situational awareness · always allow the rescue device to touch the deck before handling it....

Date of incident:___/____/___ Time:_________hrs

Incident Location:__________________________

Patient Name:______________________________

Address:_______________________________

Phone Number:_________________________

DOB:____/____/____ Gender: Male Female

NOK (Family Contact) Name:__________________________ Relationship:_________________________

Phone___(_____)_____-________________

Chief Complaint:__________________________________________________

Sick:____ Not Sick:____Does this injury require a hospital visit? Yes:___ No:___ Was USCG/911 called? Yes:___ No:___ Was the patient transported? Yes:___ No:___

VITAL SIGNS

TIME BP HR RR SKIN TEMP PULSE OX

AxO GCS PAIN LEVEL

Courtesy of Northwest Response, LLC. www.northwestresponse.comFirst Aid, CPR/ AED Training & AED Sales

PCR Patient Care Report

SITUATIONAL AWARENESS

• Scene Safe?• Breathing YES/NO?• No Breathing = CPR!• EMS/USCG Notified?• AED on Scene?• AED Deployed?• AED On?• PPE for BBP?• Check Scene Again!• All resources notified?• Do you need medical direction?• Re-check the scene, is it safe?

http://www.northwestresponse.com

SAMPLE:

S:______________________________________________________________ (signs & symptoms) A:______________________________________________________________ (allergies) M:______________________________________________________________ (medications) P:______________________________________________________________ (prior medical history) L:______________________________________________________________ (last oral intake-food/water) E:______________________________________________________________ (events leading up to-what were you doing)

OPQRST:

O:______________________________________________________________ (onset- When did it happen) P:______________________________________________________________ (provocation-what makes it better or worse) Q:______________________________________________________________ (quality of pain 0-10) R:______________________________________________________________ (radiation of pain) S:______________________________________________________________ (any swelling) T:______________________________________________________________ (any tenderness or use time of incident/illness)



NARRATIVE: ________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

___________________________________________________/______/______ Patient Signature/ Guardian Date

___________________________________________________/______/______ Crew Member Signature Date

Remember, all information gathered on the PCR is confidential and is not to be shared with anyone other than EMS. Once filled out, and if EMS is on scene, hand off the form to EMS or destroy the form immediately after the patient has left your care. Please respect the patients privacy.


Head:_______________________________________________________________________________

Chest:_______________________________________________________________________________

Abdo:________________________________________________________________________________

Lwrext:______________________________________________________________________________

UprExt:______________________________________________________________________________

Back:________________________________________________________________________________


VESSEL MEDICAL EMERGENCY RESPONSE CHECK LISTNOTIFICATIONS SHOULD BE MADE ON VHF 16

VESSEL NAME: _______________________________ REGISTRATION________________ ON-BOARD CELL/MOBILE NUMBER(S): ________________________________________

ENSURE ALL ONBOARD ARE WEARING LIFE JACKETS

MED-EVAC PREPHelicopter rotor wash is very powerful and any unsecured items may turn into flying projectiles.

Typically the Rescue Swimmer will be lowered to your deck first, and the air crew will then send down either a rescue litter or basket.

Always allow the rescue device to touch the deck before handling it. During its flight, the aircraft builds up a static electric charge; anyone who reaches up to take hold of the rescue device will get a shock.

For a high hoist or a hoist in a confined space, a trail line may be lowered first. Deck personnel can guide the rescue device to the deck with this line as long as they do not touch the rescue device itself. Do not tie the trail line or hoist cable to any part of the vessel. Until the hoist is complete, a crew member must tend this line at all times to keep the line from fouling.

