First Aid Protocols.Wad To Do??
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Wondering if it is possible to create a thread on protocols on first aid so that medics can find it useful n even normal non-medic guys..
I need seriously help on this so that on covers i dont screw up
all medics pls contribute!!!
1st protocol i would like to ask is for sprains.
Wad to do when u see a sprain?
Wad r signs n symptoms? From wad i know is swelling..any others?
Wad to do? Is this correct?
1)Put icepack near the affected region
2)Wrap with crepe banadage
3)Elevate the area slightly? -
Doctors can also contribute.
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RICE protocol... don't know if it's taught in NS...
RICE = Rest, Ice, Compression, Elevation
Be careful when doing compression... it may make things worse. The main thing for first aid is to restrict movements and aid recovery, but not making movements impossible.
For sprains, it happens because the joint twists too inwards or too outwards. If the sprain is caused by twisting inwards (called inversion sprain), you bandage it the other way round (meaning not bandage it inwards, this makes things worse).
Think of it this way:
When something is out of place, you pushed it back in, not push further out. Likewise, for inversion injuries, you don't bandage it such that it twists more inwards. -
how do u bandage inward or outwards?Originally posted by ndmmxiaomayi:RICE protocol... don't know if it's taught in NS...
RICE = Rest, Ice, Compression, Elevation
Be careful when doing compression... it may make things worse. The main thing for first aid is to restrict movements and aid recovery, but not making movements impossible.
For sprains, it happens because the joint twists too inwards or too outwards. If the sprain is caused by twisting inwards (called inversion sprain), you bandage it the other way round (meaning not bandage it inwards, this makes things worse).
Think of it this way:
When something is out of place, you pushed it back in, not push further out. Likewise, for inversion injuries, you don't bandage it such that it twists more inwards. -
Not bandage inwards nor outwards, I don't know how to describe. Just don't make injury worse can liao....Originally posted by borntolive:how do u bandage inward or outwards?
Wait for expert come in to explain... I don't know how to phrase it. -
Aiya , open a forum on first aid la ,
if really , make me the mod pls , im able to give some detail of first aid for ''untrained civillian''
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bandage it in a way that the sprain part is immobilised ??Originally posted by ndmmxiaomayi:Not bandage inwards nor outwards, I don't know how to describe. Just don't make injury worse can liao....
Wait for expert come in to explain... I don't know how to phrase it. -
Yes yes!!!Originally posted by Unidentified:bandage it in a way that the sprain part is immobilised ??
But not to the extent that the person can't move the sprained parts... -
if the person is wearing shoes, dont take it off, really
the pressure exerted on the ankle by the shoot serves as compression.. -
do PRICE...Protection...Rest...ICE....Compression....ELevation...Originally posted by borntolive:Wondering if it is possible to create a thread on protocols on first aid so that medics can find it useful n even normal non-medic guys..
I need seriously help on this so that on covers i dont screw up
all medics pls contribute!!!
1st protocol i would like to ask is for sprains.
Wad to do when u see a sprain?
Wad r signs n symptoms? From wad i know is swelling..any others?
Wad to do? Is this correct?
1)Put icepack near the affected region
2)Wrap with crepe banadage
3)Elevate the area slightly?
Rice is no longer practiced
u protect the injury by crepe-ing 1 layer...then put an ice pack on that layer...and continue crepe-ing the injury to provide compression..then elevate the injury to reduce swelling...
initial stages of sprains...u gotta control the swelling..this is important....after 24-48 hrs...provide a deep heat rub to encourage healing and blood flow.....
u ice 10 mins on...5 mins off to reduce the frostbite-effect that may burn the skin due to contact with ice.....but IMO due to the 1st layer...u could apply ice indefinately....AMET may say otherwise...
i would have with u a tube of diclofenac to apply b4 the crepe....aspirin helps too..
that ankle tying technique with triangles onli works when u wear boots or shoes...its not to compress actually but to control the movement of the ankle joint......in a clinical, non-exercise situation...crepe is enuff....crepe bandage is like the swissarmy of all bandages...i
signs of sprains...
swelling...
bruising....
immobility depending on severity
symptoms
pain for the patient/casualty..
patient may find it hard to walk....but still can walk...
if cant walk..may be some slight fracture...
if can walk but with alot of pain...its most likely sprain...
pain when joint is moved 1 way
this applies to other joints -
the ice pack put directly on top of the sprain area or near the region?Originally posted by Rockhound:do PRICE...Protection...Rest...ICE....Compression....ELevation...
Rice is no longer practiced
u protect the injury by crepe-ing 1 layer...then put an ice pack on that layer...and continue crepe-ing the injury to provide compression..then elevate the injury to reduce swelling...
initial stages of sprains...u gotta control the swelling..this is important....after 24-48 hrs...provide a deep heat rub to encourage healing and blood flow.....
u ice 10 mins on...5 mins off to reduce the frostbite-effect that may burn the skin due to contact with ice.....but IMO due to the 1st layer...u could apply ice indefinately....AMET may say otherwise...
i would have with u a tube of diclofenac to apply b4 the crepe....aspirin helps too..
that ankle tying technique with triangles onli works when u wear boots or shoes...its not to compress actually but to control the movement of the ankle joint......in a clinical, non-exercise situation...crepe is enuff....crepe bandage is like the swissarmy of all bandages...i
signs of sprains...
swelling...
bruising....
immobility depending on severity
symptoms
pain for the patient/casualty..
patient may find it hard to walk....but still can walk...
if cant walk..may be some slight fracture...
if can walk but with alot of pain...its most likely sprain...
pain when joint is moved 1 way
this applies to other joints -
on the layer of crepe which is on top of the sprain area....then u continue wrapping around the ice packOriginally posted by borntolive:the ice pack put directly on top of the sprain area or near the region?
i'd use ethyl chloride sprays too if i have it -
u ice 10 mins on...5 mins off to reduce the frostbite-effect that may burn the skin due to contact with ice.
