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narly 12 Oct 2006 04:41

accident response - medical aid
 
I tossed this in here. Maybe it needs its own category. Those who are qualified - please add to this thread. I am EMR trained, a first aid instructor, (including wilderness first aid) and work with search and rescue. I am constantly amazed at how much I don't know (and still am trying to learn) about emergency management. I also am constantly scared shitless at what is put on the web as factual information (usually hearsay other myths), and will probably get someone killed.

Question is what you need to prepare to handle an accident on the road in terms of supplies and actions.
Here is some basics for a start. I will add more to this post when I get time. Hopefully so will others who are qualified to do so.

Actions at an accident scene:
1) Secure the scene. Some one needs to do this quickly. The greatest danger after an accident has happened on a roadway is from oncoming traffic.
Traffic needs to be warned that there is a hazard at least 100 meters on either side of accident scene in a high speed zone (remember: they need time to comprehend and then to slow down. Place hazard markers. Station someone at either end to control traffic if possible. If there is another vehicle, place it next to the accident scene, blocking that lane off and providing protection for the rescuers working there. Make the traffic go around the scene, not through it.
2) check the bike, and anthing else involved, is no-longer a hazard to anyone (like you). Stabilize the vehicles and everything else before climbing in or on.
3) check the casualty. Don't move them. Assume head/injury. Do your ABC'S (airway, breathing, circulation). Control bleeding.
4)Call for help (if someone already hasn't). Make sure they understand what the accident involves. As example, I've see accidents where the 911 call didn't include the fact that one of the injured was TRAPPED in the car. The amublance arrived 45mins later and then had to call for further assistance from an extraction team. That took another 45 min. to an hour to arrive.
5) if the patient is conscious, get a history (signs, symptoms, allergies,meds, medical conditions, last meal, etc. Basic first aid stuff - take the course.). The hospital will need that information.
6)Don't get creative. First aid means keep them alive untill the medical team arrives. Forget what crap you saw on TV. This is real. Take a certified first aid course - better yet; take a emr course. Best two week investment you can make before going on a real trip. Do not try anything you haven't been trained to do and are certified to do. It's called "scope of practice". If all you are qualified to do is basic first aid, then that's all you do. Period. Creative good intentions kill people needlessly.
7)make sure you have a plan to communicate for help if you need it. What ever it takes: cell phone is nice (if it works in the area you are going into), satellite phones are better if you can afford that (I can't), flares, smoke signals (I am kidding) someone going for help, - what ever it takes. Almost forgot. Make sure you know where you are. Sending for help is so much better when they know how to find you.
8)The basic medical supplies aren't much - just well thought out. The training and skill sets are far more important.
9) last note for the moment - helmets - don't take off unless you have to, and if you have to, make goddamn sure you know how to do it properly (take a course).

Peace,
Narly

Dodger 12 Oct 2006 07:32

A very interesting post narly .
Your last comment was about helmets .
Many full face helmets are very snug and would be difficult to remove from a victim's head .
Have you ever performed artificial respiration through a full face helmet ?
I imagine it would be almost impossible .
Would a flip face helmet have an advantage here ?
I imagine that airways and breathing could be checked much more easily if the victim wore a flip front .

As an aside , I have to have industrial first aid training for my work and it is renewed every 2 years .
I am dismayed that over a period of 8 years I have seen the emphasis of the course change so much. Initially the prime importance was the welfare of the victim but latterly the emphasis has changed to litigation avoidance .
In other words ,it seems to me that the attitude is now - "what is the minimum that we can do for this sucker ,without getting the company or the individual into a situation where they /we could be sued " .
The last training was done by the St Johns Ambulance and I was less than impressed .
Is there anywhere in Western Canada where more comprehensive training could be found . I have no desire to go beyond a first aider status ,but I would like to think that I was instructed in the best possible methods to assist my family and friends , should the need arise .

Gecko 12 Oct 2006 09:57

Narly
All good sound advice that really shouldn't be underestimated. Many people haven't got a clue what to do in an accident and often freeze or panic which can be more dangerous than doing nothing.
If you are dealing with a car accident , especally a frontal collision, it's a good idea to try and get the battery disconnected if possible. The likelihood of sparks from a short circuit and subsequent fire from spilt fuel it is very real so diconnecting the battery removes the very real risk of fire.

