Disaster + Travel + Wilderness First Aid

Videos & Self-Guided Practice
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Welcome!  Thanks so much for joining! 

 

Some starter notes:

 

 

 

 

 

 

SSW Prerequisites Deadline:  8:00am Eastern USA time, the Sunday morning one week before your SSW.

 

 
Step # Duration Textbook  Page #s: (5th edition)

see note just above

Instructor

Topic & Video Link

Accompanying Photos Notes
1 2:58 -2, 86-87, 97 Matthew

Greetings & Welcome

About Us  
2 12:05 1-2 Dallas

Golden Hour & Wilderness Rescue Timeline

Stokes Litter Basket Litter basket carry speed sometimes is only half the speed mentioned in the video!
3a 20:00 4-5 Matthew, with Deanna's visual finesse

Infectious Illnesses & Diseases: Transmission, and Prevention

  • Note: you can ignore the contribution request at the end, as you already paid for this course; however if you like it, please share this free-for-all video (no login required), helping to save lives.

Medical study proof of COVID-19 surviving and staying airborne for 3+ hours, and surviving on certain surfaces for 28+ days

Permethrin anti-ticks effectiveness

Picaridin beats Deet

3b 29:59

+

4:20

4-12, 14-15, 24 Matthew

Patient Assessment System I:  Scene & Primary Surveys

Video File 1 of 2   ~  File 2 of 2

WFA Certification Candidates:  Start creating the Patient Assessment Checklist which you'll submit later.  At this stage:  SSSS, PPPP, AABBCCDD-MovePatient-EE.

   
4 21:45 (use the checklist you created) Matthew

Instructor Demo the above, adding in Log and Recovery Body Rolls

   
5 (up to you) You!

You please now hands-on practice the above (on someone at home) until you feel you missed no steps. 

WFA Certification Candidates:  photograph your patient in the recovery position, on a pad or something insulating them from the floor / ground.  Ensure your patient's kickstand knee and elbow, and other arm, are positioned as shown in the video.

  Use your checklist
6 6:38 28 Dallas

Decrumpling a patient, including head/neck traction-in-line

   
7 4:02 28-29 Lafroy

Instructor Demo:  traction-in-line straightening a head/neck, decrumpling, and 2-person body roll

   
8 (up to you) You!

You please now hands-on practice the above (with people in your own home)

Be sure to tell the patient what sensations they should be mindful of and alert you of before you straighten their head.

2-person body roll and get patient fully onto a pad.

   
9 12:50 27-29 Dallas

Lifting and moving ("BEAMing") a patient from one place to another

   
10a 11:58 16-26, 93+ Lafroy

Patient Assessment System II:

  • Secondary Survey  NOTE:  viewer, please print out the "SOAP Note" linked to the right and have it handy immediately at the start of this video.

WFA Certification Candidates:  continue creating (add to) your Patient Assessment Checklist, which you'll submit later.

SOAP Note

Pale / bluish / gray skin on inner lip & tongue, regardless of skin tone when healthy

Use SOAP note for the rest of class.  Sorry for the video's sound level fluctuation.
10b 16:21 + 2:03 20-21 Lafroy
11 3:34 checklist you created; & 24-25 Matthew

Zen Review:  Patient Assessment System

 

Use your checklist

Practice fully filling out a SOAP note

12 (up to you) You!  :)

You please now hands-on practice entire Patient Assessment System (on someone at home) until you feel you missed no steps

 
13 27:14 33-37 Dallas

Musculoskeletal System & Injuries

Bruise on dark-complexion skin

Cast on fractured lower leg

 
14 29:59

+ 4:20

38-39 Matthew

Leg Splint Demo (with course content intermixed)

Video file 1 of 2  ~  File 2 of 2

   
15 (up to you) 38-39 You!  :)

You please now hands-on practice (on someone at home) fully making fractured lower leg splint. 

See brown text below for key elements.

WFA Certification Candidates

First ask your patient to try their hardest to bend their knee, and to move their ankle forward (push gas pedal), backward, and side-to-side.  If any of these can move, keep enhancing your splint until they cannot.  Keys:  tight ties, a tie super-high-up the patient's leg, and one way to secure the ankle is to tightly sandwich in the toes and ankle.

Then at least 5 photographs please, showing:

1+2)  Whole splint (2 photos - one from each side), with rigid element(s) visible on the outside (like a motorcycle helmet, all padding is on the inside) from hip joint to at least a few inches past the bottom of the foot.  Good-times thumbs-up smile of your patient if they want!  Full-leg-length rigid element should not be a SAM splint.

3)  Upper part of splint, fully 360-degrees padded (no gaps), with the highest-up tie at most one inch below the patient's groin, wrapped over padding and the rigid element(s)

4)  Patient trying hard and unable to slide a single finger between the rigid element and a tie that's over it.  Show the patient's finger trying to slide beneath the tie at the pole but not able to (if they can, the ties are too loose).  Sample pictures:  tight ~ loose.

5)  Ankle portion, showing items (e.g. the removed then secured-in shoe, ties, SAM splint -- not just padding) which prevent the patient from pushing the gas pedal and pulling the ankle back, and toes sticking out.

   
16 19:23

+ 10:49 + 5:22

39-41 Lafroy

Arm Splint + Spine Clear Demo

Video file 1 of 3 ~ File 2 of 3 ~ File 3 of 3

WFA Certification Candidates:  finish your Patient Assessment Checklist with a note that spine-clearing comes Last (necessary only if Positive MOI) and to use a resource to perform it -- to never wing it.  Photograph or scan your completed Patient Assessment Checklist.

