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FIRST AID Cadet Procedures (1)

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  FIRST AID Cadet Procedures   1 RMO. J. Joseph Signs and symptoms Identify Treatment -   Redness, swelling near the throat or face -   Possibly unconscious -   Most likely source of allergy is nearby (e.g. Food, nuts) ANAPHYLAXIS -   DRSABCD- Call a CASEVAC  Priority 1 -   Administer Epi-pen into thigh (their hand in your hand into the thigh) -   Remove safety cap, then thrust Epi-pen into upper thigh (TIP: MAKE SURE IT'S THE RIGHT WAY UP!) -   Hold for 10 seconds, then remove -   Gently massage the area -   Gasping for air -   Wheezing sounds -   Weak and tired, lethargic -   Clutching throat ASTHMA -   DRSABCD- Call for a NOTICAS depending on severity -   Help them find their puffer and medication if need to and assist them in using it -   Sit them down (preferably in a cool shady are), calm them -   If condition worsens call for a CASEVAC  -   Snake bite- redness, swelling, puncture marks, intense pain (can tell if it is poisonous) -   Spider bite- puncture marks, intense pain, swelling -   Ant bite/ Minor bites- minor swelling, redness BITES -   DRSABCD -   Spider bite- if poisonous (can tell from  pain), apply pressure immobilization  bandage. Pad wound with triangular  bandage (do not remove venom) and wrap tightly with roller bandages from extremity to extremity. Mark where the wound is and call CASEVAC  -   If redback spider, there will be intense  pain. Apply ice-pack and CASEVAC Priority 1 -   Snake bite- same as spider bite (DO NOT suck venom out under any circumstances) -   Ant bite or minor bites- apply Stop-itch! -   Blood on wound, possible swelling, pain -   If blood is spurting (arterial), possibly unconscious -   For internal bleeding,  bruising, pain, tenderness,  blood in spit, vomit, urine   BLEEDING -   DRSABCD- don’t forget to treat for Shock   -   For external bleeding, use alcohol swabs on small wounds and then bandage accordingly, use band-aids for small wounds and Elastoplast for larger injuries -   For larger wounds, wash with saline and  bandage -   Keep the wound clean, change dressing regularly -   If bleeding is severe, rest the person, elevate the injury and apply pressure with triangular bandage. If not working apply a tourniquet. Call CASEVAC P1  -   If large bruise (internal bleeding) apply an icepack -   For severe internal bleeding, rest the casualty, treat for shock, apply an ice  pack but DO NOT apply pressure to wound. Call CASEVAC P1  -   Bulge, protrusion on skin, usually colourless BLISTERS -   DRSABCD -   To treat a blister, DO NOT remove fluid,  FIRST AID Cadet Procedures   2 RMO. J. Joseph -   Pain when pressure is applied   use Blister Block/Elastoplast and strap with tape to prevent it from coming loose -   Usually comes from poor-fitting boots, make sure laces are tight. If loose, wear 2  pairs of socks -   If blister has popped, clean the area with alcohol wipes and then bandage it to  prevent infection -   Do not pop the blister intentionally -   To prevent blisters in common areas like the heel and thighs, use Elastoplast or strapping tape that prevents friction with the skin. -   Tell Cadets to air their feet out at night -   Pain, if open fracture,  bleeding wound, bone fragments visible, snapping noise -   Bruising, limb at awkward angle, unresponsive, swelling   BONE INJURIES -   DRSABCD- Call a CASEVAC  depending on severity -   For broken arms and legs, use splints to immobilize the limb. Treat for shock and perform SECONDARY INSPECTION for other possible injuries -   For open fractures- immobilize limb and prevent further bleeding. Call CASEVAC Priority 1.  -    Rest the casualty, immobilize the limb, apply icepack to reduce  swelling, and if possible elevate the limb -    NEVER attempt to ‘pop’ back dislocated joints. Call CASEVAC  -   Redness, swelling near the affected area -   1 st  degree- red, swollen,  pain -   2 nd  degree- with additional blisters -   3 rd  degree- damaged, underlying tissue is visible BURNS -   DRSABCD- Call a CASEVAC/   NOTICAS on severity -   For 1 st  degree/ 2 nd  degree burns, cool the area with running cold water for 10-15 minutes. Use two kidney cups with water, pouring into each other over the affected area. If possible, use tap or other water source. DO NOT pop blisters. -   Use cream if possible and keep clean -   For 3 rd  degree burns, call CASEVAC Priority 1. DO NOT put anything on the  burn or remove clothing.   -   Too much sugar- hyperactivity, red, sweating -   Too little sugar- lethargic, tired, dizzy, drowsy, rapid  breathing DIABETES -   DRSABCD- all cases should be a NOTICAS  -   For too much sugar, help them administer their medication. If no improvement call a CASEVAC  -   For too little sugar, give them sugary foods e.g. candy -   If you are unsure of which branch of diabetes, give them a cup of slightly sugary water. Treat for low blood sugar. If improvement, then they have too little  FIRST AID Cadet Procedures   3 RMO. J. Joseph sugar. Treat for that.   -   Casualty feels faint -   Actually faints FAINTING -   DRSABCD- NOTICAS  -   Help lie them down in shade to improve circulation -   Encourage them to stay lying down until they feel better -   In most cases, keep them eating and drinking to prevent further occurrences. -   If condition worsens, they do not get up, or they become injured during the fall, then proceed with CASEVAC.   -   Hypothermia- feeling cold, shivering, chattering, confused, slow pulse and  breathing rates, frostbite -   Hyperthermia- lethargic, tired, thirsty, sweating, nausea (HYPO/HYPER)THERMIA -   DRSABCD- NOTICAS/ CASEVAC  depending on severity -   Hypothermia- Place in warm environment, remove wet clothing and replace with dry clothing. Use passive warming e.g. space blanket or sleeping  bag, give the warm drinks (warm water), drink slowly -   Hyperthermia- Remove from source of heat e.g. into shade. Slowly sip water, loosen clothing, cool skin gently with icepack. -   Leech on Skin -   Dizziness, redness/swelling near area LEECHES -   DRSABCD -   DO NOT remove leech by pulling it off, causes bleeding -   Sprinkle with salt from ration pack -   As soon as leech Is dead, remove and clean area with saline. If necessary use  bandage to prevent further infection. -   DO NOT BURN OFF WITH LIGHTER/MATCHES -   Spasms -   Casualty might feel dizzy and warn you of their condition SEIZURES -   DRSABCD- Call a CASEVAC Priority 1  -   Remove danger from the area, e.g. clear out sticks that could potentially harm casualty, clear bystanders -   DO NOT interfere with person’s movements, if possible loosen clothing. -   DO NOT force objects into the mouth -   If possible attempt to roll them on their side to drain fluids away -   When recovered, be gentle and comforting since they will be disorientated -   If does not recover in 5 minutes, send immediate CASEVAC   -   Pain in abdominal region -   If severe, possible vomiting STOMACH ACHE -   DRSABCD -   Breathe in slowly and deeply, avoid carbonated drinks -   Drink water and/or eat section of chocolate bar from ration, then Visit the toilet!  FIRST AID Cadet Procedures   4 RMO. J. Joseph -   Eat ration pack properly -   Lie down and rest -   If severe stomachache send in NOTICAS  (i.e. as a result of poisoning), if vomiting occurs, relax the patient and call CASEVAC   -    Numbness, tingling,  paralysis one side of the  body -   Slurred speech, nausea, vomiting -   Unconciousness STROKE -   DRSABCD- Call CASEVAC  Priority 1 -   Get them in a comfortable position on their side, make sure they are resting -   Keep them warm with a blanket -   Do not give them anything to eat or drink -   Stay with them and reassure them. -   DO NOT ignore the symptoms of a stroke. It is deadly and requires urgent medical assistance. -   Use FAST: o   Face- Lopsided? o   Arms- Can only use one? o   Speech- Can they repeat what you say? o   Time- When did it occur?
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