BSA FIRST AID MEET COMPETITION TRAINING

Transcription

1 2018 New Book, Inc. ROY KING BSA FIRST AID MEET COMPETITION TRAINING How to train a patrol for BSA First Aid Meet competition. Page 1

2 PAGE INTRODUCTION 3 COURSE DESCRIPTION 4 RULES FOR BSA FIRST AID MEETS FIRST AID CHECKLIST(DESCRIPTION) 6 FIRST AID CHECKLIST (LIST) 7 FIRST AID CHECKLIST(DIVIDED) 8 FIRST AID PATROL MEMBER TRACKING SHEET RED 9 FIRST AID PATROL MEMBER TRACKING SHEET PURPLE 11 FIRST AID PATROL MEMBER TRACKING SHEET TURQUOISE 13 FIRST AID MEETING PLAN 1 1 FIRST AID MEETING PLAN 2 17 FIRST AID MEETING PLAN 3 19 FIRST AID MEETING PLAN 4 21 FIRST AID MEETING PLAN 23 FIRST AID MEETING PLAN 6 24 FIRST AID MEETING PLAN 7 & 8 2 SCENARIOS FOR TRAINING 26 INSTRUCTIONS FOR JUDGES 26 INSTRUCTIONS FOR TEAMS 27 SCENARIO INDEX 28 ITEMS FOR FIRST AID MEET KIT 66 FEBRUARY , SHAC 16 TH ANNUAL FIRST AID MEET, 30 PATROLS Page 2

3 INTRODUCTION Teaching young Scouts intricate skills that require a lot of memory work just goes against nature. When was the last time you saw a young Scout volunteer to memorize a lot of information? For me, it was the last time I taught a patrol how to compete in the BSA first aid meet. There was much doubt and complaining at first until I split up the areas of first aid and assigned different areas to different Scouts. That began to look like a doable task instead of an overwhelming mountain of material to memorize. Meeting once a week to practice was fun and challenging for them. If you wish to prepare a patrol for competition you will need the materials listed in ITEMS FOR FIRST AID MEET KIT, a partner to be the second adult at a meeting each week and at least five Scouts who are willing to work to have fun. This program is intended to be provided by adult supervision for a patrol separate from regular troop meetings. This is a patrol meeting. It will require the Scouts to study the Handbook and First Aid Merit Badge Pamphlet. They will learn first aid, team work and permanent skills that may save their or someone else s life many years from now. The meetings and lessons are provided to give a progressive learning path for first aid. Each meeting is designed to cover a portion of each of three major areas (see first aid checklist) in first aid. The entire checklist should be covered in four meetings. The last four meetings are designed to require deeper thought by the Scouts to become proficient. As a team, they should be able to arrive at an emergency scene, diagnose and treat any injury in the Handbook or First Aid Merit Badge pamphlet. NOTES: 1. This book assumes the class instructors (adults) are familiar with first aid as presented in the Boy Scout Handbook and First Aid Merit Badge pamphlet. Additionally, the instructors should be current with CPR practices and Red Cross first aid practices. Wilderness First aid Practices would also be helpful. 2. This book does not address how to apply first aid. This knowledge in provided in the Handbook and First Aid Merit Badge pamphlet. The instructor will want to review these for what is covered in each meeting and make a checklist of his own. Each Scout should do the same in preparation for each meeting. The goal is for each Scout to have his part memorized prior to the meeting. More symptoms, signs and treatments are covered in the Handbook and merit badge pamphlet than are covered in the scenarios and scoring sheets. The instructor should provide guidance for complete coverage. 3. For skills used in this book the details are not covered. The check lists and scenarios are for the purpose of learning how to apply the skills learned from the Handbook and Pamphlet in an efficient and logical manner. Concepts of how to handle overlapping diagnosis or lack of information are to be inserted by the instructor as needed. (See Scenario 11) Only the main ideas for scoring are covered. In all skills covered in this book: It is up to the instructor to be proficient in the details and transfer that knowledge to the Scouts. Page 3

4 COURSE DESCRIPTION Preparing to compete in first aid meets does not occur overnight. There is much to learn and since the Patrol s performance is judged on time, practice is needed to become proficient. The course is set up for eight sessions. There will be conflicts in scheduling that additional meetings and extra sessions for weak areas may be necessary. It is recommended the meetings be scheduled over a three month period to accommodate other s schedules. For example, Big Cypress District First Aid Meet for 2018 is scheduled for December 1, The meetings should start the first week in September. A minimum of five Scouts who are committed to the work and fun will be necessary. The first four meetings cover, in order, approximately one fourth of each of the red, purple and turquoise items (see First Aid Checklist, divided). The scenarios are not timed but are intended to solidify all of the concepts from the checklist into a comprehensive knowledge base possessed by the Scouts as a group. Skills and tasks in the yellow group should be practiced to proficiency by all during these meetings. Every Scout should have the opportunity to lead items 1, 2, 3 and 13 each of these four meetings. Notes and books will be accessible during these four meetings. The remainder of the meetings, as with the meets, no written materials will be allowed during the scenarios and the scenarios will be timed. The last four meetings are scenario practice sessions. The goal is to execute scenarios at each meeting similar to what is to be encountered at a first aid meet. These will be a little more complex and vague than the scenarios of the first four meetings. The goal here is to learn to recognize, diagnose and treat ALL emergencies and illness in a situation. This is a study of focused attention and applied logic. Learning what to treat first is important. These scenarios are timed and discussed afterward for improvement. Short scenarios that generally require only a verbal answer may be provided between these scenarios. These are incidents the Scouts can EXPECT to encounter in themselves or others sooner or later. NOTES: 1. At most meets, the patrol flag on a stand and the patrol yell upon completion are required. Both of these should be practiced for each scenario at the meetings. I have seen Scouts hesitant to give the patrol yell in a crowd. It should be automatic! 2. Scouts will be required to be in Field uniform (class A) for first aid meets. It is recommended this be practiced at the last two practice meetings. Page 4

5 BSA FIRST AID MEET COMPETITION TRAINING RULES FOR BSA FIRST AID MEETS Rules and judging for first aid meets run by BSA may vary slightly from district to district and council to council. Generally, they will be close to the following: BSA Annual Health and Medical form (Parts A, B) for every participant Each patrol is expected to provide all equipment needed to demonstrate proficiency in first aid problems, including poles and blankets or other material for making an improvised stretcher; a troop/patrol size first aid kit with splints, bandages and sunscreen; rescue breathing apparatus/mannequin (a simple one as illustrated in the registration materials); sleeping bag; bottles of water for patrol members; patrol flag with stand and patrol sign (as shown in registration materials). First Aid Meet Rules Each patrol will be presented a problem and will have a set amount of time to solve the problem. At each problem, there will be four performers and one victim (any extra patrol members must sit out ). Each member must serve as a victim in at least one problem situation unless there are only four patrol members. Scenarios: For each scenario, there will be five Scouts allowed in the contest grid. No books, electronic devices, cards or pamphlets are allowed. Judging: The judging standard will be the current Boy Scout Handbook, First Aid Merit Badge pamphlet and current American Red Cross guidelines. Scouts will need to know how to perform CPR with respirations and compressions and how to use an AED. Judges: Each patrol should provide at least one Scouter or Scout parent that can serve as a judge. While not mandatory for participation, this adult judge will ensure enough judges to assist with the meet and finish in a timely manner. Judges will be instructed in scoring procedures prior to the scenarios and will not judge their own team. Contact your district or council for more information including dates for registration and meets. Contact for SHAC David Krusleski Council First Aid Meet Chair dkrusleski@sbcglobal.net Contact for Big Cypress District Alicia Rodenberger BCD First Aid Meet Chair azr@entouchonline.net Page

6 Sam Houston Area Council First Aid Meet Frequently Asked Questions By David Krusleski How does a patrol become eligible to compete in the Council First Aid Meet? The patrol must be one of their District s representative patrols. Currently each district can send up to three patrols. How does a patrol become a District Representative Patrol? The winner s of the District s First Aid meet are the District s representatives to the Council First Aid Meet. If there is no District First Aid Meet, the District may choose to join with another District who has a District First Aid Meet or the District Committee may appoint representative patrols to the Council First Aid Meet. My troop does not have a patrol that wants to compete in the First Aid Meet, but the troop has boys in multiple patrols that want to compete. May they form a patrol to compete? 1) Each District has its own rules, so please consult your District s First Aid Meet Chair. 2) From the standpoint of the Council First Aid Meet, we will allow the formation of a patrol to learn First Aid and compete. Under no circumstances should a scout be removed from a patrol just so that a more experienced scout can join the team in an attempt to receive a higher score at a First Aid Meet. How many scouts make up a team? The team is five scouts. What if we have more than five scouts in the patrol? 1) More than scouts can be part of the team. 2) Only scouts can compete at a time. You may rotate the team members so that all members of the patrol are able to compete. 3) Only medals are provided to the winning teams. The medals are purchased from the scout shop and the winning troop leader may purchase extras if needed. What if we do not have five scouts on our team? 1) The team may still compete, but they will be at a disadvantage. 2) Only team members who competed in the District Meet or are their District s Representatives may compete. They may not be replaced by other scouts. 3) If there are only 4 members of the team able to attend the Council First Aid Meet, the team may bring a designated victim. The designated victim may not help the patrol in treating the First Aid Scenarios. The team will also lose any points in the MEGA scenario that the designated victim s position could have earned if they were a part of the original team. 4) If the team has less than four members that are able to participate, the team is still encouraged to attend and compete. This will enhance their First Aid skills and better prepare them for competing in next year s event. Does the team have to bring registered leaders? Yes. YPT rules are in effect. There should be at least 2 YPT trained leaders. We also need leaders to help as judges and helpers during the meet. Page 6

7 FIRST AID CHECKLIST Description The FIRST AID CHECKLIST is intended to be a help in learning to compete in first aid meets. It is not an all inclusive how-to instruction. It is intended to organize the first responder process into identifiable groups of actions in order of importance. Some instructions are provided (item 13) which may or may not be applicable for responding to an actual real life treatment. Verbalizing the thought process will not diminish the value of real life treatment and sometimes is necessary for the contest scorer to know you completed some items and award points for it. Following the checklist in real life treatment will provide a path for insuring fast and appropriate care. The list provides page references, i.e.: [111], to the approximate location in the Boy Scout Handbook, 13th Edition, covering the information needed to identify and react to the situation listed. The list is not sufficient for diagnosis and treatment but, is intended to provide a structure or organization for remembering and applying the information in the Handbook and the First Aid Merit Badge book. For competition purposes, Scouts will be assigned groups (numbered items) to study and become proficient in their application. A patrol can collectively cover the entire set of subjects. Scouts will be introduced to the entire set during practices and be rotated through the entire set over two or three years. The goal is for the Scouts to become proficient in all the listed skills and be prepared to make the best decisions in an emergency situation for the rest of their life. It is not reasonable to expect all Scouts to be proficient in all aspect of first aid. New Scouts may only have a few months to learn this prior to competing. By breaking up the list into groups, each of the five patrol members can specialize in different groups and cover the whole list. By rotating the Scouts through the groups each year they will become proficient in all of them in two or three years. One copy of the list is shaded to show the groups. Every Scout should be proficient in the yellow group. This will be studied and accomplished at the meetings. Red is for hurry cases. Purple is for stroke and heat associated cases. Turquoise is for miscellaneous emergencies. The following table illustrates how the list would be divided between five Scouts to provide proficiency. SCOUTS NAME PRIMARY SECONDARY COMMON RESPONSIBILITY RESPONSIBILITY RESPONSIBILITY SCOUT A RED TURQUOISE-9,10 YELLOW SCOUT B PURPLE TURQUOISE-11 YELLOW SCOUT C PATROL LEADER TURQUOISE GO FOR HELP & 13 YELLOW SCOUT D RED TURQUOISE-9,10 YELLOW SCOUT E PURPLE TURQUOISE-11 YELLOW At most scenarios, there will be four performers and one victim (any other patrol member must sit out ). Each member must serve as a victim in at least one problem situation. If this is a wilderness situation two will be required to go for help leaving only two to work on the victim. In many cases the victim cannot contribute to the diagnosis or treatment. Turquoise items generally do not require going for help. The scout with primary responsibility of turquoise SHOULD BE THE PATROL LEADER and can choose a red or purple based on who is the victim. If a red is the victim choose a purple. If turquoise is the victim and help is needed, a red and a purple can be sent for help. Items 1, 2, 3, 12 are repeated and learned in practice by doing. This dividing of responsibilities cuts the memory work in half. In two years a Scout can become proficient in all the first aid items on the checklist. The First Aid Patrol Member Tracking Sheet is used as a signoff when a Scout has demonstrated proficiency in an area. These should be collected by the adult at the beginning of each meeting. As proficiency is demonstrated he checks off the item. The tracking sheets are returned to the Scouts at the end of the meeting as a guide for further study. Page 7

