Immediate, temporary care given to those suddenly taken ill
Medical Emergency
Sudden illness requiring immediate medical attention
Objectives and Importance of First Aid
Save and prolong life
Prevent further injuries
Alleviate pain
Role of a First Aider
Bridge the gap between the Doctor and the victim
Duty ends once the Medical help arrives
Qualities of a good first aider
Relaxed and does not panic
Resourceful
Maximizes the use of all his senses
Assuring
DSRABC Action Plan
1. Danger
2. Send/Shout for help
3. Responsiveness
4. Airway
5. Breathing
6. Cardiopulmonary Resuscitation
Danger
Check the surroundings are safe and out of danger, Identify the danger and source of injury
Send/Shout for help
You can also use colored smoke or improvised signal mirrors
Responsiveness
Does the IP respond to touch, sight, and sound? Is the IP moving? Can they open and close their eyes?
Airway
Is the person's airway clear? Tilt the head back with the chin facing up and check airway by opening mouth and looking inside
Breathing
Listen to the exhalation, feel the air coming out of the mouth or nose. Check the rise/fall of the chest ~ breathing
Cardiopulmonary Resuscitation
Lifesaving technique administered when IP has no pulse and not breathing, Involves Compression, Airway, Breathing
Cardiopulmonary Resuscitation
Restores blood circulation, Clears airway, Provides breath for the person
Common Injuries and Illnesses in the Outdoors
Cuts, scrapes and punctures
Sprains, strains, and fractures
Concussions
Blisters
Burns or Scalds
Fever
Headache
Altitude/Mountain Sickness
Hyperthermia
Arterial Blood
Oxygenated blood in the circulatory system found in the pulmonary vein (left chamber of the heart), Bright red, pumped by largest chamber of the heart ~ greater pressure
Venous Blood
Low oxygen level, Dark red/violet (right chamber of the heart)
Sprain & Strain Categories
Grade I: mild, minor tear of ligament or muscle
Grade II: partial tear of ligament or muscle
Grade III: severe injury, torn ligament or muscle
Sprain & Strain Treatment
Grade I: rice
Grade II: rice, may require immobilization to hasten healing process
Grade III: severe injury, torn ligament or muscle
Fractures Treatment
Suspected injury to the head, neck or back
Bone is sticking out of the skin
Bleeding does not stop after several minutes of firm pressure
Blood spurts from wound
Fractures First-aid Treatment
1. Immobilize injured area
2. Clean and dress cuts before splinting
3. Apply pressure to the wound with clean cloth until bleeding stops
4. Tape dislocated area or fracture to a rolled-up newspaper, ruler with first-aid tape
5. Avoid moving injured limb and never try to twist it back into place
Concussions Treatments
Treat cuts
Apply ice or compress if no ice available
Seek immediate medical help for Concussions if
One vomits repeatedly
The pupil becomes unequal
IP looks agitated or confused
One is unconscious or passes out
One feels drowsy
There is slurred speech
One experiences a seizure
Blister Treatment
1. Place adhesive over the affected area
2. Wash area with soap and water and put antibiotic cream
3. Drain a blister with sterilized needle and apply antibacterial solution and cover with gauze dressing
Burn Treatment
1st Degree Burn: Put affected area in running water until pain subsides, Cover with sterile, nonadhesive bandage
2nd Degree Burn: Immerse in cool water for 10-15 minutes, Protect burn with sterile, nonstick bandage and secure with gauze
3rd Degree Burn: Immerse in cool water for 10-15 minutes, Protect burn with sterile, nonstick bandage and secure with gauze, Wait for emergency personnel
Fever Emergency Treatment
Unresponsive ~ heat stroke, meningitis
Difficulty breathing ~ pneumonia
Lips turning blue ~ lack of oxygen (Cyanosis)
Convulsions or seizures ~ febrile seizure (children)
Sudden onset of rashes ~ Measles, Chicken Pox
Headache
Often experienced in trekking/hiking due to lack of eye protection (bright), tension in the neck, dehydration ~ swelling of brain tissue due to excessive sweating
Altitude/Mountain Sickness (AMS)
Thinner air and lower O2 content, Lower O2 concentration in the body, decreased air pressure in the lungs, Rate of ascent too sudden for the body to adjust to the high altitude
Altitude Sickness Factors
Climb is too fast + overexertion
Inadequate fluid intake
Alcohol Consumption
Hypothermia
High-altitude Pulmonary Edema (HAPE)
Fluid build-up in the lungs causing one to breathe with difficulty, Can lead to respiratory collapse and death, Can be gradual or sudden but typically occurs after more than a day spent at high altitude
High-altitude Cerebral Edema (HACE)
Fluid build-up in the brain, causing swelling, Obvious change in mental state, impaired coordination and walking, lethargy and comatose ~ death
Altitude Sickness according to height
Above 4000m: HAPE and HACE
3500m to 400m: HAPE, some altitude sickness symptoms
Roughly 3300m: general symptoms of AMS (Acute Mountain Sickness)
Altitude Sickness Preventive Measures
Drink 4 - 5 liters of water per day
Stay warm
Acclimatize your body with proper amount of rest
Do not walk rapidly
Altitude Sickness Treatment
1. Severe symptoms ~ immediately descend 450m to 610m using minimal exertion
2. Mild symptoms ~ stop at current elevation
3. Provide O2 if available, rest, give plenty of liquids and pain relievers if needed
Hyperthermia
Condition where the body produces/absorbs heat more than it can dispel
Hyperthermia Causes
Increase in air temperature
Sun / Solar Radiation
Poor ventilation due to clothing
Low Fitness Level
Altitude Sickness
Symptoms: hallucinations, loss of consciousness, fever, fatigue, photophobia, hypertension, confusion, coma, shortness of breath, inability to walk
Altitude Sickness by height
Above 4000m: HAPE and HACE
3500m to 400m: HAPE, some altitude sickness symptoms
Roughly 3300m: general symptoms of AMS (Acute Mountain Sickness)
Altitude Sickness Preventive Measures
Drink 4 - 5 liters of water per day
Stay warm
Acclimatize your body with proper amount of rest
Do not walk rapidly
Hyperthermia Causes
Increase in air temperature
Sun / Solar Radiation
Poor ventilation due to clothing
Low Fitness Level
Heat Cramps
Muscle spasms that usually occur in the legs or abdomen
Usually occurs during heavy activity in hot environments
Lactic acid build up + loss of fluids and electrolytes through perspiration