Apr 25, 2017
(via https://www.youtube.com/watch?v=dLRenpfd-A8)
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(via https://www.youtube.com/watch?v=dLRenpfd-A8)
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from ArraySeven
Medic Tip #3
First steps for all medics on scene: #1 Check the scene: Before you come up to an injured/unconscious person, you need to be aware of any dangers that may have been the mechanism of injury. Examples include a violent person, electrical shock, tear gas, etc. This is important for obvious reasons. Medics are sparce and if you are incapacitated and/or dead, you're not much help. That being said, as a protest medic you need to be aware that you are accepting the risks of a protest environment. You may be tear gassed, you may become a target. Counter-protestors and cops probably won't give you grace. As a medic, you should take every precaution possible to keep yourself safe, but also have clear boundaries of how far you're willing to go to help someone. Things are going to get bad out there. #2 Asking for consent to treat from victims: You can’t help someone who is conscious and alert without asking first. A sample script would be "Hi, my name is _ and I am CPR and first aid certified. Can I assist you?" If the victim becomes unconscious and/or unresponsive, this may change. This brings up the idea of implied consent. When someone is unconscious/unresponsive, or when someone is confused/dazed and unable to communicate, etc, implied consent is a practice where you assume they would give consent to treatment if they were in the right mindset. Implied consent also covers infants/children/minors when parents/guardians (over 18) are absent. In these cases, the Good Samaritan law will protect you, even in cases where victims have DNR orders. NOTE: implied consent is in regards to first aid/CPR/life support ONLY. Please do not use this term outside of this context. #3 contact EMS (emergency medical services) if needed, or have someone do it for you. Do not assume that a witness will call. You are the one in charge, you need to direct bystanders to call. If you are by yourself and the victim is unresponsive: call EMS first if the victim is an adult, then perform CPR/rescue breaths, if the victim is a child/infant, perform two rotations then call.
Medic tip #2
How to handle multiple victim scenarios:
When mass casualties occur, like in a protest situation or in the event of a terrorist attack, you may have to sort the victims by severity of injury. This allows you to sort the victims in a manner that allows you to help as many people as possible.
Ambulatory- they are able to walk. If they are uninjured or relatively non-traumatized, they may be able to help you with first aid. Ambulatory victims can have minor injuries and still be able to assist. Be aware that there are injuries you may not be able to see, like psychological ones or internal (physical) ones, always try to check on victims multiple times to ensure they don’t become worse. Example: large scrapes, bruises, minor bleeding
Delayed- they may not have life threatening injuries (meaning you can delay treatment), but the injury is significant enough that they cannot/should not move on their own. Assess for responsiveness. Remember- delayed victims can become immediate if not watched. Keep an eye on everyone if possible and go check in on victims you’ve labeled as delayed. Example: broken leg
Immediate- they have life threatening injuries that must be treated or they will become dead/expectant. The most important part of this category is that you can correct it with as little intervention as possible. Ambulatory victims can help with this. To decipher between immediate and expectant when the victim is unresponsive, open the airway. If the person takes a breath, they are considered immediate. If they don’t, readjust the head and try to open the airway one more time. If they don’t take a breath they are considered dead/expectant. Example: Gunshot injuries, partial/complete amputation, major bleeding
Dead or expectant - No signs of life (no pulse and/or no breathing). This person is in need of CPR or they are already dead. If you are the only responder, move on. This is a terrifying reality, but they need resuscitation beyond your capability. Remember- CPR/AED will not revive a victim. You are compressing the heart in order to move blood and oxygen around the body. If you have an ambulatory victim that knows CPR/can understand your instruction to perform CPR, they can be used in this instance. Note: if someone is not breathing but has a pulse, you can consider them immediate if you have an ambulatory person that can perform rescue breaths.
Medic Tip #1
Water is more than enough to flush eyes with post tear gas/pepper spray exposure. Water does not make these chemicals worse.
If you withhold care from someone because you’re waiting for a maalox solution/milk/etc, the person you’re treating can sue you for neglect and the Good Samaritan law will not protect you. You are responsible for the person that consents (or gives implied consent) to your treatment. You could cause them to go blind if you withhold treatment.
Flush their eyes with water, running away from the nose if it’s just one eye, or if it’s both you can alternate or flush both at once. You should flush their eyes for at least 5 minutes if at all possible, but 10-15 is ideal. If you’re using a mix solution, make sure to clarify that they have no known allergies to the solution before treatment.
tl;dr DO NOT withhold eye care because all you have is water. You will cause more damage and you could get sued.
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