TIME & DATE VESSEL SAFE AND SECURE

NOTIFICATIONS MADE

VESSEL LOCATION

# OF PERSONS ONBOARD

VESSEL DESCRIPTION

ITEM COMPLETEDSecure all loose items on deck

Lower and secure sails

All onboard are wearing a life jacket

The helicopter is likely to approach your boat on the port stern quarter, because it gives the pilot optimal visibility from the cockpit. So unless instructed otherwise, set your course so that the wind is 45 degrees off your port bow

Never shine a light or strobe directly toward the helicopter, and never fire flares in the vicinity of the helicopter.

Wait for the rescuers to tell you what to do, and then do it.



BICOrescue.com

SHIVERING

ALERT

SHIVERINGNOT

IF COLD &UNCONSCIOUS

ASSUME SEVEREHYPOTHERMIA

COLD STRESSED,NOT HYPOTHERMIC

MILD HYPOTHERMIA1. Handle gently

2. Have patient sit or lie down for at least 30 min.

3. Insulate/ vapour barrier

4. Give heat to upper trunk

5. Give high-calorie food/drink

6. Monitor for at least 30 min.

7. Evacuate if no improvement

1. Reduce heat loss (e.g., add dry clothing)

2. Provide high-calorie food or drink

3. Move around/exercise to warm up

1. Handle gently2. Keep horizontal3. No standing/walking4. No drink or food5. Insulate/

vapour barrier

6. Give heat to upper trunk

7. Volume replacement with warm intravenous fluid (40-42°C)

8. Evacuate carefully

MODERATEHYPOTHERMIA

SEVEREHYPOTHERMIA1. Treat as Moderate Hypothermia, and

2. 60-second breathing/pulse check

3. No – Start CPR

4. Evacuate carefully ASAP

1. From outside ring to centre: assess Consciousness, Movement, Shivering, Alertness2. Assess whether normal, impaired or no function3. The colder the patient is, the slower you can go, once patient is secured4. Treat all traumatized cold patients with active warming to upper trunk5. Avoid burns: following product guidelines for heat sources; check for excessive skin redness

ALERTNOT

MOV

EMEN

T

NORM

ALCONSC

IOUS CONSCIOUS

CONSCIOUS

IMPAIRED

MO

VEMENT

ASSESS COLD PATIENT

1

3

2

4

Tarp orPlastic Pad

Plasticor FoilSleeping Bag or Blanket

Apply Heat

2 3

1

4

6

5 78

9

CARE FOR COLD PATIENT

1 - Tarp or plastic sheet for vapour barrier outside sleeping bag

1 - Insulated ground pad1 - Hooded sleeping bag

(or equivalent)

1 - Plastic or foil sheet (2 x 3 m) for vapour barrier placed inside sleeping bag

1 - Source of heat for each team member (e.g., chemical heating pads, or warm water in a bottle or hydration bladder), or each team (e.g., charcoal heater, chemical / electrical heating blanket, or military style Hypothermia Prevention and Management Kit [HPMK])

SUGGESTED SUPPLIES FOR SEARCH/RESPONSE TEAMS IN COLD ENVIRONMENTS:

Copyright © 2016. Baby It’s Cold Outside. All rights reserved. BICOrescue.comSources: BICOrescue.com; Zafren, Giesbrecht, Danzl et al. Wilderness Environ Med. 2014, 25:S66-85.

INSTRUCTIONS FOR HYPOTHERMIA WRAP The Burrito”

2. Very wet clothing:

1. Dry or damp clothing:

3. Avoid burns: follow product instructions; place thin material between heat and skin; check hourly for excess redness

Leave clothing onIF Shelter / Transport is less than 30 minutes away, THEN Wrap immediatelyIF Shelter / Transport is more than 30 minutes away,THEN Protect patient from environment, remove wet clothing and wrap

May 4, 2018

We get asked quite often what are the best supplies to have in a first aid kit. The answer is not all that easy as kits can be quite task specific. The best place to start is to ask yourself “what might I need the kit for?” What are the types of injuries or sudden illnesses I may need to attend to? And where will you be using the kit? Home, office, car, boat, job site?

