our Survive and Thrive group has many doctors, nurses, EMTs, pharmacists, cops, military and even a firefighter in our membership. That said, Barb has done a FANTASTIC  job of teaching these valuable bits of life saving information to our group for years now. Her manner and tone make the presentation easy to follow and absorb.

 

We will cover:

 

- Stabilizing physical traumas ( gunshots and stabs, amputations, stopping blood loss, setting breaks in bones)

- Proper suturing techniques and materials to use or improvise with

- Wound care ( starting the healing process along without doing MORE damage)

- One and two person methods for moving wounded victims

- CPR and removing breathing blockages for adults and children ( you will receive Red Cross training but will not be certified on paper)

 

This will be a very hands on meetup. You will be able to practice what you learn there and then. Bring friends and family.

 

Here are a few related file links that you should find useful beforehand:

 

http://files. meetup.com/[masked]/Common%20Household%20Items%20With%20Uncommon%20Uses.pdf

 

http://files. meetup.com/[masked]/Basic%20First%20Aid.pdf

 

http://files. meetup.com/[masked]/US%20Marine%20Corps%20-%20First%20Aid.pdf

 

http://files. meetup.com/[masked]/Wound%20Care%20And%20Sutures.pdf

 

http://files. meetup.com/[masked]/Dehydration.pdf

 

http://files. meetup.com/[masked]/Dakin%27s%20Solution.pdf

 

 

These are the meeting notes for you to print out ahead of time:

 

Topic Outline:

I.                     The “ABCDE’s of first aid”

II.                   Specific conditions  

a.        Bleeding

b .       Burns

c .        Fractures

d .       Shock

e .       Gunshot wounds

III.                 Resources for self-education

*Remember: Don’t become a second victim! What will kill the patient first?

        I.             The ABCDE of first aid

*The Rule of Three’s: Three minutes without oxygen; Three hours without shelter; Three days without water; Three weeks without food

a.        Airway

                                                               i.       YELL: Are you okay?

                                                             ii.       Log roll onto back

                                                            iii.       Look/listen for breathing

                                                           iv.       Head tilt/chin lift to clear airway (is there any obstruction?)

b .       Breathing

                                                               i.       Give 2 breathes then 30 fast, deep compressions – lock elbows, compress chest 1 ½ - 2 inches down

                                                             ii.       Continue cycle for 15-30 minutes

c .        Circulation

                                                               i.        Check for pulse – use pointer and middle finger, place on carotid (on side of neck), hold for 10 seconds

                                                             ii.       Look for signs of bleeding (more details below)

d .       Disability

                                                               i.       Purpose: Keep head, neck, and spine stable (as little movement as possible)

                                                             ii.       Assume spinal injury, especially if violent trauma or fall – signs include numbness in limbs, altered consciousness, neck/back pain

                                                            iii.       Improvised cervical collar – sleeping pad, ground pad, etc. then wrap with ace bandage

                                                           iv.       If you must move patient – log roll method OR synchronous movement (lift/lower all at once with as much help as possible)

e .       Environment

                                                               i.       Majority of wilderness deaths are due to hypothermia

                                                             ii.       Keep patient off ground – ground pad, blanket…anything that will help stabilize body temperature

      II.             Specific Conditions

a.        Bleeding

                                                               i.       Find source of bleed

                                                             ii.       Cut away clothing

                                                            iii.       Well-aimed, direct pressure

                                                           iv.       Elevation – if feasible

                                                             v .       Pressure dressing – keep applying on top of first dressing, even if soaks through

b .       Burns

* Remove burned clothing/jewelry first!

                                                               i.       1st Degree – painful red WITHOUT blisters (i.e. sunburn)

1.        Treat with cold water irrigation

2.        Apply aloe vera gel or honey dressing

3.        Lightly bandage with sterile dressing

4.        Ibuprofen for pain/swelling

                                                             ii.       2nd Degree – painful red WITH blisters

1.        Do NOT pop blisters

2.        Treat  same as 1st degree burn, but may lightly apply antibiotic ointment

                                                            iii.       3rd Degree – grey-black skin, may not hurt

1.        Treat same as above, but monitor patient for signs of shock

2.        Antibiotic prophylaxis if feasible

c .        Fractures

                                                               i.       Definition – any break of crack in a bone

                                                             ii.       If not sure, assume fracture – signs include deformity, pain, inability to use limb, grinding

                                                            iii.       Stable vs. Unstable

1.        Stable – no deformity, swells SLOWLY, full range of motion, circulation okay, no numbness

a.        Treat with R.I. C.E.

