2012-09-04 regular training

From PCSAR

Contents 1 Announcement 2 Booking 3 File number 4 Agenda 5 Participants 6 Record 7 Equipment 8 Financial 9 Feedback 10 To do

[edit] Announcement

Include or link to the announcement for this event.

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.

[edit] Booking

Event location, date, time and duration.

19:00-21:30 Pincher Fire Hall

[edit] File number

How is this event identified? E.g., give the D4H/POC/ARRC number.

[edit] Agenda

Purpose of the event or detailed agenda/schedule.

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
• up to 24 people required to sustain carry of stretcher in difficult terrain

Exercise:

1. 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

1. 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.

[edit] Participants

Record here who is interested in attending and indicate for each person whether they've been confirmed or declined, and attended/completed the event.

[edit] Record

Include or link here any record of the event, such as brief description, rough notes, photos, media coverage.

• 2012-09-04 regular training

[edit] Equipment

Note any equipment used -- equipment sign-out sheets.

[edit] Financial

Note any budget, actual expenses. Attach receipts.

[edit] Feedback

Note any feedback received, measures of success. Attach any course evaluation forms.

[edit] To do

Record things that are yet to be done in preparation or conclusion of this event.