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What to have ready for climbing injuries?

Ricardo Loureiro =Loras= doutorloras at uol.com.br
Wed May 27 02:04:11 BST 2009


You can start somewhere here: Wilderness Medical Society - www.wms.org

If you prefer Wilderness Medical Associates.

There is some research about Wilderness Medicine.

They can help you a lot.

Just an idea!!

Regards,

Ricardo Loureiro
=Loras=
+55 (95) 8112-0204
Boa Vista - Roraima - Brasil




On May 26, 2009, at 5:19 PM, Stephen Richey wrote:

Agreed on the King airway...I would contact the Mountain Rescue  
Association
and ask if they have any recommendations.  The search and rescue teams  
in
the area you climb in would be another good place to ask around.

On Tue, May 26, 2009 at 5:15 PM, <cadeth66 at aol.com> wrote:

> Good call on the King Airway
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: "Heist, Jeffrey" <Jeffrey_Heist at trihealth.com>
>
> Date: Tue, 26 May 2009 17:09:07
> To: Trauma-List [TRAUMA.ORG]<trauma-list at trauma.org>
> Subject: RE: What to have ready for climbing injuries?
>
>
> Take a King Airway. Best all around choice and ease of insertion if
> complete airway management necessary.
>
> Jeffrey M. Heist RN, CEN
>
> Jeffrey M. Heist RN, CEN, NREMT-B, EMSI
> EMS Coordinator Bethesda North Hospital
> Classroom Coordinator/Education Specialist
> Bethesda North Paramedic Training Program
> 10498 Montgomery Rd Suite A
> Cincinnati, OH 45242
> office # 513-745-2351
> pager # 513-303-9247
> cell #     513-293-1796
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org] On Behalf Of Rick Tappan
> Sent: Tuesday, May 26, 2009 5:00 PM
> To: 'Trauma-List [TRAUMA.ORG]'
> Subject: RE: What to have ready for climbing injuries?
>
> Satellite phone to get help in
> Cravats, a million and one uses.
>
> RT
>
> Rick Tappan
> 703 726-3734
> rtappan at gwu.edu
> "Who Dares, Wins"
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org]
> On Behalf Of Ben Addleman
> Sent: Tuesday, May 26, 2009 4:44 PM
> To: trauma-list at trauma.org
> Subject: What to have ready for climbing injuries?
>
> Is anyone on the list a rock climber? I'm collecting ideas for what to
> bring
> out on trips in terms of medical/first aid equipment, and wondering if
> anyone on the list has good ideas/experiences to share.
> My background: medical doctor, not a surgeon, not a paramedic. My  
> climbing
> is most frequently done in the Rockies around Calgary, and doesn't  
> consist
> of remote expeditions or any adventures at high altitude-mostly day  
> trips
> within less than one hour's drive of the nearest small hospital. We're
> really talking mostly single-pitch cragging daytrips. Obviously, the  
> first
> priority is not to get hurt at all. But you can't always prevent  
> being hit
> by a falling rock, and I have a healthy respect for falling damage.  
> I'd
> like
> to be prepared for the common minor injuries which ruin a good day  
> out, but
> would also like to be prepared in case of major injuries while  
> waiting for
> a
> proper rescue. Weight is important, as anything I carry is going to  
> be in
> addition to 60m of rope, personal climbing gear, warm clothes, food  
> etc...
> Currently I'm carrying some gauze dressings and tape, and a couple  
> of vials
> of dermabond glue for minor lacerations, SAM splint and tensor  
> bandages for
> fractures. I have an instant cold pack for icing minor injuries. I  
> bring at
> least one mylar "space blanket."
> A significant number of injured climbers I've seen have had  
> pneumothoraces
> from blunt trauma, haven't seen any of these being tension-I know the
> needle
> decompression is not much in favour on this list, but I'm not going to
> carry
> a chest tube tray-any ideas? I'm also debating what would be  
> appropriate to
> bring in terms of airway mgt (most likely scenario would be a major
> obtunded
> head injury). A simple pocket mask and valve for ventilation would  
> seem
> reasonable, but how much else would people consider?
> It goes without saying that the priority would be to get the  
> traumatized
> climber to a higher level of care rather than messing around in the  
> field
> with suboptimal equipment and conditions.
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-- 
Stephen Richey, CRT

"It is not unreasonable that we grapple with problems....Our  
responsibility
is to do what we can, learn what we can, improve the solutions, and pass
them on."- Richard Feynman
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