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UER Forum > Archived UE Tutorials, Lessons, and Useful Info > A Beginner's Guide to Basic UE First Aid (Viewed 4132 times)
HungarianSM 


Location: Toronto, Canada
Gender: Male


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A Beginner's Guide to Basic UE First Aid
< on 4/29/2012 11:00 PM >
Posted on Forum: UER Forum
 
Hey guys, HungarianSM here!

I Know there's already a thread about this both in the private forums, and even right below this one, but none of them are particularly well organized, or basic enough for the average person to understand. (no offence to the authors of said threads)

I'm writing this guide for the average Urban Explorer, not an EMT, nor a Doctor, therefore it won't be nearly as comprehensive as some of the courses you may take though your work or the like. That being said I will cover Basic CPR, Bleeding, Shock, and any other major injuries related to UE-ing.

With that in mind, feel free to add anything constructive to the thread, whether it be any experience with similar situations in the actual field, or etc...

About my background, I'm currently a Lifeguard Instructor, and an Advanced First Aid trainer Level HCP, (The same training nurses have, and one step below EMT's)
I Have about 4 years of experience dealing with first aid emergencies, some quite nasty, but I thank God I have yet to have someone die on me, though there have been a few close calls.


Alright! On to the fun Stuff!....

**Disclaimer** Any of the following information is to be taken with a grain of salt, and done so at your own risk, User: HungarianSM (Jon D.) does not take any responsibility for any misuse of the following resource, nor will be liable for any injury resulting from this post****


U.E. First Aid 101


For Bleeding (Major & Minor)
The easiest way to remember is three simple letters: R.E.D.
(Same color as blood, simple)

R. Rest (and reassure if not the victim)
Simple really, rest the body part after injury, do not continue to explore if you have a moderate to severe cut, remember, even a small scratch can easily get infected in the numerous environments we find ourselves in. Dust, dirt, and even free floating asbestos are your enemies here...

E. Elevate
Elevating the injured body part can really help if it's a moderate to slightly dangerous cut, If it's really severe, elevating isn't going to do much,
The reason you do this is to Prevent blood pooling, and lessen the circulation if the body part is held above the heart (preferably the head also) Lower blood pressure = less bleeding, it's really useful for your extremities. (arms, legs, feet whatnot)

D. ****Direct Pressure*****( really damn important)
Direct pressure should be the #1 thing you do for a cut, no matter the size to immediately stop bleeding, Utilize anything you may have, clothes, bandages, (I mean real medical grade stuff, no my little princess bandaids your mom gave you when you left the house...) I.e.

Not this

But this!
*This is gauze, wrap this around a wound, or a bandage already on a wound to keep it in place**

Apply pressure directly and forcefully to the wound, if the blood soaks through the bandage, DO NOT REMOVE IT! [Because of potential blood clot sites you may be disturbing] apply more bandages on top to absorb the blood, Compression bandages, and gauze are the best/easiest combination to use.
One unconventional option for bleeding victims to use as bandages are tampons, they are sterile, soak up blood like a mofo' and certain females may already be carrying them on your explore, however this would be used if no other "real" bandages were available...


Some users have stated in other threads that military grade bandages are much better than your average dollar store crap, I completely agree with this, and highly recommend said bandages, though I have never used them in practical applications I can imagine they would be just as good as medical gauze or bandages in an emergency.


Follow up to Bleeding

1. Sterilize, sterilize, sterilize, I can't stress this enough, if you have a goddamn open wound on your arm, don't go all rambo style on everyone, pour some good 'ol alcohol into that wound [*On second thought, alcohol isn't the best there are better safer alternatives, but if you don't have anything else... make do damnit!]

2. Make sure the wound is closed, if it's smaller it will close on it's own, if bigger (worse) pour some super glue into that bitch, or better yet medical grade skin sealant (Think flat tire repair rubber for your skin) Most non-toxic super glues won't harm your wound, and as it heals it will eventually dissolve.

