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Infiltration Forums > Archived UE Tutorials, Lessons, and Useful Info > Call a MEDIC! (Viewed 2462 times)
ScarsAndStripes 


location:
Dublin, CA
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Call a MEDIC!
< on 3/3/2006 8:02 AM >
Posted on Forum: UER Forum
 
Although we've started only recently, my UE group admits they feel safer when I'm along. This is because I'm an Army Medic. Granted, we've never had any incidents during our handful of excursion, it's still good to know that if something happens to these guys, I'll be there to make sure they get some good medical attention until they can get to a hospital.

Recently, I was unable to go along on an exploration. The guys asked me what sort of "easy to use shit" they should bring. So here's what I told them:

-Rubbing alcohol (either wipes or a bottle)
-Band Aids
-Small roll of gauze
-Some "popsicle" sticks (broken fingers seem like a likely injury)
-Eye bandages
-Burn ointment (stop flicking that lighter!)
-Tweezers
-ACE bandage (like athletes use)
-2x2 and 4x4 dressings
-Roll of medical tape
-1 or 2 handkerchiefs (invaluable! sp?)

This is a quick and dirty list of things to bring that anyone, with or without medical training, can use. In fact, it's pretty much everything in a typical first-aid kit. Granted, there are numerous other items that will be useful and life saving, but these are items that can be found easily and cheaply. Plus the whole lot of it can fit in a cargo pocket. But if I left anything out, go ahead to suggest it. Trial and error.

So if any of you UEers have questions about how to deal with typical injuries, go ahead and ask away. I've been in quick reaction situations with little or no supplies on hand, so I think I can adequately answer your questions.


Pravus 


location:
Chicago Area
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Re: Call a MEDIC!
<Reply # 1 on 3/3/2006 8:52 AM >
Posted on Forum: UER Forum
 
extra tampons.. they make excellent gauze when you rip'em apart/unroll'em and from what I hear also make good firestarters/emergency candles since they smoulder and burn slow.. Not only small but also has the plus of if you get searched they wouldn't raise an eye to it where they may stop to wonder about a full out medpack on you.. Of course this helps if you are exploring with a lady as it will seem slightly less ..strange.. then two dirtbag guys standing on the corner covered in crap with a box of tampons..

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TylerDurden 


location:
Worcester, Ma
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Re: Call a MEDIC!
<Reply # 2 on 3/3/2006 2:27 PM >
Posted on Forum: UER Forum
 
Our group brings along a Worcester EMT. It's certainly nice to know you'll be safe in the event of an accident.

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dlp_qc 


location:
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Re: Call a MEDIC!
<Reply # 3 on 3/3/2006 2:36 PM >
Posted on Forum: UER Forum
 
The most frequent situation I think Urban explorer might be encounter is a fall or "drop" ( I don't know the word ), what should we do in this kind of situation?

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SilentSearch 


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Cowtown
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Re: Call a MEDIC!
<Reply # 4 on 3/3/2006 4:02 PM >
Posted on Forum: UER Forum
 
I would suggest that any person who can safely get themselves out with assistance can be attended to by most any person, (trained or not). ScarsandStripes suggested some good items. I would add a couple of 5x9 dressings and a couple cravats(triangular bandages) And make sure a couple people have cell phones and you know the address of the site you are looking through.

Falls, especially anything over 10 feet would most likely necessitate a 911 response so that more specialized equipment can be brought into play. Any possible back injury or major bone fracture.
I might suggest that if you have to call them, don't give any references to how the injury happened, ie. fell down a flight of stairs, out a window, whatever. Don't mention it's in an abandoned structure or shuttered factory. Only tell them it was accidental and you have someone trained in EMS with you to care for the patient till help arrives. Just give them the address and have one of the group go meet the fire dept and medics. Hopefully the police won't be called and it will just be handled as any medical emergency.

Remember, an ounce of prevention is worth a pound of cure. Watch out for yourself and your buds!

Official UE Safety officer and rescue specialist.
Mark 


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location:
South Carolina
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Re: Call a MEDIC!
<Reply # 5 on 3/3/2006 4:09 PM >
Posted on Forum: UER Forum
 
I believe the more serious wounds you are going to see as a urban explorer is going to be puncture wounds. This may be cause from a fall, climbing through glass, tripping, etc. Many injuries like that are transportable with a little first aid knowledge.

Most people thankfully dont have the knowledge to attempt transport of a fall victim, or a heat stroke(I believe thats right). No one wants to be moving a neck injury, or god forbid have some guy try to feed an IV bag up there anus.

