Wilderness preparedness - Revision history

Rontluu: /* Special Equipment for Use by Medical Professionals Travelling */

2021-05-11T01:47:39Z

Special Equipment for Use by Medical Professionals Travelling

← Older revision		Revision as of 01:47, 11 May 2021
Line 155:		Line 155:
	Equipment requiring a high level of training such as that for surgical airways, chest tubes, or suction, to name a few, may be included in the supply kit of there will participants with medical training. These are items that should not be used by the general public lacking medical training, as their improper use could cause further injury or exacerbation of a medical condition. These items are not limited to but may include the following:		Equipment requiring a high level of training such as that for surgical airways, chest tubes, or suction, to name a few, may be included in the supply kit of there will participants with medical training. These are items that should not be used by the general public lacking medical training, as their improper use could cause further injury or exacerbation of a medical condition. These items are not limited to but may include the following:
	* OP and NP airways		* OP and NP airways
	* ~~bulb~~ suction		* Bulb suction
	* Bag valve mask with both adult and/or pediatric sizes available depending on age of participants		* Bag valve mask with both adult and/or pediatric sizes available depending on age of participants
	* ~~supplemental~~ oxygen supply		* Supplemental oxygen supply
	* 14 french oral and nasogastric tubing supplies		* 14 french oral and nasogastric tubing supplies
	* ~~Cricothyroid~~ supplies		* Cricothyroidotomy supplies
	* Endotracheal tube 7.0 diameter		* Endotracheal tube 7.0 diameter
	* LMA		* LMA
	* ~~king~~ airway		* King airway
	* ~~bougie~~		* Bougie
	* IV tubing with spike		* IV tubing with spike
	* ~~chest~~ tube 32 french		* Chest tube 32 french
	* ~~syringes~~ and needles		* Syringes and needles
	* IV catheters		* IV catheters
	* ~~sharps~~ disposal container		* Sharps disposal container
	* ~~tourniquet~~		* Tourniquet
	* ~~intravenous~~ fluid		* Intravenous fluid
	* AED		* AED
	* ~~cervical~~ collar		* Cervical collar
	* N95 masks if concern for TB in area of travel		* N95 masks if concern for TB in area of travel
	* ~~surgical~~ tools (scalpel, hemostat, forceps)		* Surgical tools (scalpel, hemostat, forceps)
			* Handheld ultrasound

	==Medications==		==Medications==

Rontluu: /* Group Medical Kit */

2021-05-11T01:45:47Z

Group Medical Kit

← Older revision		Revision as of 01:45, 11 May 2021
Line 137:		Line 137:
	* Stethoscope		* Stethoscope
	* Urine test strips		* Urine test strips
	* ~~finger~~ pulse-~~oximiter~~		* Finger pulse-oximeter
	* ~~urine~~ pregnancy tests		* Urine pregnancy tests
	* ~~glucometer~~		* Glucometer
	* ~~magnifying~~ glass		* Magnifying glass
	* ~~otoscope~~		* Otoscope with speculum
	* ~~ophthalmoscope~~		* Ophthalmoscope w/ speculum
	* ~~end~~-tidal carbon dioxide detector		* Penlight
	* ~~sam~~ splint or other commercially available device		* Tongue blade
	* ~~long~~ angiocatheter for [[needle thoracostomy]]		* Cotton tip swabstick
			* End-tidal carbon dioxide detector
			* Sam splint or other commercially available device
			* Long angiocatheter for [[needle thoracostomy]]

	When possible, it is wise to store a fully-stocked medical kit in a locked vehicle located at the base camp for the expedition.		When possible, it is wise to store a fully-stocked medical kit in a locked vehicle located at the base camp for the expedition.