Ice won't cause frostbite, but will leave a burning sensation if it is being iced for too long.
If you use spray can, then be careful about it. It can cause frostbite if too much is applied to a particular area. I played with that... luckily not serious. -
i didnt say cause frostbite...i said frostbite-effect....Originally posted by ndmmxiaomayi:Ice won't cause frostbite, but will leave a burning sensation if it is being iced for too long.
If you use spray can, then be careful about it. It can cause frostbite if too much is applied to a particular area. I played with that... luckily not serious.
prolonged contact with ice will burn the skin(frostbike-like action)..i seen it done b4 by a dumb section commander.. -
ok thks much more clear about handling of sprains liaoOriginally posted by Rockhound:on the layer of crepe which is on top of the sprain area....then u continue wrapping around the ice pack
i'd use ethyl chloride sprays too if i have it
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xiaomayi seems to know a lot. are u a nurse?
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Hey next is fractures ..how do u handle fractures in a medical cover without the immobolisers?
must we follow wad we learn in Basic Medic Course with the use of triangular bandages to tie n immobolise? Is there another way? cause i cant seem to remmeber every single methods to immobolise with trian bandages -
depends , see the part got fracture when the part is stretch out straight or bend. if part is straight , immobilise using stick or wooden rod tied by triangular bandage so the part eont be able to bend as to worsen the fractureOriginally posted by borntolive:Hey next is fractures ..how do u handle fractures in a medical cover without the immobolisers?
must we follow wad we learn in Basic Medic Course with the use of triangular bandages to tie n immobolise? Is there another way? cause i cant seem to remmeber every single methods to immobolise with trian bandages
if the part is bent , then method such as armsling or elevated sling is used , that is to prevent the part from moving -
If a snake bite ur neck then how ?
Fasten & tighten a rope on the neck to stop the blood flow?
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No... did some basic first aid as an elective this year. I'm a tech student.Originally posted by Gordonator:xiaomayi seems to know a lot. are u a nurse?
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You want to die earlier?Originally posted by Advante_101:If a snake bite ur neck then how ?
Fasten & tighten a rope on the neck to stop the blood flow?
Wash with soap and water, immobilize the bitten area, cover the area with a clean, cool compress or a moist dressing and monitor your vital signs.
I don't know much about Singapore snakes, so whether seeking medical attention is needed I'm not too sure.
If you feel giddy, nauseous, weakness, sweat excessively and numbness, it's most likely you've been bitten by a poisonous snake. Seek medical attention is the best. -
depends...Originally posted by Advante_101:If a snake bite ur neck then how ?
Fasten & tighten a rope on the neck to stop the blood flow?
poisonous snakes a characterised by having colourful stripes...and their bite marks are fang-like with 2 parallel puncture wounds...there'd be slight swelling around the bite marks too
non poisonous snakes in comparison to poisonous snakes have a very harmless looking teeth pattern...no fangs watsoever...
crepe the area of the bite and mark where he been bitten with a marker on the crepe...i find this kinda stupid cos venom spreads very rapidly through the blood stream....
i dun recommend icing cos that would cause vasoconstriction(narrowing of blood vessels) and cause the heart to beat faster and circulating the venom even faster...juz compress the thing with crepe... -
as i tell my plt medics..if faced by this...by hook or by crook....immobilise the limb...Originally posted by borntolive:Hey next is fractures ..how do u handle fractures in a medical cover without the immobolisers?
must we follow wad we learn in Basic Medic Course with the use of triangular bandages to tie n immobolise? Is there another way? cause i cant seem to remmeber every single methods to immobolise with trian bandages
wat is taught to u at SMTI is useful
legs are straightforward...
tri the feet together
tri the femur together(depends..)
then tri the knees...
then tri on top of fracture below of fracture
check ure distal pulses of course..
long bone fractures like femur and hemurus i'd IV at maintenance rate...
if at anytime u foget how to tie....juz tie with the best of ure knowledge..main thing is to immobilise...
reassurance goes a long way... -
ok then after immobilise, how to transport casualty up a casualty if lets say fracture is at leg area and u cant life him up?Originally posted by Rockhound:as i tell my plt medics..if faced by this...by hook or by crook....immobilise the limb...
wat is taught to u at SMTI is useful
legs are straightforward...
tri the feet together
tri the femur together(depends..)
then tri the knees...
then tri on top of fracture below of fracture
check ure distal pulses of course..
long bone fractures like femur and hemurus i'd IV at maintenance rate...
if at anytime u foget how to tie....juz tie with the best of ure knowledge..main thing is to immobilise...
reassurance goes a long way... -
use stretcher arh...Originally posted by borntolive:ok then after immobilise, how to transport casualty up a casualty if lets say fracture is at leg area and u cant life him up?
cover litter?....ground sheet?...improvise...get more ppl to help get him on a carrying equipment
....u not superman...