I stick to carrying for the serious stuff as best as possible.

Gause, clotting agent of some kind(need to acquire more), bandages and duct tape(duel purpose)

I probably have a little more experience then most first responders, but theres only so much I can do by myself or with one other person.

I also tend to leave band aids and most anti-bacterial solutions (minus the sani cloths) out due to there size, and cumbersome nature. Beside a cut is something that can be taken care of at the car/ home.

Welcome to the boards, and ohh yeah corpsman are better;)

"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles"
Mark 


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Re: Call a MEDIC!
<Reply # 6 on 3/3/2006 4:20 PM >
Posted on Forum: UER Forum
 
Posted by SilentSearch

Any possible back injury or major bone fracture.
I might suggest that if you have to call them, don't give any references to how the injury happened. Only tell them it was accidental and you have someone trained in EMS with you to care for the patient till help arrives.
Remember, an ounce of prevention is worth a pound of cure. Watch out for yourself and your buds!


I disagree. If its anything more major then a compound fracture of the extremities I wouldnt want to attempt to move them. Needless to say a compound fracture, or even a standard fracture could be very serious when moving.

If you dont splint it right that person could move the bone and cut the femereil artery etc.

Honestly anything above the knees or inside the shoulders shouldnt be moved. Also any substantial fall may cause serious and unseen injury.

Maybe Scares&Stripes can go over the standard check for spinal, and/or head injuries. Its been ages for me and I honestly can't remember the procedure. It would probably be very informative to the community in general.

"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles"
dogyeaars 






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Re: Call a MEDIC!
<Reply # 7 on 3/3/2006 6:54 PM >
Posted on Forum: UER Forum
 
Posted by Mark
Maybe Scares&Stripes can go over the standard check for spinal, and/or head injuries. Its been ages for me and I honestly can't remember the procedure. It would probably be very informative to the community in general.


If I remember my PAM correctly, the procedure is not foolproof but it usually involves

1) Asking the casuality if he has fallen and hit his head
2) Feeling the back of his neck for bumps/deformities
3) Checking for sensation and motor function in the extremities

Securing the two legs together can help reduce movement of the spine, but I doubt there's any practical way to transport the casuality without a spinal board.

Mark 


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location:
South Carolina
Gender: Male


What is a lion, king of the savannah, when hes at the south pole?

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Re: Call a MEDIC!
<Reply # 8 on 3/3/2006 7:20 PM >
Posted on Forum: UER Forum
 
Yeah to bad you cant pack a spinal board around, then again most people couldnt use one anyways.

I think your right sometimes they update techniques and its been forever since I learned all that stuff.

"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles"
Urbex Tom 


location:
Massachusetts
Gender: Male




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Re: Call a MEDIC!
<Reply # 9 on 3/3/2006 7:54 PM >
Posted on Forum: UER Forum
 
Eye Bandages?

What is the chance you will be impaled in the eye... I honestly doubt an experienced explorer will need half the stuff you have on that list.

then again you've been a member here for what... not even a month?

-----

The only First Aid supplies I use for an injury are the stuff I find on site... such as 40 year old gauze pad that worked fine, and prevented the infection.
[last edit 3/3/2006 7:56 PM by Urbex Tom - edited 1 times]

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ScarsAndStripes 


location:
Dublin, CA
Gender: Male




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Re: Call a MEDIC!
<Reply # 10 on 3/3/2006 8:06 PM >
Posted on Forum: UER Forum
 
Posted by Mark
Maybe Scares&Stripes can go over the standard check for spinal, and/or head injuries. Its been ages for me and I honestly can't remember the procedure. It would probably be very informative to the community in general.


Certainly!

Check for head injuries:
-Confusion
-PERL (Pupils equal and react to light)
-Clear or pinkish liquid coming from ears or nose
-Cracks in the skull
-Dizziness or tiredness

Treat for head injury:

Honestly, unless you have some serious training, there's not much you can do. Try to talk to the person and keep them conscious. They won't die if they do pass out, but try to keep them talking. Do not let them get up and move around and try to keep their head and neck stiff. Call for emergency care IMMEDIATLY!

