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Backpacker Magazine – September 2011`

Saving Lives: Size Up the Scene and Identify Lethal Dangers

When an emergency strikes, your mind can go blank. These easy clues and rhymes will help you remember what do to first.

by: Steve Howe

PAGE 1 2

Identify Lethal Dangers | Size Up the Scene

Scan for immediate threats to life and use an alphabet cue—the letters A, B, C, D, and E—to focus and prioritize.

Head-tilt

Airway

>> Check Look for obstructions. If the victim is conscious and breathing, have him empty his mouth.

>> Treat If he’s not conscious or breathing, open his airway. If you’re not worried about possible spine damage (see “Decide about the spine,” below), open the airway with the head tilt/chin lift (A): Place one hand on the patient’s forehead and the other under his chin. Press and lift, extending the head and raising the chin. If you suspect a spinal injury, use the jaw thrust (B): Kneel behind the patient with your hands on both sides of his head. With your thumbs on the cheekbones and fingers gripping the jaw bone, lift the jaw forward and up. Both moves should lift the tongue (the most common obstruction) off the back of an unconscious person’s throat.

Breathing

>> Check Look, listen, and feel for a patient’s breath for 10 seconds. Position your cheek near the patient’s mouth and look down the midline of the chest.

>> Treat If there’s no breath and the airway is open, begin rescue breathing: 1. With one hand, hold the patient’s forehead and pinch his nose closed. 2. With the other hand, hold his mouth open and tilt the head (as above). Take a deep breath and seal your open mouth over the victim’s.* 3. Deliver a pair of two-second breaths into the lungs, watching the chest rise and fall. Deliver 10 to 12 breaths per minute.

Circulation

>> Check If a patient is breathing, blood is circulating. If you’re rescue breathing, check for the patient’s brachial pulse on his wrist, below the thumb. If you can’t find a pulse there, feel for the carotid (neck) pulse. Also, check under the body for signs of major blood loss; on porous ground, a lot of blood can drain without pooling.

>> Treat Stop any fast, high-volume bleeding, regardless of pulse; apply pressure to the wound or pressure points. No significant bleeding but still no pulse? Begin CPR. Find tips on CPR and locating pressure points at backpacker.com/firstaidcenter.

Decide about the spine

>> Check Evaluate the patient’s mechanism of injury (MOI)—ask him or look for clues to how he got hurt. There’s a possibility of spinal trauma if he fell from higher than two times head height; landed with a bend, twist, or arch in his spine; or rapidly decelerated from high speed. Take pulses in each hand and foot to check for circulation. If the victim is conscious, ask him to wiggle digits in each extremity.

>> Treat If MOI hints at a spinal injury, immobilize the patient’s head and neck until you can do a focused spine assessment. Have a helper hold the head still, or if you’re alone, brace the head in place with padded rocks or weighted packs.

hand stabilizationExpose injuries/Environment

>> Check Expose injuries: Check all injuries at skin level to eliminate the possibility of a life-threatening bleed. Environment: Look for hazards (like rising water or lightning) that may intensify over time.

>> Treat Expose injuries: Stop major bleeds, and plug a sucking chest wound with an airtight dressing. Environment: If imminent hazards exist, roll the patient onto a tarp and drag him to safety; or, if you have five or more rescuers, BEAM him (an acronym for body elevate and move). Use multiple hands to stabilize and carry the patient’s body.

*Pros pack a seven-ounce CPR mask to protect themselves from contamination.


PAGE 1 2

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READERS COMMENTS

Moveon
May 30, 2012

It's important information and very usufull.
Thanks

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Nov 23, 2011

Hey

Samantha Paul
Nov 23, 2011

i was kidding:)

Samantha Paul
Nov 23, 2011

hi there im here because i want a boyfriend:)

YOUR WORST NIGHTMARE
Nov 23, 2011

:O! =))

dulton
Nov 23, 2011

:) hi there:p

Nathan
Nov 10, 2011

Thanks.

someone
Nov 10, 2011

Thanks

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Nov 10, 2011

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Nov 10, 2011

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Nathan
Sep 30, 2011

If the patient is unresponsive you check the carotid first. Also, the pulse at the wrist is the radial not brachial and it's above the thumb anatomically. On a chest wound you seal three sides of the bandage so trapped air can escape but cant suck in.

Al St. Aubin
Sep 25, 2011

It is possible for the heart to be beating while you are not breathing. You check the airway first then sheck for heartbeat.

Bob Hansen/Pathfinder1
Sep 23, 2011

Interesting article, and I have a question...isn't getting the heart beating (CPR)usually done before rescue breathing?

Thanks.

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