TOTM for August, 2015 - "Field casualty care"

Discussion in 'Survival Medicine' started by ghrit, Jul 31, 2015.

  1. ghrit

    ghrit Bad company Administrator Founding Member

    With a nod to melbo and Dont, this month is devoted to care of casualties, minor and major, that might crop up while out and about. (See Tactical Combat Casualty Care (TCCC) for the military version.)

    -What do you do if you are first on scene with minimal first aid gear?
    -What do you carry routinely in your day to day comings and goings that would be useful if you happened upon an accident?
    -What do you routinely carry when in bug out mode?
    -What qualifications are recommended for all preppers?
    -Is there a good ratio of trained to untrained in a group of travelers/preppers on the move?

    Anything else that comes to mind related to care of the injured in the field or home.
  2. techsar

    techsar Monkey+++

    Assess and secure the scene. Stabilize the scene.

    Last time this happened, I took care of diverting interstate traffic while the wife was administering first aid and keeping the pt calm (pt was upside down in the vehicle, strapped in and the vehicle was not in danger of igniting.) Car first aid kit helped her, while flares and warning triangles were my friend. I was also on the phone at the same time to get units responding...

    We did get some ice from a passing motorist to help slow the bleeding from a head wound....

    After the units arrived, the BIL got a call that we were going to be late picking him up from the airport [dunno]
  3. Witch Doctor 01

    Witch Doctor 01 Mojo Maker

    I'm assuming it is not in a SHTF scenario...don't panic... observe before you act... protect your self... Don't make the situation worse that it is... remember your ABC's Airway, Breathing, Circulation, Defibrillation (AED if available) pressure on bleeding wounds... do a scan head to toe... treat the worst injuries first, If the injury is ugly protect it and the patient from passers bye... (Cover it)... Treat for shock...f it's a major burn cool it down physically clean sheets with sterile water... ACE bandages are worth their weight in gold .... Don't do anything more than you are trained to do... Make sure someone calls for help...
    Tully Mars likes this.
  4. HK_User

    HK_User A Productive Monkey is a Happy Monkey

    I might add, always carry 3 triangle bandages. Non sterile but useful for more things than you might think, including insulating an abraded stop light wire on a 1960 Royal Enfield.
    Tully Mars, Witch Doctor 01 and ghrit like this.
  5. Zengunfighter

    Zengunfighter Monkey+++

    I just did this, yesterday.
    Login Page

    It's an online training in TCCC. Powerpoint sort of thing with embedded videos. Good info, I picked up a couple of things and had others reinforced. There's a test at the end and if you pass, you can print out a certificate.

    I was shown a very slick way to use a triangular bandage as a tourniquet.
    Last edited by a moderator: Aug 6, 2015
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  6. Motomom34

    Motomom34 Monkey+++

    I know this is slightly off topic but once you get them out of the field the injured will probably still need to be treated. Southern Prepper posted this video this week and it is a good set up. He talks about helping officials or still having officials available but I do think this is a great "field" type hospital or a triage. He has some good ideas.

    hitchcock4 and Ganado like this.
  7. HK_User

    HK_User A Productive Monkey is a Happy Monkey

    BTW, the instructor acted in an unsafe manner in his presentation of how to use a tourniquet.
    The use of the tourniquet was accurate as a non compression aided application. This phrase "compression aided application" can mean the use of a stick or any other safe lever device to tighten and maintain pressure.

    I mention this because it is a more accurate way to control bleeding and the other plus is that it is bulky and lends itself to being observed in transit or while a patient is awaiting triage either at a injury scene or at a Hospital ER.

    As demonstrated in the Video you will note that the patients shirt was left intact and the result was that the sleeve was lowered over the tourniquet. The danger is that the patient could become unconscious for any number of reasons and not be able to communicate the application of the tourniquet. If EMS was not aware of the tourniquet then the patient could loose the arm due to lack of blood flow.

    The best way to insure that a patient is cared for is to cut off the sleeve of the shirt and have a tag attached to the patient noting date and time the tourniquet was applied.

    Not trying to nit pick but understand some form of this event was a part of our EMT State Exam. Yup I know somebody is going to go home without their shirt sleeve, better that than a patient have their arm amputated later caused by a mistake at the accident scene.

    Train like you have to work.
  8. HK_User

    HK_User A Productive Monkey is a Happy Monkey

  9. Zengunfighter

    Zengunfighter Monkey+++

    Realize that THAT application was for times when you are under fire.
    When you and the patient are in a safer place, more care can be taken.
    Ganado likes this.
  10. HK_User

    HK_User A Productive Monkey is a Happy Monkey

    Not the case, battle first aid or any first aid providers are taught using proven protocols. To do other wise will cause damage to the patient. Triage is always part of the process but within the training of the next step and those protocols.

