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Casualty Cards

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Page 1: Casualty Cards
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NAME OF CASUALTY FIRSTAIDER / MEDICSEX MALE FEMALE AGEADDRESSTIME OF ACCIDENT / TIME FOUND DAY MONTH YEARHOW ACCIDENT OCCURRED / ILLNESS

KNOWN MEDICATIONS, ILLNESSES, ALLERGIES, ETC.

DETAILS OF ANY MEDICATIONS TAKEN � DOSE & TIME

IS THE PATIENT WEARING AN "SOS. TALISMAN" OR A "MEDI-ALERT" BRACELET / TAG?YES NO REFERENCE NUMBER

INDICATE INJURIES FOUND:-= WOUND / GUNSHOT= FRACTURE / DISLOCATION= BURN / FROSTBITE

COMA SCALE / RESPONSE TO STIMULI A = ALERT (NORMAL) V = VOCAL P = TO PAIN U = UNRESPONSIVE

TIME PULSE RESPIRATION PUPIL SIZE DETAILS & COMMENTS

HAS THE PATIENT EVER � BEEN UNCONSCIOUS, VOMITED,COMPLAINED OF HEADACHE, EXPERIENCED AMNESIA ?

ENSU

RE T

HAT

THIS

CAR

D GO

ES T

O HO

SPIT

AL W

ITH

THE

CASU

ALTY

123456789123456789123456789123456789

Fill in all sections on a regular basis� 1 card per patient

YES NOI confirm that I have beenadvised to attend a Hospitalbut do not wish to do so.

Signature

®©2008 Andy Sherriff First Aid TrainingPhone / Fax 01824 - 790195

This

Rec

ord

Card

is p

rote

cted

by

copy

right

: A.P

. She

rriff

200

8

SUSPECTED INTERNAL INJURIES� Circle those that apply

HEAD NECK & SPINE CHEST ABDOMEN PELVIC

MEDICAL RECORD OF PATIENT

CONSCIOUSNESS LEVEL

8

9

765432PUPIL

SIZES

SIZEINMM.

RATE LEFT RIGHT RATE / SIGNS

www.andysherriff.co.uk

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Mountain Rescue Casualty Card (to be completed as fully as possible by first aider, and to remain with casualty on transfer)

© KERRY MOUNTAIN RESCUE TEAM This form may be duplicated for personal use only. Commercial distribution of any description is not permitted.

Personal Details

Name: Date of Birth: Home Address / Telephone:

Next of Kin Details

Name: Relationship: Telephone: Address:

Medical Details

Known Allergies: Past Medical History: Medications: Last fluid / food consumed:

Description of Accident / Complaint

Time: Description:

Injury / Illness Report Nature and extent of injuries / illness: (please indicate wound, fracture, pain or other opposite) Treatment given to date (if any):

Vital Signs

Time

Level of Consciousness (Alert, responds

to Verbal stimulus,

responds to Pain,

Unresponsive)

Heart Rate Full/weak?

Regular/irregular?

(normal adult = 60-80/min)

Respiratory Rate

Laboured? Shallow/Deep?

Regular/Irregular?

(normal adult = 12-20/min)

Blood Pressure (normal for

systolic BP = approx. 100 +

Age)

Capillary Refill (normal = less than 2 secs)

Skin Colour and

Temperature

Pupillary Reaction

Normal = equal and reacting to

light. If not please

specify

Other Information

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First Aid This information is intended to serve as a ‘memory jogger’ only. You should attend a recognised First Aid course at least once every three years. Rescue Emergency Care (REC) first aid courses are specifically focused on an outdoor environment. See the MCI website (www.mountaineering.ie) for details of courses.

SCENE ASSESSMENT Ensure that it is safe to approach the casualty, and deploy body substance isolation procedures if possible (eg. latex gloves).

PRIMARY ASSESSMENT Airway (with c-spine control) – Ensure that the casualty’s airway is patent using a head tilt-chin lift manoeuvre (spinal injury not suspected) or a tongue-jaw lift (spinal injury suspected). Check to make sure the airway is clear and unobstructed. Remove any obvious obstructions if it is safe to do so (ie. there is no possibility of obstructions being pushed deeper into the airway).

Breathing – Check respiratory function, ie. breathing rate, depth, regularity, clarity. The decision on whether to commence CPR is discussed below.

Circulation – Check pulse characteristics, ie. rate, strength, regularity. The decision on whether to commence CPR is discussed below. Check for bleeding and control severe blood loss as soon as possible using direct pressure. If this fails, use indirect pressure. Check capillary refill time at the extremities (eg. nail beds). Assess skin colour and temperature. Note any cyanosis.

Disability – Assess level of consciousness using the AVPU scale (alert, responds to verbal, responds to pain, unresponsive). Check for pupillary reaction. Check sensory and motor function of all extremities. Note any obvious fractures.

SECONDARY ASSESSMENT Perform full casualty examination: Start from the head and work downwards, checking for blood/other body fluid, deformities, pain, obvious wounds, swelling, bruising, tenderness, medic-alert jewellery, limb function etc.. Treat Injuries: Do the best you can using the resources available to you. Do not attempt to move the casualty if you suspect spinal injury, unless you are fully practiced in spinal lifting techniques. Treat for shock if necessary. Promote Recovery: Ensure that the casualty is kept warm and reassured. Place a casualty with a reduced level of consciousness in the safe airway position (recovery position) if it is safe to do so. It is acceptable to give a conscious casualty hot drinks if surgery will not be necessary. Use plenty of dry warm clothing, sleeping bag, survival bag / survival shelter / tent. Consider moving to a more sheltered location if it is safe to do so.

