Contents: First Aid | Training | Glossary

First Aid:

Recording Vital Information (SOAPnote)
See: SOAPnotes at: Virtual Naval Hospital, AMC

Guidelines/Medical Kits:
http://www.lights.com/waterways/survival/firstaid.htm


Glossary:
ABCDE - Airway, Breathing, Circulation, Disability (what's wrong), Expose (the disability)
AED - Automated External Defibrillator
ALS - Advanced Life Support. e.g. Paramedics. Tracheostomy
ALOC - Altered Level of Conciousness
AMPLE - See SAMPLE
AMS - Acute Mountain Sickness
AO x 3 - A&O X3 Alert and Oriented to Person Place and Time. (Who are you?, Where are You?, What time is it?, What were you doing?) X1: person only, X4: PPT + situation. answers questions appropriately and timely.
See AVPU
ASR - Acute Stress Reaction
AVPU - Alert, Verbal Responsive, Pain response (moans), Unresponsive
BLS - Basic Life Support. Basic First Aid training/EMT - CPR, mouth-to-mouth ventilation, ...
BP - Blood Pressure
BSI - Body Substance Isolation
c/o - complains of
CSM (or CMS) - Circulation, Sensation, Motion
C/T/M - Skin color, temperature and moisture
DCAPBTLS - Deformities, Contusions, Abrasions, Punctures & Penetrations, Blood & Burns, Tenderness, Lacerations, Swelling
EMT - Emergency Medicine Technician
Fx - Fracture
Hyper - High
Hypo - Low
Hyponutrimia - Electrolyte balance is thrown out of wack from too much water and not enough food. The layman's term is water intoxication, since a person appears to be drunk in its advanced stages.
JVD - Juglar Vein Distesion
LOC - Level of Conciousness. See AVPU
or Loss of Conciousness
MOI - Mechanism of Injury
O2 - Oxygen
OTC - Over the Counter
PEARL - Pupils Equal ANd Responsive & React to Light
PROP - Position of comfort, Reassurance, O2, Positive pressure ventilation (PPV)
For breathing problems
RICE - Rest, Ice, Compression, Elevation
ROM - Range of Motion
RR - Resperation Rate
SAMPLE - Signs & Symptoms, Allergies, Medications, Previous medical history, Last ins (food/water) & outs, Events leading to crisis
SCTM - Skin color, Temperature and Moisture
SOAP - Subjective (Location, age, sex, MOI/history of events, Symptoms), Objective (LOC, RR, HR, SCTM, ROM [repeat at 15 min.]), Assessment (Fracture/Hyothermis/ ...), PLAN (clean, bandage, splint, ...)
S/Sx - Signs/Symptoms
Tx - Treatament
URI - Upper Respiratory Infection
VS - Vital Signs
WBA - Weight Bearing Ability

See Abbreviations and Definitions at Mercy Memorial


Training
American Red Cross First Aid

Wilderness First Aid (16 hrs.) and Wilderness First Responder (80 hrs.)

SOLO (Stonehearth Open Learning Opportunities) East Coast
SOLOschools.com/schedule.html

Wilderness Medical Institute (WMI) of NOLS (National Outdoor Leadership School) West Coast
wildmed.com/schedule2.html#wfa

Wilderness Medical Associates


Treating small cuts and scrapes:
(NYT Aug., 7, 2006 and Mayo Clinic Women's HealthSource) It is better to keep the wound moist and covered so that blood vessels regenerate faster and inflammation is minimal. Some people are very sensitive to Neomycin which is contained in Neosporin®, and many generic triple antibiotic ointments. Polysporin® does not contain Neomycin. Vaseline or Aquaphor will do just fine as a moistening agent. Don't use Providone iodine solution (betadine®), alcohol or hydrogen peroxide because they are too strong and can damage cells, interfering with healing; Plain vaseline is enough.
DonŐt leave the scab on too long, lest it leave a larger scar than you would want.
Seek medical help if you think you need stitches, you can't clean the wound, or if the injury was caused by an animal or human bite. You should also seek medical attention if it has been 10 years or longer since your last tetanus shot.

Remedy tricks:

  • Drinking two glasses of Gatorade can relieve headache pain almost immediately-- without the unpleasant side effects caused by traditional "pain relievers."
  • Colgate toothpaste makes an excellent salve for burns.
  • Try chewing on a couple of curiously strong Altoids peppermints. They'll clear up your stuffed nose.
  • Smart splinter remover. Just pour a drop of Elmer's Glue-All over the splinter, let dry, and peel the dried glue off the skin. The splinter sticks to the dried glue.
  • Balm for broken blisters... To disinfect a broken blister, dab on a few drops of Listerine. a powerful antiseptic.

Links:
High Altitude Guidelines
Anaphylaxis
Traveler's Diarrhea
Altitude Sickness
Outdoor Emergency Care (OEC) Training
Wilderness Medicine Continuing Medical Education (CME) courses.
Adaptability: Adapting to High Altitude
International Society for Mountain Medicine (ISMM)
The High Altitude Medicine Guide
Outdoor Emergency Care at the National Ski Patrol
Stanford Hospital Approved Abbreviations Acronyms and Symbols
Wilderness Survival Gear
Sample First Aid Kit List at the Sierra Club

last updated 5 Sep 2007