(I'm not going to get into stitching here, as it's too complicated for the average person, and who the hell carries that many medical supplies? )

3. Get to a &*cking doctor if your wound is serious, don't be a little badass b!tch, do you want to lose your foot? or arm? I didn't think so, so stop being a hero, and go to an emergency room, a seemingly small cut/abrasion/laceration/bruise/blood bubble/whatever the hell else... can turn ugly real fast, medical emergencies are no joke...!


More Bleeding Sh*t

For amputations (Hope to God it doesn't happen) the bleeding itself may seem very serious at first, but treat it like any other open wound, If you're lucky the arteries will collapse in on themselves, and you will have a surprisingly small amount of bleeding, [Make sure when applying gauze or and other random "bandage" material to an amputation you wet it first, even if only a little, when it comes time to take off that bandage, a damp one for the first layer (trust me you'll go through quite a few) will be much easier to remove for medical professionals and won't rip open the wound inducing more bleeding.

Or... you could get seriously messed up, and have blood squirting out of the appendage of your choice... In that case, take off your belt/tie/rope [i](Don't worry about your lowryder jeans falling down and showing everyone your hairy ass, we're saving someone here!) [/i]
Tie that bitch 'round the extremity, hopefully you can pull it tight, and form a 'ghetto tourniquet, slowing or stopping the bleeding.

*Note* - If you have an actual tourniquet please use that one, and only if you have the training, 95% of bleeding injuries will not result in an artery being torn or ruptured, therefore don't freak out about this post, people dont lose arms and legs everyday, but it can happen so...


Some Final Notes

1. Gloves! These are extremely handy for dealing with all first aid situations, do you want someone else's blood on your hands? What about vomit? Spinal Fluid? I Didn't think so, I Personally always wear gloves, you never know what a person (or even you may have) This may be less important in this scenario as you most likely know the person at least a little bit, but always use gloves no matter what, if not available, then sterilize (wash and stuff) hands right after dealing with the emergency

2. NEVER use Aspirin when dealing with ANY kind of bleeding
Aspirin is a blood thinner (heart attack patients often use it after surgery) and will prevent the clotting of blood.

3. Some people may have something called Hemophilia It's a disease in which (Dumbed down ver.) basically your body cannot form clots in blood, or does so very slowly and inefficiently, If you are a hemophiliac, and are exploring obviously your know the dangers, MAKE SURE TO INFORM EVERYONE! If anything happens to you (think even a paper cut) the bleeding will not stop! Essentially you have to get them to a hospital ASAP if they have any sort of injury, no matter how minor, [a bruise could be deadly]


(Please forgive my lack of knowledge about Hemophilia, I have never treated someone with it, or known someone with it, my understanding is limited to my previous training, and academic knowledge, if anyone would care to help a little here , I would greatly appreciate it! )



Wohoo! We're Done with bleeding, Go grab yourself a Beer, or a glass of Wine, (whatever floats your boat!) and take a little break, if you read the whole post at once, your brain might implode *warning*
I'll see you in 10 minutes then!

.

.

.

.

.

.

CardioPulmonary Resuscitation [C.P.R.]

Wohoo! We're on to the Slightly harder stuff,


C.P.R. is basically something you can preform on someone, (Not yourself!) in order to get their heart beating again, and to stabilize someone until further help arrives, or you can move the victim to a location in which medical professionals can help them. With that in mind, this is dumbed down CPR, even an 8 year old can learn this, So please don't criticize for the lack of detail.


Okay here we go:

The Steps of CPR are as follows: 1. 2. 3. C. A. B.

First Step: 1. Environment Check

The first thing you do before even touching the victim, is protect yourself, and the victim from further injury, so check your environment for any hazards,
(There's a little rhyme I learned many years ago as a kid learning CPR, and it's stuck with me because of it's ease it goes like this: "No Fire, no Wire, no Gas, no Glass, nothing that can hurt me or my victim"

Basically check for any hazards present, and if possible move the victim to a location where the risk is minimal, (**That being said, getting the heart beating again is your #1 Priority in a CPR situation, not getting your victim comfortable and cozy on the floor***)

Next step... 2. Check for Responsiveness

Tap and Shout around your victim's head ans look for any movement, or any sign of a response, if they are unconscious, or you are unsure, check for breathing immediately, for 5-10 seconds, no more, no less.