If there is no immediate risk to the casualty - leave them in the vehicle. there was a great story in the Uk of some good samaritan who took a casualty from the damaged vehicle and he sat them in his nice shiney Jag whilst waiting for the emergency services. When they arrived there assessed that there was a risk of spinal injury to the casualty so they cut the roof off the nice shiney Jag in order to get the casualty onto a spinal board. I bet Mr Jag felt really good explaining that to his insurance company ! :eek2:

I carry as set of "Cas-straps" 'with me . these are a series of multi purpose velcro straps designed specifically for first aid use. http://www.cas-aids.com/ They are also used by the military and having used them twice ' in anger ' I can say they are a very good bit of kit.
I was first on scene to a young lad who had been run down by a car on a zebra crossing in Holland a few years back. A quick check revealed a clearly broken Femur (thigh bone) . I secured his legs together using the cas-straps and waited for the ambulance to arrive. Moving a casualty with a broken Femur is a very bad idea because there is a high risk of damaging an artery. The paramedics arrived and checked him over and were so impressed with the straps they asked if it was OK for them to leave them on while he was transported to hospital . I thought I'd never see them again but the next day the kids dad brought them round to where I was staying and gave them back to me. I've got to say it felt damn good to be able to do the right thing in that kind of situation.
Get trained - because you never know when you will be able to save a life and standing hopelessly looking on while someone is injured is a very bad feeling.
Ride safe
Gecko

maja 12 Oct 2006 21:24

Hi People, nice to see reality and common sense starting to finally creep into accident management of which first aid is only a part albeit a very important one. The comment about helmets and the removal of them to begin EAR is a particularly good example of the prioritization of actions that the first responder trained or otherwise has to carry out; basically if the casualty cannot breathe because of a blocked airway they will die, no argument. If you remove the helmet from an unconscious casualty who may have C spine damage in order to clear the airway you might cause their demise. One positive versus two maybes, means no argument. But as has been mentioned go and see your local paramedic and learn the reccommended way to remove a helmet, the more you practice the luckier both you and the casualty get.

With regard to litigation, most countries have a "good Samaritan" act which means that if you are doing your best to help someone you will be OK, just remember the KISS system and that if you panic you die all tensed up. Ride safe.

Joe C90 12 Oct 2006 21:40

Artificial resus
 
It isn't commonly used/practiced unless you are a trained diver, but it is quite possible to perform mouth to nose resusitation. If someone for example has a mangled jaw whilst wearing an open front lid (headstock faceplant.....) the same basic rules apply about the airway, but seal off the mouth and blow through the nose. I had to do this on someone who had a heartattack, got colour back into them but the heart would not restart. it was a lot less messy than mouth to mouth.

narly 13 Oct 2006 04:39

As a few people have mentioned, the reason to take a helmet off is if AR or CPR must be preformed. This is life over limb. If it results in spinal injury, so be it. With out air, you are on the way to being dead within 4 minutes. The point I am making is, do not take it off if the casuality is breathing just fine. It's the "I'll just take the helmet off to make you more comfortable" well meaning fool, that worries me. Have seen it, still don't beleive it. It takes two people to properly remove a full face helmet. One immoblizes the head/spine, the other takes the helmet off with a "S" like move.
But like I and others said - If the person isn't breathing - the helmet comes off as best as you can, but it comes off.
The other issue, moving the casuality is very simple - unless the person's life is endangered by remaining where they are - don't. Again, seen it, still don't believe it.
You build what ever shelter is needed around the casuality. Provide shade, insulate from the cold, what ever is needed.
On that note, be aware that an injured person, is more suseptible to environmental injury (heat and cold) than they would be normally. Keep them warm.
The last comment I want to draw attention to (for the moment) is consideration for the casuality. Have compasion. Regardless of what this person was a split second before the accident, they are now an injuried and probably frightened human being. Treat them with compassion and coutesy.

Hey Doger.
If you are disappointed by the constant lowering of the bar for first aid, you will be even more so when you see the new standards to be implimented in January. If you arn't interested in doing an AFA11 or emr course, then I suggest a good wilderness first aid course by a well recommended company. Not being in bc, I'd be hard pressed to recommend anyone.
The wilderness first aid should cover what to do AFTER the first five min. (this is usually what first aid covers - support the patient till help arrives). In the wilderness, you usually are first, second and sometimes, the only aid. If the course doesn't reflect this - look elsewhere. There are some good ones out there.
Sorry I can't be more help at the moment. Some of the SAR folks I know worked in BC. If I get a chance, I will check with them. Perhaps they have some recommendations.