8 - FIRST AID CHECKLIST _- 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 4. ARE THERE ANY HURRY CASES (TRIAGE) A. STOPPED BREATHING[11] YES DO RESCUE BREATHING IS CHEST RISING AND FALLING PLACE EAR NEAR MOUTH AND NOSE B. HEART ATTACK OR NO HEART BEAT[119] NO HEART BEAT CPR & AED PAIN OR PRESSURE BEHIND THE BREASTBONE UNUSUAL SWEATING NAUSEA SHORTNESS OF BREATH WEAKNESS YES HAVE SIT OR LIE DOWN C. SEVERE BLEEDING [119] APPLY PRESSURE AND MAINTAIN IT USE PRESSURE TO CONTROL BLEEDING USE TOURNIQUET FOR MASSIVE BLEEDING AT EXTREMITIES D. CHOKING (NOT COUGHING) YES HEIMLICH MANEUVER DO NOT PUT YOUR FINGER DOWN THEIR THROAT [120] E. POISONING [121] SAVE CONTAINERS AND VOMIT FOR IDENTIFICATION OF POISON, DO NOT INDUCE VOMITING WITHOUT DOCTOR'S AUTHORIZATION F. ANAPHYLACTIC SHOCK & EPI PEN. TREAT FOR SHOCK [114] (FOR ALL OF THE ABOVE) HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE 6. STROKE FACE ARM SPEECH TIME TO CALL 911 [124] 7. BURNS--DO NOT COVER WITH SPRAYS, CREAMS OR OINTMENTS[136] A. FIRST DEGREE - SKIN RED COOL WATER AND MOIST LOOSE DRESSING B. SECOND DEGREE - BLISTERS--DON'T POP COOL WATER AND MOIST LOOSE DRESSING C. THIRD DEGREE - CHARRED SKIN, SKIN MISSING DO NOT REMOVE CLOTHING, WRAP IN SHEET AND GET TO HOSPITAL [numbers in brackets refer to the Scout Handbook] 8. HEAT EXHAUSTION OR STROKE [138] A. HEAT EXHAUSTION - PALE, COLD, AND CLAMMY, SHALLOW BREATHING, DILATED PUPILS, HEADACHE AND DIZZINESS MOVE TO SHADE, RAISE FEET, LOOSEN CLOTHING, FAN, APPLY WET CLOTHS, SIP WATER B. HEAT STROKE - RED, HOT, AND DRY, MAY BE SWEATY, SLOW NOISY BREATHING, RAPID STRONG PULSE, SMALL PUPILS MOVE TO SHADE, RAISE HEAD AND SHOULDERS, REMOVE CLOTHING, REDUCE TEMPERATURE WITH COOL WET CLOTHS 9. CUTS AND SCRAPES BANDAGE UP [12] 10. NOSE BLEED [126-13] SIT UP, PRESS NOSTRIL TO CENTER, APPLY COLD COMPRESS 11. OTHER THINGS TO KNOW HOW TO TREAT [12] SPRAINED ANKLE REST ICE COMPRESSION ELEVATE INSECT BITES BLISTERS JELLY FISH STINGS ANIMAL BITES, SNAKE BITES SOMETHING IN THE EYE PUNCTURE WOUNDS SKIN POISONING FROM PLANTS FROSTBITE HYPOTHERMIA KEEP WARM CLOSED AND OPEN FRACTURES EPILEPTIC SEIZURE 12. SKILLS [144] SLINGS SPLINTS & BANDAGING TRANSPORTING A VICTIM RESCUES BUILDING ON FIRE PERSON ON FIRE LIVE WIRES HOUSE ELECTRICAL CURRENT CLOSED AND OPEN FRACTURES FALLEN THROUGH ICE 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED Page 8

9 - FIRST AID CHECKLIST (Divided) - 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 4. ARE THERE ANY HURRY CASES (TRIAGE) A. STOPPED BREATHING[11] YES DO RESCUE BREATHING IS CHEST RISING AND FALLING PLACE EAR NEAR MOUTH AND NOSE B. HEART ATTACK OR NO HEART BEAT[119] NO HEART BEAT CPR & AED PAIN OR PRESSURE BEHIND THE BREASTBONE UNUSUAL SWEATING NAUSEA SHORTNESS OF BREATH WEAKNESS YES HAVE SIT OR LIE DOWN C. SEVERE BLEEDING [119] APPLY PRESSURE AND MAINTAIN IT USE PRESSURE TO CONTROL BLEEDING USE TOURNIQUET FOR MASSIVE BLEEDING AT EXTREMITIES D. CHOKING (NOT COUGHING) YES HEIMLICH MANEUVER DO NOT PUT YOUR FINGER DOWN THEIR THROAT [120] E. POISONING [121] SAVE CONTAINERS AND VOMIT FOR IDENTIFICATION OF POISON, DO NOT INDUCE VOMITING WITHOUT DOCTOR'S AUTHORIZATION F. ANAPHYLACTIC SHOCK & EPI PEN. TREAT FOR SHOCK [114] (FOR ALL OF THE ABOVE) HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE 6. STROKE FACE ARM SPEECH TIME TO CALL 911 [124} 7. BURNS--DO NOT COVER WITH SPRAYS, CREAMS OR OINTMENTS[136] A. FIRST DEGREE - SKIN RED COOL WATER AND MOIST LOOSE DRESSING B. SECOND DEGREE - BLISTERS--DON'T POP COOL WATER AND MOIST LOOSE DRESSING C. THIRD DEGREE - CHARRED SKIN, SKIN MISSING DO NOT REMOVE CLOTHING, WRAP IN SHEET AND GET TO HOSPITAL 8. HEAT EXHAUSTION OR STROKE [138] A. HEAT EXHAUSTION - PALE, COLD, AND CLAMMY, SHALLOW BREATHING, DILATED PUPILS, HEADACHE AND DIZZINESS MOVE TO SHADE, RAISE FEET, LOOSEN CLOTH THING, FAN, APPLY WET CLOTHS, SIP WATER B. HEAT STROKE - RED, HOT, AND DRY, MAY BE SWEATY, SLOW NOISY BREATHING, RAPID STRONG PULSE, SMALL PUPILS MOVE TO SHADE, RAISE HEAD AND SHOULDERS, REMOVE CLOTHING, REDUCE TEMPERATURE WITH COOL WET CLOTHS 9. CUTS AND SCRAPES BANDAGE UP [12] 10. NOSE BLEED [126-13] SIT UP, PRESS NOSTRIL TO CENTER, APPLY COLD COMPRESS 11. OTHER THINGS TO KNOW HOW TO TREAT [12] SPRAINED ANKLE REST ICE COMPRESSION ELEVATE INSECT BITES BLISTERS JELLY FISH STINGS ANIMAL BITES, SNAKE BITES SOMETHING IN THE EYE PUNCTURE WOUNDS SKIN POISONING FROM PLANTS FROSTBITE HYPOTHERMIA KEEP WARM CLOSED AND OPEN FRACTURES EPILEPTIC SEIZURE 12. SKILLS [144] SLINGS SPLINTS & BANDAGING TRANSPORTING A VICTIM RESCUES BUILDING ON FIRE PERSON ON FIRE LIVE WIRES HOUSE ELECTRICAL CURRENT CLOSED AND OPEN FRACTURES FALLEN THROUGH ICE 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED Page 9

10 First Aid Patrol Member Tracking Sheet MEMBER NAME Use this sheet by checking off skills when competency is demonstrated at two meetings. Make notes as needed. PRIMARY RESPONSIBILITY_ RED _ 4. ARE THERE ANY HURRY CASES (TRIAGE) A. STOPPED BREATHING[11] YES DO RESCUE BREATHING IS CHEST RISING AND FALLING PLACE EAR NEAR MOUTH AND NOSE B. HEART ATTACK OR NO HEART BEAT[119] NO HEART BEAT CPR & AED PAIN OR PRESSURE BEHIND THE BREASTBONE UNUSUAL SWEATING NAUSEA SHORTNESS OF BREATH WEAKNESS YES HAVE SIT OR LIE DOWN C. SEVERE BLEEDING [119] APPLY PRESSURE AND MAINTAIN IT USE PRESSURE TO CONTROL BLEEDING USE TOURNIQUET FOR MASSIVE BLEEDING AT EXTREME D. CHOKING (NOT COUGHING) YES HEIMLICH MANEUVER DO NOT PUT YOUR FINGER DOWN THEIR THROAT [120] E. POISONING [121] SAVE CONTAINERS AND VOMIT FOR IDENTIFICATION OF POISON, DO NOT INDUCE VOMITING WITHOUT DOCTOR'S AUTHORIZATION F. ANAPHYLACTIC SHOCK. TREAT FOR SHOCK [114] (FOR ALL OF THE ABOVE) HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE Page 10

11 SECONDARY RESPONSIBILITY_ TURQUOISE _ 9. CUTS AND SCRAPES BANDAGE UP [12] 10. NOSE BLEED [126-13] SIT UP, PRESS NOSTRIL TO CENTER, APPLY COLD COMPRESS COMMON RESPONSIBILITY_ YELLOW _ 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 12. SKILLS [144] SLINGS SPLINTS & BANDAGING TRANSPORTING A VICTIM RESCUES BUILDING ON FIRE PERSON ON FIRE LIVE WIRES HOUSE ELECTRICAL CURRENT CLOSED AND OPEN FRACTURES FALLEN THROUGH ICE 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR LIFE THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED Page 11

12 First Aid Patrol Member Tracking Sheet MEMBER NAME Use this sheet by checking off skills when competency is demonstrated at two meetings. Make notes as needed. PRIMARY RESPONSIBILITY_ PURPLE _ 6. STROKE FACE ARM SPEECH TIME TO CALL 911 [124] 7. BURNS--DO NOT COVER WITH SPRAYS, CREAMS OR OINTMENTS[136] A. FIRST DEGREE - SKIN RED COOL WATER AND MOIST LOOSE DRESSING B. SECOND DEGREE - BLISTERS--DON'T POP COOL WATER AND MOIST LOOSE DRESSING C. THIRD DEGREE - CHARRED SKIN, SKIN MISSING DO NOT REMOVE CLOTHING, WRAP IN SHEET AND GET TO HOSPITAL 8. HEAT EXHAUSTION OR STROKE [138] A. HEAT EXHAUSTION - PALE, COLD, AND CLAMMY, SHALLOW BREATHING, DILATED PUPILS, HEADACHE AND DIZZINESS MOVE TO SHADE, RAISE FEET, LOOSEN CLOTH THING, FAN, APPLY WET CLOTHS, SIP WATER B. HEAT STROKE - RED, HOT, AND DRY, MAY BE SWEATY, SLOW NOISY BREATHING, RAPID STRONG PULSE, SMALL PUPILS MOVE TO SHADE, RAISE HEAD AND SHOULDERS, REMOVE CLOTHING, REDUCE TEMPERATURE WITH COOL WET CLOTHS Page 12

13 SECONDARY RESPONSIBILITY_ TURQUOISE _ 11. OTHER THINGS TO KNOW HOW TO TREAT [12] SPRAINED ANKLE REST ICE COMPRESSION ELEVATE INSECT BITES BLISTERS JELLY FISH STINGS ANIMAL BITES, SNAKE BITES SOMETHING IN THE EYE > COVER BOTH EYES PUNCTURE WOUNDS SKIN POISONING FROM PLANTS FROSTBITE HYPOTHERMIA KEEP WARM CLOSED AND OPEN FRACTURES EPILEPTIC SEIZURE COMMON RESPONSIBILITY_ YELLOW _ 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 12. SKILLS [144] SLINGS SPLINTS & BANDAGING TRANSPORTING A VICTIM RESCUES BUILDING ON FIRE PERSON ON FIRE LIVE WIRES HOUSE ELECTRICAL CURRENT CLOSED AND OPEN FRACTURES FALLEN THROUGH ICE 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED Page 13

