Mountain First Aid

Note-For educational purpose only, professional advice should be taken before going to life threatening situation
First Aid person should be experienced

Seven steps to follow after accident -

Step-1:Take the charge of the situation.

1. If more then one person is injured the order of priority,
   
   1. More injured but good change of survival should be given first priority.
   2. More inured but can wait.
   3. Who can do safety treatments.
   4. Less chance of survival.
2. Climb leader should survey the seen immediately.

Step-2:Approach the patient safely-
look for rockfall, avalanche, fast water flow and physical limits.

Emergency rescue and fist aid-
Shift the person if he is in danger or the rescuer is in danger otherwise first inspect the injury. Watch for -

• Alertness
• Response of your call.
• Responsive of pinching (semiconscious )
• Unconscious.

If semiconscious or Unconscious check for ABCD-
A- Airways ( see nose and mouth ). If there is clothing of blood in nose or swelling in mouse. First clear the airways.
B-Breathing - put hand in front of nose or put small peace of cotton in front of nose.
C- Circulation - normal is 60-90 pulse rate. Pulse rate increases during unconsciousness and can go up to 180 . Observe the pulses from neck since hands will be covered with gloves etc.
D- Deadly bleeding -
External bleeding or internal bleeding.
If internal bleeding check for important sites

1. Abdomen -
   tightness and swelling at abdomen.
2. Thai -
   -swelling , blueish color and stiffness at thai.
   -Pulse rate will be very high but less powerful pulse or low pulse pressure.
   - Due to internal bleeding patent can go to comma . Immediately shit patient to hospital.

Step-4:Protect patient-
CPR http://depts.washington.edu/learncpr/quickcpr.html and Cardio.

Step-5
Provide dry clothes, pain killers, shelter and psychological support.

Step -6:Check for other minor injuries-
From head to legs- ears , eyes , teeths , redness at eye or readness at the bottom of eyes, check head, spinal injury (important - if injured stifness ), discolour of skin any defromity (visible fractures ) , swealing ( don't take chance it can be fracture )

Important thing to note-
fracture , spinal and head injury.

Fracture-
-don't move patent too much.
-tie with stick, thick clothes, newspapers since it give painless moment to patient.

Step-7:Carry out plan-
First aid leader will plan for further treatment and climb leader will plan for rest of party.If needed shift the person to base camp with a note detailing his injury . Strong person should shift the patent. Climb leader will decide whether to go further , wait for rescue or come back.