Rontluu: /* Personal Medical Kit */

2021-05-11T01:43:25Z

Personal Medical Kit

← Older revision		Revision as of 01:43, 11 May 2021
Line 102:		Line 102:
	* High priority over the counter (OTC) medications such as pain relievers, anti-histamines, anti-nausea, antacids, and-diarrheals, creams/ointments, and aloe vera gel.		* High priority over the counter (OTC) medications such as pain relievers, anti-histamines, anti-nausea, antacids, and-diarrheals, creams/ointments, and aloe vera gel.
	* Copy of personal identification documents		* Copy of personal identification documents
	* ~~notepad~~ and writing utensil (preferably waterproof paper, and a pencil)		* Notepad and writing utensil (preferably waterproof paper, and a pencil)
	* ~~sun~~ protection (hat, sunglasses, high SPF sunscreen); bring excess of sunscreen as this will likely be shared with other participants		* Sun protection (hat, sunglasses, high SPF sunscreen); bring excess of sunscreen as this will likely be shared with other participants
	* ~~topographic~~ map ~~and~~ compass (and a basic knowledge of how to utilize these tools)		* Topographic map, compass, GPS device (and a basic knowledge of how to utilize these tools)
	* ~~multitool~~ (e.g.Swiss Army knife, Leatherman)		* Multitool (e.g. Swiss Army knife, Leatherman)
	* ~~nylon~~ cord		* Nylon cord
	* ~~small~~ plastic zip ties		* Small plastic zip ties
	* ~~rescue~~ whistle and small plastic mirror for signaling		* Plastic bags
	* ~~fire~~ starting items (lighter, wind-proof matches, flint/steel)		* Rescue whistle and small plastic mirror for signaling
	* ~~rain~~ poncho, or large thick garbage bag (preferably 4mm thickness)		* Fire starting items (lighter, wind-proof matches, flint/steel)
	* ~~adhesive~~ compress		* Rain poncho, or large thick garbage bag (preferably 4mm thickness)
	* ~~alcohol~~-based hand sanitizer		* Adhesive compress
	* ~~alcohol~~ preps		* Alcohol-based hand sanitizer
	* ~~bandages~~ in different sizes		* Alcohol preps
	* ~~duct~~ tape		* Bandages in different sizes
	* ~~brightly~~-colored flagging tape		* Topical tissue adhesive (e.g. Dermabond)
	* ~~bandana~~		* Duct tape
	* ~~safety~~ pins		* Brightly-colored flagging tape
	* ~~granola~~/protein bar for quick energy		* Bandana
	* ~~personal~~ hygiene products		* Safety pins
	* ~~survival~~ guide		* Granola/protein bar for quick energy
	* ~~mosquito~~ netting		* Personal hygiene products
	* ~~ear~~ plugs (to maintain adequate sleep in unfamiliar environment)		* Condoms
			* Survival guide
			* Mosquito netting
			* Ear plugs (to maintain adequate sleep in unfamiliar environment)

	==Group Medical Kit==		==Group Medical Kit==

Rontluu: /* Screening questionnaire */

2021-05-11T01:35:34Z

Screening questionnaire

← Older revision		Revision as of 01:35, 11 May 2021
Line 53:		Line 53:
	# Phobias that may impair ability to carry out activities required during travel		# Phobias that may impair ability to carry out activities required during travel
	# Evaluation of endurance (ability to run a mile or perform required level of physical activity without chest pain, shortness of breath, etc.)		# Evaluation of endurance (ability to run a mile or perform required level of physical activity without chest pain, shortness of breath, etc.)
	# Pregnancy status and ~~LMP~~ (for females)		# Pregnancy status, LMP, and contraceptive methods (for females)
	# Vaccination History		# Vaccination History
	# Signature of Applicant		# Signature of Applicant

Gpowellhb: /* Group Medical Kit */

2020-02-11T21:37:08Z

Group Medical Kit

← Older revision		Revision as of 21:37, 11 February 2020
Line 134:		Line 134:
	* Stethoscope		* Stethoscope
	* Urine test strips		* Urine test strips
	* finger ~~puls~~-oximiter		* finger pulse-oximiter
	* urine pregnancy tests		* urine pregnancy tests
	* glucometer		* glucometer
Line 140:		Line 140:
	* otoscope		* otoscope
	* ophthalmoscope		* ophthalmoscope
	* end-tidal carbon dioxide detector		* end-tidal carbon dioxide detector
			* sam splint or other commercially available device
			* long angiocatheter for [[needle thoracostomy]]

	When possible, it is wise to store a fully-stocked medical kit in a locked vehicle located at the base camp for the expedition.		When possible, it is wise to store a fully-stocked medical kit in a locked vehicle located at the base camp for the expedition.

