Potawatomi First Aid Meet

Transcription

1 Problems and Grading Sheets from the 2016 Potawatomi First Aid Meet

2 Potawatomi District First Aid Meet 2016 Problem A (Green) Leader 4 Runner 1 On a bright, cool summer day your troop is completing a beautiful, but long 13 mile hike around Devil s Lake State Park, Wisconsin. The Ice Age Trail showcases outstanding glacial features and breathtaking scenic views of the region. It is 3:30pm when you arrive at the South Shore Visitors Center parking area. The scouts are all hungry, having skipped lunch because a thunderstorm appears to be coming in from the West and the leaders wanted to get back to shelter. It s going to get pretty stormy in just a little while. Scout Johnny is pale and sweating. He complains about feeling dizzy. A few scouts go to him just as he loses consciousness and falls awkwardly to the ground. They check his breathing and pulse. His breathing is shallow and pulse is high at 99 beats per minute. He is wearing a medical ID bracelet. They notice that during the fall he landed heavily on his right arm, and his shoulder is curved forward of its normal position. He quickly regains consciousness and screams, It feels like my arm popped off! Suddenly a small explosion is heard at the other end of the parking area. A man is seen lying in front of his car writhing in pain. His wife jumps out of the car and calls for the scouts to help. Three scouts run to help. The wife, Mrs. Lombardo explained to the scouts that their car would not start and her husband was checking the battery under the hood. He had taken the caps off the battery, but couldn t see the level of the acid in the cells. That was when he held a butane cigarette lighter near the cells. The flame ignited the hydrogen gas given off by the battery and it suddenly exploded. His eyes, head, face, and neck have been splashed with acid and are red, burned and blistered from the explosion and brief fire. A few sharp pieces of the battery case are imbedded deep in his right eye and are sticking out of it. Treat both Scout Johnny and Mr. Lombardo for their injuries. Make a sling our of cravat bandages to support Johnny s forearms and elbow.

3 Potawatomi First Aid Meet 2016 Problem B Gold Runner 3 Leader 1 CPR 2 Four boys from the Eagle patrol have been working on the Bird Study Merit badge for three months. To provide some practical experience in bird watching, the troop leaders, Mr. Stevens and Mr. Kim took the boys to Starved Rock State Park. They hoped to see eagles. Mr. Stevens recently retired and is treating the boys to a night s stay in the Starved Rock Lodge. At 7:30 AM the next morning the group bundles up and starts hiking to the Hennepin Canyon Overlook of the Illinois River where other hikers had seen eagles the day before. It is mid January. The weather is very cold, and there was a light snowfall overnight. The group starts walking on the Campanula Trail. They hike about a mile and a half and stop at Sandstone Point Overlook to see if there are any eagles there. Not having any luck, they continue on the River Trail to Hennepin Canyon Overlook, which is about three and a half miles from the lodge. Nearly three hours after leaving the lodge, they arrive at the overlook and spot four eagles on a large tree near the river. Joey, one of the scouts, wants to take a great picture, so he walks towards the tree while looking through the lens of his camera. He stumbles on a tree root and tumbles down to a small trail eight feet below the tree. Joey screams that he is in great pain. Mr. Stevens and the rest of the group carefully work their way down to Joey. On the lower trail, Mr. Stevens collapses to the ground and is unable to help with Joey. Mr. Stevens says that he feels very weak, has pain in the center of his chest, and is having trouble breathing and blood is slowly seeping from a scratch on the right side of his forehead. Mr. Kim checks him out and finds that Mr. Stevens has stopped breathing and has no pulse. Meanwhile, two of the scouts notice a tear in Joey s left pants leg. They look closer and see that the bone is sticking out through the skin below Joey s left knee. As the scouts assist Joey, they notice that Joey s ears were not covered and that the skin on the top of both ears has turned grayish-white. Treat both victims, stabilize Joey s leg.