When checking for breathing there are 2 steps:
    1. Open the Airway (Tilt the head back all the way so that the chin is facing upwards.)
    2. Look, Listen & Feel for Breathing,
    [Look: Turn your head towards you victims chest, observe to see if it rises and falls]
    (Listen: this one's obvious, place you ear near your victims mouth and listen for signs of breathing)
    {Feel: When positioning your head place your cheek or face near the victim's nose and mouth so that you can feel the breath, or lack of one}


When checking breathing, you can do all of the above at the same time, turn your head towards you victim's chest while positioning your head in such a way that you can both feel and hear the breathing. like this:

If your victim is not breathing, Immediately move onto step 3. of C.P.R.

Step Three: 3. Call for Help

Kind of self explanatory, in Canada and the States call 9-1-1, anywhere else, sorry I don't know the number for EMS (Ambulance), if someone else is present get them to make the call, if your alone, speakerphone is your best friend, talk to the responder, they will assist you with CPR.

Step C. C. Compressions

Onto the actual actions of CPR!

Compressions are actually quite difficult to do without any training, I'll try to explain exactly what to do here, but this guide is not intended as a replacement for a real life first aid or CPR course.

First step of compressions is to find the sternum (the hard bone in the very middle of the chest) and find where the heart would be for a person (it's actually only very slightly to the left, thus we do our compressions on the middle of the chest.)

Like So:

When performing compressions, you interlace your fingers, one on top of the other, lock your elbows, and push hard, and push fast (That's what she said!) putting your back into it,

**The amount of compressions is 30 followed 2 breaths and repeated**

Note: When doing your compressions the rate (how fast you do them) is quite easy to remember with two easy songs, just try to follow the beat, these two songs being (ironically)-
"Stayin' Alive" by the Bee Gees Link:
http://www.youtube...atch?v=A3b9gOtQoq4

or "Another one bites the Dust" by Queen
http://www.youtube...atch?v=VmyyZ7Eh3IQ

You may have others just remember to get in the general area of 16 compressions every 10 seconds.
When pushing, you want to push firmly with the heel of your hand, pushing about 1/3 to 1/2 of the victim's chest cavity

**note** you will most likely break a few ribs, but that's a hell of a lot better than dying, eh?

now onto... A. A. Airway

We already covered this under checking for breathing, but I'll review it anyways, just tilt the head back, allowing you to give a...
Breath!

B. Breathing

Here's the good stuff, lots of gross saliva, vomit, and other fluid here yayy!

Or maybe not,

to those who are grossed out by the idea of CPR solely because of mouth to mouth, it's okay, there are a variety or tools you can use to prevent the touching of lips to another persons if you so wish to,

What do I know? you might wanna mack on the person, but that's pretty F%$^king gross, so please don't

There are Masks such as these:

or such:

While the first one is much, much more effective at providing a good seal, and effectively sealing you off from your victim it's got a little bit of size, the second is almost useless *(in my opinion)*

you're probably better off covering the victim's mouth with your t-shirt stretched across, and blowing through that,
just sayin'...


anyways....

When giving a breath, make sure to observe the chest rising and falling, if you do not open the airway properly, you may accidentally blow air into the stomach, causing it to fill up like a balloon, gross eh?

so make sure to blow into the lungs, got it?

oh and if you're not using a mask,
(you disgusting you... nah w/e you might not have one,) you have to pinch the nose as your giving breaths.



That's about it for breaths,


Almost done! Hold on!

I know, I Know TL;DR right? well assuming you've read this far, You've got like 2 min left in THIS post anyways...