14 First Aid Patrol Member Tracking Sheet MEMBER NAME Use this sheet by checking off skills when competency is demonstrated at two meetings. Make notes as needed. PRIMARY RESPONSIBILITY_ TURQUOISE _ IS THE PATROL LEADER - ALL QUESTIONS GO THROUGH HIM TO THE JUDGE - HE DIRECTS WHEN NEEDED - HE MAKES THE JUDGE AWARE OF WHAT IS BEING DONE - IF NEEDED, HE PICKS SOMEONE AND BOTH GO FOR HELP. 9. CUTS AND SCRAPES BANDAGE UP [12] 10. NOSE BLEED [126-13] SIT UP, PRESS NOSTRIL TO CENTER, APPLY COLD COMPRESS 11. OTHER THINGS TO KNOW HOW TO TREAT [12] ANAPHYLACTIC SHOCK & EPI PEN SPRAINED ANKLE REST ICE COMPRESSION ELEVATE INSECT BITES BLISTERS JELLY FISH STINGS ANIMAL BITES, SNAKE BITES SOMETHING IN THE EYE > COVER BOTH EYES PUNCTURE WOUNDS SKIN POISONING FROM PLANTS FROSTBITE HYPOTHERMIA KEEP WARM CLOSED AND OPEN FRACTURES EPILEPTIC SEIZURE Page 14

15 SECONDARY RESPONSIBILITY_ YELLOW, GO FOR HELP _ 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED COMMON RESPONSIBILITY_ YELLOW _ 12. SKILLS [144] SLINGS SPLINTS & BANDAGING TRANSPORTING A VICTIM RESCUES BUILDING ON FIRE PERSON ON FIRE LIVE WIRES HOUSE ELECTRICAL CURRENT CLOSED AND OPEN FRACTURES FALLEN THROUGH ICE Page 1

16 FIRST AID MEETING PLAN MEETING 1 Scouts are expected to know their areas for their primary skills to be used in this meeting (red, purple, turquoise). A week prior to this meeting, each should be given: INTRODUCTION COURSE DESCRIPTION RULES FOR BSA FIRST AID MEETS FIRST AID CHECKLIST Description - FIRST AID CHECKLIST (divided) - Individual - First Aid Patrol Member Tracking Sheet FIRST AID MEETING PLAN MEETING 1 First Aid Checklist items to be covered in meeting: 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 4. ARE THERE ANY HURRY CASES (TRIAGE) A. STOPPED BREATHING [11] YES DO RESCUE BREATHING IS CHEST RISING AND FALLING PLACE EAR NEAR MOUTH AND NOSE. TREAT FOR SHOCK [114] (FOR ALL OF THE ABOVE) HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE 6. STROKE FACE ARM SPEECH TIME TO CALL 911 [124] 9. CUTS AND SCRAPES BANDAGE UP [12] 12. SKILLS [144] SLINGS SPLINTS & BANDAGING RESCUES BUILDING ON FIRE PERSON ON FIRE 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED Page 16

17 MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools ( See ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. The yellow items 1, 2, 3 and 13 should be thoroughly discussed providing training in what is to be expected to occur at each scenario. 3. For each of the First aid checklist items to be covered in meeting, discuss all symptoms/signs and treatments. 4. SLINGS, BUILDING ON FIRE, PERSON ON FIRE should be explained, demonstrated and practiced.. Scenarios 1 through 4 should be practiced until proficient. SCENARIO INDEX Page 17

18 FIRST AID MEETING PLAN MEETING 2 Scouts are expected to know their areas for their primary skills to be used in this meeting (red, purple, turquoise). Prior to this meeting, each should be given: Individual - First Aid Patrol Member Tracking Sheet updated FIRST AID MEETING PLAN MEETING 2 First Aid Checklist items to be covered in meeting: 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 4. ARE THERE ANY HURRY CASES (TRIAGE,) B. HEART ATTACK OR NO HEART BEAT[119] NO HEART BEAT CPR & AED PAIN OR PRESSURE BEHIND THE BREASTBONE UNUSUAL SWEATING NAUSEA SHORTNESS OF BREATH WEAKNESS YES HAVE SIT OR LIE DOWN. TREAT FOR SHOCK [114] HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE 6. BURNS--DO NOT COVER WITH SPRAYS, CREAMS OR OINTMENTS[136] A. FIRST DEGREE - SKIN RED COOL WATER AND MOIST LOOSE DRESSING B. SECOND DEGREE - BLISTERS--DON'T POP COOL WATER AND MOIST LOOSE DRESSING C. THIRD DEGREE - CHARRED SKIN, SKIN MISSING DO NOT REMOVE CLOTHING, WRAP IN SHEET AND GET TO HOSPITAL 10. NOSE BLEED [126-13] SIT UP, PRESS NOSTRIL TO CENTER, APPLY COLD COMPRESS ANAPHYLACTIC SHOCK & EPI PEN 12. SKILLS [144] LIVE WIRES 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING, DONE TO AVOID BLOOD BORN PATHOGENS, ANYTHING THAT IS NOT EASILY VIEWED ANYTHING THAT IS NOT EASILY VIEWED Page 18

19 MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools (See: ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. For each of the First aid checklist items to be covered in meeting, discuss all symptoms/signs and treatments. 3. The yellow items 1, 2, 3 and 13 should be presented by one of the Scouts (a different one each meeting) providing training in what is to be expected to occur at each scenario. 4. SPLINTS & BANDAGING, SPLINTS & BANDAGING should be explained, demonstrated and practiced.. Scenarios through 9 should be practiced until proficient. SCENARIO INDEX Page 19

20 FIRST AID MEETING PLAN MEETING 3 Scouts are expected to know their areas for their primary skills to be used in this meeting (red, purple, turquoise). Prior to this meeting, each should be given: Individual - First Aid Patrol Member Tracking Sheet updated FIRST AID MEETING PLAN MEETING 3 First Aid Checklist items to be covered in meeting: 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 4. ARE THERE ANY HURRY CASES (TRIAGE) C. SEVERE BLEEDING [119] APPLY PRESSURE AND MAINTAIN IT USE PRESSURE TO CONTROL BLEEDING USE TOURNIQUET FOR MASSIVE BLEEDING AT EXTREME. TREAT FOR SHOCK [114] (FOR ALL OF THE ABOVE) HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE 8. HEAT EXHAUSTION OR STROKE [138] A. HEAT EXHAUSTION - PALE, COLD, AND CLAMMY, SHALLOW BREATHING, DILATED PUPILS, HEADACHE AND DIZZINESS MOVE TO SHADE, RAISE FEET, LOOSEN CLOTHING, FAN, APPLY WET CLOTHS, SIP WATER 11. SPRAINED ANKLE REST ICE COMPRESSION ELEVATE INSECT BITES BLISTERS JELLY FISH STINGS ANIMAL BITES, SNAKE BITES 12. SKILLS [144] TRANSPORTING A VICTIM 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, THE INJURIES INVOLVED, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS ANYTHING THAT IS NOT EASILY VIEWED ANYTHING THAT IS NOT EASILY VIEWED Page 20

21 MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools (See: ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. For each of the First aid checklist items to be covered in meeting, discuss all symptoms/signs and treatments. NOTE: For jelly fish stings use Adolph s Meat Tenderizer. 3. The yellow items 1, 2, 3 and 13 should be presented by one of the Scouts (a different one each meeting) providing training in what is to be expected to occur at each scenario. 4. TRANSPORTING A VICTIM and CLOSED AND OPEN FRACTURES should be explained, demonstrated and practiced.. Scenarios 9 through 13 should be practiced until proficient. SCENARIO INDEX Page 21

22 FIRST AID MEETING PLAN MEETING 4 Scouts are expected to know their areas for their primary skills to be used in this meeting (red, purple, turquoise). Prior to this meeting, each should be given: Individual - First Aid Patrol Member Tracking Sheet updated FIRST AID MEETING PLAN MEETING 4 First Aid Checklist items to be covered in meeting: 1. STAY CALM STOP THINK OBSERVE PLAN 2. ARE THERE ANY THREATENING SITUATIONS [111] (APPROACH SAFELY), YES EITHER REMOVE THE THREAT OR THE VICTIM, KEEP VICTIM SAFE FROM FURTHER HARM 3. SEND FOR HELP A. 911 OR BUDDY SYSTEM TO GO FOR HELP OR WATER- RADIO B. TIME OF OCCURRENCE, WHERE, SKILLS AVAILABLE WHO/NUMBER PRESENT, WHAT HAPPENED & DONE 4. ARE THERE ANY HURRY CASES (TRIAGE) D. CHOKING (NOT COUGHING) YES HEIMLICH MANEUVER DOES NOT PUT YOUR FINGER DOWN THEIR THROAT [120] E. POISONING [121] SAVE CONTAINERS AND VOMIT FOR IDENTIFICATION OF POISON, DO NOT INDUCE VOMITING WITHOUT DOCTOR'S AUTHORIZATION. TREAT FOR SHOCK [114] (FOR ALL OF THE ABOVE) HAVE VICTIM LIE DOWN, CHECK FOR ADDITIONAL INJURIES IF NO BACK INJURY RAISE FEET INCHES, KEEP WARM IF CONSCIOUS HAVE HIM SIP WATER, TALK TO HIM IN A CALM VOICE, IF UNCONSCIOUS PLACE IN RECOVERY POSITION - DON'T LEAVE HIM ALONE 8. HEAT EXHAUSTION OR STROKE [138] B. HEAT STROKE - RED, HOT, AND DRY, MAY BE SWEATY, SLOW NOISY BREATHING, RAPID STRONG PULSE, SMALL PUPILS MOVE TO SHADE, RAISE HEAD AND SHOULDERS, REMOVE CLOTHING, REDUCE TEMPERATURE WITH COOL WET CLOTHS 11. SOMETHING IN THE EYE PUNCTURE WOUNDS SKIN POISONING FROM PLANTS FROSTBITE HYPOTHERMIA KEEP WARM EPILEPTIC SEIZURE CLOSED & OPEN FRACTURES DIABETES 12. SKILLS [144] FALLEN THROUGH ICE HOUSE ELECTRICAL CURRENT 13. AS YOU PROGRESS, VOCALIZE: STAY CALM, CHECKING FOR THREATENING CIRCUMSTANCES, 911 INFORMATION, WHAT IS BEING DONE TO AVOID BLOOD BORN PATHOGENS, ANYTHING THAT IS NOT EASILY VIEWED ANYTHING THAT IS NOT EASILY VIEWED Page 22

23 MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools (See: ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. For each of the First aid checklist items to be covered in meeting, discuss all symptoms/signs and treatments. 3. The yellow items 1, 2, 3 and 13 should be presented by one of the Scouts (a different one each meeting) providing training in what is to be expected to occur at each scenario. 4. Discuss abdominal pain, dental injuries (pg 71, 72 in pamphlet), signs of infection [12], frostbite, diabetes. Scenarios 14 through 19 should be practiced until proficient. SCENARIO INDEX By the end of meeting 4, First Aid Patrol Member Tracking Sheets should be checked off as proficient for all Scouts in all areas of their responsibility prior to moving forward. If Scouts are lacking in proficiency in some areas, additional meetings may be needed before proceeding to with the material of lesson five. Page 23

24 FIRST AID MEETING PLAN MEETING BSA FIRST AID MEET COMPETITION TRAINING FIRST AID MEETING PLAN MEETING At this point, all patrol members should be proficient in each of their respective areas and ready to treat emergencies in those areas. The scenarios to date have mostly identified the emergency and left it up to the individual to treat it. The first four meetings trained the Scouts in how to treat injuries. These last four meetings are designed to train Scouts to determine if there is an emergency, develop a plan to handle the emergency and execute the plan. More than one injury may be part of a single scenario. It could also be that no injury is part of the scenario. These are also practice in how to interface with the judges. MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools (See: ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. A discussion/review of the following points should prepare the Scouts to learn to act as a team. - All Scouts doing their best, acting as a team with each Scout doing his job and letting other do their jobs will produce the best performance at the First Aid Meet. - In real life situations, you will not be prepared as in a meet to know an emergency is occurring. Recognizing emergencies is an art requiring attention to the present moment and behavior of other people. - Knowing and understanding symptoms of illness or injury allows us to recognize the possibility of help being needed. - In a First Aid Meet, the patrol leader (turquoise) will be the interface with the judge, direct the actions of the patrol (including items 1, 2, 3 and 13 of the checklist) and select a buddy and go for help if needed. If the patrol leader goes for help the red or purple member performing the treatment will direct the treatment, perform item 13 of the checklist and the other Scout will be the interface with the judge. - In a First Aid Meet, the first skill needed is to be able to recognize symptom(s) as read out from the scenario and identify the most likely emergency item from the checklist to have caused the symptom(s). - The second skill is to determine if the symptoms are sufficient to determine what the emergency is. - If the symptoms do not identify the emergency or if they fit more than one item on the check list the third skill is to determine what to do to identify the emergency. - If more than one emergency is identified treatment should be performed in the following order: hurry cases (for two or more hurry case victims, place non-breathing victim in stable position and move to next victim) anaphylactic shock all others - When the emergency (checklist item) is identified, the patrol leader selects a Scout, whose primary area of responsibility is for that item, to begin to direct treatment. If a red item is being treated, a Scout with purple responsibilities is selected by the patrol leader to go for help if needed. For a purple item, the opposite would occur. The Scout not providing treatment will interface with the judge. 3. Scenarios 20 through 22 should be practiced until proficient. SCENARIO INDEX Page 24

