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

Why St John?

Why have I chosen to volunteer for St John?
Why am I taking such an interest in the health care sector?

I think it is partly because I'm fed up having spent the last 15 years or so working with the same few people. I have nothing against them in the slightest (well most of them anyway), but I want to be part of a larger team, part of an organisation that cares. Oart of a uniform that means something.

Humanity seems to have gone from the majority of people. I still have it, and I want to put it to good use.

To think that 7 months ago I knew nothing about first aid, took an Emergency First Aid At Work course and would now consider a profession in Health Care.

Add to the fact that I want to be able to keep my boys safe, I want somebody to be able to say 'that guy saved me', and most of all, I want to have been a help to people at some point in my life.

First time as a 'Johnnie'

So tonight was my first time as an Event First Aider with St John Ambulance.

The venue: Valley Parade
The match: Bradford City vs Bristol Rovers

I guess people will be thinking I chose it so I can get a free ticket to the match, which actually can't be any further from the truth.
In all honesty, I have no interest in football in the slightest, and I personally think that a vast majority of fans are druken louts and people out looking for a fight.
Don't get me wrong, I appreciate that there are also a high number of families and 'normal' people etc that attend matches, but that's just my view.

So why did I choose this over Bradford Bulls (my prefered ball sport)?
Well the answer is simple. First and foremost so I can concentrate on St John duties. Despite being a volunteer, I am employed by them on this duty to provide First Aid cover, and I shall do so to the best if my [little] ability.  Secondly, I knew it was going to be a good place to learn.

So, was I scared? Well not scared, more anxious. I've always been a pretty private person so being around groups I don't know isn't too high on my list of things to do on a Tuesday evening. I guess being in a high vis jacket in the middle of 10,600 people is a good way to learn how to deal with strange people though?

I got there at 17:30, as instructed, and met up with Claudia (My units assistant leader) She took me down to a room where there were a few other First Aiders waiting. People kept turning up, includig the Paramedics etc. I stood back letting people get on with what they were doing. No point getting in the way now is there?

At approximately 19:00 one of the lads gave me a quick guided tour of the place. When we went in the pre match briefing was going on.
Everybody was being told their posts wtc, I was to be in the First Aid post, the room we were in.

Everybody went out to their posts for the start if the match, I stayed listening to the radios.

NOTHING happened all bloody night!
One of the players got stretchered off (I think his nail polish chipped haha) and I saved a disabled mans life by giving a steward a blanket for the guys legs. (Ok, so he wouldn't have died, bit he might have got bloody cold!)

Teams came in and out for their breaks. Amanda, who was the First Aider at my post, kept the brews coming to warm the teams up (and what a mighty fine brew she makes) and the night went without a hitch.

So was there any need to be anxious? Not really. I stayed out of the way and let people het on with what they had to do. When they had a gap in proceedings they made the effort to chat, which was nice.

The Duty Organiser (Mark) was very helpful, and said he'll get me out and about next week, so I'm looking forward to that. Im also looking forward to going on more duties too.

Oh aye, the match. Although I'm no fan of football, it was quite interesting seeing twenty odd pretty boys playing keepy uppy on a big, well lit field. Occasionally they lost their ball in the back of this big net thingy. The crowd seemed to like it though, cos they always cheered when it went in.

Bradford City 5 - Bristol Rovers 1

A glorious day for Ingleborough.

Today started out absolutely beautifully.

The sun was shining, but there was still plenty of snow on the hill tops in the distance (even though we were to be heading in the opposite direction)

I picked Steve and Rixy up. Rixy was running 10 minutes late.

Steve being the gent jumped in the back. Rixy, with his travel sickness jumped in the front, and was delighted to be greeted by a packet of ginger biscuits on the dash. Shame I had emptied them out earlier just to wind him up haha.

We set off for Clapham, our start/finish point for the walk up Ingleborough.

When we got there we wondered why the car park was empty, I guess the 5 quid charge answered that. What tight Yorkshire man is gonna pay that?

I gently squeezed into a roadside spot, we donned our gear and headed off.

I've done Ingleborough once before, many moons ago and a totally different route, so wasn't sure what lay ahead. The start was quite easy, up a well made road next the the woods, through a farm, and then dropped back down to a well made path to the caves.

 After this it was a short climb to Trow Gill, and what an epic sight we were about to see. A huge gorge with masses of ice hanging down, and an ice river before us.

We chose to try it without ice spikes first just to save a couple of minutes, it worked. Fortunately the rocks sticking out above the ice gave us enough foot holds to get us up easily and safely.