After giving TWO breaths, repeat compressions followed by another two breaths, and repeat until either someone more qualified takes over, or you can no longer continue,


***Conclusive notes***


  • CPR is friggin' exhausting, so put down the McDicks fatty, we've got people to save,
  • Two person CPR is much better as it effectively allows you to rest while switching it up with a partner can conserve energy. One person gives breaths wile the other gives compressions (NOT AT THE SAME TIME!)
  • Complication's may arise, including but not limited to: vomit, seizures, a spinal injury, or choking, I will cover any and all of these in tommorow's post.




That's it for today folks! Check back all throughout this week, (time permitting) for updates, and more First Aid stuff,
Sorry I couldn't fit everything into this one post, this alone took like 2.5 hours to write, so quit your bitchin' kk? thnx!
alright, enough of me being an idiot, I'll see you guys tommorow!

Take care everyone, and be safe!

HungarianSM out!

Skys the limit! :)
WalkingFumble 


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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 1 on 4/30/2012 2:46 AM >
Posted on Forum: UER Forum
 
QuickClot, gauze, wrapping, gloves, duct tape:

http://www.adventu...h%20QuikClot%C2%AE

$18 on amazon.com

http://www.amazon....53587&sr=8-1-fkmr0

Its a perfect fit in a side cargo pants pocket. I also keep an Altoids tin with a couple band-aids, alcohol wipes, and simple meds like Advil and Benadril.

FUMBLE!!!
dallas 


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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 2 on 4/30/2012 1:17 PM >
Posted on Forum: UER Forum
 
Very informative. Love this basic need to know version. Thank you

amazing wife to Narf. Don't look him up or ill cut you.
RescueMe1060 


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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 3 on 4/30/2012 2:57 PM >
Posted on Forum: UER Forum
 
Just remember that CPR regulations and procedure are always evolving and changing

http://www.flickr....rescueme1060/sets/
HungarianSM 


Location: Toronto, Canada
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Eh?

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 4 on 4/30/2012 4:02 PM >
Posted on Forum: UER Forum
 
I Will Update once that happens, Plus these are already 2 years old, (2010 Standards)
Don't worry haha, I have to stay updated too



Alright guys here's the second part of my little guide


How to Deal with Conscious choking Victims

When someone's choking it can be a scary scenario, and if you don't know what to do, it may be deadly, thats why I'm writing this useful little guide of awesome, so none of you peeps die from a quick hop into Subway before UE-ing and can't swallow that last piece of bread properly


Anyways.... Here we go!

There are two kinds of choking, Severe and Mild
90% of us have probably experienced mild at one point or another, its that feeling when you laugh when you are eating, or such and you can almost feel like your air is cut off, however; as long as you can breathe somewhat, and cough it is considered mild

For MILD choking

encourage the victim (or yourself) to cough, often it will be violent, reassure them, and encourage them, usually the object will come right out, but in the event it doesn't, and the victim cannot get any more air, or starts making a high pitched whining noise it becomes Severe

For Severe Choking

First ask if you can help, consent is always a good idea, if they say no, whatcha gunna do?

Step 1
Anyways, assuming they've let you save their life, turn them away from you and begin abdominal thrusts (used to be called the heimelich)

You make a fist with one of your hands and cup the other around it, find the location of the victims diaphragm, two inches (give or take) above the belly button.

Like so:


if you mess up the location, no worries, it doesn't have to be too, too exact, try your best (this is assuming you're completely untrained)

Repeat about 5-or-so times, and then switch to something called back blows


Step 2

**Note** This is a new standard, so if you disagree with this portion of the guide, don't blame me, however I fully believe it aids in the rescue of the victim from a potentially dangerous situation

Stay behind the victim, cross one of your arms across their body, grasping their shoulder To prevent them from falling over if they pass out,

Bend them forward at a downwards facing angle, and with the heel of your open hand, whack the shit out of them in-between the shoulder blades five times

like this:



Not like this....




LOL


alright, enough of the dog jokes,

After 5 back blows, rinse and repeat,

5 abdominal thrusts, followed by five back blows

*Note* the object will go flying rapidly, so watch your eyes!