25 FIRST AID MEETING PLAN MEETING 6 BSA FIRST AID MEET COMPETITION TRAINING FIRST AID MEETING PLAN MEETING 6 This meeting is a repeat of meeting but with more advanced scenarios designed to train Scouts to determine if there is an emergency, develop a plan to handle the emergency and execute the plan. More than one injury may be part of a single scenario. It could also be that no injury is part of the scenario. These are also practice in how to interface with the judges. MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools (See: ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. A discussion/review of the following points should prepare the Scouts to learn to act as a team. - All Scouts doing their best, acting as a team with each Scout doing his job and letting other do their jobs will produce the best performance at the First Aid Meet. - In real life situations, you will not be prepared as in a meet to know an emergency is occurring. Recognizing emergencies is an art requiring attention to the present moment and behavior of other people. - Knowing and understanding symptoms of illness or injury allows us to recognize the possibility of help being needed. - In a First Aid Meet, the patrol leader (turquoise) will be the interface with the judge, direct the actions of the patrol (including items 1, 2, 3 and 13 of the checklist) and select a buddy and go for help if needed. If the PL goes for help the red or purple member performing the treatment will direct the treatment, perform item 13 of the checklist and the other Scout will be the interface with the judge. - In a First Aid Meet, the first skill needed is to be able to recognize symptom(s) as read out from the scenario and identify the most likely emergency item from the checklist to have caused the symptom(s). - The second skill is to determine if the symptoms are sufficient to determine what the emergency is. - If the symptoms do not identify the emergency or if they fit more than one item on the check list the third skill is to determine what to do to identify the emergency. - If more than one emergency is identified treatment should be performed in the following order: hurry cases (for two or more hurry case victims place non-breathing victim in stable position and move to next victim) anaphylactic shock all others - When the emergency (checklist item) is identified, the patrol leader selects a Scout, whose primary area of responsibility is for that item, to begin to direct treatment. If a red item is being treated, a Scout with purple responsibilities is selected by the patrol leader to go for help if needed. For a purple item, the opposite would occur. The Scout not providing treatment will interface with the judge. 3. Scenarios 23 through 24 should be practiced until proficient. SCENARIO INDEX 4. Discuss times and scores accrued throughout the meetings. Page 2

26 FIRST AID MEETING PLAN MEETINGS 7 & 8 Meetings 7 & 8 are intended to be as close as what could be expected at an actual First aid Meet. MEETING AGENDA 1. Set up area. An area, approximately eight feet square will be needed. The patrol flag, first aid kit and tools (See: ITEMS FOR FIRST AID MEET KIT ) should be present. At this point it should be explained to the Scouts to unpack the kit and make items handy. Items should always be placed or replaced in the same order. This way, each Scout will know where to find each tool. The kit bag can be used to organize most of the small items. 2. Meeting 7 Scenarios 2 through 29 should be practiced until proficient. SCENARIO INDEX 3. Meeting 8 Scenarios 30 through 3 (SCENARIO INDEX) are for open discussion. Scenarios 30 through 34 were put on the internet by BSA s Boy's Life Magazine. See The Scouts should: a. Make a list of any additional steps or treatments needed for completion. b. Make a list of inconsistencies in the way the scenario is stated and the way it would be stated for a contest. 4. Discuss scenario #20 and triage order of treatment and why.. Discuss treatment for shock when it is appropriate and when parts are not appropriate. 6. Discuss CPR What is done before you start, when it is done, how to use an AED. 7. When and how to send for help for the following situations: In a public building in town In a home In the neighborhood In camp on a campout In camp on a long term campout On a long hike Back packing in the back country 8. Discuss the use of gloves and goggles in each of the locations above. What can you expect to have for a first aid kit? Will an AED be available? What substitutes can you expect to make? How do you make the judge aware of what and why is being done? 9. Scenario 3 covers skills in earlier versions of the Handbook. More relevant is that these skills are still taught in the merit badge books. If these are taught to the Scouts they should be taught in detail and provide the Scouts with much caution in their approach. As in most of the other skills covered here the details are not covered. Only the main ideas for scoring are covered. In all skills covered here: it is up to the instructor to be proficient in the details and transfer that knowledge to the Scouts. Page 26

27 SCENARIOS FOR TRAINING The follow pages contain instructions for judges and teams, practice scenarios (1-19) to cover required skills, typical competition scenarios (20-29) and scenarios from for discussion (30-34). One scenario (3) is provided for skills previously taught in the Handbook. These scenarios are keyed to what is to be taught in each meeting. The instructions provided are typical and are not intended to represent all of the instructions or specific instructions to be provided at a specific first aid meet. The use of color and judge interface is not typical of most first aid meet scenarios. It is used here to train teams to take the initiative in treatment. In real life, all the information may not be given up front and may only appear after applying the Boy Scout First Aid Method [111-1]. INSTRUCTIONS FOR JUDGES Complete all participant information for scoring sheets and sign your name before judging each problem. Give the problem statement to the participants to read (two minutes) and for reference. You cannot answer specific questions except responding as highlighted, in yellow, and described in the scenario. Items highlighted in turquoise may be vocalized by the patrol and do not need to be demonstrated. Other items may be a combination of telling and demonstrating. Items highlighted in red should not be done by the patrol and will have points subtracted if performed. Encourage the team to proceed in the best way known. Do not prompt teams to do more or to give additional information be an observer only. The only additional information the judge may provide to correct the patrol is whether or not, or how long, sending Scouts for help or first aid kit will remove the Scouts from the team. The score sheet provides that information to the judge. Retrieve the problem statement after the end of the scenario for the next patrol. Remember, there is more than one correct way to do certain parts of treatment and carries. Less than maximum points can be awarded if treatment is inadequate or poorly done. Note on score sheet why deduction was made. Remind each team that each member should serve as a victim. The victim may talk with his team, unless because of circumstances, they would not normally be able to. This means an unconscious or incoherent person may not prompt how to be treated. (subtract points for each violation) Judge is to inform patrol of each violation. Please judge and score each patrol by the printed criteria on the score sheet. To assure accuracy and fairness to competing patrols, the problem should not be altered in any way. For less than maximum scoring, state at the bottom what was done incorrectly or omitted. If not done at all enter 0. For the next problem, judges move on to the next square. The score sheets will be picked up between scenarios. Page 27

28 You will stay on the same square for all problems. Judges move to the next square each time. INSTRUCTIONS FOR TEAMS Read the problem carefully, and talk amongst yourselves. Decide who is to be the victim, who is to be the patrol leader and who is going for help if necessary. Do not begin to work on the victim until signaled. Each member should serve as a victim. The victim may talk with his team unless, because of circumstances, they would not normally be able to. This means an unconscious or incoherent person may not prompt how to be treated. (subtraction of points for each violation) Judge is to inform patrol of each violation. Talk to the judges and explain what you are doing. For example: State what the main injuries are and what you are going to do. If a dressing should be sterile, say so. You may need to state how long a treatment is to be. Some items may be a combination of telling the judge what you are doing and demonstrating in order to get full credit. Do not assume the judge recognizes what you are doing. If you have a problem in which rescue breathing or CPR is needed, position your living victim, but resuscitate the dummy. Do not use liquids of any kind but use an empty bottle stating verbally what is being used. The judge may not answer any questions. Questions may be addressed to the victim. If the judge does not answer you should proceed using your best judgment. Appropriate information you would normally get from a victim, information such as pulse or breathing, should be vocalized to the victim so the judge can hear and, if appropriate, demonstrated. This action may be required for the judge to say something to continue the scenario. He may ask questions for you to answer or make additional statements as you progress through the scenario. You will be warned when the time is close to the end. Being careful and accurate is more important than being fast but there is a time limit. Page 28

29 SCENARIO INDEX SCENARIO 1 BUILDING ON FIRE, CPR 29 SCENARIO 2 PERSON ON FIRE 30 SCENARIO 3 SEVERE BLEEDING 31 SCENARIO 4 SCRAPE, STROKE 32 SCENARIO HEART, CPR 33 SCENARIO 6 BURNS 34 SCENARIO 7 BLOODY NOSE 3 SCENARIO 8 - SEVERE BLEEDING, LIVE WIRES 36 SCENARIO 9 ANAPHYLACTIC SHOCK 37 SCENARIO 10 SEVERE BLEEDING, SEVERED FINGER 29 SCENARIO 11 HEAT, DIABETES 39 SCENARIO 12 SEVERE BLEEDING, FRACTURES, SPRAINED ANKLE 40 SCENARIO 13 BITES, ANAPHYLACTIC SHOCK 41 SCENARIO 14 HEAT, CHOKING 42 SCENARIO 1 CHOKING, CPR 43 SCENARIO 16 OBJECT IN EYE, PUNCTURE WOUND 44 SCENARIO 17 SKIN POISONING 4 SCENARIO 18 FALLING THROUGH ICE, HYPOTHERMIA 46 SCENARIO 19 HOUSE ELECTRICAL 47 SCENARIO 20 8 PERSON AUTO WRECK, TRIAGE 48 SCENARIO 21 2 nd DEGREE BURN, NOSE BLEED, SCRAPE 0 SCENARIO 22 HEAT STROKE 1 SCENARIO 23 MISCELLANEOUS 2 SCENARIO 24 TRANSPORTING A VICTIM 4 SCENARIO 2_ TRANSPORTING INJURED FOOT WITH POSSIBLE SPINAL INJURY SCENARIO 26_ SEVERE BLEEDING 6 SCENARIO 27_ HEART, CPR 7 SCENARIO 28 CONCUSSION, POSSIBLE BROKEN WRIST AND SPINAL INJURIES 8 SCENARIO 29 ANAPHYLACTIC SHOCK 9 SCENARIO 30 ALTITUDE SICKNESS 60 SCENARIO 31 SEVERE BLEEDING, OPEN FRACTURE 61 SCENARIO 32 OPEN WOUND 62 SCENARIO 33 ASTHMA 63 SCENARIO 34 DIABETES 64 SCENARIO 3 RESCUES 6 Page 29

30 SCENARIO 1 You are riding your bicycle down the street you live on and notice a large amount of smoke coming out of a neighbor s house. What do you do? cut here SCORING 1 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, knocks on the door, if no answer checks through the windows. Breaks a door window to let himself in. - After vocalizing what to do, the judge says: You look in a window and see an adult on the floor. Fire is a ways from him but starting to build. The back door is not locked. Calls 911, provides address, time arrived, skills, number of people present, tells what found, name. Opens the back door. Asks victim if he is ok, states he knows some first aid, asks if he can help. If the Scout asks the victim if he is ok the judge says: no response. Demonstrates entering and dragging victim out the door, stays at floor level, uses 10 shoulder drag. Checks for a medical bracelet. Starts ABCDE examination. Airway, Breathing, Circulation.. If he checks for breathing or pulse, the judge says: He is not breathing or he has no pulse. Performs CPR. Does approximately 30 compressions correctly. Tilts head back, Looks for obstructions, does two breaths, uses a mouth filter, mentions he has no mouth filter or says will only do compressions because he has no mouth filter. After CPR has been performed on the victim for 30 seconds, the judge says: The victim now has a pulse and is breathing. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. If a thorough examination is performed the judge says: His right forearm, between the elbow and wrist is swelling. Splints forearm using padding and checking for circulation. Ties above and below forearm. Ties on injury. -10 Places arm in sling and cravat. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. TOTAL- MAX 6 ======= TOTAL SCORE Page 30

31 BSA FIRST AID MEET COMPETITION TRAINING SCENARIO 2 Your patrol is at the patrol leader s house for a patrol meeting. You are all in the kitchen preparing to have treats when his dad trips to the floor. His mother is startled and spills grease on the stove and her dress and both catch fire. She is running from the stove. What do you do? cut here SCORING 2 estimated time= min PATROL NAME TROOP SQUARE CRITERIA Stops, checks for threatening circumstances, approaches safely, asks mother to stop, drop and roll. He takes the mother to the ground and rolls her to put the fire out. Asks victim if she is ok, states he knows some first aid, asks if he can help. If after observing a safe way to do it he takes the mother to the ground and rolls her to put the fire out, the judge says: she has no significant burns. Checks dad to see if he is ok. If he checks out dad the judge says: The dad is ok. Makes sure fires are safely out TOTAL- MAX TOTAL SCORE MAX ======= Page 31