 

Rixy was complaining that he wanted it to snow, so we kicked some loose stuff at him while he did the last 10 yards :-D

The going from here was quite easy for a while. Up the track, stop to make sure we are going the right way, turn around to head off and then land on my arse, over the wall and then onto the path to Gaping Gill.

We didn't bother nipping down into Gaping Gill, as we were conscious of the lack of time/daylight hours. We carried on over Thack Pot and started the ascent up Little Ingleborough and then onto Ingleborough.

It started to snow a little over Thack Pot which put a smile on my face, but the flakes were smaller than talcum powder, and it stopped quicker than it started. There was still quite a bit of snow on the ground from the previous week, but it was patchy on the path at this point, and quite compacted so easy going.

It all started getting much tougher as we started up the stairs. There was a lot of ice and compact, slippery snow all the way up.

As we crested the top of Little Ingleborough the world opened up, no more looking at the hill in front, just the open plateau and Ingleborough in he distance.

The wind hit us, it was quite strong, and bitterly cold. We hunkered down, pulled our scarves up and plodded on. What probably only took 10 minutes seemed to take forever.

As we reached the South side of Ingleborough and started to climb, we were thankfully sheltered from the wind again. Here the ground was solid snow but easy going. The climb up was quite easy going...and then we got to the top.

The top of Ingleborough is another big plateau. With the sun shining and the whole top covered by a level layer of snow, it could be mistaken for the Antarctic, with us 3 intrepid explorers like Shackleton, Hillary and Fiennes (with a very, very vivid imagination maybe) The scene was one of the most beautiful things I have seen. An expanse of white nothingness gaining slight altitude with only the clear sky beyond it. I hope the group shot (if you can call 3 a group?) can give you some visualisation of it. I faffed about with the camera on the phone and did the best I could to capture the awesome view.

After posing for the shot, we headed up to the wind break for a well deserved lunch. I broke out my 'new' (2nd hand ebay bargain purchase) Jetboil, Rixy and Steve got our their shiny jetboils too.

Non of us seem to be into 'standard' packed lunches, it was Pasta Salad (I think) for Steve followed by chocolate pudding, Lancashire Hot Pot for Rixy and Lamb Curry with Pilau Rice for me (gotta love rat packs) They soon cooked up, but took a little longer to boil than it did when testing the jetboil in the kitchen at home.

Rixy was well impressed when he saw a lady taking pics with her camera, but accidentally shouted "woohoo, photo bomb" loud enough for her to hear (she seemed to find it quite amusing).

Bear in mind at this point we had been laughing with/at each other all the way up. It must be a man thing (because the Wife doesn't understand it) but we had some awesome slagging off and insults flying between us all.

For all you women out there wondering why we do this, it's our way of showing affection to all the wankers and toss bags that we acquaint ourselves with :-D

We were all cooked up and eating, Rixy was fannying about trying not to spill on his jacket, I laughed at him and promptly slipped (but stayed upright I might add) slopping a spoon of Curry everywhere and after seeing that Steve sprayed a mouthfull of his meal all over Ingleborough. This is where we agreed that we'll probably grow old, but never grow up. Men can't do that. Men need to be left as boys, it's how we cope with life. 

Once we had composed ourselves it was time to pack up and bug out. Not before Rixy decided to go around the other side of the wind break to 'wash his cup out' Washing his cup out consisted of filling it with snow and lobbing it over the wall at us haha.

We set off to the Trig point, no point reaching a summit and not touching the trig now is there? We then turn about and headed back off of the Antarctic, towards Clapham! As a matter of fact, we headed for the south east 'corner' of the plateau and down one of the steepest sections.

 

It was only a short drop and once again we left the spikes in the bags as the rocks looked like good foot holds.

What also looked like (and indeed was) a good idea, was sliding half way down on our backsides, at which point I remembered about the survival bag in my pack. Time to break it out and spend half an hour acting like 3 year olds again haha.

Now some of you might have just read that and thought about how responsible we were, but we weren't, we were very sensible and recorded it :-D

There isn't much to say about the route down really. It was uneventful, full of insults, and full of laughs. It has become apparent on the few walks we have done, that on the way down it is all about getting our heads down and getting back to the motor.

There was one point where we could look back and see what we had achieved though. The view of Ingleborough from the south is lovely.

Keep your eyes peeled on my blog. Hopefully my writing abilities will get better with practice.

I thought I was going to be all prim and proper, but then decided that it wasn't me, so you're stuck with what you get I'm afraid.

Hopefully the content will be more regular too, walks will still be irregular, but that is because I am volunteering with St John Ambulance now, that should give some stories (but obviously confidentiality will play a big part).