4 PROBLEM C PINK Leader #3 Runner #2 On the last weekend in June, your troop camped in the tent campgrounds in Silver Lake State Park near Ludington, Michigan. On Saturday morning, everybody went swimming in Lake Michigan. Around 11 AM your patrol decided to walk north along the lake, then climb the dunes to find the Logan trail. You knew that you could walk the trail south through woods and reach camp in less than a mile. It was a warm day, and everybody was walking in swimming suits and shirts, but your leaders had insisted on your wearing hiking boots, carrying individual water bottles, and one person had the patrol first aid kit. When your patrol found Logan Trail, you all turned south to follow the trail to your campsite. At the top of the first hill, some of the patrol started running down. Joseph, the last scout in line, yelled Catch the football. Everybody in front of him turned around to see him kick a small gray object. As it disintegrated, a small swarm of wasps emerged. Everyone ran down the hill. Adam, at the front of the patrol, was running backwards down the hill so that he could laugh at the panic behind him. His foot got caught on a rock on the trail. He could feel a snap in his left shin as he fell down. He rolled off the trail onto a small Massasuaga rattlesnake that had been resting in a sunny patch. Despite the pain in his left leg, he felt the prick of the rattlesnake s fangs in his right thigh. The patrol hurried to Adam. He pointed to a bluish bump on his left shin. I think I broke it. And I got bit by a snake. Two drops of blood marked the bite on his thigh. Joseph said And I got stung by the wasps. He pointed to his neck where there was already a large swelling appearing and to his left arm, where two bumps appeared. In the center of the swelling on his neck was hanging the tail end of a wasp that Joseph had swatted. Joseph didn t notice that blood was running down his right leg from a shallow gash below the knee where he had scraped against a log as he came down the hill. In a few minutes, Joseph sat on the trail, mumbling that his tongue felt strange. Joseph was breathing, but with some difficulty and which seemed to be getting worse. Treat Adam and Joseph. Prepare a stretcher to transport Adam to the campsite. Show how you would lift Adam.

5 Potawatomi First Aid Meet 2016 Problem D - Blue Leader # 2 Runner # 4 Venture scouts from Troop 647 plan to have one last fun weekend before members leave for college. The group decides to spend Saturday at the Indiana Dunes State Park and invite a few additional friends along. They parked their cars in the State Park lot, which is just off of U.S. Route 12 in Michigan City, Indiana, and ate lunch. The parking lot is on the East side of high dunes that include Mt. Baldy, the tallest dune at the south end of Lake Michigan. The summit of Mt. Baldy is all sand and has been closed because of sinkholes that have swallowed up hikers. After lunch, the group hiked west along low dunes until they reached the Mount Baldy trail. Four of the guys turn right to take the trail down to the beach and Lake Michigan. The other four remember their Cub Scout days when they ran up and down Mt. Baldy and decide to climb Mt. Baldy as high as permitted. Ray, a friend of the scouts, tags along with the beach group and sets his daypack down near the water. Determined to start college with a tan, Ray lies in the scorching sun. He feels too comfortable to reach for a drink from his daypack. At 3:30 PM, after an hour of sunning, Ray notices a few horse flies hanging around. He puts on his college hoodie for protection and proceeds to swat at them. One fly breaks through his defense and bites Ray on the left side of his neck. The bite area turns red and slightly swollen. Angry that he had been bit, Ray tries to stand. He feels very weak and has a headache but is able to get up. With poor judgment, Ray pulls a lighter out of his bag to seek revenge on the flies. When it ignites, Ray tilts the lighter, but misses the fly and burns his right thumb. Defeated and drained, Ray collapses to the sand. His friends find him conscious, his skin to be cool, and his pulse to be racing. At the same time, the other group is still climbing and sliding down the dune face. Allen boisterously proclaims that he can make it down to the beach faster than anyone else. To prove his point, he scrambles up the face of Mt. Baldy past the Danger! Do Not Enter. signs. He turns and takes off running down the sandy slope. His leg unexpectedly sinks far into the sand. An old buried tree trunk with sharp edges slices through his exposed lower left leg. Allen falls in pain. His momentum carries him 80 feet to the bottom of the dune not too far from Ray. While tumbling, sand and dirt gets in his right eye and covers the jagged leg wound. When Allen s body comes to a stop, blood is pouring out of the leg wound. Treat Ray and Allen.