32 SCENARIO 3 Your patrol is camping with the troop when you hear one of the Scouts yelling and screaming from the axe yard. When you turn and look you see him on the ground with blood coming from his shin in a rhythmic flow. The axe is lying next to his leg with blood all over the blade and head. At his feet there is only one log. It has been cut half in two. What do you do? cut here SCORING 3 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (severe bleeding), vocalizes plans. Sends for help, TELLS: where they are, number of people present, number of victims, tell what found, sends two Scouts. (this removes two Scouts from the team) Send someone else for first aid kit in camp. (returns in a few seconds) Asks victim if he is ok, states he knows some first aid, asks if he can help. Tells victim what he is going to do. Uses gloves and goggles. Places sterile bandage on wound After they bandage the Scout the judge says: The bandage is soaked through and the bleeding has not stopped. His shin is not completely straight and is swelling. Removes bandage and places larger bandage on wound. - Places more bandage on top of first bandage with pressure. Places a tourniquet near knee. - Places a tourniquet near hip. 1 Writes the time of tourniquet placement on the victim s forehead or a note pinned to his clothes. Immobilizes leg with a splint using padding and checking for circulation. Checks for a medical bracelet. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. If they perform a thorough examination the judge says: the back of his head is bleeding badly. Bandages head with sterile bandage. Treats for shock lie down, sip water, keep him warm, talk to him, don t leave alone. If they prop up feet -3 points yielding 2 points max. TOTAL- MAX 7 ======= TOTAL SCORE Page 32

33 SCENARIO 4 Your patrol is camping with the troop when a Scout from your patrol comes into camp holding his rear end and telling you he tripped over a rock while backing up and landed on a pointed rock. When he started to get up he cut his left hand on another rock scraping his palm. There is a tear in the seat of his pants. No visible blood on his clothing. What do you do? cut here SCORING 4 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (scrape) Sends someone for first aid kit in camp (returns in a few seconds). Sends two Scouts for adult or help. (this removes two Scouts from the team) Asks victim if he is ok, states he knows some first aid, asks if he can help. Tells victim what he is going to do. Places sterile bandage on hand wound. If he sends for an adult the judge says: when the adult arrives he sits down and complains of a headache. His speech is a little slow and difficult. It is hard to get his attention. Checks for a medical bracelet. Examines adult according to FAST (face, arm, speech, time to call 911) If he is examined for stroke (FAST) the judge says: he cannot easily raise his right arm or smile well. Treats adult for stroke reassure help is on the way, keep him calm and comfortable, nothing to eat or drink. Sends for help, TELLS: where they are, number of people present, number of victims, tell what found (stroke), sends same two Scouts or uses adult s phone to call 911. Stays with adult sends two other Scouts inside with first victim to bandage rear. Or, While they are gone for help, goes inside with remaining Scout and bandages victim s rear. Bandaged Scout s rear after adult returns and before examining adult. -1 TOTAL- MAX 40 ====== TOTAL SCORE Page 33

34 SCENARIO Your patrol is at a troop meeting when the Scoutmaster is walking and eases to the floor holding his left shoulder. When you get there and ask if you can help. He tells you no. He says his shoulder was sore this morning and he is just very tired. What do you do? cut here SCORING estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA Checks for: 1. Persistent uncomfortable pressure, squeezing, fullness or pain in the center of the chest behind the breastbone and may spread to the shoulders, arms, and neck for several minutes or may come and go. 2. Unusual sweating 3. Nausea 4. Shortness of breath. A feeling of weakness. MAX Suggest he go see a doctor about his heart, now or lie down. If it is suggested he go see a doctor about his heart NOW, checks for remaining symptoms, or suggests he may have a heart problem the Judge says: The Scoutmaster is having difficult time breathing, lies down and stops breathing. Has someone call 911, provides address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Performs CPR till EMT arrival Open the Airway (Head tilt-chin lift) 2. Look/Listen and Feel- for breathing NONE 3. Pinch Nose & Give 2 Breaths (using barrier or states he doesn t have one or states he will only do compressions because he doesn t have a mouth barrier) 4. Check for Pulse Carotid NONE. Begin Chest Compressions/ Ventilations- 30:2 (adult Rate) depth of at least 2 Note heel of 2 hands should be used Center of chest. Sends for AED and uses it. 10 Uses the mouthpiece in the AED for providing two breaths. TOTAL- MAX 4 ======= TOTAL SCORE Page 34

35 SCENARIO 6 Your patrol is camping and preparing dinner. They decided to have french-fries. A charcoal fire was prepared and grease in a dutch-oven placed on it. When the grease began to boil and smoke, the sliced potatoes were quickly poured in. Immediately, large foam formed on the top of the pot and began to boil over into the charcoal which ignited the oil into a large ball of flame. Fortunately, no one was hurt by the incident even if dinner was going to be a little bleak. A few minutes later there was no more boiling in the pot, the fries were black and it had cooled down. With grips, one of the Scouts began to remove the pot to dispose of the grease and potatoes. He lost hold on one side of the pot and it swung, hinged by the second handle, striking the charcoal holder table right in front of him. Oil splashed grease out on his right arm and leg. He was wearing a short sleeve shirt and long pants. The upper part of his arm was red, the middle of his arm had blisters and the lower part was boiling. What do you do? cut here SCORING 6 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (severe burn) Sends two Scouts to the Scoutmaster for help (removes two Scouts from the team) Asks victim if he is ok, states he knows some first aid, asks if he can help. Tells victim what he is going to do. Immediately cools the hot areas by pouring the coolest water available over them. 10 Cuts or remove pants. -10 Bandages the lower part of the arm with a loose bandage. 10 Keeps cool wet cloths over middle and upper portion of arm Treats for shock lie down, prop up feet, sip water, talk to him, don t leave alone. Keeps pant leg cool and wet. 10 QUESTIONS: What kind of burn would you expect to find on the leg? Answer: 3 rd degree What were the types of burns on the arm and where were they: Upper: 1 st deg Middle: 2 nd deg Lower: 3 rd deg TOTAL- MAX 6 ======= TOTAL SCORE Page 3

36 SCENARIO 7 Your patrol is in the middle of troop leadership training. The trust fall (standing on a stool and falling back into your groups arms and being caught) was being performed. Explicit instructions were given to the Scout on the stool to cross his arms over his chest and do not move them until the exercise is finished. The Scout leans backward and starts the fall. About half way down he extends his arms out to the side to catch his self or anything he can find. One of the Scouts on his right side with his arms extended toward the Scout on the opposite side looked up just in time to see the falling Scout s right arm hit across his nose. Blood started oozing out his nose. What do you do? cut here SCORING 7 estimated time= min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (Scout with bloody nose). Scout to sit down and lean forward and pinch the nose. Provides an ice pack for 10 the nose. Check to see if nose is straight. If he checks to see if the nose is straight the judge says: it is not straight. The bleeding has stopped. Sends him to a doctor because the nose is crooked even though the bleeding stopped TOTAL- MAX 2 ======= TOTAL SCORE Page 36

37 SCENARIO 8 Your patrol is on a hike. You hear a large crashing noise ahead. In a few seconds you come to a dirt road. When you look to your right you see a pickup truck with its front end wrapped around a broken power/telephone pole. The top of the pole is upside down and supported by the roof of the truck. One of the bare wires attached to the pole with six inch long insulators is touching the truck. You don t hear or see any sparking. You see the driver holding his head and blood spurting from his right arm. What do you do? cut here SCORING 8 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury 10 (severe bleeding / live wires ), vocalizes plans Sends for help, TELLS: where they are, number of people present, number of victims, what happened, sends two Scouts. (removes two Scouts from the team) Victim is warned to stay in the truck due to the contact with wire. 10 Tries to treat the victim or help him out of the truck. Scenario is over. -20 A tourniquet is provided by throwing it to the victim and he is talked through its 20 proper application. Has the time of tourniquet placement on the tourniquet Victim is told to rotate and try to put his feet up and talked to in a soothing 10 manner. Thrown a blanket. TOTAL- MAX 60 ======= TOTAL SCORE Page 37

38 SCENARIO 9 Your patrol is on a hike. One of the Scouts eases to the ground to sit and rest. When you approach him to find out why he stopped so soon he says he just needed to catch his breath. So, you stop for a couple of minutes. While he is sitting there he begins breathing hard and wheezing and is hoarse. He states his throat is tight. His skin has a big red whelp on his arm. You are 1 minutes from camp. What do you do? cut here SCORING 9 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, Checks for a medical bracelet. States main injury (anaphylactic shock), vocalizes plans Victim is asked what is wrong or did something happen or are you allergic to anything. If the victim is asked what is wrong or did something happen or are you allergic to anything the Judge says: A bee stung him a little while ago. Sends for help, TELLS: where they are, number of people present, number of victims, tell what happened, sends two Scouts. (removes two Scouts from the team). Victim is asked if he has an EPI-PEN 10 If the victim is asked do you have an EPI-PEN the Judge says: yes The victim is assisted in using it 10 If no improvement after fifteen minutes he is assisted in using the pen again 10 A stretcher is made and the Scout is transported 10 Treats for shock talk to him, don t leave alone, keep warm TOTAL- MAX 60 ======= TOTAL SCORE Page 38

39 SCENARIO 10 Your patrol is at a model airplane demonstration. The airplane has a four foot wingspan and about a ten inch propeller. Something unusual happened to the controls at the wrong time and the pilot s wrist is cut by the propeller and one finger is sliced off. Blood is spurting from the wrist. What do you do? cut here SCORING 10 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely. States main injuries (severe bleeding and severed finger). Sends for help, TELLS: where they are, number of people present, number of victims, what happened, sends two Scouts. (removes two Scouts from the team) Asks victim if he is ok, states he knows some first aid, asks if he can help. Tells victim what he is going to do. Uses gloves and goggles Applies a tourniquet near the shoulder 10 Applies the tourniquet much lower on the arm - Writes the time of tourniquet placement on the victim s forehead or pins on a note to clothing. Bandage the wrist part of the arm with a sterile bandage. Bandage where the finger was cut off with a sterile bandage. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. Looks for and finds the missing finger. Rinses the digit in clear water and saves it in a damp sterile dressing. Places in water tight container in cooler if available. TOTAL- MAX 60 ======= TOTAL SCORE Page 39

40 SCENARIO 11 Your patrol is working on an eagle project planting and landscaping. One of the Scouts is complaining of a headache. What do you do? Later, a second Scout drops a shovel and begins massaging his hand. You ask him what is wrong and he says his hand is cramping. What do you do? The arm of one of the adults you are helping to plant a tree comes in contact with your arm and you notice he is very sweaty and cool. When he straightens up after setting the plant, you notice he staggers only a little and then is ok. What do you do? As you are walking to the truck and one of the Scouts sits on the ground and complains of headache and has shallow breathing. His skin is pale and moist. What do you do? cut here SCORING 11 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Checks for a medical bracelet. Asks the Scout when he last drank water If the Scout is asked about how much or when he drank water, the judge says: he drank a little three hours ago. States the Scout is dehydrated and provides much cool water or sports drink. 10 States the second Scout is dehydrated and provides much cool water or preferably 10 sports drink (for electrolytes) to drink. Moves him to shade to sit and cool down. May massage the hands. States the adult may have heat exhaustion. Provides much cool water or 10 preferably sports drink (for electrolytes) to drink. Moves him to shade to sit and cool down. Checks for a medical bracelet. 1 If the Scout is checked for a medical bracelet, the judge says: he has a diabetes medical bracelet. States the third Scout could be headed toward heat stroke or have low blood 10 sugar. The Scout is provided a candy bar, much cool water or preferably sports drink (for electrolytes) to drink. Moves him to shade or air conditioned area to lay and cool down. Raises head and shoulders. Uses water externally to cool him off. If not showing improvement in ten minutes calls 911. Questions: 10 What are all the signals of heat stroke? Ans: Hot, sweaty or dry red skin, confusion, disorientation, a rapid pulse, shallow breathing, vomiting and seizures. What are the signals of hyperglycemia? 10 Ans: extreme thirst, frequent urination, drowsiness, lack of appetite, labored breathing What are the signals of hypoglycemia? 10 Ans: headache, sweating, pale moist skin, weakness, dizziness, shallow breathing, nervousness, rapid pulse. TOTAL- MAX 90 ======= TOTAL SCORE Page 40

