Re: First Aid Req. (CPR in 1st Class)
Timothy O'Leary (tjo@IMSNET.NET)
Thu, 6 Nov 1997 17:40:58 -0500
I've weighed in on the issues of CPR and first aid before, so I will be
brief, in comments that mostly echo those of others.
There is a lot of emphasis on "mechanics" in the MB pamphlets, and not
much on judgement. When I teach first aid, I deemphasize the mechanics,
and emphasize the judgement.
Standard CPR courses, taught by certified instructors, are very
carefully constructed to emphasize the assessment/judgement phase.
Assessing the condition of the patient, the situation he is in, and
deciding what to do is, likely to be more of a limitation for the Scouts
than is the execution of compressions or the fabrication of a splint!
Rule 1: The best first aid is the first aid you didn't have to do
becuse you prevented the injury.
Variation 1: Most instances in which first aid is required in scouting
result from poor judgement on the part of scouts, adults, or both.
Rule 2: Call for help. There will invariably be someone who is either
better trained, or better equipped, than you are. But you may have to
bring them in by helo.
Variation 2: When in the thick of it, even the most experienced people
may miss something obvious. Two heads are better than one.
Rule 3: Train, train, train. You'll make fewer mistakes in the heat of
battle if you've simulated the situation, and 1000 variations, before.
It is in this process of training that we learn how to assess a
situation quickly and well.
Tim O'Leary, MD, WDL, CC, etc etc.
Terry Howerton Sakima Group, Inc. SCOUTER Magazine Kansas City