By M. W. D. Forgey
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Discover how to:
• gather an out of doors first-aid equipment of crucial items
• Soothe bites and stings
• care for cold and hot injuries
• Wrap sprains, fractures, and dislocated joints
• deal with backcountry emergencies till specialist clinical support arrives
Read or Download Basic Illustrated Wilderness First Aid (2nd Edition) PDF
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Extra resources for Basic Illustrated Wilderness First Aid (2nd Edition)
When the patient arrives at a hospital, it can easily be removed in a whirlpool bath. Return: Burn patients can generally be managed quite well if the burn is not worse than second degree and as long as it does not cover more than 15 percent of the body surface area of an adult (10 percent of a child). Evacuate: If burns are more extensive than that, or if they involve the face or include more than one joint of the hand, obtain professional treatment. The management will be as above, but in addition, treat the patient for shock during the evacuation (see page 9).
The nerve can also be harmed by the stretching trauma. Also some of the sharp pieces of bone will poke against the skin. No matter how well you pad the skin on the outside, these sharp pieces of bone might punch their way through the skin and create an open fracture, potentially resulting in a serious infection. For these reasons, grossly angulated fractures should be straightened by gentle in-line traction. Before straightening a deformed limb, check the pulses beyond the fracture site. Compare the results of the injured side with the normal side of the victim.
Rapidly evacuate—go fast—any patient with burns threatening the airway, with partial- or full-thickness circumferential burns, and with blisters and/or full-thickness burns covering 10 percent total body surface area (TBSA). Cleaning Cuts Adequate cleansing of cuts (lacerations) requires flushing with clean water. Ideally the water should be applied with great force, thus dislodging any blood clots, debris, and associated germ contamination. An irrigating syringe is ideal for this purpose. Without it you will have to do the best that you can, perhaps by placing the water in a clean plastic bag, puncturing a small hole in it, and squeezing the bag forcefully to jet water out into the wound.