Get The Basics +Most kits come with the basics of wound care, but almost all pre-made kits are lacking in one area or another. Off the shelf kits are a great place to start, but are often packed full of items that may never get used (but nice to have) and the available space in the kits leave very little room to add additional supplies.

The Northwest Response EMS Teams kits are shop built from hundreds of items and have evolved over time to load up on the items we use the most. Our EMS station kits come in three sizes, jump-kit (shoulder bag) for fast response, two station kits that are quite literally two large tool box’s jammed full of supplies, and a roll-in-roll out kit for smaller special events.

Northwest Response www.northwestresponse.com �1

The First Aid KitWhat’s in it?

Northwest Response Gig Harbor, WA

Emergency Medical Response Training


May 4, 2018

The KitBefore you buy a kit, bag or case; ask yourself where will your first aid kit live? Does it need to be weather proof? Is space a consideration? Look at the space where you will want to house your kit, measure it and then go shopping.

If you want to build a kit, consider a soft sided one like a backpack. If moisture is an issue, a good waterproof tool box is just fine. Pre-packed refill kits are available for the DIY, or start with a pre-made kit with extra room to add additional supplies.

Compartmentalize Your SuppliesWhen building a kit from scratch buy your supplies first then look for a case or bag to store all your supplies and equipment.

Pack “like” items in sub-compartments within your kit and label them. The choices

for clear snap lid box’s are seemingly limitless, and all big box stores carry them in a large variety

of styles and sizes. There are also color coded bags available to help with

easy identification of “like supplies”.

Will you carry an AED? If you are a remote adventurer like boating; we highly recommend acquiring an AED. Let us know if you are in the market for an AED, and we can certainly help you in your buying decision.

The ListWe have put together a list of supplies that will help you in starting to build your kit and of course not all of the items are a necessity; your kit will evolve just as ours do.

Remember to take a First Aid, CPR/AED class!



https://www.northwestresponse.com/product-category/all-aed-defib/

May 4, 2018


• A GOOD PLACE TO START

• First aid book and Apps

• CPR Mask• BVM (bag valve mask)• Blood pressure cuff kit• Stethoscope• Cervical collar• Disposable Airway Kit• Mini Mag Flashlight• Sutures• Nitrile Examination gloves• Abdominal pad 5"x9"• Safety pins• Casualty blanket 84"x52"

Silver/OD• Hand sanitizer 2oz.• Calamine lotion 6oz.• Hand soap• Antimicrobial Wipes• Sting and bite swabs• Universal/Sam Splint• 6" elastic bandage• Coban self-adherent wraps• 4"x4" sterile gauze• High Grade Fabric Athletic/

Medical tape• BleedStop bandages• Quick Clot• CAT-T or SWAT-T Tourniquet• Eye pad• Eye Wash (4 oz)• Triangular bandage

40"x40"x56"• 1"x3" fabric bandage strips

• Flexible Large Adhesive Bandages 2" x 4”

• Finger-tip Bandages• Butterfly strips• 2"x4" fabric bandage strip• Petroleum or Burn Gell Gauze

(3" x 9”)• Shears• Trauma Shears• Forceps• Splinter Forceps• Small Cold Packs• Burn Pad (4" x 4”)• Burn Sheet• Gauze Rolls (4" NS)• Gauze Rolls (3" NS)• Triple Antibiotic Ointment• Antihistamine• Non Coated Aspirin• Ibuprofen • Individual Saline tubes• Eye Wash (4 oz.)• Instant Glucose• Bio-Hazard Bags• Molded Surgical Masks• AED (Automated External

Defibrillator) • TPA: Thermal Protective Aid

(warming rescue bag)• O2 Cylinder with NRB &

Nasal Cannulas• Motion Sickness Patches, or

pills.• Activated Charcoal


VESSEL MEDICAL EMERGENCY RESPONSE CHECK LISTNOTIFICATIONS SHOULD BE MADE ON VHF 16

VESSEL NAME: _______________________________ REGISTRATION________________ ON-BOARD CELL/MOBILE NUMBER(S): ________________________________________

ENSURE ALL ONBOARD ARE WEARING LIFE JACKETS

MED-EVAC PREPHelicopter rotor wash is very powerful and any unsecured items may turn into flying projectiles.