If this thread has enough interest, perhaps myself and others can put up most of the content for a first aid course with motorcycle travel in mind. (I teach such a course). By necessity, it does include many of the elements from the wilderness first aid.
It also wouldn't hurt to put up the tried and true elements for a good travel first aid kit. I know it had been done before, but it would be good to put up such a thread again.


Peace,
Narly

narly 13 Oct 2006 05:18

GECKO - thanks for the link. I'm sure any such help and suggestions of tried and true equipment is appreciated by all.

Sophie-Bart 13 Oct 2006 07:22

Good stuff, thank you for bringing this up so clear and thoroughly.

One small tip to keep this thread even more usefull, try to use exact simple language, maybe even explain the abbreviations at the bottom of your post. This would make the posts a bit clearer for non-native english speaking viewers and people not used to the terms used in your part of the world. For instance I have to guess what's mend with AR, CPR, EAR, (try this in google) I think KISS will also be aplicable here (KISS = Keep It Simple Stupid).

but thanks again, these kind of threads brings your feet back on the ground

Richard K 13 Oct 2006 12:11

useful thread, thanks
 
Any recommendations on where to get wilderness first aid training in the UK? Also expected cost/duration.

ChrisC 14 Oct 2006 20:29

Hi All

great thread topic - very, very important.

I personally did a little more than basic First Aid course before going on my trip, and used my fairly basic skills on a number of ocassions, and wished they were better. Learnt quite a bit from an ex-paramedic out in Zambia then on my return to the UK, I took a "Wilderness" course which was booked thru and run at the Royal Geographic Society in London. Great course, run by really helpful, knowledgeable and Interested people - all Doctors, Nurses or Paramedics - I must say that I would happily retake the course to re-new/refresh my skills and also be interested in the next step.

Will try to find the name of the company the course was run by.

Regards

Chris

ChrisC 14 Oct 2006 20:33

Will try to find out info on approx numbers needed and cost to take course - if we then got enough people interested we could organise it

Regards

Chris

ct_miller13 15 Oct 2006 06:12

Glad to see this
 
As a Emergency Medical Services professional for a number of years, I am glad to see the post on medical care. I've received training in urban, rural and wilderness settings as well as mountain and avalanche rescue. I must say that the time and money for these courses has made a difference on more than a few occasions. It seems as though a lot of people don't think about what they would do in the case of a medical or traumatic emergency in a time where most think of their cell phone as a med kit. I would recommend at least a basic first aid class for all who travel, especially to wilderness areas. The National Ski Patrol offers an excellent course for advanced first aid, it deals with emergencies in a rural and wilderness setting's the cost and time requirements are minimal, with a lot of opportunities to further your medical knowledge and skills.

Here in the states there are a number of courses that can be taken through colleges and also through the community colleges, the latter run by the Public Safety Institute.

Some of the things below may be of some help should the need arise.

Scene safety is a concern for all people in the area. In case of a motorcycle or vehicle accident, check under the automoble or motorcycle for any fluids leaking. Make sure there are no down power lines or damaged electrical or gas terminals or lines.

Again as said above the ABC's are your first priority with the injured person or persons after the scene has been assessed. If there are multiple people injured do a quick assessment of everyone to see the extent of their injuries. After that, tend to the most criticle injuries first.

The acronym SAMPLE may help too.
S is for Signs and symptoms. The signs are what you see of the injury if visible or, for example, if a person is holding their ribs, the may have fractures or internal injury to the torso. The symptoms are what the person tells you that they are feeling.
A is for allergies to medications. A number of people are allergic to Sulfa Drugs or certain antibiotics as well as many ofthe medications.
M is for medications that the person may be taking or have taken.
P is for past medical history. Has the person had any recent surgery or do they have a heart condition. Diabetes is quite common.
L is for last oral intake. When was the last time they ate or drank. Very important for people with diabetes. They may have taken their insulin but didn't eat anything. Anyone can experience low glucose levels, (sugar) levels with low oral intake. Dehydration can be debilitating in all weather conditions, not just hot and humid conditions.
E is for the person to explain what happened, if possible. You will get a better idea of whats going on from the actual person than you will from bystanders.