6 Judge's Sheet 2016 First Aid Meet Potawatomi District Problem A GREEN Leader #4 Runner #1 PATROL LABEL GOES HERE TOTAL Ref Ref (max 41 pts) HB MB ANALYSIS Mr Acid burns 1 59 Lombardo Partial thickness burns Burns to face,head, eyes and neck 3 Battery case parts imbeded in right eye Shock Johnny Hypoglycemia (diabetes, low blood sugar) 6 67 Read the medical bracelet! Diabetes 7 67 Dislocation (or break) of right shoulder Shock TREATMENT Mr Burns: flush face, head, eyes and neck with clean Lombardo water for minutes or until help arrives Cover burns loosely with sterile gauze Calm victim and monitor breathing Eye: stabilize objects if possible Do not try to remove objects in the eye Prevent victim from touching eye Cover eye loosely with sterile gauze Shock: Lay down, Raise legs Cover victim, keep warm Johnny Hypoglycemia: offer candy or juice containing sugar Monitor breathing and consciousness Dislocation/Break: Place Johnny in sitting position Graphic Sling: Support injured limb below shoulder injury PG 48 Check for circulation below injury (warmth, feeling, color) Position triangle sling across chest/behind neck Bring upper end behind neck, lower end upward Bind sling to chest using a second triangular bandage Position this bandage over sling and across chest Place under the uninjured arm and around back Square knot used to secure all bandages Used sling, not hard splints Check for circulation again Confirm shoulder is immobilized Shock--Lay down, Raise legs Cover victim, keep warm Use sterile gloves for Mr Lombardo Dispose of gloves properly CONDUCT Leader gave directions on first aid treatment 37 No disruptive behavior or comments 38 Worked cooperatively 39 Considerate of patients: reasurring, gentle 40 Did not step over patients 41 Judge Signature Patrol Leader Signature

7 Judge's Sheet 2016 First Aid Meet Potawatomi District Problem B Leader #1 Runner #3 CPR #2 Judge PATROL LABEL GOES HERE TOTAL Ref Ref (Max 40 points) HB MB ANALYSIS Mr. Stevens Probable heart attack Not Breathing 2 Unconscious 3 No Pulse 4 Bleeding from his forehead Shock Mr. Stevens mentioned first Joey Open (compound) fracture Frostbite Shock Treatment Mr. Stevens Announces they will administer CPR - send scout 2 11 Judge says," He is breathing but not conscious" Check victim to see if he is still breathing Cut on forehead- Wash with soap and water Apply antiseptic Cover with bandage Graphic Recovery position Extend arm before rolling over MB 66 Support head and neck while rolling victim Final position is correct Monitor breathing Joey Frostbite- Cover Joey's ears to keep from further damage Broken leg- Immobilize the leg with soft or hard splint Check for circulation Use padding around the wound Splint secured above and below the break Splint goes from the middle of the thigh to below the foot Did not remove the shoe Secure the splint with triangle bandages or strips of cloth Square knots are secure Leg is stabilized Recheck for circulation Shock--Cover victim Lay victim down Raise right leg only Use sterile gloves for both victims Dispose of gloves properly CONDUCT Leader gave directions 36 No disruptive behavior or comments 37 Worked cooperatively 38 Considerate of patients: reassuring, gentle 39 Did not step over patients 40 Judge Signature Patrol Leader Signature

8 Judge's Sheet 2016 First Aid Meet Potawatomi District Problem C (Pink) Leader #3 Runner #2 Judge PATROL LABEL GOES HERE TOTAL Ref Ref [44 points] HB MB ANALYSIS Joseph Possible Anaphylactic shook Wasp Stings Gash in leg Shock Joseph mentioned first Adam Broken leg--closed (simple) left shin Snake bite Shock 8 Joseph Anaphylactic Shock-- Ask if he has medical kit (epinephrine) Judge: JOSEPH SAYS "NO". Judge: JOSEPH'S BREATHING HAS STABLIZED. Reassure Joseph to keep him calm 10 Stings--Use knife blade or card to remove stings Use wet cloth or cold gel to reduce pain and swelling Gash--Flush with water Apply antibiotic Cover with bandage and secure Shock--Comfortable sitting position Cover victim Do not raise legs Adam Broken Leg--Check circulation [Graphic] Splints from thigh to heel (Shoe may be off or on) MB 45 Pad splints Splints must not apply pressure on break At least 3 cravats to immobilize leg (Thigh, below knee, ankle) Avoid disturbing the break while applying splint Square knots Recheck circulation Snake Bite--Reassure Adam Clean (water) Shock--Neither leg raised Back support, heart higher than snake bite Cover victim TRANSPORT Prepare blanket stretcher correctly At least three scouts lift victim (two on one side) Slide stretcher under Adam Lifting stretcher is slow and safe Graphic 29 Movement of Adam's left leg is minimal Leader (or one scout) gives direction on lift Use disposable gloves for both victims Dispose of gloves properly CONDUCT Leader gave directions 40 No disruptive behavior or comments 41 Worked cooperatively 42 Considerate of patients: reassuring, gentle 43 Did not step over patients 44 Judge Signature Patrol Leader Signature UNIT AND PATROL

