Be Ready Utah PrepCast Episode 9: First Aid, Part 1 (Day to Day Emergencies and First Aid)


[jazzy music] Wade: Welcome to the next episode of the Be Ready Utah PrepCast. I’m Wade Mathews, the Be Ready Utah manager, and along with
me today are Kathryn McMullin and Jeff Johnson, also with the Division of
Emergency Management. Outreach specialists, we have CERT trainers here,
we’ve got safety officers, we’ve got a lot of knowledge and experience here
today, and that’s great because we’re gonna be talking about first aid. And
this will be in 2 parts. We’re gonna talk about our day to day emergencies
requiring first aid, and we’re gonna talk about our mass care or large-scale
disaster situations requiring first aid. But we’re gonna start with day to day,
right? The stuff that most of us may see on a regular basis. So yeah, what are some
of the scenarios that we’re thinking about for the day-to-day, need
for first-aid? Jeff: Family trips, where you might be out on the road somewhere. We’ve
talked about going to scout camps, we talk about going to family reunions,
places that you might be away from your home, and yet need to apply first aid. And
day to day could be your home as well, obviously. Kathryn: I think in the summer too
we experience more time on the road and so you have higher odds of something
like car accident happening as you’re traveling to all those events and you
could be with a large group, a youth conference, or you could be with your
family where you can experience events that require a some first aid knowledge. Wade: So what we do here at Be Ready Utah is talk about preparedness. And when it
comes to first-aid we really need to be prepared, right? To deal with those
scenarios that we just described and be able to provide the treatment that’s necessary. Jeff: Sometimes you’re only as good as your
knowledge, and your training, and your experience, and maybe the equipment you have
with you. If you might need something to treat a specific injury. And so sometimes
the knowledge that you have or the training that you received might be
really really important. I’ve come up on accidents when I was a police officer
where there would be 30 people standing around and nobody was doing anything
because nobody knew what to do. So it’s good to be trained. Wade: And so some good
resources for training, for the day-to-day, the average citizen, obviously
the American Red Cross provides some great first aid classes,
CPR classes, those types of things. Jeff: Community Emergency Response Teams is
fabulous training. It’s an eight-week course that will really get you up to
speed on how to save people’s lives, especially in medical incidents or
disasters. Kathryn: And the Department of Health has the
“Stop the Bleed” courses which are free and they’re great resources for
dealing with life-threatening injuries. Wade: Okay. So there’s three good options right
there for some very good, helpful first-aid training. And there may be
others, right? That we’re not thinking of. So, what are we looking for when
we’re talking about providing first aid? How do we save the lives? We’re gonna be
looking for the three killers, right? What are the things that can kill people in a
short time if they don’t get treatment? Kathryn: You’ve got your airway, your bleeding, and your
shock. We learn about that in disaster medical, with our CERT training, and they
are what you really need to treat first and foremost. They need to be prioritized
to whatever injuries you’re dealing with you might dealt with swiftly. Jeff: You might want to treat those sequentially. Open the airway, because that’s the most
important thing to do first. Get their airway open and get them breathing. And
then stop blood loss. Blood loss is the next thing that will kill them
very quickly. And no matter what the injury is, I don’t care if it involves
airway or whether it involves bleeding, always treat for shock. Which
means you want to elevate their feet, you want to cover them and keep them warm,
and you want to keep a good check on their pulse, and if you can, their blood
pressure. Wade: And of those three, airway, bleeding, and shock, or “ABS”, the airway may
not be so obvious, you know, unless you’re looking really closely, they’re not
breathing. Bleeding is obviously obvious, but shock can be kind of a surprise “sneak up”
on us type of a killer, right? Kathryn: Learning to identify the
signs is very important for shock. Sure. Wade: So those are the three killers and
those classes that we identified can help us learn how to treat those. We’re
not going to go into detail for the purposes of our PrepCast in teaching
people this first aid, but knowing how to do those is critical. Jeff: And knowing how to
do a good body assessment to check for bleeding. Sometimes you can miss bleeding.