Another acronym for assessing injured people is DCAP-BTLS
D is for deformities. The frature may be displaced,(out of wack from normal). Look at the other limb or other side of the body and make a comparsion. Check to see if the fracture is through the skin.
C is for contusions. Is there brusing around the area of complaint. If there is a large dark bruise, especially in the abdomen, may be a sign of internal bleeding.
A is for abrasions. Like road rash.
P is for punctures or penetrations. If they are impaled by and object, see if it went through all the way. If there is an exit wound dress both sides. If not, try to secure to object so movement of the object is limited.
B is for bleeding and burns. Control bleeding with gauze compress, shirt, etc. Apply direct pressure. Also, ice or an ice pack will help constrict blood vessels to slow bleeding, use over the dressing.
T is for tenderness. Check for damaged tissues under the skin by feeling it, or when the person says, "don't touch that, it hurts".
L is for lacerations. Cuts to the skin and underlying tissues.
S is for soreness. Usually dealing with fractures, tendons, ligaments or muscle damage.

Splints for injured limbs. As stated in some of the posts, an anatomical splint, (i.e. using the body or uninjured leg as a splint for injured limbs), is quite effective when nothing else is avaliable. Branches and tent poles work well too. For a good plastic splint, get an empty bottle of bleach or washing detergent, cut out a four to five inch wide piece from the middle of the bottle. It rolls up small when not in use and doesn't weigh much. If the person is able to straighten an injured limb, it will help with blood flow, unless there is bleeding below the fracture, then just keep it the way it is.

Bleeding control. Traditional gauze dressings 4x4, 5x9, etc. are quite well, for their size over small wounds. Maxi pads or kotex work well too and with the sticky side to be stuck to roller gauze for field dressings.

As for the removal of a helmet, it should not be attempted by one person or by persons not trained in the proper way of removing it. However, if the injured person is not breathing, the possibility of spinal damage then becomes the lesser of the problems.

These are just a few things I figured I'd pass along. I'll say it again, get proper medical training by experienced instructors, it just may save your own life or somebody elses.

Dodger 15 Oct 2006 07:55

A course at Nelson 2007 maybe ?
 
I think it would be of enormous value to have a motorcycle orientated First Aid course at some of the HU traveller's meetings , maybe at Nelson next year if narly could attend and if the organisers were willing .

Richard K 15 Oct 2006 11:51

Quote:

Originally Posted by ChrisC
Will try to find out info on approx numbers needed and cost to take course - if we then got enough people interested we could organise it


Sounds like a great idea. I'd be interested in this.

narly 15 Oct 2006 17:14

(Just so We have a guideline of what aspects of what topics might be to be addressed, I am putting this up. Please expand or give tried and true information where possible.)

If I was headed off for an extended trip, here are the basics I would want in a first aid/emergency course. Unfortunately, the average first aid course isn’t quite enough because its main focus is on injury. Being able to recognize illness early enough to keep it from progressing to something serious enough to require medical aid, is also important.

1) Preparation for the trip – what type of injuries are likely/possible in the environment where you are going. What medical conditions/physical limitations of the travelers. Remember that there are two primary concerns on the road. One is injury and the other is illness. Do you know what is normal for yourself and your traveling partners? When are they ill? What means of communications do you need and what kinds are possible?

2) Emergency scene management – motor vehicle accident in remote location – how to secure the scene and assess the type of injuries to be expected.
How to do the basics – scene survey, primary survey (abc’s), rapid body survey.
This also means knowing what is the norm for a healthy person. This, sadly, doesn’t get enough attention in first aid courses. What is the normal: heart rate, breathing rate and sound, temperature, skin condition, level of consciousness, motor response to stimulation and fluid intake/elimination? How do you know when the person is dehydrated?

3) Basic first aid injury treatment skills – these must include treatment and protections from environmental injuries. Hypo and hyperthermia are serious issues after an injury.

4) Rescue carries – Because you are in a remote and potentially hazardous location, moving the casualty may be necessary for their and your safety. This also means stretcher carries.