	==Special Equipment for Use by Medical Professionals Travelling==		==Special Equipment for Use by Medical Professionals Travelling==

ClaireLewis at 17:43, 24 September 2019

2019-09-24T17:43:46Z

ND 2019: Physical Preparedness

2019-04-10T15:32:58Z

Physical Preparedness

@@ Line 64: / Line 64: @@
 * Participant should procure adequate amount of required medication and/or medical supplies to for period of time roughly two to three times the planned trip duration in case of travel delays or severe illness while in remote areas.
 * Care should be taken to maintain normal medication schedule while traveling to minimize potential for exacerbation.
 * At-risk participants should be sure to wear medical identification on their person in case of emergency situation.
 ==General Strategy for Medical Kit and Equipment Preparation==

Rossdonaldson1: /* Pre-Trip Evaluation of the Healthy Participant */

2018-06-07T17:12:52Z

Pre-Trip Evaluation of the Healthy Participant

← Older revision		Revision as of 17:12, 7 June 2018
Line 37:		Line 37:
	* Steps to avoid harm while traveling can include fitness endurance training, medication changes (e.g. increasing dose of medication for seasonal allergies prior to trip), diagnostic tests, or can go so far as the physician recommending the participant not take part in activities deemed to unsafe.		* Steps to avoid harm while traveling can include fitness endurance training, medication changes (e.g. increasing dose of medication for seasonal allergies prior to trip), diagnostic tests, or can go so far as the physician recommending the participant not take part in activities deemed to unsafe.

	* Screening questionnaire ~~typically~~ includes some or all of the following:		===Screening questionnaire===
			''Typically includes some or all of the following''
	# General information (name, age, address, etc,)		# General information (name, age, address, etc,)
	# Trip information (destination, dates, and planned activities)		# Trip information (destination, dates, and planned activities)
Line 55:		Line 56:
	# Vaccination History		# Vaccination History
	# Signature of Applicant		# Signature of Applicant
	# Signature of Physician performing the screening		# Signature of Physician performing the screening

	==Pre-Trip Evaluation of the Participant with Preexisting Condition(s)==		==Pre-Trip Evaluation of the Participant with Preexisting Condition(s)==

Rossdonaldson1: /* =Wounds */

2018-06-07T17:12:15Z

=Wounds

← Older revision		Revision as of 17:12, 7 June 2018
Line 184:		Line 184:
	* Can close minor skin wounds with super glue.		* Can close minor skin wounds with super glue.

	====Wounds===		===Wounds===
	* Main goals of treating wounds in the austere environment are cleanliness and hemostasis.		* Main goals of treating wounds in the austere environment are cleanliness and hemostasis.
	* Decision to close deeper wounds depends on remaining duration of trip, distance from medical facility, and risk of infection if wound is left open.		* Decision to close deeper wounds depends on remaining duration of trip, distance from medical facility, and risk of infection if wound is left open.
	* Irrigate with sterile water is preferable, but if non is available, copious irrigation with non-sterile water is better than not irrigating a wound.		* Irrigate with sterile water is preferable, but if non is available, copious irrigation with non-sterile water is better than not irrigating a wound.
	* Adhesive bandages are extremely useful in wilderness setting as they can close a wound as well as create a barrier to prevent contamination of wound.		* Adhesive bandages are extremely useful in wilderness setting as they can close a wound as well as create a barrier to prevent contamination of wound.

	===Stings/Bites===		===Stings/Bites===

Rossdonaldson1: /* Common Medical Problems Encountered in the Remote Environment */

2018-06-07T17:12:08Z

Common Medical Problems Encountered in the Remote Environment

← Older revision		Revision as of 17:12, 7 June 2018
Line 162:		Line 162:

	==Common Medical Problems Encountered in the Remote Environment==		==Common Medical Problems Encountered in the Remote Environment==
	Gastrointestinal Distress		===Gastrointestinal Distress===
	* Be careful when ingesting locally-prepared foods and beverages when traveling in foreign environments.		* Be careful when ingesting locally-prepared foods and beverages when traveling in foreign environments.
	* bottles and heated drinks and peeled or cooked foods are less likely to contain GI pathogens.		* bottles and heated drinks and peeled or cooked foods are less likely to contain GI pathogens.
Line 171:		Line 171:
	* Consider medical care for anyone who has atypical abdominal pain or those prescribed proton pump inhibiting medication (PPI).		* Consider medical care for anyone who has atypical abdominal pain or those prescribed proton pump inhibiting medication (PPI).

