Anthony Marchand Bicycle Repair And Maintenance information And Tips
Treatment of Bleeding
: A life saving technique which has been modified and simplified for the average non-medical individual.1
For certified individuals: More on CPR
New 2014-2015 guidelines2,3
(Be sure to keep your elbows straight)
Treatment of Shock
- Apply pressure using whatever is available, even a bike shirt is better than letting the patient bleed out. (Use Celox powder for large or persistent bleeds, but be sure to tell the EMTs when they arrive so they don't under estimate the damage)
- Call 911 unless cut is minor requiring only superficial dressing
- Elevate limb only if you're SURE there are no broken bones or spinal injuries.
- Persistent severe bleeding may require pressure on an arterial pressure point until help arrives (see below).
- Light headed
- Pale, gray or deadly white
- Cool to touch and may be sweaty ("clammy skin")'
- Shortness of breath
- Increased heart rate
- Fainting or Coma
- Call 911
- Keep patient still
- Control bleeding if indicated
- Give protection from the environment
- Unless you have a "walking wounded", lying the patient on their back and raising their legs is NOT advised in cases with multiple injuries.
Only for small injuries in "walking wounded" which you suspect a broken bone, one can stabilize the limb by holding the hand or arm in a comfortable position to decrease pain. Otherwise DO NOT MOVE THE PATIENT
- Stop and Size up the scene
- Move bystanders off the road
- Call 911 unless injury appears minor
- Locate people (on edge of road) to direct traffic
- Do not move the patient
- Conscious Patient:
- Assess patient orientation (who, where, when, how)
- Exam for bleeding, broken bones, other injures and treat as needed! Use compression for bleeding.
- Are they in Shock. If so treat as above under shock.
- Stabilizing broken limbs but only if there's no evidence of spinal injury.
- Unconscious Patient:
- Are they Breathing. If not breathing, initiate CPR. They may need a "spinal roll" (see below) but do so only as a last resort.
- If they are Bleeding, apply pressure (use celox if available).
Always observe the trauma patient and treat as necessary while waiting for help to arrives.
If the injuries are very minor and the cyclist wants to continue, tell them to stop if they experience light headiness, dizziness, headache or pain. Never let the individual cycle home alone!
- American Red Cross Handbook of First Aid and Emergency Treatment , American Medical Association, Random House, 2011. ISBN: 978-1-4000-0712-7.
- Harrison's Principles of Internal Medicine (accompanying DVD), 18th edition, McGraw Hill, 2012, ISBN 978-0-07-1748889-6
- Wilderness Medicine by William W. Forgey M.D. (Nov 6, 2012)
- First Aid, CPR, and AED Advanced, Emergency Care & Safety Institute, Sixth Edition, Jones and Bartlett Learning, ISBN: 978-1-4496-3505-3
- Harrison's Principles of Internal Medicine, 17th Editionby Anthony S. Fauci, Eugene Braunwald, Dennis L. Kasper, and Stephen L. Hauser, 17th ed., McGraw Hill - A standard advanced medical text book.
- Pocket First Aid and Wilderness Medicine by Duff J. and Gormly P., 10th ed., Cicerone Press, 2007. ISBN: 13: 978-1-85284-500-1
- Backcountry First Aid , Tilton B., Falcon Press, 5th ed., 2007. ISBN: 978-0-7627-4357-5
- Merck Manual, Mark Beers, M.D. and Robert Berkow, M.D. (editors), Merck Research Laboratories, 7th ed. ISBN: 0911910-10-7 - Soft bound book addition of the site listed above.
- CPR/AED Refresher Course from Trainer is Kuo Rees, who trains individuals for Cardiac Life Products, Inc
- How to Perform CPR video from CPRCertified.com.
- First Aid Training Video - How To Perform ABC's of CPR (Adult Episode) from OTMT
- How To Perform CPR on a Baby with Dr. Jim Sears
- American Heart Association Unveils New CPR Guidelines Video, new 2014 / 2015 CPR for non-trained individual
- AHA CPR Guidelines - Updated 2014 / 2015 American Heart Association official guidelines for CPR – Latest 2014/ 2015
- *Adult CPR ProCPR: Best guide on 2010 protocol.
- *Infant CPR / Baby CPR From ProCPR
- *Child CPR From ProCPR
- Child CPR (Ages 1 to 12 Years) From the Cincinnati Children's Hospital Medical Center
- American Heart CPR Video showing changes in the new 2010 Guidelines for CPR released on October 18, 2014
- One Person Adult AED One Personfrom ProCPR
- Two Person Adult AED from ProCPR
- Child AED From ProCPr
- Infant AED From ProCPr
- Learn How to Use an AED—University of Arizona Sarver Heart Center From Gordon A. Ewy, MD, and Karl B. Kern, MD, the University of Arizona Sarver Heart Center
Acute Trauma Respone
Anthony Marchand first aid and safety