Basic Illustrated Wilderness First Aid (Basic Essentials Series)
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the likelihood of serious injury. •Gently examine the injury site for evidence of point tenderness, severe spasm, or evidence of unusual movement—all signs of a possible fracture or ligament injury. When in doubt, splint and RICE (see page 42). Always check for CSM: circulation, sensation, and motion beyond the site of the injury, comparing to the opposite side. Changes indicate a probable serious injury. Check often after splinting or wrapping as well to ensure the treatment isn’t making the
usually survive, with the pain abating in several hours and the remaining symptoms disappearing in several days. Treatment: An ice cube on the bite, if available, may reduce local pain. A specific antidote is available at an emergency room of a hospital, where other prescription medications can also be given to reduce the muscle spasm and pain. Naproxen or ibuprofen may be used to treat the pain. Brown Recluse A brown coat with a black violin marking on the top of the body identifies this
including level of response (LOR); heart rate, regularity, and quality (HR); respiratory rate, rhythm, and quality (RR); and skin color, temperature, and moisture (SCTM). 5.Discuss the importance of taking a patient history. 6.Discuss how to take a history. 7.Demonstrate taking a patient history by asking questions related to symptoms, allergies, medications, pertinent medical history, last intake and output, and events surrounding the incident (SAMPLE). 8.Discuss the importance of
Each of these underlying causes is discussed separately in this text. Shock can progress through several stages before resulting in death. The first phase is called the “compensatory stage,” during which the body attempts to counter the damage by increasing its activity level. Arteries constrict and the pulse rate increases, thus maintaining the blood pressure. The next phase is called the “progressive stage,” when suddenly the blood pressure drops and the patient becomes worse, often swiftly.
especially when swollen, may indicate a large amount of blood loss or a significant underlying injury. Treat people with such injuries for possible shock (see page 9). Do not drain large, swollen bruise areas. This serves no purpose and can cause bleeding and infection. Pain or swelling near a bone may mean that a broken bone has occurred (see pages 33–34). Puncture Wounds Allow puncture wounds to bleed briefly, thus encouraging an automatic release of bacteria from the wound. However, if