5) Secondary survey and a more extensive assessment of injury and illness. Because you are in remote locations, you very much need a patient history including how the patient feels right at this moment. You will need the “baseline” of their condition to be able to assess if their conditions is improving or getting worse.

6) Continual care – do you know when an injection has progressed from a local injection to systemic? Has their temperature increased? When is it becoming dangerous? Do you know how to clean a minor wound and assist it in healing? Do you know enough about nutrition and hydration, for a person who is ill, to ensure they have the best chance for rapid recovery.

7) The basic supplies and kit needed for wilderness trips. This differs from your basic first aid kit. You need to consider: personal medications, environmental protection (shelter and fire), light sources, thermometer, cleaning solutions, and emergency water and food rations.

8) Knowing: what conditions require delaying or canceling the trip (dental), when to call for emergency medical intervention (medivac), what the different routes of infection are and how to protect yourself.

9) In addition to the basics, you also need to know about the environment you are going into in terms of hazards. Are there parasites, or poisonous animals and plants? Are you prepared to recognize and treat these injuries? What do you need in order to avoid infection or injury?

There is much more that one needs to know, but these are essentials I would feel ill prepared without.

Frank Warner 16 Oct 2006 02:24

Quote:

Originally Posted by Dodger
I think it would be of enormous value to have a motorcycle orientated First Aid course at some of the HU traveller's meetings

St. John run a motorcycle first aid course here in NSW Australia. It takes a full day .. it would not be possible to run a 'shorter' course and have enough effective information to provide life support ... sorry but running a 'first aid' course of less than a day is just not going to be effective.. all you can hope to do is motivate tham into doing a real first aid course.

Here in Australia they say the 'normal' first aid courses provide for the first 30 minutes of care. If you want more - St. John run a 'Remote Area First Aid' course that provides 'extended' care .. like for the next few days .. and yes help can be that far away. That course takes 3 days .. 3 intensive days .. aznd I think that would be a minimum!

The message - do a First Aid course - look for
The time it take to do the course - less than 3 days then your only looking at the first 30 minutes of care. If you think you may be further away from medical assistant than this then find a more extensive course. If the course takes less than a day .. look elesewhere.. !!!

narly 16 Oct 2006 03:51

What I carry for a medical kit
 
It would be nice learn what different people carry in their med kit and what they found works for them.

Here is my basic kit. It get altered to some degree for each trip depending on where I am going and who with. But for what it is worth, here is the basic. Note that I am not recommending this (no-one should recommend any medications for a kit - that opens one to law-suits. This is just what I carry for my own use)


Medical/emergency kit

Spare prescription glasses, safety glasses, LED headlamp, mercury thermometer, cpr mask, nitrile rubber gloves - xtra large, tweezers (surgical), hemostat (surgical), SAM splint, mild soap solution for washing out wounds (or saline), O.B. (smallest) tampons, emergency whistle, emergency blanket, fire starter kit.

Small wound pack
6 cleaning wipes (benidine)
6 adhesive bandages ¾ by 3”
6 adhesive bandages 3”
2 adhesive squares 2” by 3”
2 knuckle bandages
6 non-stick sterile pads 2x2
1 roll adhesive mole skin
1 roll self-adhering bandage (Hypafix)
1 roll adhesive tape (white cloth)
1 roll surgical tape (plastic micro-pore)
1 roll surgical tape (steri-strips)
2 small compression bandages with gauze tails

Medium wound pack
6 gauze sterile 4x4
2 medium compression bandages with gauze tails
2 large compression bandages with gauze tails
2 self- adhering gauze roller bandages

Large wound pack
6 sterile gauze 4x4
1 abdominal bandage
1 multi-trauma bandage
4 self-adhering gauze roller bandages
2 large compression bandages with gauze tails

Burn pack
6 non-adhering sterile gauze 4x4
6 non-adhering sterile gauze 6x6
3 self-adhering roller gauze bandages.
(I am giving some thought to specilized burn bandages that have a silver compound to fight infection. Alergic reaction and adverse reaction may be a concern and these may not be suitable for pre-hospital treatment.)
Meds
1 bottle ibprophen
1 bottle Tylenol
1 pack Advil sinus
1 pack Tylenol sinus
1 pack muscle relaxant
1 pack dextrose
6 packets of re-hydrant (Gastrolite)
1 small bottle of Pepto Bismal
1 pack antihistamine
1 tube general polysporin

