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Author Topic: First Aid in a Wilderness Environment, Part 1: Patient Assessment  (Read 1387 times)

Offline patriotman

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First Aid in a Wilderness Environment, Part 1: Patient Assessment
« on: March 01, 2019, 03:30:21 PM »
https://www.americanpartisan.org/2019/02/first-aid-in-a-wilderness-environment-part-1-patient-assessment/

Put this stuff on a 3"x5" index card, laminate it, and keep it with your gear.
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Offline mechmedic

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #1 on: March 01, 2019, 08:07:28 PM »
I might be slightly biased, but I prefer MARCHE-B-PAWS for patient assesments

M- Massive Hemorrhage
A- Airway
R- Respirations
C- Circulation
H- Hypothermia/Head Injury
E-Eye Injuries

P- Pain management
A- Antibiotics
W- Wounds
S- Splinting

B- Burns

But that is more Tactical medicine based than anything else. Like I said, I'm biased. If this works better for someone and as long as the same end result is met, I don't think I would complain too much about how they got there.
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Offline Nemo

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #2 on: March 01, 2019, 08:10:47 PM »
Best I could really do would be a basic ABC check.  Airway, Bleeding, Circulation.

Nemo
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Offline mechmedic

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #3 on: March 01, 2019, 08:16:55 PM »
HABC and MARCH came about because opening the airway does nothing if they are loosing massive amounts of blood. They switched from HABC to MARCH specifically because people were hyper fixating on any bleeding instead of moving on to checking for an airway.
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Offline CJS06

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #4 on: March 01, 2019, 09:01:48 PM »
Definitely significantly more in depth than the  focus of the original post but I figured some of you guys may be interested in the attachment.

Chris
« Last Edit: March 01, 2019, 09:04:01 PM by CJS06 »
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Offline CJS06

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #5 on: March 01, 2019, 09:02:50 PM »
Also as another good resource.
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Offline patriotman

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #6 on: March 01, 2019, 09:31:32 PM »
Great resources CJS06! Many thanks.

I like the Massive Hemorrhage addition. I may incorporate some of mechmedics concepts into my index card.
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Blessed be the LORD my strength, which teacheth my hands to war, and my fingers to fight: My goodness, and my fortress; my high tower, and my deliverer; my shield, and he in whom I trust; who subdueth my people under me.

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Offline Kbop

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #7 on: March 02, 2019, 11:02:41 AM »
@MechMedic & Nemo
going back to the 1980's i  remember the ongoing discussion about airway vs bleeding first.
<as explained to me> with generic grunts ABC was used - it covered most common issues and is easy to remember for someone who only received a once a year refresh.
medicos of various types had a different paradigm.  And more intense and in depth training.

ABC has served me well - but i've never been in combat.  I can pull that out my wazoo even under stress.

perhaps the situation and condition of the casualty should be assessed and then prioritize.
after all, putting a CAT on a nosebleed seems a bit self defeating to me - some judgement is required.
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Offline JohnyMac

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #8 on: March 02, 2019, 11:39:21 AM »
Mechmedic brings up TC3 (Tactical Combat Casualty Care).

I have taken one, 5-hour course TC3 class and to be frank, the class just scratched the surface. Probably made me more dangerous then helpful :hiding:

I would LOVE to take a 16 to 24-hour class on TC3 - Not first aide but a true TC3 class. Again, I am thinking an auxiliary role here.
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Offline patriotman

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #9 on: March 02, 2019, 02:33:21 PM »
Quote from: JohnyMac on March 02, 2019, 11:39:21 AM
Mechmedic brings up TC3 (Tactical Combat Casualty Care).

I have taken one, 5-hour course TC3 class and to be frank, the class just scratched the surface. Probably made me more dangerous then helpful :hiding:

I would LOVE to take a 16 to 24-hour class on TC3 - Not first aide but a true TC3 class. Again, I am thinking an auxiliary role here.

I would love to do that as well. I am woefully inadequate in that area.
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Blessed be the LORD my strength, which teacheth my hands to war, and my fingers to fight: My goodness, and my fortress; my high tower, and my deliverer; my shield, and he in whom I trust; who subdueth my people under me.

Psalm 144:1-2

Offline mechmedic

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #10 on: March 04, 2019, 12:28:47 AM »
NC Scout is trying to talk me into teaching one.
After this CLS class I’m teaching this week I might just put together a lesson plan.
We teach all of our grunts MARCH. It’s as basics as you can get without messing anything up. Number one preventable death on the battlefield is extremity hemorrhages followed by junctional hemorrhages. So basically the two biggest things to teach people are tourniquets and wound packing.
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Offline JohnyMac

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #11 on: March 04, 2019, 08:40:48 AM »
Cool Beans mechmedic! :bravo: :cheers:

He mentioned at one point that he was trying to put together a one day TC3 class. Since some of us travel 9+ hours to his AO maybe he could combine another one day class to make it a full weekend. I can see it now...One day on long distance shooting and one day on TC3 training.

Just thinking out loud. 
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Offline Nemo

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #12 on: March 04, 2019, 10:37:29 AM »
Add one day on driving down and one day on driving home to that.

Keep me posted on when and where and cost and stuff and I might hang a thumb in the wind on 81 to snag a ride down.

Nemo
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Offline CJS06

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #13 on: March 04, 2019, 10:42:23 AM »
I wouldnt mind maybe meeting up at your place Johny, then heading down with you if it can work out.

Chris
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Offline patriotman

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #14 on: March 04, 2019, 10:46:12 AM »
Quote from: JohnyMac on March 04, 2019, 08:40:48 AM
Cool Beans mechmedic! :bravo: :cheers:

He mentioned at one point that he was trying to put together a one day TC3 class. Since some of us travel 9+ hours to his AO maybe he could combine another one day class to make it a full weekend. I can see it now...One day on long distance shooting and one day on TC3 training.

Just thinking out loud.

Exactly this, JM. Long distance shooting and TC3 would be a killer combo.

Quote from: Nemo on March 04, 2019, 10:37:29 AM
Add one day on driving down and one day on driving home to that.

Keep me posted on when and where and cost and stuff and I might hang a thumb in the wind on 81 to snag a ride down.

Nemo

I typically drive down on Friday but drive back up same day on Sunday and get home around midnight. I do take the next day off though since I have plenty of vacation days.
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Blessed be the LORD my strength, which teacheth my hands to war, and my fingers to fight: My goodness, and my fortress; my high tower, and my deliverer; my shield, and he in whom I trust; who subdueth my people under me.

Psalm 144:1-2

Offline JohnyMac

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #15 on: March 04, 2019, 12:11:37 PM »
Right on Chris!  :cheers:
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Offline mechmedic

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #16 on: March 11, 2019, 04:07:58 PM »
A one day course would be very basic. I would also want to teach a multi day class similar to a CLS class
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Offline patriotman

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #17 on: March 12, 2019, 08:35:18 AM »
Quote from: mechmedic on March 11, 2019, 04:07:58 PM
A one day course would be very basic. I would also want to teach a multi day class similar to a CLS class

I would love something like that  :pirateThumbUp:
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Blessed be the LORD my strength, which teacheth my hands to war, and my fingers to fight: My goodness, and my fortress; my high tower, and my deliverer; my shield, and he in whom I trust; who subdueth my people under me.

Psalm 144:1-2

Offline JohnyMac

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Re: First Aid in a Wilderness Environment, Part 1: Patient Assessment
« Reply #18 on: March 12, 2019, 10:31:14 AM »
I'm in mechmedic!
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