March 13th, 2009

In response to all the Shootings and Stabbings

It seems that a couple times week some one is asking "what happens when someone gets kicked/stabbed/shot in the ______?"

Having deployed to Iraq, and spent the last 6 years flying Helicopter EMS, I tend to be overly qualified to answer these questions and as a result I find myself retreading the same terretory again and again.

So...

A well equipped trauma/field-surgery/"little black bag" should contain the following...
Mask & Gloves
Bandages/Dressings, in assorted shapes, sizes, and types
Stethescope
Suture Kit, Needles, thread, and snips (all Sterilized)
Shears
Scapel
An assortment of Hemostats, for poking, prodding, and clamping.
Tweezers
Chest and endotracheal(throat) tubes
IV kit
Splinting materials
Saline Solution
Iodine/Peroxide, disenfectant
Sulfa Powder(or equivelent)
Drugs, Most importantly pain-killers and antibiotics

In addition your Doc is going to want cold water, boiling water, clean towels/gauze, and a clean/well lit place to work. Obviously something may, or may not, be available depending on setting but the basics don't change.

For details on specific injuries/treatments checkout;
http://www.parasolemt.com.au/index.php
or
http://www.brooksidepress.org/Products/OperationalMedicine/DATA/operationalmed/Procedures/medical_procedures.htm
It was written for grunts like me wich means they use simple words and lots of pictures ;)


Hope this is Helpful.

Care home questions

Setting: residential home for elderly people, USA, modern day.

Would any meals be served in people's rooms, or would they go to a dining room? (Apart from arthritis, the person living there has no major health difficulty.)

The woman has very bad arthritis and finds it difficult to use her hands. Would she receive assistance to eat? If so: I want her daughter to be doing this, but if she weren't there, what staff member would likely provide help?

In general, how much care could the daughter provide to her mother? She visits for a few hours a day.

Thanks!