Editing 2012-09-04 regular training

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== Booking ==
== Booking ==
{{Event/Booking}} <!-- Don't remove this line -->
{{Event/Booking}} <!-- Don't remove this line -->
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19:00-21:30 Pincher Fire Hall
 
== File number ==
== File number ==
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outdoor; Equipment use (stretcher, packaging, evacuation)
outdoor; Equipment use (stretcher, packaging, evacuation)
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* roles
 
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** team leader
 
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** first aider
 
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** advocate
 
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** stretcher bearers
 
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** route finder
 
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* subject stress
 
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** very scary being the subject
 
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** losing control
 
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** calm voices, no shouting, listening, not talking at the same time, avoid side conversations
 
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** build rapport with subject, patient advocate
 
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** use subject's name, introduce yourself, talk to subject
 
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** engage subject in their own care
 
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** sight lines, generally move feet first
 
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** avoid lights in eyes
 
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** dust, dirt, debris
 
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*** lower down, face up, more exposed
 
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*** safety glasses, face shield, clear plastic sheet
 
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** claustrophobia
 
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*** arms in/out of packaging
 
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* subject safety
 
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** can't protect themselves
 
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** situations that may be safe for the stretcher bearers may not be safe for the subject
 
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*** e.g. a slip, might mean stretcher bearer catches themselves with hands, subject has unprotected fall
 
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** what are the risks? how likely are they? how serious are they? how can they be mitigated?
 
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* medical considerations
 
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** continuing monitoring of vital signs
 
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** access to injuries and extremity
 
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** risk of vomiting
 
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** hypothermia
 
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* subject comfort
 
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** pressure sores (can become medical issue)
 
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*** more issue for SAR than other training (longer periods)
 
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*** thermarest
 
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*** packing voids
 
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** hydration
 
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** excretion
 
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* types of stretchers
 
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** wire basket stretcher (e.g. Stokes)
 
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** polyethylene basket stretcher (ferno)
 
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** two piece polyethylene basket stretcher
 
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** attachable wheel
 
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** Mariner Mountain Carrier
 
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** field litter
 
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* order of packaging
 
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** backboard (if required)
 
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** thermarest (deflated)
 
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** 7m webbing for pelvic harness interwoven with backboard (if required)
 
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** 2 * 3m webbing for chest harness, crossed (if required)
 
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** patient
 
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** backboard straps (crossed at chest, across hips, above but not on knees)
 
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** pad hollows (neck, small of back, knees)
 
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** inflate thermarest (if backboard)
 
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** environmental protection
 
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*** sleeping bag
 
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*** blankets
 
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*** space blanket -- condensation issue
 
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*** tarp
 
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*** burrito lashing
 
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*** inflate thermarest (if no backboard)
 
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** transfer to litter
 
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*** attach harnesses to litter
 
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**** pelvic (if used)
 
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**** chest (if used)
 
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**** foot loops (if required)
 
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** lashing
 
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*** cross at chest, cross at hip, above knees, below knees
 
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** faceshield
 
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Carrying:
 
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* similar height on opposite sides
 
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* use of webbing over outside shoulder
 
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* lift/lower called by person at head
 
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** "on my call, we will lift"
 
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** "anyone not ready?"
 
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** "one, two, lift"
 
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* anyone can call a break
 
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* relief comes in from front
 
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** exchange sides to relieve your tired arm
 
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** pass forward
 
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* difficult terrain, stand still with firm footing and pass forward
 
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* up to 24 people required to sustain carry of stretcher in difficult terrain
 
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Exercise:
 
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#1
 
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* Package subject (volunteer) to be carried in ATV trailer and ride loop around parking lot east of fire hall.
 
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* Subject has a head injury.
 
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* Monitor subject for vomiting, stop once due to vomiting and clear airway.
 
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* Report back on:
 
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** Best way to package
 
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** Any equipment needed or should be changed
 
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** How patient condition was monitored (first aider riding, walking, or periodic stops?)
 
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** How communications was managed with ATV
 
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#2
 
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* Subject is on other side of creek in brush, has been located by searchers, reports leg injury from a fall, requests stretcher
 
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* Decide suitable stretcher and reach subject (subject will be one of party)
 
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* Return to fire hall by circuitous route (if time is short, use direct route)
 
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** consider trail system an impassable barrier on return until reach stairs by bridge (circle around the sign at base of stairs)
 
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** return from stairs to fire hall by trail or road
 
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* '''creek crossing must be done safely, considering subject cannot protect themselves from drowning if stretcher dropped'''
 
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* Report back on:
 
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** Pros and cons of stretcher chosen
 
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** Best way to package
 
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** Any equipment needed or should be changed
 
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As time permits exchange exercise groups, run multiple #2 scenarios using different stretchers.
 
== Participants ==
== Participants ==
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== Record ==
== Record ==
{{Event/Record}} <!-- Don't remove this line -->
{{Event/Record}} <!-- Don't remove this line -->
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* {{link|Image:Members:2016-09-05 04 51 14u-scan.pdf}}
 
== Equipment ==
== Equipment ==

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