 

Boring blog time.

I tried to blog about our walk up Buckden Pike a few weeks back, but it just wouldn't have it. The walk went well though :-)

I'm now just gonna keyboard ramble about my hernia op, and possibly blog about our walk another time. Seeing as I've just been sliced open, I'm not supposed to go walking for a while :-(

Basically, I've had an open repair of 2 epigastric hernias.
One was quite visible (like a golf ball), just below my sternum, the other wasn't so visible, and was a few inch to the left of my other one.

The whole experience wasn't so bad.
I was a little anxious because I've never had general anaesthetic before.

Fortunately, the staff at Huddersfield Day Surgery Unit were brilliant,  and really put me at ease.
I arrived at 7am, as instructed, and booked in at reception. After a short while i was called into a side room by Cath, the lady looking after me that day, and asked the usual questions etc, then put into a smaller waiting room. Always good being the first in, because hopefully you'll be the first to be worked on.
I waited a short while and started to read my book.
I managed 2 pages before I got bored (anxiety taking over here I think) and started to listen to the nusing staffs conversations. The only one that worried me was "I hope you're going to leave some skin on this time" :-D
I was soon called back into the side room to sign my consent form, and get a 2 month sick note!!! I also met my surgeon here, Jové I think he was called. Between Cath and Jové's light hearted chat I was totally at ease and anxiety left as quickly as it arrived.
Back to the waiting room, then called into a different room, then back to the waiting room...then called to get changed!
I was shown to the changing room and given my sexy DVT stockings. Now, being the rebel I am, I took flip flops not slippers. Being the idiot I am, I took flip flops not slippers. Well I didn't know about the stockings and the fact my toes wouldn't stick out of the end...
Anyhow, disaster averted and I poked my toes through the holes designed for the ball of my foot.
I shoved everything in the bag then went and sat back in the waiting room. Not 10 minutes later a lady in a gown came and whisked me away to theatre. Instead of watching Le Mis, it was the operating theatre. (Shame really 'cos she wasn't bad looking from what I could tell haha)
She had obviously done this dozens of times, maybe hundreds.
"Stand there. Dressing gown and slippers off please. Now lay on the bed with your head on the pillow. We'll put these on you (blood pressure jobbie and monitors etc) just so we can keep an eye on you throughout'
Seriously, she acted as quick as you read it.
At this point she grabbed my arm and started slappjng hell out of me haha.
They got the catheter into me and then vaguely held a mask over my nose and mouth. At this point I was expecting them to tell me I was about to get nuked,  or for them to ask me to count backwards, but instead they just asked if I was feeling a little drowsy, at which point I woke up in another room, with different nurses fussing over me.

Wow, all's done.

I'm sure you'll understand that the rest of it was a bit of a blur.
I was first back in the room and therefore got a window bed.
The glass of water was welcomed with open arms as my throat was as dry as it has ever been before. After a short while they asked if I wanted a cuppa. Hell yeah, a nice sweet tea please. They then asked if I would like some toast...a double hell yeah. Hospital toast is the Gillette of the toast world, the best a man can get. Shame really, I was heartbroken when I could only manage half a slice :-(

I was soon asked if I could get up and out of bed. I did, bit didn't really want to. I could have spent the day there.
I had to wait around for an hour seeing as the Wife decided to go shopping to the only supermarket in Bradford that she can't get mobile (or mobil if you're Kevin Bacon) signal in.
Never mind, it gave me chance to come round a bit more and get another sweet tea before being discharged.
I ended up going back in the evening.
I had spent a while laid in bed. When I got up my dressing was quite wet. By the third time I had got up from laying down it was saturated. I called the Surgical Assessment Unit and they suggested I nipped across to get it checked by a quack.
After spending 2 hours waiting the dressing had completely dried, and I looked (and felt) a bit of a fool for wasting their time, the wife's time, and worst of all the mother in laws time.
It's only 4 days later, as I'm laid here typing this on my phone, with no wound dressing on, that it has started leaking again :-o It seems like my body doesn't currently like my totally laid back approach as it is only leaking at the top, when I am laid without pillows.

I also called them up again today for advice. It seemed like the lump was back, but the surgeon seems to think it is just a haematoma (which might explain my leak) and he said he will review me as an outpatient I  a few weeks.

So all in all, a not so un pleasurable experience, with mid range discomfort afterwards.

Here's a pic or the incision mark. I asked them to do it with a blunt, rough cut saw, to give me a cool scar, but they forgot. They also seem to have forgotten to remove a few lb for me too while I was out and opened up too, but you can't have everything can you?