   
17 (up to you) 39-41 You!  :)

You hands-on practice (on someone at home:  (1) fully splint an arm on a Positive MOI patient laying down, and then (2) perform all spine clearing procedure steps.

See brown text below for key elements.

WFA Certification Candidates

First before applying sling and swath, ask your patient to try their hardest to move the palm of their hand / bend their wrist up, down, and side-to-side.  If any movement is possible, keep enhancing your splint until it's not.  Key:  tight tie (with padding) over the back of the hand very near the knuckles.

Then at least 5 photographs please, showing:

1+2)  Whole splint (2 photos - one from each side), with rigid element(s) visible on the outside, from elbow at least to palm/back of hand, fully 360-degrees padded (no gaps), and bare minimum 5 ties -- at least two on each piece of the broken bone, and one at the hand.  If using a SAM splint, photo show its full length bent in a deep V. 

3)  Hand portion of splint, showing how tie(s) and/or rigid element(s) prevent the patient's palm from moving up, down, and side-to-side, all jewelry removed, and fingers and/or thumb sticking out.  (Now it's time to perform the spine-clearing procedure -- all 8 steps listed on the SOAP note.)

4)  Patient trying hard and unable to slide a single finger between the rigid element (if you used a SAM splint, that'd be the spine of the V) and a tie that's over it.  Show the patient's finger trying to slide beneath the tie at the pole but not able to (if they can, the ties are too loose).  Sample pictures:  tight ~ loose.

5)  Now apply and photograph the sling and swath, securing the lower arm in an elevated position, with the swath applied near the elbow like a tight hula hoop, and padding on the sides and back of the neck. Good-times thumbs-up smile of your patient if they want and can!

  The multi-step spine-clearing procedure comes LAST, after all treatment steps and SOAP note completion.

 

Never wing the spine-clearing procedure, in class or in field.

18 5:02 68 Dallas

Circulatory System

   
19a 28:23 68-73, 13, 78-79 Matthew

Soft Tissue Injuries

General Care Principles

Boston Marathon Bomb Victim:

gory pictures - visual trauma warning, if you choose to look at this.

story

 
19b 5:56 70-71 Matthew

Specific Soft Tissue Injuries

   
20 12:36 74 Dallas

Infection

Backpacker's infected foot blister ("SHARP")

Local infection on dark-complexion skin

Streaking & septic shock

Shoes-no-socks popped infected foot blister

 
21 27:39 58-59 Dallas

Bites and Stings

Mosquito bites on various skin tones

Brown Recluse and necrosis; Black Widow

Brown Recluse USA distribution

Ticks

 
22 2:34 (none) Matthew

Marine Bites and Stings (OPTIONAL topic)

CONTENT UPDATE:  for Nematocysts, after the Step 1:  flooding with vinegar (full-strength) for at least 30 seconds; add to what's presented:

Step 1.5) Remove any still-attached tentacles with gloved hand or tweezers.

Step 3.5) Hot-water immerse 45+ minutes (pain reduction and to denature the venom).

23 3:16 76-77 Alli

Friction Blisters

   
24 4:34 75 Alli

Burns (thermal and radiation)

2nd degree sun burns & more  
25 2:43 54-55 Alli

Frostbite

   
26 7:20 44-45, 48-53 Alli

Hypothermia

   
27 10:59 56-57 Lafroy

Heat Illnesses

   
28 18:13 (4-12, 14-15, 24) Lafroy

Demo:  Assessing, moving and treating a dehydrated Positive MOI patient sitting against a tree / cliff / wall wearing a backpack

   
29 (up to you) You!  :)

You please now hands-on practice (on someone at home) the Demo above 

  Use your checklist
30 7:37 60-61 Matthew

Lightning

   
31 14:16 30-31 Lafroy

Shock

Real SOAP Note

Notice 5-minute jumps in HR & RR

Sorry for the video's sound level fluctuation.
32 7:41 45, 80, 84 Lafroy

Change in Personality or Level of Consciousness (Brain Problems)

   
33 18:31 81-83 Lafroy

Shortness of Breath

Allergy:  HIVES on various skin tones image 1 ~ image 2

Allergy:  face swelling

Allergy:  lips (peanuts) & HIVES

CONTENT UPDATE:  the latest medical science changes the giving of rescue breaths on pre-puberty through newborns, to be 1 breath every 2 to 3 seconds (when not giving CPR)
34 7:09 82 Lafroy

Chest Pain

Plaque-clogged arteries  
35 4:47 81-83 Lafroy

Demo & pop quiz:  types of Shortness of Breath

  You figure out assess-ment and treatment
36 ? (n/a) You!  :)

Multiple-choice Quiz (read below first)

  CLOSED BOOK, CLOSED NOTES.  We are trusting you not to cheat, much as you trust that your doctor did not cheat their way through medical school.  We respect your integrity, thank you! 

  Required for WFA Certification Candidates, optional for others.
37 5:24 (n/a) Lafroy

Mini-store:  unique & hard-to-find items

WebStore OPTIONAL
38 2:10 (n/a) Matthew

Wrap-up & Thank You

   
39 (up to you 49, 62-65 You!  :)

Prevention, Planning, and Temporary Shelter ("Bivouac")

  • Please consider viewing www.HikeSafe.com and the book pages noted on the left.

 
40 (up to you) below You!  :)

Please fill out the feedback survey (to the right), and then see the Final Notes below.

Feedback Survey  

 

Final Notes:

 

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