*** Any advice written above, is to be taken with a grain of salt, and user: HungarianSM (Jon D.) is not responsible for the misuse of said information, nor can be held liable ***





Hope this helps at least 1 person, then it's worth it!

Take care everyone, I'll be back tomorrow morning with more!

Skys the limit! :)
HungarianSM 


Location: Toronto, Canada
Gender: Male


Eh?

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 5 on 5/4/2012 3:19 AM >
Posted on Forum: UER Forum
 
sorry to bump the thread, but there's really no interest in cool shit like this?
I'm sad I don't know if i'll add anything else if nobody's interested...

Skys the limit! :)
shotgun mario 


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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 6 on 5/4/2012 7:36 AM >
Posted on Forum: UER Forum
 
i've been reading and enjoying your writing style... didn't want to add to the discussion and water down the good posts with filler stuff inbetween.

If you want to protect the locations you love to explore, don't talk about them online in public!
If you want to make exploring friends, send people private messages! Meet up in real life! Get off the internet!
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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 7 on 5/4/2012 8:54 AM >
Posted on Forum: UER Forum
 
I admit I'm curious what you're doing at abandonments if you need to include first aid tips for treating choking victims.

Therrin 

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 8 on 5/4/2012 10:03 AM >
Posted on Forum: UER Forum
 
When I read "tips for choking victims" I think I go a different direction with it...

Nice write-up by the way

My last training had departed from the 30/2 for cpr to 100/2 or 100/0. Reason being that when you do your 30 compressions you've just began perfusion of a decent level of O2 back into the brain, but then you stop to give the 2 breaths, and have to start the perfusion over again from a rapidly decreasing level.

Studies had been done to show that the compressions themselves, when done properly, would cause air to be expelled from the lungs and taken in *while doing the compressions*, and that perfusion to the brain at a constant level is more important than stopping for the 2 breaths that drop that perfusion level.

I don't currently have my EMT, but had for a few years. Didn't care for the rigs as much after doing work in the ER; which gives a much quicker pace to the shift.

CPR is, as mentioned, constantly evolving. New procedures have been found over the years which work much better than in the past.

This site has some great training videos to watch. They made videos that keep you interested, but provide the necessary information (at the old 30/2 ratio).

http://www.supersexycpr.com/cpr.html

And as someone else mentioned, quick clot is some amazing stuff, and works very well and very quickly.

On all mine exploring trips I carry a basic first aid kit.
At bare minimum its 2 rolls of gauze, a triangular bandage, a quickclot packet, and alcohol wipes.

It's amazing the range of minor injuries you can remedy with these supplies from making simple splints, wrapping sprains, stopping bleeding, cradling a broken arm, disinfecting, and covering wounds.

For extended trips I take a small bag that goes in my gear bag that has several more items.
I've used those supplies several times on others during trips for minor injuries, and on myself once with a major injury.

A decent kit can weigh just a few ounces, and can make a huge difference if you really need it.



**EDIT** Oh, and if you ever have to perform an abdominal thrust on a choking person, they should see a doctor afterwards. The force that can be required to dislodge an object can also possibly cause internal injuries.

Proper cpr can break ribs, ESPECIALLY in older folks who have emphysema. If you feel ribs breaking, you'll know it, and it'll feel hella weird but DONT STOP!! CPR can also cause other internal injuries.
But if the heart isn't beating on its own, that is the primary concern.

If someone has an object impaled into them DO NOT PULL IT OUT!!!
The ONLY time you should ever pull an object out of someone is when you must do so in order to perform cpr on them (example, someone laying face down with something sticking out of their back).

If you have any reason to believe that the method of trauma may have caused them spinal injury DO NOT MOVE THEM AT ALL!!
Additionally, you should provide immediate stabilization to their head and neck to keep them from moving it themself if they can.
Again, the only time you would move someone with a suspected spinal injury is if you must do so to perform CPR.
[last edit 5/4/2012 10:12 AM by Therrin - edited 1 times]

Give a person a match and they'll be warm for a minute, but light them on fire and they'll be warm for the rest of their life. =)
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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 9 on 5/4/2012 12:47 PM >
Posted on Forum: UER Forum
 
I'm scared of making out with men.

