St John Ambulance Unit Meeting

We have our unit meeting every Wednesday. Tonight was no exception apart from the addition of another local unit joining us.

Tonight was TRAUMA, awesome!
Well actually, not as awesome as expected.

Our trainer, Niel, had more in mind than time allowed, but the time allowed gave me some great tips etc.

Neil did some of the training for my First Aid course. I liked his style then, and I like it now.
It's upbeat and makes you feel welcome. It teaches you stuff withot if feeling like a chore.
I could easily imagine our Assistant Unit Leader and Niel making a great team when it comes to teaching (but they aren't, and probably never will be).

So what did we learn tonight? We learnt how to quickly deal with a bleed.
This probably comes as second nature to anybody who has been in St John Ambulance for a while, and anybody with good First Aid training. To me, somebody new to First Aid, and somebody quite reserved and quiet, this was gonna be a hurdle to overcome. I'm not a great people person, I'm not one for speaking much to be honest. It may be the face to face thing. I can easily talk for England on a keyboard (not that I needed to tell you that)

Anyway, the basics of dealing with a bleeder are as follows:

Assess for Danger
Introduce yourself "Hi. I'm Gaz, a First Aider with St John"
Ask what's wrong (Chief Complaint) "What's wrong?"
"I have a knife wound on my fore-arm" (For instances)
Ok, do you mind if I have a look?
Expose the wound
Examine the wound
At this point, we're just a passer-by, we have no kit etc.
Once you know what the wound is like, and that it has no foreign object in it, as the Patient to apply direct pressure to it, and elevate it.
Once it has been assessed, treat for shock (unless it's minor and only needs a plaster)
Lay or sit them on the floor and keep the wound elevated.
This is where you can seek help. Ask somebody to ring for an Ambulance, and to bring a First Aid Kit back with them if they find one.
If they find a kit, treat and dress the wound.
Now, while you're waiting for an Ambulance, carry out a secondary survey and ask questions.
Signs and symptoms: That'll be the gushing wound.
Allergies: Are they allergic to anything? They may have an allergy to plasters or latex for instance.
Medication: Are they on any medication? What's it for? They may be taking blood thinning tablets!
Past medical history: Not much use on a bleeder, but they may self harm?
Last time they ate: It may seem like nothing, but could be a vital piece on information for further care.
Events leading up to the incident: Did they pass out?

So to simplify it,

Assess for danger
Introduce yourself
Ask what the problem is
Expose the wound
Examine the wound
Apply direct pressure
Elevate
Treat for shock
Seek help
Treat and dress the wound
Carry out a secondary survey
Ask questions (S.A.M.P.L.E.)

It may not seem like much, but it could be invaluable help to a given situation.

Thanks Niel, you make learning enjoyable.

The First Aid Kit.

I'm sure those few of you who care to read this are fully aware of my efforts to be prepared for anything?

Well, I've just created a better First Aid Kit for our night walk up Snowdon in a few weeks.

I've based it around the Lifesystems Mountain Leader kit, a kit that costs in the region of £45 - £50.

I managed to cobble it together with my box full of random supplies in my office, and it has probably cost me in the region of £10.

Here's the blurb from the Lifesystems website. ( www.lifesystems.co.uk )

MOUNTAIN LEADER
FIRST AID KIT

The Mountain Leader First Aid Kit provides the equipment needed to care for a large group of between 1 and 14 persons. This kit is also used by survival training schools in the UK. It has been designed with the help of expedition doctor Hugh Montgomery and members of the British Special Forces medical team.

(I'll point out here that mine looks NOTHING like the pictures,and my case is inferior to the Lifesystems originals equipment cases. I reckon the contents aren't as good either, but they'll be good enough)


Oh good, you're still here :-D

Ok, I'll get on with the list.

General
1 x Primary Care Leaflet
1 x Tweezers
6 x Safety Pins
1 x Scissors (5.5cm Blade)
4 Pairs Vinyl Gloves
1 x Shears (6cm Blade)
1 x Glo Stick
1 x Resuscitation Face shield
1 x Spot Check Thermometer

Medication
16 x Paracetamol Tablets
16 x Ibuprofen Tablets

Bandages
2 x Open Woven Bandages 7.5cm x 5m
1 x Crepe Bandage 5cm x 4.5m
1 x Crepe Bandage 7.5cm x 4.5m
1 x Triangular Calico Bandage 90 x 127cm

Preparations, Disposables & Tapes
10 x Hygienic Cleansing Wipes
1 x Micropore Tape 2.5cm x 5m
1 x Zinc Oxide Tape 2.5cm x 2m
1 x Duct Tape 2m Roll
10 x 4-Ply Gauze Swabs 5 x 5cm
3 x Burn Gel Sachets (3.5g)

Dressings
1 x Pack of Assorted Plasters
1 x Medium Wound Dressing 12 x 12cm
2 x Low Adherent Dressings 5 x 5cm
2 x Low Adherent Dressings 10 x 10cm
1 x Small Plaster Fabric Strip 4cm x 1m
1 x Large Plaster Fabric Strip 7.5cm x 1m
6 x Wound Closure Strips
1 x Small Eyepad Wound Dressing
2 x Blister Plasters

In addition to the above, I have added the following,
1 x Patient Report Form and Pencil, there's also a section on this for the Goffer to take with them.
1 x Foil Blanket
1 x Tick Removing Tool
1 x Small Tub of Vaseline
8 x Asprin
5 x Anti-Hystamines
1 x Finger Dressing
2 x Tubes of Saline Solution
2 x Hand Warmers/Heat Pads
1 x Roll PVC Tape
1 x Cold Wrap Bandage
1 x Bites and Stings Kit
1 x Head Torch

I also threw in a couple of hand and surface cleansing wipes.

I'm sure the Lifesystems kit comes with mini (1.5cm) light sticks. I have 2 of these, plus 4 x 8inch light sticks. Intense 5 and 30 minutes plus a green and red 8 hour sticks.

I've also added a Combat Application Tourniquet.

Before anybody leans back and says What. The. Hell. Don't worry. I know how to use it, and it is there for the very most extreme cases. It will not be used unless ABSOLUTELY neccessary.

Fortunately, with the training I've had and the books I've read, I feel confident that our group will be able to cope with anything first aid orientated.
We have somebody VERY well trained (a Firefighter) somebody who I think will be quite good, and Me, a St John First Aider. (Although very new to it I will add)

There's absolutely nothing wrong with Lifesystems gear, in fact, I think they are well put together kits and reasonably priced, I just wanted to use some of my surplus. I did follow their model after all ;-)

So there we have it. Thanks for reading. Hope it wasn't too boring for you. Please feel free to comment.

The Next Episode.

After a while off of doing anything walking wise (family life and training with St John Ambulance taking over) the next walk is planned.

It's a night walk up Snowdon.

Ok ok, sounds daft to some people, but we're quite capable I think. Plan is to set off to the summit at midnight, and be there for sunrise.
Whether we'll have the weather for it is a different matter.

4 or 5 weeks to plan now, should be ample. Just gotta change a few bits of kit around and get a stock of batteries for the head torches :-D