Problem A Green Leader #2 Runner #4

Transcription

1 Potawatomi First Aid Meet 2014 Problem A Green Leader #2 Runner #4 Four members of your troop are working on the cross- country skiing portion of the Snow Sports merit badge at the Old World Wisconsin State Park near Eagle, Wisconsin. Mr. Nelson, a ski instructor and father of one of the scouts, has been working with your group for several weeks. He has decided that you are ready for the challenging Blue Trail. At 9:00 AM, with a 0 wind chill, your group and Mr. Nelson put on their skis, and head down the trail. Everything was going well for the first two miles. 45 minutes after starting, you reach the merger with the Black Trail. Suddenly a skier from the Black Trail cuts in front of scout Elliot. Elliot panics and jumps off of the groomed trail. He skis uncontrolled several hundred feet downhill before tumbling into a large bush. Unfortunately, under the bush was a coyote den. A young coyote jumps out of the den, bites Elliot s right hand, and runs off into the woods. Mr. Nelson and the rest of your group stop as soon as they can. When your group arrives at Elliot s side, you notice several long thorns from a Hawthorn bush sticking out from Elliot s pants. The thorns have penetrated the fabric and gone into his lower left leg. Torn flesh on his right hand is seeping blood. Mark, another of your group, had remembered to take his medication before he left home, but forgot to bring his hat. He hadn t eaten anything since leaving home. With the strenuous skiing he is not feeling well. He tells the group he has a headache, he feels weak, and is dizzy. The group notices that he looks pale, has shallow breathing, and a rapid pulse. Mark falls to the ground but is conscious. While on the ground, Mark complains that his ear hurts. Upon inspection, the group notices that his left ear has grayish- white patches of skin. Mr. Nelson and the two uninjured scouts move the victims back to the trail, and then to a nearby warming house. Describe (but do not perform) how you would move both scouts back to the trail using a Shoulder drag. Treat both victims.

2 Potawatomi First Aid Meet 2014 Problem B GOLD Leader 3, Runner 1 It all started when Wilson picked up the scorpion. Troop 45 was camping at the Gorham Scout Ranch north of Sante Fe, New Mexico. Your crew of 10 scouts and leaders had gone out in the blazing sun to spend about an hour exploring the area around your campsite. Your leaders suggested cooling off with a swim. About 11 AM your crew headed to the swimming pool, Wilson and Julius dropped far back. When Wilson spied the scorpion, he picked it up, closing his right hand over it so he could show it to the rest of your group when they caught up. The scorpion stung him right in the center of his hand. Wilson screamed. Julius said, I hear someone over here. Follow me. Julius ran into the bush, down a hill with Wilson behind him. They didn t see the sign that said Fleming Archery Range. Stay on the Trail. A scout at the range was startled and released his arrow. It went way off target, hitting Julius in the left bicep, going about an inch deep. Julius fell down. Wilson tripped over him. Wilson broke his fall with his left arm. Hearing their screams, you and your crew ran back and found Julius and Wilson on the ground at the edge of the archery range. The arrow had dropped out of Julius s arm. There is a slow flow of blood running down from the wound. Julius says he is dizzy and thirsty and then faints. His skin is pale, cool, and sweaty. Wilson was screaming about the scorpion bite on his right palm, but he was having trouble moving his left arm to reach his right hand. Something snapped. You press gently on a red spot in the middle of his lower left arm. Wilson says, That hurts! Treat Wilson and Julius.

3 Potawatomi First Aid Meet 2014 Problem C - Blue Leader #1 Runner #2 Troop 26 is running its annual gourmet campout in the Camp Reinberg dining hall off of Quentin Road in Palatine, Illinois. Patrols compete to provide a full day of meals with great food and imaginative presentations. The Moosehead patrol has pulled out all the stops this year. Their signature dish is Alaskan salmon with a side of veggie fries. The patrol was so confident in their dish that they invited the District Chairman, Russell Jefferson, to dine with them that evening. Mr. Jefferson joked loudly with the patrol that if the food tasted bad, he would used the EpiPen attached to his belt for additional seasoning. Back in the kitchen, scout Nick has finished his salmon preparations. He slides the salmon into a pan that contains hot peanut oil for a quick pan- searing. Nick mentions to his fellow scouts that he hasn t been hungry since breakfast. A pain in his abdomen has been getting worse over the past few hours. Nick is able to fight through his increasing discomfort to deliver a delicious meal to his waiting critics at 6PM on the dot. He served the salmon at the table, directly from the pan. Mr. Jefferson takes the first bite of the salmon and proclaims it is the best he has ever had. He takes a few additional bites. He asks Nick what the special ingredient was in the salmon recipe. Before Nick can answer, Mr. Jefferson s breathing turns into wheezing as he struggles to take another breath. When he attempts to talk, you notice his tongue is swollen. He is fumbling along his belt. Scout Nick grabs at his abdomen in pain, knocking the hot frying pan off the table. Both Nick and Mr. Jefferson fall to the floor simultaneously. Mr. Jefferson falls face first to the concrete floor and knocks out one of his teeth on impact. Hot oil from the pan splashes onto Nick s right forearm, causing blisters to form. Treat Mr. Jefferson and Scout Nick.