Once things get political, they want us to stop shooting and start dancing.
I don't dance.
Therrin 

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 10 on 5/4/2012 6:32 PM >
Posted on Forum: UER Forum
 
Posted by Valkyre
I'm scared of making out with men.


Ahhh, but if you put a plastic barrier in between the two of you, it makes it "safe". =)

**EDIT**

I'd be willing to help you learn, at a pace that you find comfortable.
[last edit 5/4/2012 6:32 PM by Therrin - edited 1 times]

Give a person a match and they'll be warm for a minute, but light them on fire and they'll be warm for the rest of their life. =)
HungarianSM 


Location: Toronto, Canada
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Eh?

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 11 on 5/4/2012 8:42 PM >
Posted on Forum: UER Forum
 
wow, thanks a lot guys, I just saw no replies and got a little sad lol

Thanks a lot for the added info! One of these days, ill probably add more content, but work is keeping me away from home

I Completely agree with the comments about the 30/2 ratio, however for the average person i believe it is fine.

In the environment I work in, we use BVMs, coupled with an O2 tank, but i highly doubt anyone would be crazy enough to bring one along

Oh and about the choking, hahaha i get it, but does nobody else eat in abandonments? brown bag lunches on top of a crane along with a few beers are awesome!

Just thought it might help someone, as I personally have had to do abdominal thrusts a few times, never exploring, but choking can happen anytime

better safe than sorry,


(Oh and off topic, When I'm adding more stuff, can one of the mods let me keep editing my original post, or should i just keep adding stuff below it?)

Skys the limit! :)
Opheliaism 

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 12 on 5/4/2012 9:14 PM >
Posted on Forum: UER Forum
 
Posted by HungarianSM

(Oh and off topic, When I'm adding more stuff, can one of the mods let me keep editing my original post, or should i just keep adding stuff below it?)


You'll just have to add on with additional posts as there is no over-ride feature to allow you to edit the first post after 24 hours. Sorry.


Show up at 9:30 with 15 dollars cash and your fingers crossed.

<Mandias> I think she's gonna slug that cop. -------------------------------------------------------- <Axle> "She's just not a farmer Owen, she has too much of her Father in her." <Axle> Death by Hut
HungarianSM 


Location: Toronto, Canada
Gender: Male


Eh?

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 13 on 5/4/2012 9:42 PM >
Posted on Forum: UER Forum
 
Well, thanks anyways! Here's to hoping, haha

Maybe if I finish this whole thing, (With any help? ) If it's allowed I'll repost it as one enormous post that could (possibly one day) be stickied, if the qualitys there...



Skys the limit! :)
Therrin 

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 14 on 5/4/2012 9:50 PM >
Posted on Forum: UER Forum
 
I Completely agree with the comments about the 30/2 ratio, however for the average person i believe it is fine.


Personally, I think for the average person, just doing compressions and skipping the breaths is best. Keeps them from having to do a possible impropper head tilt/chin lift, especially if there is spinal trauma.

Also, if you don't do it properly you end up breathing air into the stomach, causing gastric distension, which is followed by the unconscious person puking. Puking while lying on their back will likely suck it into their lungs and then it's a closed book from there. (not that it isn't basically a closed book anyway, but we'll try to stay positive on that issue)

It also lowers the risk of contacting their bodily fluids with your face.

Purely compressions.... nonstop. Takes most of the dangers/mistakes away from the layperson and still provides emergency care. (based on the background I gave previously)

Give a person a match and they'll be warm for a minute, but light them on fire and they'll be warm for the rest of their life. =)
MrSivalls 

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 15 on 5/4/2012 10:18 PM >
Posted on Forum: UER Forum
 
Posted by HungarianSM


I Completely agree with the comments about the 30/2 ratio, however for the average person i believe it is fine.





