Emergency Medical Emergency Medical Field Care. Field Care.

Sean Thompson

Emergency Medical Technician Basic on a 911 ambulance in a rural County for 9 years.

Army Combat Life Saver for 6 years with two tours in Iraq both combat and garrison.

Causes of Natural and Causes of Natural and man made disasters.man made disasters.

Hurricanes-Katrina, Hurricanes-Katrina, Tornados-F1 through F6Tornados-F1 through F6 Tsunamis-Japan, our west coast got hit tooTsunamis-Japan, our west coast got hit too Floods-Indiana last yearFloods-Indiana last year Volcanoes-The west coast has tons of themVolcanoes-The west coast has tons of them Famine-Africa and the Middle EastFamine-Africa and the Middle East War-Iraq, Afghanistan, LibyaWar-Iraq, Afghanistan, Libya Riots-G2 summit, Gas prices, Union’sRiots-G2 summit, Gas prices, Union’s

Basic First AidBasic First Aid Open wounds can be classified according to Open wounds can be classified according to

the object that caused the wound. The types of the object that caused the wound. The types of open wound are:open wound are:

IncisionsIncisions or or incised woundsincised wounds, caused by a , caused by a clean, sharp-edged object such as a clean, sharp-edged object such as a knifeknife, a , a razorrazor or a glass splinter. or a glass splinter.

LacerationsLacerations, irregular tear-like wounds caused , irregular tear-like wounds caused by some by some blunt traumablunt trauma. Lacerations and . Lacerations and incisions may appear linear (regular) or stellate incisions may appear linear (regular) or stellate (irregular). The term (irregular). The term lacerationlaceration is commonly is commonly misused in reference to incisions. misused in reference to incisions.

ContinuedContinued AbrasionsAbrasions (grazes), superficial wounds in (grazes), superficial wounds in

which the topmost layer of the which the topmost layer of the skinskin (the (the epidermis) is scraped off. Abrasions are epidermis) is scraped off. Abrasions are often caused by a sliding fall onto a often caused by a sliding fall onto a rough surface. rough surface.

Puncture woundsPuncture wounds, caused by an object , caused by an object puncturing the puncturing the skinskin, such as a nail or , such as a nail or needleneedle. .

Continued.Continued.

Penetration woundsPenetration wounds, caused by an object , caused by an object such as a knife entering and coming out such as a knife entering and coming out from the skin . from the skin .

Gunshot woundsGunshot wounds, caused by a bullet or , caused by a bullet or similar projectile driving into or through similar projectile driving into or through the body. the body.

Triage.Triage. (1) Survey and classify casualties for the most (1) Survey and classify casualties for the most

efficient use of available medical personnel efficient use of available medical personnel and suppliesand supplies

(2) Assures treatment is directed first towards (2) Assures treatment is directed first towards the patients who have the best chance to the patients who have the best chance to survivesurvive

(3) Locate people with minor wounds, and (3) Locate people with minor wounds, and direct them to the area for the walking direct them to the area for the walking wounded to clear them of the area.wounded to clear them of the area.

  

(1) Necessity to transport casualties to a (1) Necessity to transport casualties to a more secure collection point for treatmentmore secure collection point for treatment

(2) Number and location of the injured(2) Number and location of the injured (3) Severity of injuries(3) Severity of injuries (4) Assistance available - buddy-aid, self-(4) Assistance available - buddy-aid, self-

aid, medical personnelaid, medical personnel (5) Evacuation support capabilities and (5) Evacuation support capabilities and

requirements (i.e., air ambulance, ground requirements (i.e., air ambulance, ground transportation)transportation)

Triage card.Triage card.

Items you might find in a Items you might find in a First Aid kit.First Aid kit.

EMS sheers-Will cut through a penny.EMS sheers-Will cut through a penny. Gauze, 4X4, 5X9, 8X12-wound dressingsGauze, 4X4, 5X9, 8X12-wound dressings Standard Band Aids-for kids assuranceStandard Band Aids-for kids assurance Triage Tags-Regular paper will work if Triage Tags-Regular paper will work if

need be.need be. Triangular band aids.Triangular band aids. Clothes pins.Clothes pins.

Additional items.Additional items. Ladder splints-bendable for fast use.Ladder splints-bendable for fast use. Crutches-to assist those able to walk out Crutches-to assist those able to walk out

on there own.on there own. A large notepad-to scribe what units are A large notepad-to scribe what units are

there, where they are, and other units there, where they are, and other units that are en route until more highly trained that are en route until more highly trained personal arrive to take over the scene.personal arrive to take over the scene.

Different size First Aid Different size First Aid bags.bags.

Common items that can Common items that can be used.be used.

Shoe strings.Shoe strings. Belt.Belt. Shirt.Shirt. Socks.Socks. Towels.Towels. TamponsTampons Maxi padsMaxi pads

QuikClotQuikClot is a brand of haemostatic is a brand of haemostatic agents that is manufactured by agents that is manufactured by Corporation. The original QuikClot was a Corporation. The original QuikClot was a granular product that was to be poured granular product that was to be poured directly on wounds to stop bleeding. It directly on wounds to stop bleeding. It works by adsorbing water from the blood, works by adsorbing water from the blood, concentrating the clotting factors, concentrating the clotting factors, activating platelets, and promoting steps activating platelets, and promoting steps in the coagulation cascade. in the coagulation cascade.

Quick Clot.Quick Clot. Very effective, burns when applied, Very effective, burns when applied,

expensive but worth it.expensive but worth it.

Summary.Summary. How to determine who should be treated How to determine who should be treated

first.first. What practical everyday items can be What practical everyday items can be

used.used. What you could add to your basic First What you could add to your basic First

Aid kit.Aid kit. What type of First Aid kit do you want.What type of First Aid kit do you want.

Questions?Questions?