Wilderness Rescue and Treatment (3 hours - Basic and Intermediate levels)

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  1. Rescue Organization And Scene Plan (30 min)
    1. Dynamics of the rescue team
      1. Medical team
      2. Litter team
      3. Safety team
      4. Command Structure
    2. Overall plan and use of rapid response
      
  2. Weather Induced Medical Emergencies (60 min)
    1. Hypothermia
      1. Definition, signs and symptoms
      2. Factors causing heat loss
      3. Factors causing heat gain
      4. Clinical stages of hypothermia
      5. Treatment
        1. prevention of further heat toss
        2. passive vs. active rewarming
        3. gentle handling
    2. Heat emergencies
      1. Definition, signs and symptoms
      2. Factors causing heat gain
      3. Clinical stages
        1. heat exhaustion
        2. heat stroke
      4. Treatment
        1. remove from heat source
        2. role of IV fluids and hydration
    3. Near drowning
      1. Definition
      2. Factors affecting survival in cold water drowning
      3. Airway management as priority
      4. Consideration of hypothermia and c-spine injury
      
  3. Wilderness Trauma (60 min)
    1. Fractures
      1. Mechanism of injury
      2. Assessment
      3. Management
      4. Splinting in the wilderness
    2. Cervical spine and head injuries
      1. Mechanism of injury
      2. Assessment
      3. Management
        1. spinal immobilization in wilderness setting
        2. airway management
    3. Shock
      1. Mechanisms of injury
      2. Assessment
      3. Management
        1. maintenance of normal body temperature
        2. keep NPO
        3. fluid resuscitation and PASG as available
    4. Wound management
      1. Mechanisms of injury
      2. Assessment
      3. Management
        1. wound care and prevention of infection
        2. bleeding control  
  4. Transportation of Patient (30 min)
    1. Types of transportation
    2. Management of medical patient
    3. Management of trauma patient  
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Western Massachusetts         Emergency Medical Services Inc.