41 SCENARIO 12 Your patrol is camping and two Scouts are playing on a log balanced on top of another log in an X configuration. They both fall off the log at the same time. You see them about 100 feet into the woods when you hear them scream. When you get there one Scout is complaining about his ankle being sore and weak when he moves it. You look at his forearm and notice an odd deformation and swelling. The other Scout is near a large rock and a piece of bone is protruding a little out of his thigh just a little above the knee. He has a lot of blood on the ground under his leg and it is flowing at a fast rate out of the wound. What do you do? cut here SCORING 12 estimated time=20 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (severe bleeding, fractures, sprained ankle), vocalizes plans Sends for help, TELLS: where they are, number of people present, number of victims, tell what found, sends two Scouts. Judge says: removes 2 Scouts from the team temporarily. They return in five minutes. Sends someone else for first aid kit in camp. (returns in a few seconds) States he knows some first aid, asks both if he can help. Tells victims what he is going to do. Uses gloves and goggles. Places sterile bandage on leg wound. After he bandages the Scout with the broken leg the judge says: The bandage is soaked through and the bleeding has not stopped. Removes bandage and places larger bandage on wound. - Places more bandage on top of first bandage using pressure. Places a tourniquet at knee. -2 Places a tourniquet near hip. 1 Writes the time of tourniquet placement on the victim s forehead or a note on his clothes. Treats for shock lie down, sip water, keep him warm, talk to him, don t leave alone. If they prop up feet -3 points yielding 2 points max. Splints the other Scout s forearm using padding and checking for circulation. Ties above and below forearm. Ties on injury. - Provides sling and cravat. Wrap to brace ankle. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. Does a complete examination of both Scouts. DOTS (Deformity, Open wounds, 10 Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Splints the leg injury using padding and checking for circulation. Ties above and below injury. Make a stretcher to take Scout with leg injury to camp. Transports leg injury and assists sprained ankle to camp. TOTAL- MAX 11 ======= TOTAL SCORE Page 41

42 SCENARIO 13 Your patrol is on a campout and is appointed as service patrol for first aid for the day. Scouts come in with the following: INSECT BITES: BEE OR WASP - with visible stinger, SPIDER Three hours ago with pain and redness at the site. As you are treating him you notice he is starting to have trouble with swelling and breathing. TICKS BLISTER - on bottom of foot ANIMAL BITE SNAKE BITE - Half moon pattern with two larger holes on right ankle. What do you do? cut here SCORING 13 estimated time=20 min PATROL NAME TROOP SQUARE CRITERIA MAX INSECT BITES: Bee or wasp try to remove stinger with pocket knife s screwdriver or credit card. Uses tweezers. - Spider Washes area with soap and water and dries. Uses ice to reduce pain. Victim is asked if he has an EPI-PEN. 10 The victim is assisted in using it. 10 If no improvement after fifteen minutes he is assisted in using the pen again. 10 A stretcher is made and the Scout is transported. 10 Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. Sends to doctor. TICKS - Carefully remove and clean. Don t jerk, squeeze or cover tick. BLISTER - Washes area with soap and water then dries. Drains blister with sterile needle. Bandage area with sterile bandage and antibiotic if not allergic. Places mole foam securely over area. ANIMAL BITE - Washes area with soap and water, flushes with water, and dries. Bandage area with sterile bandage and antibiotic if not allergic. Determine whose or what animal if possible. Send to doctor for monitoring. SNAKE BITE: Talk to victim and help him to stay calm. Washes area with soap and water and dries. Has someone call 911, provide address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Remove rings or jewelry. Restrict movement of leg. Applies restrictive bandage to slow blood flow or applies ice. - Keeps wound at approximate level of heart. Treats for shock lie down, sip water, keep him warm, talk to him, don t leave alone. If they prop up feet -3 points yielding 2 points max. TOTAL- MAX 13 ======= TOTAL SCORE Page 42

43 SCENARIO 14 Your patrol is helping on an Eagle project planting and landscaping. One of the Scouts is complaining of a headache and dizziness. His skin is cool and sweaty. What do you do? cut here SCORING 14 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Checks for a medical bracelet. Asks the Scout when he last drank water. States the Scout is dehydrated and provides much cool water to drink. 10 After treating the first victim the judge provides the following: Another Scout comes to you complaining of being tired. His skin is red and dry. He has a strong rapid pulse. Asks the Scout when he last drank water. 10 States the Scout is headed toward heat stroke and provides much cool water or 1 preferably sports drink (for electrolytes) to drink. Moves him to shade to lay and cool down. Raises head and shoulders. Loosens tight clothing. Uses water externally to cool him off. If the Scout does not improve in five minutes, call 911. If the victim is given sips of water the judge says: The victim is choking on the water and is coughing. Heimlich maneuver is performed. -10 The Scout is talked to and encouraged to continue coughing. TOTAL- MAX 4 ======= TOTAL SCORE Page 43

44 SCENARIO 1 Your patrol is eating lunch. One of the Scouts at your table is misbehaving by bobbing his head up and down quickly after someone told a joke. This continues for about ten seconds. When you ask him to quit, He looks at you, grabs his throat and continues. What do you do? cut here SCORING 1 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Asks the Scout if he needs help Has someone call 911, provide address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Holds across chest with one arm and firmly strike between the shoulder blades 10 five times. Heimlich maneuver is performed 10 If the patrol leader performs the Heimlich maneuver the judge says: he is limp and still choked. Sends for AED and uses it 10 Lower to ground and check for obstructed airway which can be removed by finger 10 sweep If the patrol leader checks for foreign object the judge says: There is nothing in his throat and he is still not breathing. Begins CPR Tries to provide a breath using a mouthpiece or states he has none and will only do compressions or uses one from the AED unit. If the patrol leader tries to provide a breath the judge says: His chest is not rising Checks for a pulse. If the patrol leader checks for a pulse the judge says: He has no pulse. Does approximately 30 compressions correctly. Continues until help arrives. Sends for and uses AED TOTAL- MAX 70 ======= TOTAL SCORE Page 44

45 SCENARIO 16 Your patrol is camping and one of the Scouts is in the axe yard was chopping multiple small sticks simultaneously. A small splinter from one of them, about four inches long, penetrated his left eye. He stood up, took a step and tripped over a root. He fell forward and a stick about a quarter of an inch in diameter stabbed him in his lower right abdomen about three inches deep. What do you do? cut here SCORING 16 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (puncture wounds), vocalizes plans. Sends for help, TELLS: where they are, number of people present, number of victims, tell what found, sends two Scouts. (removes 2 Scouts from the team) Sends someone else for first aid kit in camp. (returns in a few seconds) States he knows some first aid, asks if he can help. Tells victims what he is going to do. Uses gloves and goggles. Washes side wound with soap and water. Places sterile bandage on puncture wound on side and uses bandage to stabilize stick. Removes stick. -10 Removes splinter in eye. -10 Cover good eye leaving only a small hole to see straight ahead. 10 Use sterile bandage to cover punctured eye and stabilize splinter. Does a complete examination of victim. DOTS (Deformity, Open wounds, 10 Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Treats victims for shock lie down, prop up feet, sip water, keep him warm, talk 10 to him, don t leave alone. TOTAL- MAX 70 ======= TOTAL SCORE Page 4

46 SCENARIO 17 Your patrol is camping and just as you wake up in the morning you notice your buddy is scratching a red rash on the side of his left calf muscle. What do you do? cut here SCORING 17 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Asks the buddy did he run into some poison ivy or oak yesterday. If the patrol leader asks the buddy did he run into some poison ivy or oak 10 yesterday the judge says: What is poison ivy or oak. Poison ivy and oak are green leafed plants that grow in three-leaf clusters. Washes leg and hand with dishwashing soap and water, dries and then washes 10 with rubbing alcohol. Washes bed clothes/sleeping bag in degreasing soap and water. 10 Applies calamine lotion or hydrocortisone cream to affected area. 10 Question - Tell the symptoms of and how to treat for: Epileptic seizure. Ans: Epilepsy: Loss of awareness, blank staring or minor twitching or jerking or 2 spasms. Clear area, do not restrain, loosen tight clothing, don t put anything in the mouth After finished- clear airway, let them rest in recovery position, keep onlookers away. Get help if: last more than five minutes, recurs, causes injury, slow to recover, diabetic, unconscious, taken on large amounts of water due to a water accident. Question - Tell how to treat for poisoning or SAVE CONTAINERS AND VOMIT FOR IDENTIFICATION OF POISON, DO NOT INDUCE VOMITING WITHOUT DOCTOR S AUTHORIZATION TOTAL- MAX 80 ======= TOTAL SCORE Page 46

47 SCENARIO 18 It had been cold for over a week and your patrol went out sledding. You found a new place in a new park to go with a steep clear hill. At the bottom of the hill there was a twelve inch drop-off to a very smooth clear sledding area. You go down the hill on the sled and over the drop-off and a few feet farther. Your buddy then goes over the dropoff and about seventy five feet farther. You are standing at the edge of the drop-off when it occurs to you that your buddy is standing in the middle of a pond or lake. When he stands up the ice breaks and he falls through. What do you do? cut here SCORING 18 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Sends for help, TELLS: where they are, number of people present, number of victims, tell what found, sends two Scouts. (removes 2 Scouts from the team) Stops, checks for threatening circumstances, approaches safely, vocalizes plans. Lays flat on ice away from the hole. Does not go near the hole. 10 Pushes the other end of the sled to the edge of the hole for the Scout to grab and 10 pull himself out. Drags him with the sled as far as he can or until he is off the ice. Help him walk to a warmer place and treat him for hypothermia. Provides warm liquids, dry clothing and warm water bottles. Monitors closely. Question: What is frostbite and how do you treat it? 10 Ans: when parts of the body are covered in frost, frozen or turned black from freezing; slowly warm up affected areas. TOTAL- MAX ======= TOTAL SCORE Page 47

48 SCENARIO 19 Your patrol has been working all morning in your grandfather s garage/shop. He took his shoes off for a minute to sit down and let his feet rest. You were using an electric vibrating sander when you knocked over a glass of water and dropped the sander near the water on the floor during your distraction. The sander turned off and your grandfather stood up then bent over to pull the sander a foot toward him by pulling on the cord gently. He grabs the cord (which had a small, unnoticed skinned place) hard and can t let go. What do you do? cut here SCORING 19 estimated time= min PATROL NAME TROOP SQUARE CRITERIA MAX Unplugs the cord. 20 Pull him away from the cord. -20 After he is free ask if he is ok. If asked if he is ok the judge says: He is ok. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. Judge says: Demonstrate the recovery position TOTAL- MAX 3 ======= TOTAL SCORE Page 48

49 SCENARIO 20 NOTE to Judge: Same person may pose as more than one victim. In some cases victim may be imaginary and patrol may talk through the rescue if it is not practical to demonstrate. Your patrol is headed to a camporee on a narrow two lane blacktop when you spot a multi-passenger van and trailer overturned on the right side of the road. The front of the van is wrapped around a tree and has a small fire. What do you do? cut here SCORING 20 estimated time=20 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely. Sends for help, TELLS: where they are, number of people present, number of victims, tell what found, sends two Scouts. (removes 2 Scouts from the team) Hurries to get the victims out of the van. (Scenario is over, van exploded killing -10 all). Has two Scouts put the fire out with dirt and stay on fire watch until all are out of 10 the van. The judge says: This can be imaginary and not removing two Scouts from the team. If they put the fire out and look inside the van the judge says: There are eight people inside. Three are starting to climb out through an open side door. The driver is unconscious as is the front passenger. One of the passengers in the rear seat cannot move. Another of the passengers in the rear seat has a bone sticking out of his forearm with blood spurting from the wound. The adult in the rear seat is holding his left shoulder and having difficulty breathing. What do you do? States he knows some first aid, asks if he can help Tells victims what he is going to do. States major injuries (severe bleeding, heart, suspected spinal fracture, unconscious) Uses gloves and goggles. Places a tourniquet at shoulder of the Scout in the back seat with the broken arm. 10 Writes the time of tourniquet placement on the victim s forehead or on a note on his clothes. Helps the victim holding his shoulder to get out. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. Help the victim with the broken arm get out. Places sterile bandage on arm wound. Splints the Scout s forearm using padding and checking for circulation. Ties above and below forearm. Ties on injury. - Provides a sling and cravat. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, Page 49

