Editing 2012-09-04 regular training

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{{Event/Header}}
== Announcement ==
{{Event/Announcement}}

We'll be outside practicing stretcher packaging and transport.  Part
of the time we'll be in the creek behind the fire hall.  There's only
a few inches of water.  Bring appropriate footwear and clothing.

== Booking ==
{{Event/Booking}}

19:00-21:30 Pincher Fire Hall

== File number ==
{{Event/File}}

== Agenda ==
{{Event/Agenda}}

outdoor; Equipment use (stretcher, packaging, evacuation)
* roles
** team leader
** first aider
** advocate
** stretcher bearers
** route finder
* subject stress
** very scary being the subject
** losing control
** calm voices, no shouting, listening, not talking at the same time, avoid side conversations
** build rapport with subject, patient advocate
** use subject's name, introduce yourself, talk to subject
** engage subject in their own care
** sight lines, generally move feet first
** avoid lights in eyes
** dust, dirt, debris
*** lower down, face up, more exposed
*** safety glasses, face shield, clear plastic sheet
** claustrophobia
*** arms in/out of packaging
* subject safety
** can't protect themselves
** situations that may be safe for the stretcher bearers may not be safe for the subject
*** e.g. a slip, might mean stretcher bearer catches themselves with hands, subject has unprotected fall
** what are the risks?  how likely are they? how serious are they? how can they be mitigated?
* medical considerations
** continuing monitoring of vital signs
** access to injuries and extremity
** risk of vomiting
** hypothermia
* subject comfort
** pressure sores (can become medical issue)
*** more issue for SAR than other training (longer periods)
*** thermarest
*** packing voids
** hydration
** excretion
* types of stretchers
** wire basket stretcher (e.g. Stokes)
** polyethylene basket stretcher (ferno)
** two piece polyethylene basket stretcher
** attachable wheel
** Mariner Mountain Carrier
** field litter 
* order of packaging
** backboard (if required)
** thermarest (deflated)
** 7m webbing for pelvic harness interwoven with backboard (if required)
** 2 * 3m webbing for chest harness, crossed (if required)
** patient
** backboard straps (crossed at chest, across hips, above but not on knees)
** pad hollows (neck, small of back, knees)
** inflate thermarest (if backboard)
** environmental protection
*** sleeping bag
*** blankets
*** space blanket -- condensation issue
*** tarp
*** burrito lashing
*** inflate thermarest (if no backboard)
** transfer to litter
*** attach harnesses to litter
**** pelvic (if used)
**** chest (if used)
**** foot loops (if required)
** lashing
*** cross at chest, cross at hip, above knees, below knees
** faceshield

Carrying:
* similar height on opposite sides
* use of webbing over outside shoulder
* lift/lower called by person at head
** "on my call, we will lift"
** "anyone not ready?"
** "one, two, lift"
* anyone can call a break
* relief comes in from front
** exchange sides to relieve your tired arm
** pass forward
* difficult terrain, stand still with firm footing and pass forward

== Participants ==
{{Event/Participants}}

== Record ==
{{Event/Record}} 
* {{link|Image:Members:2016-09-05 04 51 14u-scan.pdf}}

== Equipment ==
{{Event/Equipment}} 
== Financial ==
{{Event/Financial}} 
== Feedback ==
{{Event/Feedback}} 
== To do ==
{{Event/To do}}

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@@ Line 100: / Line 100: @@
 ** pass forward
 * difficult terrain, stand still with firm footing and pass forward
-* up to 24 people required to sustain carry of stretcher in difficult terrain
-Exercise:
-#1
-* Package subject (volunteer) to be carried in ATV trailer and ride loop around parking lot east of fire hall.
-* Subject has a head injury.
-* Monitor subject for vomiting, stop once due to vomiting and clear airway.
-* Report back on:
-** Best way to package
-** Any equipment needed or should be changed
-** How patient condition was monitored (first aider riding, walking, or periodic stops?)
-** How communications was managed with ATV
-#2
-* Subject is on other side of creek in brush, has been located by searchers, reports leg injury from a fall, requests stretcher
-* Decide suitable stretcher and reach subject (subject will be one of party)
-* Return to fire hall by circuitous route (if time is short, use direct route)
-** consider trail system an impassable barrier on return until reach stairs by bridge (circle around the sign at base of stairs)
-** return from stairs to fire hall by trail or road
-* '''creek crossing must be done safely, considering subject cannot protect themselves from drowning if stretcher dropped'''
-* Report back on:
-** Pros and cons of stretcher chosen
-** Best way to package
-** Any equipment needed or should be changed
-As time permits exchange exercise groups, run multiple #2 scenarios using different stretchers.
 == Participants ==

Editing 2012-09-04 regular training

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