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Wilderness 1st Aid Plan

May 15th, 2008 by admin

The folks over at Wilderness Medicine just completed a month long blog that covered a nine step plan for, god forbid, handling medical emergencies in the wilderness.  Each post covered a plan or checklist for their nine step Patient Assessment System.  I participated in Wilderness 1st Aid classes and mock emergencies I where I ‘hurt’ victims by rushing to judgments and offering improper assistance.  The checklists force a process that ensures all aspects of the situation get addressed.  If you aren’t going to take a Wilderness 1st Aid class or Wilderness 1st Responder, then at least read their full set of posts.

The Patient Assessment System

1. The First Five Minutes
2. Patient Assessment System - Scene Survey
3. Patient Assessment System - Primary Survey
4. Patient Assessment System - Vital Signs
5. Patient Exam: What are their injuries?
6. Patient Assessment System - AMPLE History: What is their past medical history?

A - Allergies
M - Medications
P - Previous Injury or Illness
L - Last Input and Output
E - Events leading up to the crisis

7. Patient Assessment System - SOAP: What is our patient care plan?

Subjective data:  age, sex, the mechanism of injury , and the chief complaint
Objective data:  vital signs, the patient exam, and the AMPLE history.
A - Assessment:  (problem list)
P - Plan:  (plan for each problem on the problem list)
8. Rescue Survey / Plan
9. Patient Assessment Check List

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