50 Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. Explains to the passenger that cannot move he will have to wait for EMT. You do 10 not have a cervical collar or backboard or replacements. Enough people cannot get to him to maintain position while extracting him from the van. Remove the two in front from the van. After all but the spinal injury are out of the van the judge says: The driver and front passenger woke up as they were coming out of the van. When placed on the ground the driver began to jerk around and shake. This continued. The passenger seemed a little sluggish and spoke with slurred speech. The left side of his mouth drooped. What do you do? Treats the driver for seizure. Clear area, do not restrain, loosen tight clothing, don t put anything in the mouth. After finished- clear airway, let him rest in recovery position, keep onlookers away. Afterwards, does a complete examination of driver. DOTS (Deformity, Open wounds, Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Checks for a medical bracelet. Treats the passenger for stroke. Reassure help is on the way, keep them calm and comfortable, nothing to eat or drink. Does a complete examination of passenger. DOTS (Deformity, Open wounds, Tenderness, Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Treats in order described above. 20 Uses the three who got out first to help. 20 Question: What is triage? Ans: Treatment of two or more people in an emergency. Order of treatment and/or who can help must be decided. TOTAL- MAX 170 ======= TOTAL SCORE Page 0

51 SCENARIO 21 Your patrol stopped to eat at a restaurant. At the table next to you a lady was being served sizzling fajitas in a black, hot, cast-iron plate. The plate slipped off the wooden serving base and landed in the lady s lap. She grabbed the tray and slung it striking another lady on the shin creating a bad scrape. Her arm continued up and out striking the gentleman next to her, as he turned to see what happened, on the nose making it bleed. The lady s hands are starting to swell and blister. Her legs are hurting. What do you do? cut here SCORING 21 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injuries ( 2 nd degree burns, nose bleed, scrape). Asks victim if she is ok, state you know some first aid, ask if you can help. Immediately cools the hot areas by pouring the coolest water available over them. 10 Bandage the hands with a loose, sterile bandage. 10 With the help of some other lady, has her go to the restroom to check her legs. If the lady is sent to the rest room to check her legs the judge says: They were red. Has her put a cool wet cloth over her legs. Send her for further medical treatment. Provide ice in a towel for the gentleman s nose. Tell the gentleman he may need 10 to lean forward and lightly pinch nose if bleeding does not stop. Check nose to see if it is straight. If you check to see if the gentleman s nose is straight the judge says: It is and the bleeding stopped. Clean, provide ointment if not allergic and Bandage other lady s scrape. TOTAL- MAX 6 ======= TOTAL SCORE Page 1

52 SCENARIO 22 Your patrol is canoeing down Village Creek when you stop to take a break on the bank. Two young ladies pull in behind you. After a minute or so you notice them having a heated conversation. You ask if there is anything you can do to help. One girl is very quiet but the other says the quiet girl is complaining about everything and doesn t feel well. What do you do? cut here SCORING 22 estimated time= min PATROL NAME TROOP SQUARE CRITERIA MAX Asks the quiet girl how much water she has had. Checks for a medical bracelet. If the quiet girl is asked how much water she has had to drink the judge says: She had a bottle of water. You are three and a half hours into the trip. Her skin is red and dry. She is starting to have trouble standing. States the quiet girl is headed toward heat stroke and provides much cool water 1 or preferably sports drink (for electrolytes) to drink. Moves her to shade to lie in the creek and cool down. Raises head and shoulders. 10 When she is better, have her keep drinking water, rest and move her to land 10 transportation. TOTAL- MAX 40 ======= TOTAL SCORE Page 2

53 SCENARIO 23 Your patrol is hiking and you have to deal with following: ANAPHYLACTIC SHOCK SPRAINED ANKLE Rest Ice Compression Elevate INSECT BITES bee or wasp (stinger still in), spider (nonpoisonous, poisonous), tick (still attached) BLISTERS JELLY FISH STINGS ANIMAL BITES SNAKE BITES (venomous, nonvenomous) SOMETHING IN THE EYE (2 inches long) PUNCTURE WOUNDS large in leg calf, splinters, fish hooks SKIN POISONING FROM PLANTS FROSTBITE HYPOTHERMIA KEEP WARM Explain signs/symptoms and what to do for each. Sending for help does not remove 2 Scouts from the team for this scenario. Judge may prompt to demonstrate or not to demonstrate cut here SCORING 23 estimated time=20 min PATROL NAME TROOP SQUARE CRITERIA MAX POINT S ANAPHYLACTIC SHOCK & EPI PEN: Swelling of throat or tongue causing difficulty breathing. Send for help, TELLS: where they are, number of people present, number of victims, tells what found, sends two Scouts. (does not remove two Scouts from the team) Ask if the victim has an EPI-PEN If victim is asked if he has an EPI-PEN the judge says: Yes The victim is assisted in using the pen. If no improvement after fifteen minutes he is assisted in using the pen again. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. SPRAINED ANKLE: swelling, weak but can walk with help. Demonstrate wrap, state Rest, Ice, Compression, Elevate. INSECT BITES: Defined by victim. Bee or wasp try to remove stinger with pocket knife s screwdriver or credit card. Using tweezers. - Spider Wash area with soap and water and dry. Uses ice to reduce pain. If known poisonous or sore appears, Send to doctor. Tick still attached, removes gently, wash and bandage, do not twist or cover. BLISTER - Washes area with soap and water and dries. Drains blister with sterile needle. Bandage area with sterile bandage and antibiotic if not allergic. Places mole foam securely over area. JELLY FISH STINGS - Adolph s Meat Tenderizer. ANIMAL BITE: Washes area with soap and water and dries. Page 3

54 Bandage area with sterile bandage and antibiotic if not allergic. Identify animal and/or owner. Notify police. See doctor to determine if shots for rabies are needed. SNAKE BITE: Venomous - Talk to victim and help him to stay calm. Sends for help, provide address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Sends two Scouts. (Does not remove two Scouts from the team). Wash area with soap and water and dry. Remove rings or jewelry. Restrict movement of leg. Applies restrictive bandage to slow blood flow, or applies ice. - Keeps wound at approximate level of heart. Treats for shock lie down, sip water, keep him warm, talk to him, don t leave alone. If they prop up feet -3 points yielding 2 points max. Non-venomous Wash area with soap and water and dry. Something in the eye - Send for help, provide address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Sends two Scouts. (Does not remove two Scouts from the team). Removes splinter in eye. -10 Cover good eye leaving only a small hole to see straight ahead. 10 Use sterile bandage to cover punctured eye and stabilize splinter. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, don t leave alone. PUNCTURE WOUNDS LARGE Send for help, provide address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Sends two Scouts. (Does not remove two Scouts from the team). States he knows some first aid, asks if he can help. Tells victims what he is going to do. Uses gloves and goggles. Wash wound with soap and water. Places sterile bandage on puncture wound and use bandage to stabilize puncturing item. Transport to doctor Removes puncturing item. -10 SPLINTERS Use sterilized tweezers to remove. Clean, use antibiotic cream if not allergic and bandage. FISH HOOKS If hook is all the way through, remove barb and pull out. Clean, use antibiotic cream if not allergic and bandage. If it is not through, push hook away from barb and pull out. SKIN POISONING FROM PLANTS - Washes with dishwashing soap and water, dries 10 and then washes with rubbing alcohol. Applies calamine lotion. FROSTBITE - slowly warm up affected areas. Do not rub. HYPOTHERMIA - Warm liquids, dry clothing, warm water bottles, body heat, monitor closely. TOTAL- MAX 22 ======= TOTAL SCORE Page 4

55 SCENARIO 24 Demonstrate the various ways to transport a victim. Ankle drag, shoulder drag, Blanket drag, one person lift, firefighter carry, pack strap carry multiple rescuer assist, four-handed seat, two handed seat, chair carry, hammock carry, stretcher cut here SCORING 24 estimated time=20 min PATROL NAME TROOP SQUARE CRITERIA Ankle drag, shoulder drag (for spinal or neck injuries), Blanket drag, one person lift, firefighter carry, pack strap carry, multiple rescuer assist, four-handed seat, two handed seat, chair carry. MAX 20 Stretcher, hammock carry. 10 TOTAL- MAX 30 ======= TOTAL SCORE Page

56 SCENARIO 2 Your patrol is hiking along a part of the Appalachian Trail where the forest is being logged. Suddenly you hear a call for help. Your patrol finds a logger lying on a large flat rock with a badly mangled left foot. He says that he was hit by a falling tree, and then fell backward onto the rock. It is a fall afternoon and the temperature is about 60 degrees. How will you treat him? NOTE: Sending for help does not remove 2 Scouts from the team for this scenario cut here SCORING 2 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (injured foot), vocalizes plans. Sends for help, TELLS: where they are, number of people present, number of victims, tell what found. Sends two Scouts. (Does not remove two Scouts from the team). States he knows some first aid, asks if he can help. Tells victims what he is going to do. Cleans and bandages foot. Applies and maintains head and neck stabilization during all treatments. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, 10 Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Cover to keep warm. States We should not move him and he should not move his self. 10 If they do a complete examination the judge says: There is a large bump on the back of the head. The bleeding has stopped and there are no other injuries, however victim cannot feel his legs. You must transport him to the road. Treats for shock lie down, sip water, keep him warm, talk to him, don t leave 10 alone. Props up feet. -10 Construct a stretcher. Demonstrate proper lift and carry. One stabilizes head and neck and provides 10 instructions and count. Three lift. QUESTIONS Why is it critical that the patrol not move this victim unnecessarily? 10 ANS: He may have a head/neck/spinal cord injury that requires a higher level of medical help. Under what conditions would you have to move this victim? ANS: He should ONLY be moved for a condition that threatened his life. How would you move him in the event of a life threatening condition? 10 ANS: Use the patrol to lift and move him all at once without bending or twisting his body. The Scout holding head and neck stabilization will give movement commands and maintain the stabilization throughout the move. TOTAL- MAX 100 ======= TOTAL SCORE Page 6

57 SCENARIO 26 The Buffalo patrol is on its way to Goshen when Jerry suddenly needs to go to the bathroom. The driver sees a service station ahead and pulls in for a break. Jerry makes a bee line to the bathroom, while the remainder of your patrol starts to check out the snack rack. There is a window washer working at the end of the snack aisle. Suddenly he stumbles, falls, and knocks over a shelf of glass juice bottles. Your patrol goes over to help and sees him on the wet glass covered floor, dazed and obviously in pain. There is a large pool of blood coming from under his left arm. What do you do? cut here SCORING 26 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, states main injury (severe bleeding), vocalizes plans. Sends for help (store owner) States he knows some first aid, asks if he can help. Tells victims what he is going to do. Carefully removes victim from glass. Uses gloves and goggles. Cleans and bandages arm, Places sterile bandage on arm wound. If they place a bandage on the arm the judge says: The bleeding did not stop. Removes bandage and places larger bandage on wound. - Places more bandage on top of first bandage and applies pressure. Ties bandages in place with pressure. Checks for circulation (feeling, warmth, 10 color, pinch extremities). If they place a second bandage on the arm and apply pressure the judge says: The bleeding stopped. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, 10 Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Treats for shock lie down, prop up feet, sip water, keep him warm, talk to him, 10 don t leave alone. QUESTION What are some indications that a bandage is too tight? ANS: The area away from the body past the bandage could feel cold, appear white and victim may have no feeling or pulse there. If the extremity is pinched it does not return to normal color in a few seconds. TOTAL- MAX 70 ======= TOTAL SCORE Page 7

58 SCENARIO 27 Your Philmont crew is at the Albuquerque, NM airport waiting to fly home from a great trek. Your flight is a late night departure and the airport terminal has few people in it. While waiting, your patrol is checking out one of the only shops open for any good snacks. While you are standing by the magazine rack you notice an elderly man slouched against the side of the rack. He is very gray and his skin looks moist. Suddenly he struggles to grab for the rack but falls to the floor and does not move. What do you do? cut here SCORING 27 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely. Asks victim if he is ok, state you know some first aid, ask if you can help. Checks for a medical bracelet. States it may be a heart attack. 1 QUESTION: WHAT DO YOU CHECK FOR? Checks for. 1. Persistent uncomfortable pressure, squeezing, fullness or pain in the center of the chest behind the breastbone and may spread to the shoulders, arms, and neck for several minutes or may come and go. 2. Unusual sweating 3. Nausea 4. Shortness of breath. A feeling of weakness If suspected of heart attack the Judge says: The older man is having difficult time breathing, lies down and stops breathing. Have someone call 911, provide address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Performs CPR till EMT arrival 1. Open the Airway (Head tilt-chin lift) 2. Look/Listen and Feel- for breathing NONE 3. Pinch Nose & Give 2 Breaths (using barrier) - CHEST DOES RISE 4. Check for Pulse Carotid NONE. Begin Chest Compressions/ Ventilations- 30:2 (adult Rate) depth of at least 2 Note - heel of 2 hands should be used Center of chest. Does approximately 30 compressions correctly. Tilts head back, looks for obstructions, does two breaths, mentions he has no mouth filter or says will only do compressions because he has no mouth filter. Sends for AED and uses it. 10 Uses the mouthpiece in the AED for providing two breaths. QUESTION When do you not use the head tilt-chin lift method to open the victim s airway? 10 ANS: You use the jaw thrust method when there is a chance of a head, neck or back injury. TOTAL- MAX 7 ======= TOTAL SCORE Page 8