    Yet another reason to find a local EMS who will teach to the levels of what a person needs to know to protect the patient during their treatment and prevent unneeded damage. Yet another reason I carry Indelible Black Markers and a Space pen to write on a water proof paper or on the patients skin/forehead any aid given that is a concern of a Triage Group.

    Even Hospitals have this problem. Forgotten But Not Gone: Tourniquets Left on Patients

    Last edited: Aug 7, 2015
    ghrit likes this.
  11. fedorthedog

    fedorthedog Monkey+++

    I carry an STAT pack in my car and truck. If its just something minor it can wait for the pros.
    oldawg and BTPost like this.
  12. ghrit

    ghrit Bad company Administrator Founding Member

    OK, I give up, what's a STAT pack and where can we find them?
  13. fedorthedog

    fedorthedog Monkey+++

    Last edited: Aug 15, 2015
    fmhuff, Ganado, BTPost and 1 other person like this.
  14. HK_User

    HK_User A Productive Monkey is a Happy Monkey

    Also known as a blow out kit.

    BE WARNED, most if not all of these kits have equipment that is date stamped and/or temperature sensitive.

    For my self that is the reason my Blow Out kits come and go with me and nothing is left in the Bota or other vehicles. Sure you have to remember to gear up but in my case the enclosed vehicles internal temp can exceed 140 degrees and one of my kits came with an item that has a max sustained temp of 110.

    Another reason I no longer buy some surplus gear, you never know how it was stored.
    Tully Mars and Yard Dart like this.
  15. ghrit

    ghrit Bad company Administrator Founding Member

  16. Dont

    Dont Just another old gray Jarhead Monkey Site Supporter+++

    One of the things that had brought me to the place I exist in now started in the late seventies. As an early "survivalist" I wondered where would health care needs come from after the sphincter relaxed in our world. A pandemic or any major national disruption would hit our medical staff heavily. After fate took a hand in my future I entered a nursing program. And after thirty years, here we are! Still pondering that same question.

    Now we have the internet and access to a tremendous wealth of information on all manor of subjects. All the responses so far have pertained to the first responder, and they are a valuable contribution, yet doesn't address that initial question of what to do and preppare for the longer term medical survivability of yourself, family, and group.

    With the contributions of many talented Monkeys in other threads, we could have a solid solution for that initial question of mine. For those that depend on us, let us form a medical stratagy for after shtf..

    So, to keep things on thread, here is the Army course on TCCC..
    Medical - Tactical Combat Casualty Care | Survival Forums
    Last edited: Aug 22, 2015
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  17. Hanzo

    Hanzo Monkey+++

    Years ago, I was waiting to cross the street in downtown Honolulu. Lots of people, lots and lots of cars. The elderly lady standing next to me just collapsed and fell flat into the street with oncoming traffic. First step is to get out of harms way. So I grabbed the closest guy and told him to help me get her off the street. Dead weight is awkward and heavy.

    Once we carried her off the road and out of traffic, I looked up and pointed to a guy with a cell phone and yelled, "YOU. Call 911." He was already on it.

    Took a quick look at the woman. Fortunately, she was breathing so we tried to get her as comfortable as possible.

    And fortunately, a cop pulled over and told me he saw everything and had called for an ambulance. Strange thing is everyone split the scene. It ended up being the cop, the woman and me. Poor lady fell flat on her face and we had to clear knocked out teeth out of her mouth.

    I guess the main thing to me, is to be ready to act if needed. And the next thing to to be educated. I think our decisions are more important than our gear.

    My last first aid and CPR certification update showed me what a small world we live in. The instructor was a retired fire chief and is a childhood friend, best friend to one of my good friends, who is also a retired fire chief. Such a small world.
    Yard Dart and Ganado like this.
  18. Motomom34

    Motomom34 Monkey+++

  19. Ganado

    Ganado Monkey+++

  20. Ganado

    Ganado Monkey+++

    Don't in addition to your basic (and beyond) medical care. What I think about is basic self care. Not just calories but micro nutrients as well. It's why I post herbal stuff. We were getting basic good nutrition long before packaged food so what happens when packages stuff runs out.

    My basic premise is that the body is a great natural healer given the right building blocks.

    So I look at what I can grow that will 1] give a body what it needs to stay healthy and 2] what can I grow that will aid healing

    Agriculture - Disease Prevention In The Home Garden | Survival Forums

    Alternative Medicine - Culpepers Herbal | Survival Forums

    Alternative Medicine - Herbal Guide for Cold and Flu | Survival Forums

    A while back some researchers in England discovered an old recipe from a viking or Saxon herbal that they found killed those nasty hospital bacteria that penicillin can't touch. I posted the recipe but can't find it atm
    Last edited: Aug 19, 2015
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