I had a friend of mine who fell off a motorcycle, had a compound knee fracture,
wearing chocolate brown pants. We didn’t see the blood. So you need you need to be
aware that you’re checking very thoroughly for injuries. Kathryn: Well and I think
something that is important when you are doing those
trainings that’s been relevant to my family is, there are different types of
bleeding. It’s not all that simple. And so just understanding that the types of
spurting, gushing, or oozing, make a difference in how you’re treating and
how much pressure to put on it, and so– Wade: How quickly they can die, if it’s not treated. Kathryn: Right. One liter
of blood and they can lose their life. And so yeah, if it’s hit an artery it’s
spurting, and that’s important to be able to assess that situation. Wade: Great. Now we
know what can kill us, and we know we need to get the training for that, but
what kind of equipment should we have to be able to provide first aid? Some
good first aid kits. We’ve got some great samples, some examples here on the table
in front of us, but what are some things that just everybody should have? Jeff: I think the most basic thing you should have is Kerlix and gauze. Wade: Kerlix is rolled gauze. Jeff: It looks like this. Wade: Yes, rolled gauze. Jeff: Rolled gauze and something like that,
they put around, so you can stop bleeding. And the gauze, 4x4s or 2x2s–
Wade: The pads. Jeff: Would go into the wound, and then you would
seal it off with one of these. Something else that can really help is
something like this. It’s an Israeli bandage if anybody wants to look on
YouTube, just type in “Israeli bandage” and look for the guy who’s kneeling down that
has camouflage pants on. Three-minute video, shows you how to use this. This
allows you to put pressure on a wound and not have to stay there and maintain
pressure. Very, very good, six-seven dollar item that everybody should have in their
first aid kit if you come across a bleeding wound. Kathryn: Because it has a chemical
in it that clots the bleeding at the same time as the pressure is being applied, right?
Jeff: Yes. Yes it does. Wade: Something else, Kathryn, you mentioned
“Stop the Bleed” and one of the things that they emphasize there is applying
tourniquets. Kathryn: Right. Wade: How many of us have a good
tourniquet with us? I mean we can improvise with belts, and ropes, and those types of things– Kathryn: And that’s part of the education piece. Can you improvise? And you should have a good– you have some
good tourniquets that you really like. Jeff: I do. They’re out here on the table. There’s
a CAT-T tourniquet which is a military CAT tourniquet which has a windlass that
tightens down after you seal it with a Velcro. There’s another one, just a long
piece of rubber that’s called a SWAT tourniquet, that you can stretch and
tighten and tie. But tourniquets are very, very cheap and really, big lifesavers.
You can put a tourniquet on, and their now finding out through some of the
military applications, tourniquets can remain on up to ten or twelve hours and
not damage the limb. Wade: And where should we be keeping our first-aid kits and our
first-aid supplies? Have one in the car? Kathryn: Sure. Easily accessible at home.
Wade: One in the house, the garage, or
someplace. Kathryn: You know I think it’s it’s important if when you’re planning to
first consider what you’re planning for. And then determine where you’re gonna
keep it. My one that I have in the car, and I think that a lot of Mom’s will go
and buy, or families, they go and buy a kit without really understanding how to
use what’s in it, or they ended up with a kit that they thought was expensive and
when they really looked into it, it was a lot of band-aids, it was a lot of alcohol
prep pads and things that weren’t necessarily going to help with that life
saving situation. So our family put together our own. It’s just a
makeshift, you can see my little Rubbermaid container, and included are
lots of gauze. First of all I have the ability to help others so I my gloves my
personal protective equipment, my masks. And then I have different forms of gauze,
and I have a baggie with large rolls of gauze, and then the ability to splint a
wound. Sometimes you just have to stabilize something that’s broken, or hurt,
or you don’t know if it’s broken. So you stabilize no matter what. So there’s ACE
bandages, the ability to put some– like you were saying, the iodine, helps in case
of infection, but I made my own little kit because I wanted to be able to
stabilize what I felt was the life-saving, or life-altering injuries.
Not necessarily band-aids and tweezers. Wade: My wife, Kristen, has done the same thing.
She built our own little first-aid kits and put them in each of our vehicles, so
when we’re out on the road, you know, the accidents, or camping, or whatever, we’ve got
a first-aid kit in each of the vehicles. Jeff: This is one I keep under my desk at my
office. Wade: Okay. Jeff: And I think you ought to keep one under your desk of your office.