Typically the Rescue Swimmer will be lowered to your deck first, and the air crew will then send down either a rescue litter or basket.

Always allow the rescue device to touch the deck before handling it. During its flight, the aircraft builds up a static electric charge; anyone who reaches up to take hold of the rescue device will get a shock.

For a high hoist or a hoist in a confined space, a trail line may be lowered first. Deck personnel can guide the rescue device to the deck with this line as long as they do not touch the rescue device itself. Do not tie the trail line or hoist cable to any part of the vessel. Until the hoist is complete, a crew member must tend this line at all times to keep the line from fouling.

TIME & DATE VESSEL SAFE AND SECURE

NOTIFICATIONS MADE

VESSEL LOCATION

# OF PERSONS ONBOARD

VESSEL DESCRIPTION

ITEM COMPLETEDSecure all loose items on deck

Lower and secure sails

All onboard are wearing a life jacket

The helicopter is likely to approach your boat on the port stern quarter, because it gives the pilot optimal visibility from the cockpit. So unless instructed otherwise, set your course so that the wind is 45 degrees off your port bow

Never shine a light or strobe directly toward the helicopter, and never fire flares in the vicinity of the helicopter.

Wait for the rescuers to tell you what to do, and then do it.



Prefix ____ First Name _________________ M.I. ___ Last Name _________________________________Age at time of sailing ______ Are you traveling alone? Yes ___ No ___Name of traveling companion ___________________________________________Insurance Company ________________________ Insurance Company Telephone _________________

1. Please list any pertinent illnesses or operations:

2. Please list any current prescriptions and/or over the counter medications:

3. Please list any allergies or medications you may be allergic to:

4. Please list any equipment that you will be bringing onboard the ship (i.e oxygen concentrator, wheelchair, liquid oxygen, pacemaker etc.). If bringing oxygen cylinders or liquid oxygen, please specify how many and which size:

CONFIDENTIAL

I,_______________________________ state that I have no know pertinent previous medical condition(s), I’m

not taking any prescribed medications, and attest by my signature below that I am fit to travel. No medications No known medical conditions See below

Signed__________________________________________ Dated______________________

PASSENGER STATEMENT OF HEALTH

VOYAGE INFORMATION

KNOWN CONDITIONS

We take HIPAA and passenger confidentiality very seriously. This form will be returned to you at the conclusion of your voyage. If you have a medical condition, please verify with your personal physician that you are well enough to travel on the itinerary you have chosen. If you are pregnant, on dialysis, traveling with oxygen or using electric medical equipment you need to notify ship’s medical personnel or Captain with this form.

5. Hospitalized in the past year? Yes ____ No ____

6. Any exacerbations within the past year? Yes ____ No ____

7. Do you think that you are medically fit to travel? Yes ____ No ____

If a Yes has been checked for questions 5 or 6, please include details in the section provided below. All medical information is for use by the ship’s Captain or physician for emergency situations.

Doctor’s Name _____________________________________________________________________

Address ___________________________________________________________________________Telephone _____________________________ Email ______________________________________

Be advised that we strongly recommend that all passengers purchase travel insurance which provides coverage for appropriate medical care and repatriation or medical evacuation. Some insurance policies may not cover pre-existing medical conditions, nor provide coverage for all medical services. Some policies may not provide the funds necessary for treatment nor evacuation

until the passenger has returned home. Medical care and evacuation can be very expensive.

COMMENTS

PLEASE NOTE

DOCTOR’S INFORMATION

The information that I have stated above is correct to the best of my knowledge.