HYPOTHERMIA

Possible signs and symptoms: physical and mental lethargy, slurred speech, shivering (early stages), cyanosis, uncharacteristic behaviour, dizziness, blurred vision, feelings of warmth and denial that anything is wrong, stupor, collapse. Treatment: give hot sweet drinks and energy food, use additional dry clothing (especially hat and outer shell layer), find a sheltered location, use survival bag, sleeping bag, tent etc., use a fit party member to share body warmth, do not give alcohol, do not rub the casualty. Caution: If one party member is suffering from hypothermia, it is likely that others in the party may also suffering to a greater or lesser degree - including yourself! Be aware of the ‘bigger picture’!

LOWER LEG INJURY

Lower leg injury is an extremely common injury for walkers, and therefore warrants particular mention here. In the mountain environment the treatment basically consists of bandaging any open wound to prevent blood loss and minimise the risk of infection, re-aligning the limb to a neutral position if possible, and immobilising it. Typically, the limb will be immobilised by splinting it to the ‘good’ leg. Circulatory, sensory and motor function in the limb (particularly distal to the fracture site) should be checked initially, immediately after every intervention made, (ie. after moving the limb, after bandaging, after splinting etc.), and periodically thereafter. The vital signs of the casualty should be monitored carefully. Upper leg injury (eg. fractured femur) is less common but more serious, and may require treatment for shock, as internal blood loss into the tissues of the thigh can be severe. Strong muscle spasms/cramps may occur, causing severe pain and possible distortion of the fractured limb.

CPR IN THE MOUNTAIN ENVIRONMENT

The decision on whether to commence CPR on a non-breathing pulseless casualty in a mountain environment is never easy. You should be aware that: 1) Depending on your location, it may be several hours before medical help is available. 2) Once you have commenced CPR it should be continued until you are physically unable to continue (eg. exhaustion). 3) If you commence CPR it will prevent you from calling for help for, or assisting, any other injured party members.

Disclaimer – The information contained herein is provided for reference purposes only. Kerry Mountain Rescue Team or the authors of this document cannot be held liable in any way for any claims arising out of the use of this information, howsoever caused. The reader is advised to seek approved first aid training and to act on his / her

training, knowledge and experience at all times when treating casualties.

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TCCC CASUALTY CARD

DA FORM 7656

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Documentation of Care

• Most casualties injured on the battlefield do not have their initial care documented prior to evacuation.

• DD form 1380 is an outdated cumbersome form to fill out. Much of the information is unnecessary

• Electronic forms are not compatible with the battlefield environment

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TCCC Casualty Card

• A new casualty card is available to help document the care for injured Soldiers at the point of wounding. This card is based on the principles of TCCC.

• This new card addresses the initial lifesaving care provided at the point of wounding. Filled out by whomever is caring for the casualty.

• Its format is simple, with a circle or “X” in the appropriate block.

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TCCC Casualty CardFront Back

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Instructions

• Follow the instruction on the following slides for how to use this form.

• This casualty card will be found in each Soldiers IFAK

• Use an indelible marker to fill it out• Attach it to the casualty’s beltloop, or place

it in their upper left sleeve, or the left trouser cargo pocket

• Include as much information as you can

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New Casualty Card Front

Individualsname andallergies shouldalready be filledin. This should bedone whenplaced in IFAK.

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New Casualty Card Front

• Add date-time,group

• Cause of injury, and whether friendly, unknown, or NBC.

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New Casualty Card Front

• Mark an “X” at the site of the injury/ieson body picture. • Note burn Percentages on figure

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New Casualty Card Front

• Record casualty’s level of consciousness and vital signs with time.A AlertV Responds to verbal P responds to painU Unresponsive

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New Casualty Card Back

• Record airway interventions.

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New Casualty Card Back

• Record breathing interventions.

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New Casualty Card Back

• Record bleeding control measures, don’t forget tourniquet time on front of card.

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New Casualty Card Back

• Record route of fluid, type, and amount given.

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New Casualty Card Back

• Record any drugs given: pain meds, antibiotics, or other.

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New Casualty Card Back

• Record any pertinent notes.

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New Casualty Card Back

• Sign card.• Does not have to be a medicto sign

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New Casualty Card

• Record each specific intervention in each category.

• If you are not sure what to do, the card will prompt you where to go next.

• Simply circle the intervention you performed.

• Explain any action you want clarified in the remarks area.

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Documentation

• You may not be able to perform all the interventions on the card or that the casualty needs.

• However, when the medic is available he can add additional treatments to the card.

• This card can be filled out in less than two minutes

• It is important that we document the care given to the casualty.

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TCCC Card Abbreviations• DTG = Date-Time, Group (e.g. – 160010Oct2009) • NBC = Nuclear, Biological, Chemical• TQ = Tourniquet• GSW = Gunshot Wound• MVA = Motor Vehicle Accident• AVPU = Alert, Verbal stimulus, Painful stimulus, Unresponsive• Cric = Cricothyroidotomy • NeedleD = Needle decompression• IV = Intravenous• IO = Intraosseous• NS = Normal Saline• LR = Lactated Ringers• ABX = Antibiotics