2.        Unstable – obvious deformity, rapid swelling, limited ROM, extreme pain, decreased circulation, apparent numbness

a.        Immobilize joints above and below fracture

b .       If “open” (coming through skin),  will also need to water irrigate

c .        Pull traction along line of bone

d .       Apply splint before releasing traction

e .       Cover wound with sterile dressing and bandage

f .         Antibiotic prophylaxis if feasible

d .       Shock

                                                               i.       Definition: Lack of oxygenated blood to tissues

                                                             ii.       Common causes – bleeding, dehydration, diarrhea, etc.

                                                            iii.       Signs/symptoms – pale, cool, clammy skin with rapid and/or weak pulse/breathing, anxiety, nausea

                                                           iv.       Treatment

1.        Treat underlying cause!

2.        Maintain body temperature – protect from excess heat/cold

3.        Elevate legs 8-10 inches

4.        Consider fluids if patient is coherent and can tolerate

e .       Gunshot Wounds

                                                               i.       Treatment

1.        ABCDE’s of first aid

2.        If injury is in chest – possibly an “open" (sucking) chest wound

a.        Signs/symptoms - painful breathing, sucking/crackling sound with inhalation, bubbles at wound site with exhalation, bubbles felt on chest wall near the injury

b .       Treatment

                                                                                                                                       i.       Seal opening immediately with any air-tight substance (zip-lock bag, saran wrap, vaseline/honey on gauze pad) taped on three sides, to give a “flutter-valve” effect

3.        Pressure and elevation to prevent bleeding

4.        Monitor for shock

5.        Antibiotic prophylaxis if feasible

    III.             Resources for self-education

a.        Books

                                                               i.       “Wilderness Medicine” by Tod Schimelpfenig (same title also written by William Forgey)

                                                             ii.       “A Comprehensive Guide to Wilderness & Travel Medicine” by Eric Weiss, M.D.

                                                            iii.       “Where There Is No Doctor” by Hesperian Foundation

b .       Websites

                                                               i.       Scroogle / Youtube “first aid” or “first aid kits” for videos on training and supplies

                                                             ii.       www.survivalblog.com – general survival info and lots of medical info

                                                            iii.       www.aussurvivalist.com/downloads/AMFinal2.pdf (‘Survival and Austere Medicine: An Introduction”)

c .        Courses

                                                               i.       Red Cross

                                                             ii.       Wilderness Safety Council – www.wfa.net

                                                            iii.       Medical Corps at www.medicalcorps.org

 

Join or login to comment.

  • CW

    the presenters have invested their time and energies into presenting a well reasoned and balanced presentation on the steps to take and why in those unexpected and hope to be avoided dire times alively discussion followed.

    October 1, 2011

  • Adam O.

    Barb and Fernando did a wonderful job of explaining the topic. I learned a lot and enjoyed meeting new people.

    September 28, 2011

  • Sherise

    This was a great meetup. It gave basic emergency first aid info for independent care or in the event outside help is unavailable. The people were really warm, friendly, and informative. Would go again.

    September 27, 2011

  • John C.

    Learned the basics of emergency trauma care in a friendly setting from professionals who care and were willing to share.

    September 26, 2011

  • A former member
    A former member

    Excellent presentation by Barbara, Fernando and Jerry. The hands-on that was given on wound care (suturing) made it a real experience, which helped in understanding how to put into action what we are learning. The CPR/Heimlich manuever also increased my knowledge of how to help someone.
    We thank all of you who willingly take the time and effort to share your expertise with those of us who, otherwise, would not know what to do in a crisis situation.

    September 26, 2011

  • Elizabeth

    Another information packed meet up! Very useful knowledge shared. Thank you so much!!!

    September 26, 2011

  • chris k.

    it was a great meetup into the basics of first aid. i now know i need more training to better myself.

    September 26, 2011

  • FERNANDO ANTONIO S.

    Barb did a great job covering the basics of bloody injury care, 1st/2nd/3rd degree burn management, how to control bleeding, how to make a flutter valve for a sucking chest wound, what to do with bone breaks and lots more. Jerry ( Gerald Hartman ) was also a pillar in the room with his real life , boots on the ground experience dealing with trauma as a combat life saver. Savannah and her big stuffed dog named Lager were wonderful helpers for our demonstrations of CPR and choke mitigation techniques. Over all the crowd was pleasant and engaged. Small teams of 3 and 4 worked together as we stitched up knife wounded oranges with fishing line and hoop needles using square knots. We touched on a lot within these two hours. Time well spent for knowledge that may save life and ease suffering in this world.

    September 25, 2011

  • Laura A.

    Thank you to Barb and Fernando for showing the group how to do CPR and how treat wounds in an emergency situation :) Another very informative meet up!

    September 25, 2011

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