Signature __________________________________________________ Dated _______________________

Courtesy of Northwest Response www.northwestresponse.com

K-1 Page 1 of 1

Radio Call Frequency: High Site: DF Bearing:Time: Date: UCN: Initials:

-- Initial SAR Check-sheet --

About the Distressed Vessel1. Position Type of Position Lat/Long Loran Lines Geographic LocationHow determined?

2. Number of Persons Aboard ADULTS: CHILDREN: TOTAL: Health or medical concerns?

3. Nature of Distress (if PIW complete additional PIW box below)

4. Description of VesselIncluding…

Length Color Type Name of Vessel

at anchor? Y N5. Have all persons aboard the vessel put on Personal Flotation Devices.

***** ADVISE VESSEL OF INTENDED ACTIONS AT THIS TIME *******

6. Determine Initial Severity/Emergency Phase (done by Watch Supervisor) [ ] Distress[ ] Dispatch Resources/Activate SAR Alarm.[ ] Advise vessel of Coast Guard’s Actions.[ ] Brief Group/District[ ] Provide Emergency Instructions to Vessel in Distress.[ ] Issue UMIB.[ ] Complete additional Check-Sheets as Situation Dictates.[ ] Refer to D1 SARPLAN.

[ ] Uncertainty [ ] AlertAdditional Information is needed.

Complete one or more of the following:[ ] Supplemental Check-sheet[ ] Overdue Check-sheet[ ] Flare Sighting Check-sheet[ ] MEDEVAC/MEDICO Check-sheet[ ] Grounding Check-sheet

About any People in the WaterNumber:Time:

Confirmed? Description PFD?Exp suit? Light?

Complete all of the above before shifting frequency; Complete below before hanging up phone.

About the Reporting SourceName of Reporting SourceName of Reporting Source VesselCall back number (with area code) Is this a cell phone number?

Address of Reporting Source

About the On Scene WeatherWind Seas Swells Visibility

SUPPLEMENTAL SAR CHECKSHEET

K-2 Page 1 of 1

VESSEL [ ] Document/Official [ ] State Reg. Communications Equipment

[ ] VHF-FM [ ] HF [ ] Other:_____________[ ] Cellular #:_____________________________Frequencies:

Homeport: Flag: Navigation Equipment:[ ] LORAN [ ] GPS [ ] Radar [ ] Fathometer[ ] Other:

Usage

Prominent Features

Hull Material

Cause of incident: Survival Equipment:[ ] EPIRB Class/Type:_____________________[ ] VDS/Flares [ ] Flashlight[ ] Raft/Lifeboat [ ] Dinghy/Skiff[ ] Food/Water [ ] Foul Wx Gear

PEOPLE[ ] Owner [ ] Operator [ ] POBName:___________________________Address:_________________________________________________________Phone:___________________________Age: DOB: Male / Female

[ ] Owner [ ] Operator [ ] POBName:____________________________________Address:_____________________________________________________________________________Phone:____________________________________Age: DOB: Male / Female

[ ] Owner [ ] Operator [ ] POBName:___________________________Address:_________________________________________________________Phone:___________________________Age: DOB: Male / Female

[ ] Owner [ ] Operator [ ] POBName:____________________________________Address:____________________________________________________________________________Phone:____________________________________Age: DOB: Male / Female

ADDITIONAL COMMENTS:

ACTIONSCommunications Schedule:

Start Time: ______Frequency:________

Time Interval:

[ ] 15 Min [ ] 30 Min [ ] 60 Min [ ] Other

Remarks:

Set and Drift: [ ] Not a Factor

Set:___________ [ ] True Drift:_________ [ ] Kts

[ ] Mag. [ ] Mph

DMB Type:_____________ Freq:_____________

DMB Inserted RelocatedTime: _____________ ____________Position: _____________N ____________N _____________W ____________W

situational awareness · always allow the rescue device to touch the deck before handling it....

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