Be Ready Utah PrepCast Episode 9: First Aid, Part 2 (Mass Care Emergencies and First Aid)


[jazzy music] Wade: Welcome back to the next episode of the
Be Ready Utah PrepCast. This is part two of our First Aid episode. We’ve
been talking about first aid for day-to-day emergencies and incidents, and we’re
gonna be talking more today about mass care incidents or large-scale disasters
and those types of things. Back with me again are Kathryn McMullen and Jeff
Johnson from the Division of Emergency Management, outreach specialists. I’m Wade
Mathews, the Be Ready Utah manager, and let’s just get into it again.
Large scale emergencies, large-scale disasters. What are we talking about here?
We’ve got earthquakes, we’ve got tornadoes, we’ve got– Kathryn: Possibly active shooter.
There’s a lot of different scenarios that cause a lot of injuries. Jeff: You could
talk about the the Las Vegas Route 91 shooting, and Kathy if you want to explain what you were talking about earlier about that… Kathryn: Sure. In Las Vegas they had the active shooter incident and there was over 500
injuries, there were 54 fatalities. It was a devastating situation, but I think
what’s important to learn from that scenario is that about 80 percent of the
injured individuals were transported to the hospital by by-standards, by you and
me, just helping each other. And that one two three five minutes that it takes you
to get to the hospital could be critical and being able to slow that bleeding
down and get them some life-saving care before you even get to the hospital. Wade: And that really takes us to really the definition of a disaster in the first
place. Not saying that Las Vegas was overwhelmed, but in an earthquake
scenario for example, our resources will be overwhelmed. Jeff mentioned earlier
in part one, “Be the Help until Help Arrives”. And in a large-scale, disaster
situation, that could be a long time. That could be hours or days before help,
“professional help”, arrives, right? So we need to be that help. Kathryn: Or even the
roads getting to you might be tricky, so you’re gonna have to be that help until
help arrives. Jeff: The closest hospital might not be available because a bridge or an
overpass or some other obstacle is in the way. The other thing, when you arrive at
the hospital, they’re going to be doing an unusual triaging. It’s a not a normal
day-to-day thing. You have to have two criteria to get into that hospital, and
let’s explain why. If there are 350 beds and yet there are thirteen hundred and
fifty people arriving at the hospital, they can’t treat everybody. And
so they are going to be triaging that on a disaster scale, and that would be that
you have to have a life-threatening injury, and that life-threatening injury
has to be survivable. So those are the two criteria that are gonna be the
criteria for getting in. What does that mean? You might have a
normal injury that you get into a hospital for every day, like a broken leg
or a large laceration, and they might be turning you away or treating you in the
parking lot, and you’re not going to be gained admittance to the hospital. This
furthers the reason why we need to be able to treat people where they are
injured at, which is what CERT teams do, which is what MRC does, and we can talk
about that, but having the ability to stabilize a broken bone, or stop
bleeding from a laceration, not at the hospital site, but away from a hospital is
very important. Wade: You mentioned “CERT” Community Emergency
Response Teams and “MRC” Medical Reserve Corps. Jeff: Yes. Wade: Two good resources and
places actually where you can get this disaster, first-aid training, so that we
can “be the help until help arrives”, we can be treating our friends and
neighbors, family members, where they’re injured at before the professionals
arrive. Kathryn: And I think it’s important to get the whole family involved. I’m sorry, but
it’s kind of fun to do a CERT training with your whole family.
Strapping Mom to a backer board and carrying her down the stairs, it’s kind
of fun, and it gives you all that basic information that you can share together
and review together and help each other. Wade: Yeah, exactly. So again, in the
disaster situation, the three killers we talked about in part one, they still
apply. Those are still the same things you mentioned, having to be required to
get into a hospital, are the same things that we’re looking for in our
neighborhoods to save lives, the three killers, the “ABS”, airway, bleeding, and
shock, right? So we’re not, again, talking about how to do that here in this short
time that we have, but get the training, the knowledge– Jeff: Sorry. I’m just gonna say
“Stop the Bleed”, really, really good training that’s going out multiple times
a week from the Health Department all over the state. It’s free, it’s a two-hour
course, and it teaches you how to keep somebody alive if they’re bleeding. And I
think everybody ought to take that training as much as they can. Wade: It puts the
emphasis on tourniquets and packing the wounds, right? Something that we we kind
of avoided in the past. Kathryn: Right. It’s kind of scary, and I have children, we’re a family, and that can be scary, but if you introduce
it in the right way, and you give them the confidence to act, you empower them
to act, it becomes less and less scary, and I quiz my kids all the time. “What
if his injury was here?”, “What if the injury was here? How would you deal with
that?”, to my youth and it has proved valuable to them. Wade: Right. Exactly.