Check for spinal injuries:
-IF ANY SPINAL INJURY IS SUSPECTED, TREAT FOR IT REGARDLESS IF SIGNS ARE NOT PRESENT
-When checking for spinal injuries, do not move the person at all
-Obvious deformities
-Inability to move limbs
-Numbness in limbs
-Erection (seriously, this is common in lower spinal injuries)

Treat for spinal injuries:
-Using whatever is available, keep their head and neck immobile. This can be done using backpacks, large rocks, their shoes, etc
-Do not allow the person to try to move their body, expect to try to move fingers or toes
-Call emergency care IMMEDIATLY

As you've probably guessed, head and spinal injuries are VERY serious business. Fuck what kind of trouble you'll get in for being where you are, just call 911 as soon as possible. Head and spinal injuries need to be treated as soon as possible.

http://www.andromedan.com/sam/

Sam Splints are awesome! They can splint limbs and double as a neck brace. They're pretty cheap, available at some drug stores, and very portable. Also, it can be cut easily with scissors so you can splint smaller fractures.



[last edit 3/3/2006 8:07 PM by ScarsAndStripes - edited 1 times]

Logan 


location:
Ra-Cha-Cha, NY
Gender: Male


We miss you Jerry

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Re: Call a MEDIC!
<Reply # 11 on 3/3/2006 8:14 PM >
Posted on Forum: UER Forum
 
I carry a cool little product called UrgentQR, what it does is you pour it onto a cut and it instantly forms a scab to stop any bleeding. Doesnt work on deep wounds though. =\.

Cogito Ergo Sum
ScarsAndStripes 


location:
Dublin, CA
Gender: Male




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Re: Call a MEDIC!
<Reply # 12 on 3/3/2006 8:14 PM >
Posted on Forum: UER Forum
 
Posted by Verizoff
Eye Bandages?

What is the chance you will be impaled in the eye... I honestly doubt an experienced explorer will need half the stuff you have on that list.

then again you've been a member here for what... not even a month?


The odds are very, very small. But they're the same size as a 4x4, so why not? I usually just have them on hand because they're in the first-aid kit to begin with.

Most experienced folks may not need some of this stuff. This list isn't written in stone. These are just items that I've packed away on my few explorations. The whole kit is very small as I've noted. Some may think it's overpacking, but I like to be prepared.

And you are wrong. I haven't been a member for a month. This is my second day on the forums, heh. But I'm always open to te suggestions of experienced UEers.



res_novae 


location:
NoVA
Gender: Male




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Re: Call a MEDIC!
<Reply # 13 on 3/3/2006 8:52 PM >
Posted on Forum: UER Forum
 
Posted by ScarsAndStripes


Certainly!

Check for head injuries:
-Confusion
-PERL (Pupils equal and react to light)
-Clear or pinkish liquid coming from ears or nose
-Cracks in the skull
-Dizziness or tiredness
------Also, any loss of conciousness, inability to remember injury or other memory loss is useful here

Treat for head injury:

Honestly, unless you have some serious training, there's not much you can do. Try to talk to the person and keep them conscious. They won't die if they do pass out, but try to keep them talking. Do not let them get up and move around and try to keep their head and neck stiff. Call for emergency care IMMEDIATLY!

Check for spinal injuries:
-IF ANY SPINAL INJURY IS SUSPECTED, TREAT FOR IT REGARDLESS IF SIGNS ARE NOT PRESENT
-When checking for spinal injuries, do not move the person at all
-Obvious deformities
-Inability to move limbs
-Numbness in limbs
-Erection (seriously, this is common in lower spinal injuries)
------Numbness should be checked by soft and sharp sensations. Example- Rub some cotton on the persons hand as soft, and a light poke with a safety pin (another good thing to have) as sharp. A light poke, in First Response training some intelligent person stabbed my foot with a safety pin.

---------Again, I can't stress not moving the person, whether you believe you can or not, UNLESS he/she is in immediate danger. Obviously, if its choosing between permanant spinal injury or death, move the person, otherwise, leave them exactly where they are, even if its the most awkward position possible. Stablize them without moving them, then call 911.

Treat for spinal injuries:
-Using whatever is available, keep their head and neck immobile. This can be done using backpacks, large rocks, their shoes, etc
-Do not allow the person to try to move their body, expect to try to move fingers or toes
-Call emergency care IMMEDIATLY

As you've probably guessed, head and spinal injuries are VERY serious business. Fuck what kind of trouble you'll get in for being where you are, just call 911 as soon as possible. Head and spinal injuries need to be treated as soon as possible.

http://www.andromedan.com/sam/

Sam Splints are awesome! They can splint limbs and double as a neck brace. They're pretty cheap, available at some drug stores, and very portable. Also, it can be cut easily with scissors so you can splint smaller fractures.