A word about anti-biotics. CAREFUL. If you have valid concerns about a re-occurring infection that you are susceptible to, talk to your family doctor about obtaining the correct medication prior to the trip. If your own family doctor says it isn’t a good idea, BELIEVE THEM. Do not go and buy black market meds in some shit hole and take them. First, different antibiotics are used for different illnesses. Taking medication without competent diagnosis is unbelievably stupid. Many third world countries have a lot of latitude for what they consider competent. This doesn’t mean that you always get a competent doctor in north America, or that you would get an incompetent one in some third world country. It just that the potential is greater that could happen. I won’t even start on the potential quality of the medications.


Now comes the fun part. What have I have used for what. (again, not a recommendation - just personal preference and use).

Back muscle strains – 2 types of injury concerns – swelling and spasm. The ibprophen handles inflammation best, and the muscle relaxant handles the spasms. This gets me through the first and worst 24hrs.
Sinus problems – 2 things work in conjunction. First, without the decongestant, the pain will not go away. Second, saline nose rinses work wonders to clear the gunk away and make sleep easier.
Gastrolite – If you get dehydrated from vomiting and diarrhea, you will need something to help get the water absorbed into your system. Re-hydration solutions, commercial or home prepared, are lifesavers. For me, this works.
Blisters – Yes, there are some wonderful products out there today. They also cost a lot. Mole skin works for me because I pay attention and attend to the problem before it becomes a full blown blister.
Hypafix – commercial stretchy breathable self-adhering bandage that secures gauze to the most irregular places. Any similar product would do as well.
Compression bandages with gauze tails - excellent - have had fair size gashes patched up on me twice with them (one, a nasty head wound). Good pressure to stop bleeds. Easy to apply.

That’s it for now. I’d be interested in what others have found works well in the real world and especially, what DOESN'T WORK WELL.

Peace,

Narly

Dodger 16 Oct 2006 04:03

Thanks Frank ,I know what you are getting at ,but I prefer narly's approach .
You cannot expect everyone to be interested in a high level first aid course .
Some simple do's and don'ts that could save person's life and put them on the road to recovery whilst better trained professionals arrive would be the way to go for me .

The more complicated and lengthy a course becomes ,the more a person is likely to forget .

narly 16 Oct 2006 04:05

Frank Warner -totally agree with you
 
Frank - totally agree with you. You couldn't possibly run a competent first aid course in under a day. Especially not one geared for motorcycle travel. Not only that, but no one can learn first aid by reading about it either. It requires actual practice. The only thing that could be done during a "meet" is to have everyone participating to have done a standard first aid course and then to run a workshop which allows the opportunity to practice necessary skills. In truth, a proper course would be a two day event. The wilderness first aid course I teach is 2 days and 3 nights and the pre-requisite is the students already have taken and passed a standard first aid course within the last 6 months.
I do beleive we can use this board to sort out some myths, offer some suggestions that work, and of course inform people of what is reasonable preperation.

To repeat what Frank said and I stated in my first post: TAKE A COURSE. What we post here should be the value gained from experience and the basic guidelines that you should look for in a course.

Grant Johnson 17 Oct 2006 04:02

Quote:

Originally Posted by Dodger
I think it would be of enormous value to have a motorcycle orientated First Aid course at some of the HU traveller's meetings, maybe at Nelson next year if narly could attend and if the organisers were willing .

We are definitely willing - but as narly mentions, it's not something you can do properly in an hour or two.

Although I could argue that an hour or two of SOMETHING is better than nothing, even if it's mostly don'ts.

We would be interested in seeing what the interest is in a two day course after any of the meetings. If narly or anyone else anywhere is interested in teaching such a course at any of our meets, we're happy to include it.

A good first aid kit list would be of great interest - post it and let's discuss it and see what we can all come up with and I'll add it to the site. Perhaps a fresh thread? "the ideal first aid kit"?

Frank Warner 18 Oct 2006 01:27

The ideal anything
 
Quote:

Originally Posted by Grant Johnson
Perhaps a fresh thread? "the ideal first aid kit"?