4 Potawatomi First Aid Meet 2014 Problem D Pink Leader #4, Runner #2, CPR #1 It is about 2:00 pm on a warm but pleasant summer afternoon. You and your troop are hiking Big Pines Trail in the Big River State Forest, near Keithsburg, IL. You see spectacular views of the Mississippi River as you reach the junction where Big Pines Trail meets Lincoln s Trail. Below the main trail, an abandoned wooden shack surrounded by piles of junk attracted the attention of two scouts in your troop. The boys broke ranks and scurried down the steep embankment to investigate the old structure. Before they made it to the bottom, scout Billy tripped on a rock and fell, tumbling violently head over heels down the hill. He rammed into an old wooden workbench with his right leg. A loud c- r- a- c- k was clearly heard just before he came to a stop. The bench leaned enough to cause an old car battery to tip over. It dumped battery acid on the bench top, which then spilled onto Billy s face and into his eyes. Billy screamed in pain as he rolled away from the workbench as best as he could. His right leg was bent at a sickening angle below the knee and he had cuts and scrapes on both arms. He yelled Everything hurts! Hearing Billy s screams, the rest of the troop hurried along a turn in the trail to arrive at the shack. Mr. Douglas, the scout leader was also running as fast as he could to reach Billy. After the run, he could not catch his breath, and his breathing became more and more labored. Looking very pale, his shirt soaked with sweat, he complained of pain in his neck, jaw and left arm. He said, No, no, this can t be happening to me, I m alright! as he lost consciousness and fell to the ground, hitting his head on a rock. Mr. Douglas stopped breathing and had no pulse. A large lump quickly appeared on his forehead. Treat both Mr. Douglas and Scout Billy.

5 Judge's Sheet 2014 First Aid Meet Potawatomi District Problem A GREEN Leader #2 Runner #4 PATROL LABEL GOES HERE TOTAL Ref Ref HB MB ANALYSIS Mark Low blood sugar or Hypoglycemia or insulin shock 1 67 Frostbite on left ear Shock Elliot Coyote bite on right hand Puncture wounds on lower left leg Shock TREATMENT Mark Hypoglycemia- Give victim fruit juice or non-diet soft drink, or sugary snack 7 67 Frostbite- warm the left ear using any reasonable method Shock- Cover Victim Monitor breathing, pulse rate, and consciousness Raise legs Keep warm Elliot Coyote Bite-Wash hand with soap and water Flush hand with water for at least five minutes Cover hand with sterile bandage Puncture wounds- Remove thorns from leg Roll up the left pant leg Wash wounds with soap and water or sanitizing gel Control bleeding with sterile gauze pad Shock- Cover victim Raise legs Keep warm Shoulder Drag- Firmly grab clothes behind the shoulder and neck Support the head Pull headfirst Used sterile disposable gloves Disposed of gloves correctly CONDUCT Leader gave directions on first aid treatment 28 No disruptive behavior or comments 29 Worked cooperatively 30 Considerate of patients: reassuring, gentle 31 Did not step over patients 32 Judge Signature Patrol Leader Signature Unit # and Patrol

