BACKGROUND: ORGANIZATION

1. Official state resource
2. Liocensed as a basic life support agency
3. Assist role with local resque squad personnel
4. Search as a primary function; rescue is an important adjunct
5. Continuing education
   1. BRMRG/ educated common sense
   2. Standard first aid (ARC)
   3. First responder/ advanced first aid
   4. Emergency Medical Technician (EMT)
   5. Advanced life support
      1. shock trauma
      2. cardiac
      3. paramedic
   6. Wilderness EMT (Koester)
6. BACKGROUND: SITUATIONS
   1. Scope
      1. Self
      2. Team member
      3. Lost person
      4. Disasters
   2. Environment (Virginia)
      1. Distances - short
      2. Terrain
         1. Varied, but usually rolling hills with fields, woodlands,
         2. Streams, rivers, ravines,
         3. Rural dwellings, farms
         4. Mountains
         5. Swamp
         6. Urban/Suburban situations
      3. Tasks - short
      4. Weather
         1. Usually moderate
         2. Can change rapidly
         3. Humidity and cold
         4. Humidity and heat
   3. APPLICATION: PRECENTION
      1. Responsibility for self
         1. Develop skills
         2. Carry adequate equipment
         3. Keep equipment with you
         4. Maintain good physical condition
         5. Stay calm
         6. Know where you are
         7. Sign in/ sign out at locker and at base
         8. Stay well hydrated
         9. Stay well fed
         10. Know your limits; rest
         11. Don't let small problems grow
      2. Responsibiluyt for team members
         1. Get to know your team members
         2. Be patient; stay calm; don;t get aggrivated
         3. Work as a group; don't try to solo
         4. Relieve fears; forestall panic situations Watch for mental alterations
         5. Find out about medical problems
         6. Make sure appropriate medications are available
         7. Go at pace of slowest member; don't leave people behind
      3. Responsibility for the search village
         1. Know who is there; sign in
         2. Find out who the leaders are
         3. Find out who the resque squad people are
         4. Establish guidelines for operations
         5. Food supplies
         6. Water supplies
         7. Know who has gone home; sign out
      4. There and back again
         1. Sign in and sign out at base and locker
         2. Directions
         3. Gas and money
         4. Don't travel alone
         5. Take breaks
         6. DON'T DRIVE WHEN FATIGUED
   4. APPLICATION: TREATMENT
      1. Basic principles

         Stay calm

         1. Assess situation
         2. Treat promptly; don't ignore problems
         3. Call for help
            Stay within level of training
         4. Priorities
            1. Level of consciousness
            2. Open airway
            3. Breathing
            4. Circulation; check pulse and control serious bleeding
         5. Don't move patient until safe to do so
         6. DO NO HARM
      2. Personal first aid kit
         1. Base pack
            1. Insect repellent
            2. calamine lotion/ Benadryl
            3. neosporin
            4. band-aids
            5. personal meds
            6. sunscreen
         2. Field pack
            1. 4x4's/ roller gauze
            2. tape
            3. personal meds/epi-kit
            4. latex gloves
            5. pocket mask
            6. moleskin
            7. first aid spray/soap
      3. APPLICATION: SPECIFIC CASES
         1. Hypothermia
         2. Heat exhaustion/heat stroke
         3. Bee stings
         4. Snake bites
         5. Plants
            1. Poison ivy, oak, sumac, etc.
            2. Consumption
         6. Ticks
         7. Dehydration
         8. Trauma/severe bleeding
         9. Trauma/fractures
         10. Trauma/falls/cervical spine immobilization
         11. Water/bacteria
         12. Ankle sprains
         13. Other medical problems
         14. Packaging and transport