That has a lot of what Kathryn has in here. It’s very, very similar, and can treat
almost any kind of an injury. I also put this little one together. This is one
that just sits by my back door. I can grab this if I’m jumping in a car with
somebody else, or going somewhere else that I’m not in my own car, and this
could go with me. And honestly there’s everything in here I need to treat a life-threatening wound until help can get there. Wade: Okay. Jeff: And that’s one of the
things we were talking about before. We need to understand that we are the help
until help arrives. And so you need to have at least enough
training, and at least enough equipment, to be the help until real, actual first
responder help arrives. And that doesn’t matter where you’re at. We’ve talked
about all the scenarios of being on the road, vacation, but you need to be ready
to take take on the responsibility of saving somebody’s life both with
knowledge, and with equipment, and it’s basic equipment. Kathryn, what you spend for this? Kathryn: Oh I don’t know. Maybe 10 to 15 dollars, maybe? Versus some of the big kits. Jeff: A dinner night out with your family right and yet
you could save somebody’s life with that. Kathryn: And on that note where you’re saying
“where do you keep it?” we had a recent experience in which my daughter’s got
into a car accident, and they had their first aid kit in their emergency pack in
their car, which they should have with them. And what they learned was when that
car was significantly damaged, getting to that trunk was suddenly a problem. And
they had a bleeding injury. And so one of the lessons we learned after that was, we
actually moved the first-aid kit itself into the center console of the car so
that it was very easy to access, versus having to get into her pack, which was
great that she had it, it was loaded, it was there ready to go, but when that
trunk was crushed, how do you get to it? So they improvised with other materials
and moved their stuff to where they could reach it. Jeff: And ingenuity is a big
part of first-aid. You may not have gauze and Kerlix, but you can use a rope and some
towels, or a sweatshirt, or anything. Open your trunk and look in there.
You can be really– ingenious. Kathryn: Creative. Wade: Like the
movies. Tear the sheets. So Kathy, really quick, we’re about out of time here, but I
wanted you to kind of summarize, you mentioned the car accident, which is a
great example of a day-to-day emergency requiring first aid and your daughters
had that first aid, well they could get to a first aid kit, somewhat, but how did
that turn out for them? Kathryn: It was an amazing experience. It’s something you
don’t want your kids to go through. They went through it without me. No matter how
much we plan for, we know what to do, and we can save them. They were without
me, and when that situation happened, they got into a really bad car accident, they
had some bleeding that happened. And it helped in one of a few ways. First of all,
they were able to assess, I mean a 15 year old girl looked at another 15 year
old girl and said, “Okay, it’s not spurting, it’s not gushing. I think we’re okay, but we need to put pressure on it. We don’t want it
to get into your eye.” Just having that information handy, even though help was
on the way, they were close nearby help, to be able to take charge of that
situation and feel like they were empowered to do something, and have the
confidence to react. I think it also helped them to stay calm.
They knew what questions to ask. They didn’t feel like they were a victim in
the situation, they were a responder. Even though she was 15 years old and 17 years
old, they were helping each other. It was wonderful that we had been through,
and had those conversations, those trainings together. We took CERT as a
family, we know “Stop the Bleed”, I’m always quizzing them, they think I’m
crazy, and they were so grateful to have that knowledge, and to respond and
help each other, and the responders that responded to the accident were amazed
and impressed with what they did before they even got there. Wade: Well thank you. Jeff: If I may, mental preparedness is really important in this. I had experiences
where I had nurses already on the scene when I showed up as a police officer.
I’ve had nurses who actually backed away and said, “I don’t know what to do.” They
were nurses of 17 or 18 years. And then I’ve had other nurses walk up
when I’ve been working on somebody and tell me I’m doing it wrong because they
were prepared and ready to step in and help with these kind of things, and I
would step back and say, “Show me how to do it.” But sometimes mental preparedness, it
doesn’t mean just because your nurse doesn’t mean you’re
gonna be good at this. You have to be ready for this. Wade: Right. Thank you for those
stories. These were kind of just touching the tip of the iceberg here when we’re
talking about first aid. Go out, get that training. Go out, get those first aid
kits, and get some experience in confidence. All right we’re gonna wrap it
up here with Part One. We’re gonna continue this discussion in Part Two, our
next Be Ready Utah PrepCast, talking about first aid for mass care, disaster
situations. So check us out on our YouTube channel, Facebook and Twitter and
BeReadyUtah.gov. Thanks for watching. [jazzy music] [rock music] Hey! Hope you enjoyed this episode of the
Be Ready Utah PrepCast. Like what you’re seeing? Have a question about anything
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to talk about emergency preparedness. See you next time! [rock music]