6 Judge's Sheet 2014 First Aid Meet Potawatomi District Problem B Gold Leader #3 Runner #1 Judge PATROL LABEL GOES HERE TOTAL Ref Ref HB MB ANALYSIS Wilson Scorpion Bite in right hand 1 76 Broken lower left arm Break is closed (simple) Shock Julius Puncture wound in left bicep 5 32 Heat Exhaustion Shock TREATMENT Wilson Fracture left forearm--tell Wilson not to move Keep the wrist and elbow stable Check for circulation Splint--extend splints beyond elbow and wrist Minimize movement while applying splints Secure splints with bandages, neckerchiefs, etc Tie in place above and below injured area Used square knots Recheck for circulation (warmth, color) Put arm in sling (need not be bound to chest) Scorpion sting--apply cold compress or cool wet cloth Ask if Wilson has any known allergies Shock--lay victim down Raise legs Right hand on chest or on ground Monitor for allergic reaction Julius Arrow puncture wound--flush wound Clean with soap and water or sanitizing gel Apply sterile gauze bandage Wrap arm to secure bandage Heat Exhaustion--Move to a shady place Remove excess clothing Cool with wet cloths and fanning Give victim some water Shock--Have victim lie down Do not cover Raise legs Use sterile gloves for Dwayne Dispose of gloves properly CONDUCT Leader gave directions 37 No disruptive behavior or comments 38 Worked cooperatively 39 Considerate of patients: reassuring, gentle 40 Did not step over patients 41 Judge Signature Patrol Leader Signature

7 Judge's Sheet 2014 First Aid Meet Potawatomi District Problem C BLUE Leader #1 Runner #2 PATROL LABEL GOES HERE TOTAL Ref Ref HB MB ANALYSIS Mr. Jefferson Food allergy - Anaphylactic Shock Knocked out tooth 2 72 Shock Nick Abdominal Pain - Appendicitis nd degree (partial thickness) burn on right forearm Shock Mr. Jefferson is treated first TREATMENT Mr. Jefferson Anaphylactic Shock-Ask if he needs assistance with his EpiPen JUDGE SAYS - "Mr. Jefferson nods yes." Assist in administering the medication Monitor breathing Knocked out tooth-pick tooth up by the crown not the root Rinse with cold water/milk Place tooth in container of milk/cold water Apply pressure to gum with gauze Does not rinse mouth with water (swollen tongue) 15 Shock- Cover Victim Keep in sitting position Keep warm Nick Appendicitis-Prevent from eating or drinking nd degree burn-cool burned area with running water Dry and protect with loose sterile gauze pad Shock- Cover victim Raise legs Keep warm Used sterile disposable gloves Disposed of gloves correctly CONDUCT Leader gave directions on first aid treatment 27 No disruptive behavior or comments 28 Worked cooperatively 29 Considerate of patients: reassuring, gentle 30 Did not step over patients 31 Judge Signature Patrol Leader Signature Unit # and Patrol

8 Judge's Sheet 2014 First Aid Meet Potawatomi District Problem D PINK Leader (#4) Runner (#2) CPR (#1) PATROL LABEL GOES HERE TOTAL Ref Ref HB MB ANALYSIS Mr Douglas Suspected heart attack Not breathing No pulse Lump on forehead 4 31 Shock Treat Mr. Douglas first 6 Billy Possible head and neck injuries from fall Acid burns to eyes and face Closed (simple) fracture of right leg below the knee Cuts and scrapes on both arms Shock TREATMENT Mr Douglas Leader sends Scout #1 to CPR Judge says "He is breathing and has a pulse" Monitor breathing and pulse Apply cold pack wrapped in cloth to lump on forehead Shock - Cover victim Raise legs Billy Neck and Spine Injury: Tell Billy to lay as still as possible Do not move, twist or bend Billy's neck or head Stabilize head and neck with rolled up clothing, blankets, etc. around side of head, neck and shoulders Do not put a pillow under Billy's head Acid Burn: Flush eyes and face with water for 15 to 20 minutes Apply a sterile gauze or bandage loosely over the burned area Broken Right Leg: Check for circulation Splint lower right leg with rigid material Use splint long enough to reach from mid-thigh to past heel Secure splint on sides of leg, above and below the fracture Use square knots Confirm leg is immobilized (three ties, no knee movement.) Recheck for circulation Cuts and scrapes: Rinse wounds with soap and water Apply antiseptic or antibiotic cream Cover with dry sterile dressing Shock- Cover victim Do not raise legs Used sterile disposable gloves Disposed of gloves correctly CONDUCT Leader gave directions on first aid treatment 37 No disruptive behavior or comments 38 Worked cooperatively 39 Considerate of patients: reasurring, gentle 40 Did not step over patients 41 Judge Signature Patrol Leader Signature Unit # and patrol