You shared that story with us in part one as well. So the first aid kits. The
emergency equipment. Is it different in a disaster or is it the same thing from
the day to day? A first aid kit is a first aid kit. We need the rolled gauze,
and the bandages, and tape, and those types of things. Kathryn: I’d say you need the same
stuff more of it. Jeff: Yeah. Wade: More of it. Jeff: It’s the number of injured people that’s going to cause the
problem. And that’s why if there’s a CERT team, and everybody brings equipment and
first-aid supplies, and you have 10, 12, 15, 20 people show up, you’re bringing
the supplies, then you can treat everybody that’s injured.
I have items here like, I keep this under my desk. I could not treat our whole
office with this. Other people are gonna need to have first-aid supplies in their
offices for us to treat everybody here if an earthquake were to happen in this
building, in this area. Kathryn: I was just gonna say, it’s also great to
have a good tourniquet, or two or three, but also it’s great to have the
education and the knowledge of how to improvise a tourniquet. And so we teach
all of those things. How do you use the equipment that you have, and how
do you improvise if the event is large-scale. Wade: And the thought occurs to me,
do you need to have first-aid training in order to have a first aid kit? No, you
do not! Would it be helpful to say, “Hey, I’ve got some supplies. Here, I haven’t
received the training, but here, use all these. I’ve got this bandage.” You
know, if maybe you’re the victim and you’ve got a first-aid kit. Kathryn: “Get my kit.” Wade: Yeah, “Get my kit”, out of the car, under the desk, or whatever. We should all have first-aid
supplies for these mass disasters, you know, mass care situations. Kathryn: I love having a grab-and-go medical kit. So, something that is at my home, if I
need to help my neighbors and community, beyond the kit that I have in my
emergency pack, in my car, and my desk at work, as you mentioned in part
one, but also something that I could grab at home and it has a large amount of
supplies that we could help each other. Wade: Okay. So the disaster after the disaster
is disease. So especially those of us that might be out treating lots of
injuries, stopping bleeding, opening airways,
treating shock, what are we doing to prevent disease? Jeff: Personal protection
equipment. You need to have first and foremost a pair of nitrile gloves. We
don’t recommend vinyl or latex gloves but yeah. I have some right here
in my pants pocket. I carry them with me every day. I have a
little pocket and I just keep them there, and to have gloves is probably the first
and foremost thing because you’re gonna be putting your hands on whoever’s
injured. And to protect yourself, keep your hands clean. But there’s other things. You
can get a pair of goggles or just a pair of glasses that protect your eyes and
be conscientious if you have a spurting or bleeding arterial wound to
position yourself away where you won’t get sprayed by that. So there’s there’s
training and there’s equipment, but PPE is very very important for your personal
hygiene. Wade: And the masks? Kathryn: I would add the mask. It’s also gonna give you
a protective barrier when you’re doing first aid, but if you’re experiencing
something like some event that has debris, an earthquake, or anytime the ground moves,
or buildings have collapsed, you’re gonna have a lot of debris in the air. And you can’t
help somebody else if you’re choking on it. So that equipment is very important. Wade: Dust particles. Exactly. And then I will add to all of this as well: Wash your
hands often, right? Wash your hands often. That’s a good promotion for
water storage. Lots of water, you know, so we can wash your hands, along with
all the other stuff we’re using your water for in a disaster. Jeff: If I may too, these are very, very inexpensive. This is iodine prep pads. It will help both clean
out a wound and you can use them to clean yourself as well. This is a triple
antibiotic ointment. Again, these are cheap and we kept anywhere. And they’re
very, very important for sterilizing a wound if you’re talking about hygiene. Wade: Okay, great. I think we’re about out of time
here, but again, this is not meant to be a first-aid training video, but more of a
promotion. Awareness that there’s needs out there that they can get
training, that we need to have supplies and equipment on hand. We want to
encourage and promote that, so people can go out and put those things in
place, right? Kathryn: And I would add to it, you know, if you’re the only one in
your family, in your community, that’s trained, you can only do so much again
and you could be injured. So make sure that your family is trained. If you’re
not home, or if you’re not in that event, that it’s a community event, because we all need to help each other. Wade: Right. All right, thanks Jeff, Katherine, appreciate your being here, sharing your
great knowledge and experience. Again, you can watch these episodes on our Be Ready
Utah YouTube channel. See them on Facebook, on Twitter, and on our website BeReadyUtah.gov. Next month our next episode is on Safety and Security. Make sure you
tune in for that. You can watch all of our past episodes again on our Be Ready Utah YouTube channel, and make sure you give us some comments. If you have any
questions you’d like us to address, put them in the comments on any of those
social media methods. And thanks for watching. [jazzy music] [rock music] Hey! Hope you enjoyed this episode of the
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