59 SCENARIO 28 During a basketball game at your middle school the bleachers start to collapse. You watch as an adult attempting to get off them, slips and falls. His head violently strikes the hardwood floor, and he remains motionless until after you reach him. He is lying on his left side, with a very large red/purplish mark and swelling on his forehead above his right eye. He seems groggy but keeps insisting that he is OK- except he is just a little dizzy. He also says and that his fingers tingle and right wrist really hurts. Provide treatment and how you would move him? cut here SCORING 28 estimated time=1 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, Asks victim if he is ok, state you know some first aid, ask if you can help. States the injured person may have a concussion and a sprained or broken wrist. 1 Has someone call 911, provides: address, time symptoms arrived, his skills, number of people present, number of victims, tell what found, his name. Immediately make sure the airway is open and stabilize the neck and spine by 10 holding the head in the position found. Does a complete examination. DOTS (Deformity, Open wounds, Tenderness, 10 Swelling) Head to toe, and ABCDE as appropriate, Airway, Breathing, Circulation, Disability, and Exposure. Treats for shock talk to him, don t leave alone, keep warm, stabilize position, explain why you SHOULD NOT move him. COULD HAVE SPINAL INJURIES. Move significantly or prop up feet. -10 Very carefully splint, sling, cravat right wrist, using padding (for the possible wrist 1 fracture) in place, and then check for extremity circulation. QUESTIONS With a bleacher collapse there could be multiple people injured. Explain what it is called when you must deal with a number of victims and how it works? ANS: Multiple victim incidents require first responders to perform TRIAGE rapidly checking each victim for injuries and symptoms to best determine the use of First Aid resources available. When doing your patient exam explain the difference between Signs and Symptoms? ANS: Signs are what you would observe while completing your head to toe check, including Med Alert Tags. Symptoms are what your patient would communicate to you. TOTAL- MAX 80 ======= TOTAL SCORE Page 9

60 SCENARIO 29 Your patrol is helping at the food distribution warehouse on Scouting for Food Day. It is very busy as trucks and cars pull to the loading dock delivering the bags of food items. Your patrol s job is to remove the food from the bags and help sort it out. You notice that a bag has a broken jar of peanut butter in it, and the PB has gotten on some of the food items in the bag. You try to wipe it off as best as you can while passing the boxes and cans back to the others. From behind, you suddenly hear deep wheezing sounds. You turn to see that Brad has dropped to his knees, his throat and face are red and he is having tough time breathing. What do you do? cut here SCORING 29 estimated time=10 min PATROL NAME TROOP SQUARE CRITERIA MAX Stops, checks for threatening circumstances, approaches safely, Checks for a medical bracelet. States main injury (anaphylactic shock), vocalizes plans. Calls 911, TELLS: where they are, number of people present, number of victims, tell what happened. Victim is asked what is wrong or did something happen or are you allergic to anything. If the victim is questioned the judge says: The victim has allergies. Victim is asked if he has an EPI-PEN. 10 If the victim is asked if he has an EPI-PEN the judge says : Yes The victim is assisted in using it. 10 If no improvement after fifteen minutes he is assisted in using the pen again. 10 Have him sit up, sip water, talk to him, don t leave alone. QUESTIONS What 2 things should Brad have alerted everyone about his condition? ANS: Notified his Scout Leaders of his allergy and medication, and worn a Med Alert Tag with that information on it. If Brad had stopped breathing and gone unconscious what treatment sequence would you follow? ANS: The A-B-C-D Lifesaving Sequence/or specific instructions from EMS AT 911. Who can administer the Epi Pen to a patient? ANS: It is always best if the patient administers their own medications. You should assist them by getting the medication and helping as instructed, however you should NOT administer it unless properly trained/certified. People who are susceptible to anaphylaxis should carry an emergency medical kit containing an Epi Pen injector. What is in it and what does it do? ANS: It contains a premeasured dose of Epinephrine, which is a rapidly acting hormone that reverses the effects of anaphylactic shock. What is fainting or loss of consciousness? What is hyperventilation? Ans: Fainting is temporary loss of consciousness. Hyperventilation is breathing more than is necessary. Treatment is to have him lie down, prop up feet, talk to him, don t leave alone. If he is unconscious for two minutes or more call 911. TOTAL- MAX 7 ======= TOTAL SCORE Page 60

61 YOU CAN SEE MORE OF THESE AThttps://boyslife.org/outdoors/outdoorarticles/139031/test-your-skills-in-ten-emergency-scenarios/ SCENARIO 30 On a hike at extreme elevation, an adult leader starts experiencing headaches, shortness of breath and dizziness. He then falls to the ground and throws up. How to handle the situation: 1. It looks like the leader is suffering from altitude sickness. 2. Wear gloves if you must come in contact with bodily fluids. Help the victim to a lower elevation. He will likely be unsteady and will need support walking down the mountain; you may have to carry him or build a stretcher with logs and a T-shirt if necessary. 3. Give the victim small sips of water. 4. Treat the victim for shock. Continually communicate with him to see if he s feeling better or worse. Monitor continuously for any other medical issues.. The symptoms of altitude sickness usually subside shortly once you reach a lower altitude. If the leader continues to feel ill, call 911 and wait for paramedics. Page 61

62 SCENARIO 31 On a walk through your neighborhood with friends, you find a man lying on the ground under a ladder. He is in obvious pain and his arm is clearly broken, with a piece of bone protruding from the skin. How to handle the situation: 1. It appears that the man has fallen from the ladder. Make sure it s safe to approach. Is there anyone else on the ladder? Is the ladder in a stable position? Are there any obstacles on the ground or above, such as electrical wires or tree limbs? Identify yourself as being trained in first aid and offer assistance. 2. Have one friend call 911 and stay on the phone with the operator until help arrives. When paramedics arrive, have someone direct them to the scene and be prepared to communicate what happened. 3. Wear gloves and goggles if you have them. Provide urgent treatment for the victim by controlling the bleeding with a sterile gauze around the wound. (If you don t have gauze and the man is bleeding severely, use the cleanest cloth you have.) Do not use pressure on the bone itself but do your best to control the bleeding. Do not try to clean the wound. You will need a second person to protect the spinal column by supporting the victim s head and neck in the position in which he was found. 4. Treat the victim for shock, but don t move his legs because of a possible spinal injury. Keep him calm.. Thoroughly examine the victim to make sure there are no hidden injuries. For example, did he hit his head when he fell? What about his legs and ankles? Page 62

63 SCENARIO 32 While hanging out in your backyard with your little brother, you hear a call for help from a neighbor. You grab your first-aid kit and rush over to find a man lying on the ground amid a pile of chopped wood with a wound on his leg. How to handle the situation: 1. It looks like the man has injured himself while chopping wood. Check the scene and make sure it s safe to approach. Identify yourself as being trained in first aid and offer to help. 2. Have your brother call 911 while you tend to the victim. Have your brother stay on the phone with the operator until help arrives. When paramedics arrive, have him direct them to the scene and be prepared to communicate what happened. 3. Provide urgent treatment for the victim. Wear gloves and eye protection if you have them. If the wound is small and only oozing blood, focus on cleaning it with soap and water and then apply a sterile dressing. If there is a large amount of blood, stop the bleeding with a pressure bandage. Continue to apply pressure until the bleeding has stopped. If the bleeding soaks through the bandage, don t remove it; apply a second bandage on top of the first. Apply a sterile dressing once the bleeding has stopped. 4. Treat the victim for shock. Keep him calm. Protect him from further injury by not moving him unless there is immediate danger.. Do a secondary exam to make sure there are no hidden injuries. For example, did he hit his head when he fell? Page 63

64 SCENARIO 33 After participating in a mile-long run, your friend begins wheezing. Within minutes, he is breathing rapidly, coughing uncontrollably, suffering from chest tightness and having difficultly speaking. He pulls an inhaler from his pocket. What do you think is going on? How to handle the situation: 1. It looks like your friend is suffering from an asthma attack. Approach the victim cautiously. Do not cause panic. 2. Help the victim sit upright and allow him to administer his medication. Keep him warm. 3. If he can t use his inhaler or doesn t have it with him, small amounts of a caffeinated drink can improve airways function in people with asthma. 4. Continue to keep your friend calm and warm. Make sure he has suffered no other injuries.. If his condition doesn t improve quickly, call and describe the situation and your location. Page 64

65 SCENARIO 34 On a walk through your neighborhood, you come across a person lying on the ground. The victim has difficulty speaking and appears weak and trembling. He manages to say that he s hungry and appears to be nervous. He complains of feeling faint and dizzy, and that s when you notice the silver bracelet on his wrist. What s happening? How to handle the situation: 1. It appears the man is having a diabetic attack. Since it s impossible to know if there is too much or too little sugar, you should treat this as an extremely dangerous situation. High blood sugar levels rarely cause death, but low blood sugar is dangerous. Without sugar, brain cells die quickly and permanent damage can result. 2. The bracelet is a medical ID bracelet. It will explain what to do in case of a diabetic attack. 3. The person might be carrying some form of concentrated sugar to be taken orally. Follow the directions exactly. 4. If you can t tell otherwise, assume the worst that the man is suffered from low blood sugar.. If the man s condition doesn t improve right away, call and describe the situation and your location. Page 6

66 SCENARIO 3 Demonstrate and explain how to do the following rescues: BUILDING ON FIRE PERSON ON FIRE LIVE WIRES HOUSE ELECTRICAL CURRENT FALLEN THROUGH ICE cut here SCORING 3 PATROL NAME TROOP SQUARE CRITERIA MAX BUILDING ON FIRE not in latest handbook, keep low 10 PERSON ON FIRE not in latest handbook, stop drop roll in fire safety merit badge 10 LIVE WIRES not in latest handbook, in electricity merit badge 10 HOUSE ELECTRICAL CURRENT not in latest handbook, in electricity merit badge 10 FALLEN THROUGH ICE not in latest handbook, use extended reach 10 TOTAL- MAX 0 ======= TOTAL SCORE Page 66

67 ITEMS FOR FIRST AID MEET KIT ROLLS OF GAUZE ADHESIVE TAPE 1 ALCOHOL WIPES OR BOTTLE LARGE SQUARE PADS 3 x 3 (12) MEDIUM SQUARE PADS () SMALL SQUARE PADS () LARGE BAND AID () SMALL BAND AID () TWO ACE BANDAGES WITH CLIPS OR SAFETY PINS SQUARE CLOTHS THE SIZE OF A NECKERCHIEF (SLING) 4 LONG STRIPS OF 3 WIDE CLOTH () CLOTH BANDAGES COTTON BALLS PADDING MOLESKIN / MOLE FOAM GEL PADS FOR BLISTERS AND BURNS Q-TIPS (TRIPLE ANTIBACTERIAL CREAM) NEOSPORIN HYDROCORTISONE CREAM IODINE SUNSCREEN CALAMINE LOTION / CALADRYL / BENADRYL HAND LOTION FILTERED WATER AND GATORADE SOAP AND HAND SANITIZER SCISSORS TWEEZERS SAFETY PINS DISPOSABLE NON-LATEX GLOVES (6 PAIR) SAFETY GOGGLES OR GLASSES CPR BARRIER OR MOUTH PROTECTOR TWO POLES FOR STRETCHER BLANKET EMERGENCY BLANKET COLD PACK - 2 GARBAGE BAG DUCT TAPE TOURNIQUET GALLON ZIP-LOCK BAGS BAKING SODA TUMS THERMOMETER PEPTO BISMAL TWO POLES/BOARDS FOR SPLINT PENCIL AND PAPER Page 67

68 For practice, muslin was substituted for gauze and ties and bandages for a significant cost reduction. Most of the rest of the supplies were found around the house as out-of-date or surplus items. Few items had to be purchased. The tourniquet was made from a poly ester strap and a shoe lace. Most items have a labeled zip-loc bag. Not shown are the poles and splint boards. No liquids, lotions or potions are opened during practice but are announced as xxx being opened and used. Page 68