9 Judge's Sheet 2016 First Aid Meet Potawatomi District Problem D BLUE Leader #2 Runner #4 PATROL LABEL GOES HERE TOTAL Ref Ref (max 35 points) HB MB ANALYSIS Allen Severe Bleeding on left leg Foreign Body in right eye Allen mentioned first Shock Ray Heat Exhaustion Superficial Burn on thumb Insect Bite Shock TREATMENT Allen Severe bleeding - Apply pressure with gauze Judge Says - "Blood has soaked through the gauze" Add a second layer of gauze and continue to apply pressure 10 Do not remove first layer of gauze Judge Says - "Bleeding has stopped" Hold pad in place with sterile bandage Wrap firmly with cloth or athletic wrap Check for circulation periodically Foreign Body in Eye - ask victim to blink their eyes Judge Says - "Sand and dirt remain in eye" Flush with clean water Shock - Raise legs Cover victim Ray Heat Exhaustion - Move to shade and lie down Remove excess clothing Have Ray drink small amount of cool water/sports drink Apply cool water to skin and/or clothing Superficial Burn - Hold hand under cold water or apply cool, wet compress Insect Bite - Wash wound with soap and water Apply cool pack or cool compress Shock - Raise legs Do not cover victim Used sterile disposable gloves when treating Allen 28 Wore goggles when treating Allen 29 Disposed of gloves correctly 30 CONDUCT Leader gave directions on first aid treatment 31 No disruptive behavior or comments 32 Worked cooperatively 33 Considerate of patients: reassuring, gentle 34 Did not step over patients 35 Unit and patrol Judge Signature Patrol Leader Signature

10 Doctor/First Responder Potawatomi District 2016 PROBLEM A (Green) Leader #4 Runner #1 DOCTOR <<<<TEAM LABEL GOES HERE >>>> Total: Max 24 pts Check box if item accomplished Introduction Scout gives name, Troop number, and Patrol name 1 Scout gives time of incident (3:30 pm) Shows written notes that were taken Shows means of making a phone call Location General Devil's Lake State Park Specific South Shore Visitors Center Parking Area HB MB Injuries Mr Lombardo Acid burns Partial thickness burns 8 Burns to face, head, eyes, and neck Objects are imbedded deep in right eye Shock Johnny Hypoglycemia (diabetes, low blood sugar) Dislocation or break of right shoulder Shock First Aid Mr Lombardo Burns: Flush eyes and face with water Cover burns loosely with sterile gauze Eye: Objects not being removed Cover eye loosely Monitor breathing Treat For Shock Johnny Diabetes: Offer juice or candy containing sugar Dislocation/Break: stabilize injury Prepare sling for right arm Treat for Shock Unit number and patrol Doctor Signature Runner Name (PRINT)

11 Doctor 2016 First Aid Meet Potawatomi PROBLEM B Leader #1 Runner #3 CPR # 2 DOCTOR Patrol Label Goes Here Total: Introduction Check box if item accomplished Scout gives name, Troop number, and Patrol name 1 Shows notes that were taken 2 Shows means of making a phone call 3 Time: Around 10:30AM 4 Location General Starved Rock State Park 5 Specific Hennepin Canyon Overlook 6 HB MB Injuries Mr. Stevens Probable heart attack Unconscious 8 Not Breathing 9 No Pulse 10 Bleeding from his forehead Shock Mention Mr. Stevens first Joey Compound (open) fracture of left leg Frostbite of ears Shock First Aid Mr. Stevens Perform CPR being given Treat cut on head Treat For Shock Joey Immobilize left leg Cover Joey's ears Treat for Shock Unit number and patrol Doctor Signature Runner Signature