	Fractures and/or Dislocations		===Fractures and/or Dislocations===
	* Can improvise a splint from numerous materials available at hand if no SAM splints are available.		* Can improvise a splint from numerous materials available at hand if no SAM splints are available.
	* Use cold packs with caution to avoid chemical burns or frostbite.		* Use cold packs with caution to avoid chemical burns or frostbite.
Line 177:		Line 177:
	* Monitor extremity for signs of compromised circulation, as this is a medical emergency requiring extraction and transfer to medical facility as soon as possible.		* Monitor extremity for signs of compromised circulation, as this is a medical emergency requiring extraction and transfer to medical facility as soon as possible.

	Blisters/General Foot Care		===Blisters/General Foot Care===
	* Wear footwear that is comfortable and "broken-in" prior to trip. Avoid new footwear as shoes that have never been worn can quickly cause blisters.		* Wear footwear that is comfortable and "broken-in" prior to trip. Avoid new footwear as shoes that have never been worn can quickly cause blisters.
	* Keep socks dry and clean at all times; pack backup pair if possible.		* Keep socks dry and clean at all times; pack backup pair if possible.
Line 184:		Line 184:
	* Can close minor skin wounds with super glue.		* Can close minor skin wounds with super glue.

	Wounds		====Wounds===
	* Main goals of treating wounds in the austere environment are cleanliness and hemostasis.		* Main goals of treating wounds in the austere environment are cleanliness and hemostasis.
	* Decision to close deeper wounds depends on remaining duration of trip, distance from medical facility, and risk of infection if wound is left open.		* Decision to close deeper wounds depends on remaining duration of trip, distance from medical facility, and risk of infection if wound is left open.
Line 190:		Line 190:
	* Adhesive bandages are extremely useful in wilderness setting as they can close a wound as well as create a barrier to prevent contamination of wound.		* Adhesive bandages are extremely useful in wilderness setting as they can close a wound as well as create a barrier to prevent contamination of wound.

	Stings/Bites		===Stings/Bites===
	* OTC ointments such as Hydrocortisone and Benadryl cream are beneficial to keep in medical kit		* OTC ointments such as Hydrocortisone and Benadryl cream are beneficial to keep in medical kit
	* Participants with a history of insect allergy should cary epinephrine auto-injector (EpiPen) in their personal medical kit to prevent anaphylaxis in the event of a sting/bite.		* Participants with a history of insect allergy should cary epinephrine auto-injector (EpiPen) in their personal medical kit to prevent anaphylaxis in the event of a sting/bite.
	* Topical corticosteroids useful for insect bites and/or contact dermatitis.		* Topical corticosteroids useful for insect bites and/or contact dermatitis.

	Pain		===Pain===
	* OTC medications such as NSAID, Acetaminophen, and Aspirin can provide adequate analgesia for common complaints such as headache or muscle ache.		* OTC medications such as NSAID, Acetaminophen, and Aspirin can provide adequate analgesia for common complaints such as headache or muscle ache.
	* Can consider bringing narcotic analgesics in the event a more invasive procedure such as suturing or fracture splinting should be required.		* Can consider bringing narcotic analgesics in the event a more invasive procedure such as suturing or fracture splinting should be required.