Also, Just want to point this out because you see it in movies and its something you shouldn't do. God forbid, if your exploring partner falls and looses pulse, if there is any major blunt force trauma to the chest or large open wounds (rebar through their heart type), I've always been advised to not do CPR. And, it sounds cold, but try not to start CPR/First Aid if there is any reason you would have to stop or it puts you in danger. Paramedics would rather have one injured victim than 2.

[last edit 3/3/2006 8:53 PM by res_novae - edited 1 times]

FoxTwoFoxTwo 


location:
Clarksville, Tennessee
Gender: Male


I'm an explorer who photographs...

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Re: Call a MEDIC!
<Reply # 14 on 3/3/2006 9:40 PM >
Posted on Forum: UER Forum
 
First off, all Medics are cool! You guys are the most valuable members of teams in my opinion.


Second, Verizoff, cut him some slack, he's trying to help, geez. You seemed so very hostile.


Third, I would definately bring duct tape. In my experience, it can be used as a bandage and to close small wounds. Quick clot is amazing from what I hear. Carefullness is the best though

Bringing exploration to Clarksville.

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zx270 


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Re: Call a MEDIC!
<Reply # 15 on 3/3/2006 10:05 PM >
Posted on Forum: UER Forum
 
If someone does fall and hit their head, it is generally a good idea NOT to move them. If part if their spine is damaged, moving them could paralyze them. I would suggest calling the EMTs. Its better to be caught at an abandoned factory then to risk a friends life.

Ninjako 


location:
Winnipeg
Gender: Male


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Re: Call a MEDIC!
<Reply # 16 on 3/3/2006 10:30 PM >
Posted on Forum: UER Forum
 
Having someone from your group (or everyone for that matter) take a one day CPR and first aid course may make you feel a lot more comfortable if unforseen emergencies do arise. I had the opportunity to take one through my work late last year. 80% of the knowledge they teach you is pretty common knowledge.

What I got out of it, and what I feel was the most important part of it, was confidence. Before taking the course if someone were to drop infront of me I would have had the general knowledge to give them CPR, yet I probably wouldnt have been willing to. After taking the course theres no question in my mind that I would remain level-headed and help.

Explorer H 


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Re: Call a MEDIC!
<Reply # 17 on 3/3/2006 10:36 PM >
Posted on Forum: UER Forum
 
Posted by Verizoff
Eye Bandages?

What is the chance you will be impaled in the eye... I honestly doubt an experienced explorer will need half the stuff you have on that list.

then again you've been a member here for what... not even a month?

-----

The only First Aid supplies I use for an injury are the stuff I find on site... such as 40 year old gauze pad that worked fine, and prevented the infection.


I thought he gave a valuable list of items. I've already started putting together a kit of my own.

Even the most experienced of us can have a mishap, or accident. This is great info. Being here less than you doesn't make him any less experienced.
[last edit 3/3/2006 10:37 PM by Explorer H - edited 1 times]

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Mark 


Very Noble Donor

location:
South Carolina
Gender: Male


What is a lion, king of the savannah, when hes at the south pole?

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Re: Call a MEDIC!
<Reply # 18 on 3/3/2006 11:35 PM >
Posted on Forum: UER Forum
 
ALso if you guys ge the chance get some quik clot. Probably the best stuff for serious wounds and injuries. Get the pads, and not just the powder format(older)its easier to work with and far safer for the inexperinced.

Also maybe a pre made kit like a SOF Individual Aid Pouch from Paraclete, might be good. If you can find one for a good price.

"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles"
dogyeaars 






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Re: Call a MEDIC!
<Reply # 19 on 3/3/2006 11:39 PM >
Posted on Forum: UER Forum
 
Posted by FoxTwoFoxTwo
Third, I would definately bring duct tape. In my experience, it can be used as a bandage and to close small wounds. Quick clot is amazing from what I hear. Carefullness is the best though


Duct tape on wounds ? haha - that has got to be the second most eccentric first aid idea I've heard in a while, well, here's the first - my commander once announced publicly he always carried a few menstrual pads in his car, as they could absorb blood better than any bandage ... might be something you want to add to your first aid kit ...
[last edit 3/3/2006 11:40 PM by dogyeaars - edited 1 times]

Infiltration Forums > Archived UE Tutorials, Lessons, and Useful Info > Call a MEDIC! (Viewed 2462 times)
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