12 PROBLEM Doctor C (Pink) 2016 First Aid Meet Potawatomi DOCTOR Leader #3 Runner #3 Patrol Label Goes Here Total: Introduction [22 points] Check box if item accomplished Scout gives name, Troop number, and Patrol name 1 Shows notes that were taken 2 Shows means of making a phone call 3 Location General Silver Lake State Park, Ludington MI 4 Specific Logan Trail One mile north of tent campgrounds 5 Time After 11 AM 6 Injuries Joseph Possible Anaphylactic Shock Wasp Stings Gash in leg Shock Mention Joseph first (Anaphylactic Shock, Hurry case) Adam Broken leg, Closed (simple) Left Shin Poisonous snake bite Shock First Aid Joseph Anaphylactic--Monitor Breathing being given Cut on leg--clean and bandage Treat For Shock Adam Splint Broken Leg Snake Bite--Clean Shock 21 Use stretcher to move Adam HB MB Unit number and patrol Doctor Signature Runner Signature

13 2016 First Aid Meet Potawatomi District PROBLEM D (BLUE) Problem D Blue Leader (#2) Runner (#4) DOCTOR Patrol Label Goes Here Total (max 26 points) Check box if item accomplished HB MB Introduction Scout gives name, troop number, patrol name 1 Scout shows written notes 2 Scout shows means of making a phone call 3 12 Location Indiana Dunes State Park Mount Baldy Dune - beach side Time Around 3:30 PM Injuries Allen Severe bleeding on lower left leg Sand and dirt in right eye Mention Allen First Shock Ray Heat Exhaustion Superficial Burn Insect Bite Shock First Aid Allen Bleeding - Apply pressure to wound until bleeding stops Secure gauze with bandage Monitor circulation Foreign Body in Eye - Flush eye with fresh water Treat for shock Ray Heat Exhaustion - Move to shade Remove excess clothing Drink cool water/sports drink Superficial Burn - Rinse with cold water or apply cool compress Insect Bite - Wash with soap and water Apply ice pack or cool compress Treat for shock Unit number and patrol Doctor Signature Runner Signature

14 2016 First Aid Meet Potawatomi Problem B CPR Score Sheet Scout #2 Gray CPR Patrol label goes here Total out of 21 points Mark an X in the box if the scout performs the task correctly. Check for response (TELL RESCUER NO ANSWER ) 1 Puts on gloves 2 Puts on goggles 3 Tilts head correctly 4 Check for breathing (TELL RESCUER NO BREATHING ) 5 Checks mouth for obstructions 6 Uses mouth guard 7 Maintains correct head position (tilt back) 8 Keeps victim s head tilted when giving breaths 9 Gives two breaths (TELL RESCUER THE CHEST RISES ) 10 Checks for pulse (TELL RESCUER NOT BREATHING ) Correct use of two hands for compression 11 Correct placement of hands (lower sternum) 12 Gives 30 compressions about 1 per second 13 Next gives two breaths 14 Gives 30 compressions 15 Checks for pulse (TELL RESCUER NOT BREATHING ) Next gives two breaths 16 Gives 30 compressions 17 Checks for pulse (TELL RESCUER THERE IS BREATHING ) 18 Knowing that there is breathing, rescuer stops CPR. 19 Additional questions after rescuer has completed the CPR. ASK RESCUER, What would the compression to ventilation rate be 20 for an infant? [ Correct answer is 30 compressions followed by 2 breaths. ] ASK RESCUER, You use two fingers to do a compression on an 21 infant victim. What would you use for a child? [Answer: 1 or 2 hands.] Judge signature Patrol Leader signature (indicates that the total points is correct) Source: Handbook page 164-5;Merit badge book Note to CPR Judge: The Merit Badge book does not require checking pulse for adults; the Handbook says to recheck for breathing and pulse every two minutes. There is no point nor penalty for checking for pulse (blacked out cells). ALSO If a scout does CAB order to start, ask if they have been trained that way. If so, they get points if they do each stage correctly.