Establish a Relationship

1. State your name

2. State level of training

3. Ask for consent

-if patient is unresponsive it's informed consent

4. Assume spinal control. 

Hypothermia

S/S

-Mild: umbles, confusion, mild shivering, P/C/C, elevated HR/RR

-Moderate: all S/S increase

-Severe: LOR to U, shivering stops, muscles becomes rigid, cyanotic skin, HR/RR decrease and can appear to have stopped.

Treatment:

-Mild to Moderate: insulate the patient, change base layers for dryness, light excercise, warm food/liquids, hypo-wrap

-Severe: perform rescue breathing, insulated water bottles (hot), no CPR

Evacuation:

-Evacuate all severely hypothermic patients and patients who have difficulty rewarming

Submersion/Immersion

(Drowning)

-When a patient is in a body of water and panicking (drowning)

Treatment:

-Treat for hypothermia

-Keep patient lying down

Evacuation:

-Patient with LOR at U or with respiratory difficulty

Prevention:

-Learn people's swimming abilities

-Cold water can impair swimming

-Never swim alone, when possible whre a PFD

-Do not cross high flowing river without proper training and technique.

Scene Safety

1. "I'm number one."

2. "What happened to you?"

3. "Get nothing on me." (BSI, Body Substance Isolation)

4. "Are there anymore?"

5. "Dead or alive?"

Life Threats and MOI/NOI

Life Threats:

1. A: Airway

2. B: Breathing

3. C: Circulation (blood sweep, CARPETS)

4. D: Disability/Decision

5. E: Environment/Exposure

MOI: Mechanism of Injury

NOI: Nature of Illness

Medical (NOI)

1. Patient History

2. Vital Signs

3. Head to Toe Exam

Monitor

Continue patient care until tehy can be transfered to definitive care or a person with equal or greater training takes over. 

Documentation: SOAP Note

1. Subjective: patient's chief complaint

2. Objective: what the rescuer observed (includes vitals)

3. Assessment: what may be wrong ("possible...")

4. Plan: what the rescuer plans to do.

Trauma (MOI)

1. Head to Toe Exam

2. Vital Signs

3. Patient History

Life Threats: Airway

Responsive Patient:

1. Can the patient open their mouth on their own?

2. Is their an obstruction?

3. If the patient can speak, assume their airway is unobstructed.

Unresponsive Patient

1. Look, listen and feel for signs of breathing.

2. If air is moving in and out normally assume the airway is unobstructed.

3. If the airway is obstructed treat appropriatley.