That's what we were taught last year.

Your security measures were inadequate.
How unfortunate for you.
HungarianSM 


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Eh?

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 16 on 5/4/2012 11:09 PM >
Posted on Forum: UER Forum
 
Well, I guess that makes sense, maybe up here in canada the 100/0 standards haven't been implemented yet,

A head-tilt chin-lift isn't THAT hard to do though, in my opinion, if the persons on their back, grab the chin and tilt the head back until the airways open,

I personally favour using either Oropharyngeal airways, or a jaw-thrust maneuver, however 99% of people will never have to use these, and if used improperly could be fatal

I may however include the jaw-thrust in a later post about spinal immobilization and CPR, any comments about this? or should i leave it out?

Skys the limit! :)
Therrin 

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 17 on 5/5/2012 3:17 AM >
Posted on Forum: UER Forum
 
The problem is that most people don't actually know when the airway is open, and cant distinguish between air going into the lungs or the stomach, and are more likely to injure someone with c-spine trauma by jerking the head around.
Then it depends on how many people you have and what kind of injury and if someone's holding the head and neck in place while others are doing other tasks.

The use of oropharyngeal or nasopharyngeal devices really depends on if there is an injury which contraindicates the use of one or the other first. But that's way beyond what anyone needs to worry about here. And carrying "one" of them isn't much good unless it just happens to be the right size for a patient and there is no facial trauma which would prohibit it's use.


I liked that news report of the guy who got stabbed in the neck and used the sandwich he had in one hand to staunch the flow of blood, saving his life. =P


CPR doesn't "save" a person. The use of an AED or other device to get the heart pumping on its own again is what "saves" people. Full blown CPR is what you do to people who will immediately die within minutes or less if you don't attend to them. It's obvious that noone's gonna be carrying an AED around. But they also shouldn't be fooled into thinking that CPR is a viable way of "saving" people. The stat is like 4% or less.
So whether people are calling for help, being sent somewhere to call for help, or are being sent to a nearby school or business to look for an AED... CPR is typically only a delaying action.


Don't pay any attention to Mr Sivalls. He likes to follow me around and just be argumentative.

Give a person a match and they'll be warm for a minute, but light them on fire and they'll be warm for the rest of their life. =)
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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 18 on 5/6/2012 1:15 AM >
Posted on Forum: UER Forum
 
Establishing an airway may be all that's needed. Barring electrical shock, OD's, and drownings it takes a lot to stop someone's heart if they are young and healthy.

Don't kill them by doing more then is needed to support them, try to be sure they need CPR. Completely fractured ribs in accident victims can be easily pushed into vital organs by chest compressions. The neck is a better place to check for a pulse with people who are in shock.

If not sure it's better to do CPR as it won't "stop" a beating heart.
[last edit 5/6/2012 2:17 PM by MrSivalls - edited 1 times]

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Re: A Beginner's Guide to Basic UE First Aid
<Reply # 19 on 5/6/2012 2:31 AM >
Posted on Forum: UER Forum
 

Don't kill them by doing more then is needed to support them, try to be sure they need CPR. Completely fractured ribs in accident victims can be easily pushed into vital organs by chest compressions. The neck is a better place to check for a pulse with people who are in shock.

If not sure it's better to do CPR as it won't "stop" a beating heart.


I'd agree with 90% of that Sivalls, its your lucky day!

It's also worth checking for DNR necklaces/bracelets/anklets. Some people don't want to be resuscitated. That's their choice. There's not much need to work on trying to save someone who doesn't want it.

It's always easy to make this whole "medical aid" thing more and more and more complicated and detailed.
For the most part, people around here are going to be dealing with stopping bleeding, dressing minor wounds, and broken bones.

Make sure you know how to do the "simple" stuff. And if you're interested in doing CPR, you really should take a class and become proficient at it. It's not difficult, but it's best to learn it "hands on" with professional instruction.

Give a person a match and they'll be warm for a minute, but light them on fire and they'll be warm for the rest of their life. =)
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