9 2014 First Aid Meet Potawatomi District PROBLEM A (GREEN) Leader (#2 ) Runner (#4) DOCTOR Patrol Label Goes Here Total Check box if item accomplished HB MB Introduction Scout gives name, troop number, patrol name 1 Scout shows written notes 2 Scout shows means of making a phone call 3 12 Location Old World Wisconsin State Park Warming house near junction of Black ski trail and Blue ski trail Time About 9:45 AM Injuries Mark Low blood sugar- Hypoglycemia Insulin Shock 7 67 Frostbite on left ear Shock Elliot Coyote bite on right hand Puncture wounds (thorns) on lower left leg Shock First Aid Mark Hypoglycemia-Give victim fruit juice or non-diet soft drink, or sugary snack Frostbite- Cover area to keep from freezing while outside Treat for shock Elliot Bite- Wash hand with soap and water to remove saliva Flush wound with water for five minutes Cover with sterile bandage Puncture wound- Remove thorns Wash area with soap and water or apply antiseptic Treat for shock Unit number and patrol Doctor Signature Runner Signature

10 PROBLEM Doctor B 2014 First Aid Meet Leader #3 Runner #1 Potawatomi DOCTOR Gold Patrol Label Goes Here Total: Introduction Check box if item accomplished Scout gives name, Troop number, and Patrol name 1 Shows notes that were taken 2 Shows means of making a phone call 3 Location General Gorham Scout Ranch, Santa Fe, NM 4 Specific Near the Fleming Archery Range 5 Time Little after 11 AM 6 Injuries Wilson Scorpion bite in right hand 7 76 Broken lower left arm 8 76 Closed fracture (simple) Shock Julius Puncture wound from arrow left bicep Arrow out, little bleeding Heat Exhaustion Shock First Aid Wilson Immobilize broken arm being given Cold compresses on sting Monitor for allergic reaction Treat for Shock Julius Clean and bandage wound Cool victim Give water or cool drink Treat for Shock HB MB Unit number and patrol Doctor Signature Runner Signature

11 2014 First Aid Meet Potawatomi District PROBLEM C (BLUE) Problem C BLUE Leader (#1) Runner (#2) DOCTOR Patrol Label Goes Here Total Check box if item accomplished HB MB Introduction Scout gives name, troop number, patrol name 1 Scout shows written notes 2 Scout shows means of making a phone call 3 12 Location Camp Reinberg Dining hall off Quentin Road in Palatine, IL Time 6:00 PM Injuries Mr. Jefferson Allergic reaction to food Knocked out tooth 8 72 Shock Nick Abdominal Pain Suspected appendicitis Burn on right forearm Shock Mr. Jefferson is mentioned first First Aid Mr. Jefferson Anaphylatic Shock-Ask if he can use his EpiPen Assist in administering the the medication Monitor condition 17 Knocked out tooth-retrieved tooth Place tooth in container of milk/cold water Apply pressure with gauze to control bleeding Treat for shock Nick Appendicitis-Prevent from eating or drinking nd degree burn-cool burned area Dry and protect with loose sterile gauze pad Treat for shock Unit number and patrol Doctor Signature Runner Signature

12 Doctor/First Responder Potawatomi District First Aid Meet 2014 PROBLEM D (PINK) Leader (#4 ) Runner (#2 ) CPR (#1) DOCTOR <<<<TEAM LABEL GOES HERE >>>> Total: Check box if item accomplished Introduction Scout gives name, Troop number, and Patrol name 1 Shows written notes that were taken Shows means of making a phone call Location General Big River State Forest Specific Junction of Big Pines Trail and Lincoln Trail Scout gives time of incident (2 pm) Injuries Mr. Douglas Suspected heart attack Not Breathing No Pulse Lump on forehead Shock Scout mentions Mr Douglas before Billy Billy Possible neck and spine injuries from fall Acid burns to eyes and face Closed (simple) fracture of right leg below the knee Cuts and scrapes on both arms Shock First Aid Mr Douglas CPR Ice pack to forehead Treat For Shock Billy Stabilize head and neck Flush eyes and face with water for minutes or until help arrives Broken right leg: splint to immobilize leg Cuts and scrapes- flush with water and bandage Treat for Shock HB MB Unit number and patrol Doctor Signature Runner Name (PRINT)