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44 Cards in this Set

  • Front
  • Back

3 first aid rules

1. Examine for skull, neck, spine fractures


2. Expose patient, respect modesty, do not allow to become chilled


3. Avoid touching open wounds or burns

Class I TACTICAL

Minor injuries that can be treated outpatient, can be returned to duty quickly

Class II TACTICAL

Injuries requiring immediate life sustaining measures or are of a moderate nature. Require initial minimum amount of time, personnel, and supplies

Class III TACTICAL

Definitive treatment can be delayed without loss of life or limb.

Class IV TACTICAL

Wounds or injuries would require extensive treatment beyond the immediate medical capabilities. Treatment of these casualties would be detrimental to others

Priority I NONTACTICAL

Correctable life threatening illness or injury.


I.e: respiratory arrest or obstruction, open chest or abdominal wounds, femur fractures, critical burns

Priority II NONTACTICAL

Serious but not life threatening illnesses or injuries


Moderate blood loss, open fractures, eye injuries

Priority III NONTACTICAL

Minor injuries


Soft tissue injuries, simple fractures, minor burns

Priority IV

Dead or fatally injured.


Exposed brain matter, decapitation, and incineration

Primary survey

Rapid initial assessment


Identifies life threatening conditions that require immediate care


Status decision and triage

Secondary survey

Head to toe assessment


Subjective and Objective exam


Vitals

A

Airway

Breathing

Assess breathing


Deliver rescue breaths if needed

Circulation

Assess circulation, administer CPR, check for profuse bleeding


Treat for shock

Disability

Check for head, neck, spine injuries, place C collar


Assessment of patients ability to move all extremities

Expose

Remove clothing to reveal and examine any life threatening injuries

Signs of shock

Restlessness


Rapid, labored breathing


Glassy eyes, dilated pupils


Cool clammy skin


Dropping temperature


Repaid weak pulse


Low Blood pressure

Pressure dressing

The best way to control bleeding

Pressure points

Apply pressure to the artery over the bone with heel of hand


11 pressure points on each side of the body


Tiring process

Head wounds

Never give meds


Have the pt lie flat


Back of head injured lie pt on side


Watch for vomiting

Facial wounds

Maintain airway


Eye injury cover both eyes

Chest wounds

Seal the chest wound, tape in place, and secure it with a pressure dressing


Administer oxygen, transport

Abdominal wound

Immediately transport


Supine position with knees up


Wrap intestines in sterile dressing moistened with sterile water

Open fracture

Fracture that includes an open wound or skin

Closed fracture

Fracture that is entirely internal

Thigh fracture

Splint in 5 places


Below the armpit


Around the pelvis


Below the hip


Over the knee


Around the ankle

Lower leg fracture

Splint on three sides


On each side of the leg and underneath


Use a pillow and 2 splints

Clavicle fracture

Apply sling and splint

Rib fracture

Keep the comfortable and quiet


Strap arm to the chest to limit motion


Use wide adhesive bandages to secure the arm to the best

1st degree burn

Epidermal layer is irritated, reddened, sensitive to touch or blanched


Pain mild to severe


Heals within a week

2nd degree burn

Epidermis to dermis


Epidermal blustering, mottled skin, edema and red base


Heals in 2-3 weeks

3rd degree burn

Full thickness, epidermis, dermis, subcutaneous tissue, to bone


Tissues and nerves are destroyed


Pain to surrounding tissue only


Tissue color from white to black


Skin grafts may be necessary

Burn treatment

ABCs


Treat for shock


Remove constricting articles of clothing


Protect burn area


Burns over 20 BSA: IV fluids LR


Aspirin, cool compresses, water immersion


Morphine or Demerol injections

Heat cramps

Excessive sweating and muscle cramps


Early sign of heat exhaustion


Move to cool place, drink cool water, add 1 tsp of salt to a quart

Heat Exhaustion

S/S:


Weakness, nausea, LOA, HA


Rapid shallow breathing


Dilated pupils


Low temp


Cool moist clammy skin


Weak pulse


Normal BP


Treat for shock, move to AC


Loosen clothing apply cold compresses

Heat stroke

20% mortality rate


Body is unable to eliminate excessive body heat build up while exercising


If body temp rises to high the brain, kidneys, and liver may be permanently damaged


S/S: HA, N, dizziness, weakness


Deep rapid, shallow breathing


Pin point pupils constricted


Flushed very hot skin


Temp: 105 or higher


Pulse: fast and strong


Tx: douse in cold water apply cold compresses to hot spots until temp is 102, reassess temp every 10 minutes, transport


IV fluids administered

Hypothermia

Cooling of the body caused by low temperatures


S/S: shivering


Drowsiness, unconsciousness


Glassy stare


Skin susceptible to freezing


Temp death results below 80°


Pulse weak or absent


Slow shallow breathing


Tx:


Monitor during rewarming and assess cpr if needed


Remove wet frozen clothing


Immersion tub from 100°-105°


Warm trunk then extremities


Transport

Immersion foot

Prolonged exposure to wet cold temps from just above freezing to 50°


Limited motion of extremities and water soaked protective clothing


Tingling numbness, swelling of the legs, feet or hands, blue discoloration, gangrene


Tx: get victim off of feet


Remove wet shoes, socks


Expose area to warm dry air


Do not rupture blisters


Transport

Frostbite

Occurs when ice crystals form in the skin or deeper tissues after being exposed to temps 32° or lower


Reddened skin, uncomfortable coldness, numbness, White to yellow white appearance

Superficial frostbite

Surface of skin is hardened


Underlying tissue is soft


Take the victim indoors, rewarm hands by placing them under armpits, against the abdomen, or in between legs


Place feet on abdomen of buddy


Use skin to skin contact, water immersion, or hot water bottles


Do not rub or massage area

Deep frostbite

Ice crystals in entire thickness of extremity


Hard solid tissue


Monitor pulse and breathing, administer CPR if needed


Do not rewarm if refreezing is possible


Protect blisters and place gauze in between fingers and toes to prevent sticking


Give coffee or hot tea


Transport

Calcium hypochlorite water purification

Fill canteen with cleanest water available, leave 1 in from top


Fill a canteen cup half way and add 1 calcium hypochlorite ampule, stir


Fill canteen cap half full with solution


Add it to canteen, put cap on and shake.


Loosen and invert bottle until water fills threads


Tighten and wait 30 minutes

Cat hole

1ftx1ft


Completely cover and pack dirt down


Used on the March

Saddle trench

4ft long, 2.5 ft deep, 1ft wide


After each use cover with a shovel of dirt


1-3 day bivouac sites