	==External Links==		==External Links==

← Older revision		Revision as of 17:43, 24 September 2019
Line 7:		Line 7:
	* During planning stage, it is important to talk to individuals with knowledge and expertise about specific environment (e.g. tour guides, local residents, colleague who has done extensive traveling in area).		* During planning stage, it is important to talk to individuals with knowledge and expertise about specific environment (e.g. tour guides, local residents, colleague who has done extensive traveling in area).
	* Injury secondary to minor trauma is generally more common than medical illness in the wilderness environment.		* Injury secondary to minor trauma is generally more common than medical illness in the wilderness environment.
	* Fatalities in remote environments are most likely to be secondary to trauma, and the three most common traumatic events are falls, blunt trauma, and drowning.		* Fatalities in remote environments are most likely to be secondary to [[trauma]], and the three most common traumatic events are falls, [[blunt trauma]], and [[drowning]].
	* Most life-threatening injuries leading to preventable death in the wilderness are caused by trauma that went unidentified, asphyxia, exsanguination, and untreated pneumothorax.		* Most life-threatening injuries leading to preventable death in the wilderness are caused by trauma that went unidentified, asphyxia, exsanguination, and untreated pneumothorax.
	* Deaths that occurred in non-traumatic situations are most frequently the result of cardiovascular disease.		* Deaths that occurred in non-traumatic situations are most frequently the result of cardiovascular disease.
	* Commonly-experienced nonfatal trauma: damage to soft tissue such as lacerations or sprains. Severe injuries such as fractures or dislocations are much less common.		* Commonly-experienced nonfatal trauma: damage to soft tissue such as [[lacerations]] or sprains. Severe injuries such as fractures or dislocations are much less common.
	* The lower extremities are more often injured than upper extremity, usually due to improper footwear or inadequate care for injuries such as blisters or sprains.		* The lower extremities are more often injured than upper extremity, usually due to improper footwear or inadequate care for injuries such as blisters or sprains.
	* Exposure to unfamiliar pathogens in the wilderness as well as limited hygiene resources commonly lead to illnesses such as upper respiratory tract infection and gastroenteritis.		* Exposure to unfamiliar pathogens in the wilderness as well as limited hygiene resources commonly lead to illnesses such as upper respiratory tract infection and gastroenteritis.
	* Common minor illnesses include headache, dehydration, heat-related illness, muscle ache, dermatitis, sunburn, and allergic reaction.		* Common minor illnesses include [[headache]], [[dehydration]], [[heat emergencies\|heat-related illness]], [[myalgia\|muscle ache]], dermatitis, sunburn, and [[allergic reaction]].
	* Environmental causes such as altitude and temperature extremes can be be lessened or even avoided with proper research and preparation.		* Environmental causes such as altitude and temperature extremes can be be lessened or even avoided with proper research and preparation.

Line 178:		Line 178:

	==Common Medical Problems Encountered in the Remote Environment==		==Common Medical Problems Encountered in the Remote Environment==
	===Gastrointestinal Distress===		===[[Nausea/vomiting\|Gastrointestinal Distress]]===
	* Be careful when ingesting locally-prepared foods and beverages when traveling in foreign environments.		* Be careful when ingesting locally-prepared foods and beverages when traveling in foreign environments.
	* bottles and heated drinks and peeled or cooked foods are less likely to contain GI pathogens.		* bottles and heated drinks and peeled or cooked foods are less likely to contain GI pathogens.
Line 187:		Line 187:
	* Consider medical care for anyone who has atypical abdominal pain or those prescribed proton pump inhibiting medication (PPI).		* Consider medical care for anyone who has atypical abdominal pain or those prescribed proton pump inhibiting medication (PPI).

	===Fractures and/or Dislocations===		===[[Fractures]] and/or Dislocations===
	* Can improvise a splint from numerous materials available at hand if no SAM splints are available.		* Can improvise a splint from numerous materials available at hand if no SAM splints are available.
	* Use cold packs with caution to avoid chemical burns or frostbite.		* Use cold packs with caution to avoid chemical burns or frostbite.
Line 206:		Line 206:
	* Adhesive bandages are extremely useful in wilderness setting as they can close a wound as well as create a barrier to prevent contamination of wound.		* Adhesive bandages are extremely useful in wilderness setting as they can close a wound as well as create a barrier to prevent contamination of wound.

	===Stings/Bites===		===[[Insect bites\|Stings/Bites]]===
	* OTC ointments such as ~~Hydrocortisone~~ and Benadryl cream are beneficial to keep in medical kit		* OTC ointments such as [[hydrocortisone]] and [[Benadryl]] cream are beneficial to keep in medical kit
	* Participants with a history of insect allergy should cary epinephrine auto-injector (EpiPen) in their personal medical kit to prevent anaphylaxis in the event of a sting/bite.		* Participants with a history of insect allergy should cary [[epinephrine]] auto-injector (EpiPen) in their personal medical kit to prevent [[anaphylaxis]] in the event of a sting/bite.
	* Topical corticosteroids useful for insect bites and/or contact dermatitis.		* [[Topical corticosteroids]] useful for insect bites and/or contact dermatitis.

	===Pain===		===Pain===
	* OTC medications such as NSAID, ~~Acetaminophen~~, and ~~Aspirin~~ can provide adequate analgesia for common complaints such as headache or muscle ache.		* OTC medications such as [[NSAID]], [[acetaminophen]], and [[aspirin]] can provide adequate analgesia for common complaints such as headache or muscle ache.
	* Can consider bringing ~~narcotic~~ analgesics in the event a more invasive procedure such as suturing or fracture splinting should be required.		* Can consider bringing [[opioid]] analgesics in the event a more invasive procedure such as suturing or fracture splinting should be required.

	==External Links==		==External Links==