Like the 'ideal motorcycle' or the 'ideal tyre' or the 'ideal map' ... it does not exist. My present one weighs 500 grams (aprox). One of the more useful things is a pair of shears .. High performance scissors .. will cut light metal coins .. good for getting motorcycle gear off injured riders.

Perhaps "First Aid Kit - what is in yours?" ?

Extensive discussions on
http://www.advrider.com/forums/showthread.php?t=5562

7 pages long.What you put in your kit is what you think you may need .. and what you are prepared to use. But don't forget .. if you use it on someone else .. you will not have what you used for any following emergency. Best to use the victims’ kit on themselves.. after all if it is bad they will be leaving, and so won't need their kit.

a1arn 18 Oct 2006 16:24

I think a lot depends on where you are travelling, and what sort of medical aid will be readily available. A trip on the highways means that you will probably get competent medical aid within a couple of hours - a trip in the wilderness means that you may have to manage for a couple of days before you get stretcherborne, to wherever.

The first scenario means that your emergency kit will be a lot less extensive. You'll hardly need that thermal blanket, or that specialized burns bandage. Those are things for the hospital to sort out.

In the worst case situation the primary focus will be on maintaining respiration and controlling bleeding, and to an extent immobilizing damaged body parts, especially the spine. Hardly anybody dies due to a fractured limb - that said, broken ribs CAN lead to life threatening emergencies, but the treatment for that is best done by trained personnel. As such, the emergency kit should be geared towards this requirement.

For situations where trained help may take a day or two arriving, a much more elaborate kit would be required, including measures for infection control (read antibiotics).

However, all that is useless without knowing how to use it, or not having some basic medical knowledge.

Whichever course you organise ultimately, it should include practical demonstrations, and all the participants should actually DO the procedure - there is a big difference between seeing something and actually doing it - the latter gets etched into memory and can be used, unlike the former.

travelHK 20 Oct 2006 19:07

Red cross medical classes.
 
Hi guys , I travel arround the globe for years and have some basic medical knowledge ,I was wondering if any of you did the classes proposed by the red cross ,they look good and after talking to other fellow riders I realised that many of us don't really know what to do if bad things happen.I am a firm beleiver of if you get ready for the worst nothing bad happen .

ct_miller13 25 Oct 2006 01:19

Red Cross
 
As an Advanced First Aid and CPR/AED instructor, the Red Cross class is a good start. I would recommend an EMT, (Emergency Medical Technician), WEMT, (Wilderness Emergency Medical Technician) or National Ski Patrol Outdoor Emergency Care class for travellers. The latter courses deals more with the emergency care in a rural and wilderness setting with definitive medical care a long way away.

travelHK 25 Oct 2006 01:36

accident response
 
Thanks for the tip I will do these classes as I also volunter for helping people across the world in charity organisation.

see you on the road.

Hendi

Guesswho 18 Apr 2007 18:27

Hi,
I just wanted to say that I think this thread is really great and it is nice to know that there are people out there who think about this sort of thing and care about their fellow human beings. :thumbup1:

Manic 18 Apr 2007 20:17

Quote:

Originally Posted by Grant Johnson (Post 115238)
We are definitely willing - but as narly mentions, it's not something you can do properly in an hour or two.

Although I could argue that an hour or two of SOMETHING is better than nothing, even if it's mostly don'ts.

We would be interested in seeing what the interest is in a two day course after any of the meetings. If narly or anyone else anywhere is interested in teaching such a course at any of our meets, we're happy to include it.

A good first aid kit list would be of great interest - post it and let's discuss it and see what we can all come up with and I'll add it to the site. Perhaps a fresh thread? "the ideal first aid kit"?

Hi Grant

I've helped a friend of mine on a couple of occasions. He runs a First Aid training company and, as a keen motorcyclist, was invovled in the first aid input to the original BikeSafe scheme.

He does run motorcycle specific courses but as you say, they generally take a FULL day. He does not believe that the area can be adequately covered in a half day.

Here's his website -

Motorcycle Related First Aid Training - Aline Associates

He's always willing to travel and I'm sure if enough people were interested he'd be happy sort something out for you.

Hope this is of help - having stood at the side of the road not knowing what to do when my wife had a bike accident, one of the first things I did was sort myself out some training when we got back to the UK. Would recommend the same for anyone else.

Cheers

Manic


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