2014 Chief Logan District First Aid Meet General Information

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1 2014 Chief Logan District First Aid Meet General Information Shoemaker Center, Ohio University Chillicothe Saturday, March 1st, 2012 Registration 8:30 to 9:00 AM Meet starts at 9:00 AM There is a lot of information in this packet. Please review it all (Be Prepared). The purpose of the First Aid Meet is to test Patrol skills and the ability of the Patrol to respond as a team to emergency situations. Three first aid scenarios will be given in written format. Patrols will have 20 minutes to read the problem, and respond to the situation. There will be a five minute period after each problem for the judge to critique the Patrols performance. After an Opening ceremony at 9:00 AM, there will be a short organizational period to instruct judges regarding scoring methods, and floor assignments. Sample problems are included in this packet. Troops are encouraged to practice first aid responses to prepare for the First Aid Meet. Judging will be based on first aid skills covered in the Boy Scout Handbook, and the First Aid Merit Badge Pamphlet. Patrols must provide their own first aid kit, as well as splinting materials and make-shift stretcher materials. Commercial stretchers are not allowed. A list of recommended equipment and material is included in this packet. Each Patrol must provide at least one adult to act as a judge. Patrols will remain at the same floor location throughout the event, judges will rotate between Patrols. Senior Patrol Leaders and older scouts not participating with a Patrol are welcome to serve as judges and score keepers. Victims will be selected from the Patrol. Patrols may invite an older Cub Scout to be the designated victim, but this is not a requirement. Patrols may also invite second year Webelos Scouts to participate as a member of the Patrol. Cost is $5 per participant to cover patches and awards.

2 2014 Chief Logan District First Aid Meet Registration Form Go to the Council website: to register for this event. Contact Bill DeVelin, , or with questions. ( preferred) Each Patrol should bring a completed copy of this form to the event. Troop Patrol Patrol Leader: Patrol Members: If a participant is a Webelos Scout, place an asterisk by his name. List optional Cub Scout Victim here:

3 2014 Chief Logan District First Aid Meet Competition Rules 1. Class A uniforms are to be worn. The Scout Oath and the Scout Law will prevail at all times. 2. Each patrol must provide at least one adult leader to assist in judging. Judges will not judge their own Patrol. 3. Each Patrol Leader is to check in at the registration table between 8:30 and 9:00 AM with a complete Patrol roster to receive floor assignment and final instructions. Payment of event fees is due at this time. ($5 per participant.) Make checks out to Chief Logan District, BSA. 4. Each Patrol will be assigned a floor location for the meet. They will remain in their assigned location for the duration of the meet. 5. Patrols may invite second year Webelos Scouts to participate as a member of the Patrol. 6. Patrol Leaders are to be in charge of their Patrols at all times. All Patrol members are expected to stay with their Patrol for the duration of the competition. Do not wander around the facility. 7. Patrols must provide their own victim. The victim may be a patrol member, or Patrols may invite an older Cub Scout to be the designated victim. If regular Patrol members are used as victims, this assignment shall rotate, that is, no scout can be a victim more than once. If a Cub Scout is invited and is the victim, he can be but is not required to be the victim for all three problems. 8. The Patrol is expected to actually perform as much of the first aid care as possible. Splinting, dressing and bandaging wounds, moving and positioning the victim are expected to be performed. 9. In most cases, no credit will be given for just telling the judge what you would do. You must demonstrate first aid procedures. However the following are cases where credit will be given for telling the judge what you would do. Using water or other liquids, making the victim vomit, removing clothing (other than shoes, hats, or rolling up shirt sleeves or pants legs), application of topical medical dosages such as alcohol rubs or first aid creams, abdominal thrusts or back blows. Do not tighten tourniquets. 10. If CPR is to be given to the victim, do not actually breathe into a victims mouth, do not perform chest compressions. Proper positioning of the patient and techniques should be demonstrated. 11. For some problems, the exact nature of the injury may not be apparent at first. However, enough information will be provided to begin treatment. Judges may provide additional information on the nature of the injury and the patient condition as you provide care. 12. If a Scout is sent for help, that scout should be separated from the Patrol. Near the end of the problem period, the scout sent for help should be called back to Patrol, and give the emergency message information to the judge. 13. Patrols will be given three first aid problems. For each problem, 20 minutes is allowed to read the problem and demonstrate to the judge the correct first aid response, followed by a 5 minute period for the judge to review and score Patrol actions. There will be an additional five minute period between problems to relax and allow judges to deliver completed score sheets to the scorers table. During the 20 minute response period, a two minute warning will be announced. 14. The evaluation by the judges and points awarded will be final. The judging standard is the Boy Scout Handbook and the First Aid Merit Badge Pamphlet. 15. All judges are volunteers. They are offering their time to help us improve our First Aid skills. Please extend your thanks and appreciation to each judge for helping make this event a success.

4 2014 Chief Logan District First Aid Meet Items to Bring Patrols should bring the following items. Completed Registration Form and Fees. Make checks out to Chief Logan District, BSA. First Aid Kit, as described in the Boy Scout Handbook Materials for splinting broken bones Materials for a make-shift stretcher (Commercial stretchers not allowed) Two Blankets or Sleeping Bags (To lay victim on while treating instead of the dirty gym floor, as well as for treating shock.) Patrol Flag (Optional but recommended) Snacks and drinks (Leave no trace) Class A uniforms And An adult We could use additional adult volunteers at the registration and scorers tables.

5 2014 Chief Logan District First Aid Meet Sample Problem Your Patrol is winter camping at snow covered Lake Green State Park with a group of Cub Scouts. Your campsite is one mile from Park Headquarters along a dirt road, and cell phone service is not available. When nobody is looking, Cub Scout Joey Knowitall decides to try his hand at chopping wood for the fire. He gets an axe that is too heavy for him. He loses control on his first swing and cuts his left leg just above the ankle, which starts spurting bright red blood. He panics, trips, and falls into the campfire, setting his left shirt sleeve on fire. Your Patrol hears him scream and quickly reaches him. Blood is spurting from his left leg above the ankle. His shirt still has some burning areas, and his forearm is quickly forming blisters. Treat!

6 2014 Chief Logan District First Aid Meet Sample Problem Score Sheet Troop: Patrol: Total Score: Your Patrol is winter camping at snow covered Lake Green State Park with a group of Cub Scouts. Your campsite is one mile from Park Headquarters along a dirt road, and cell phone service is not available. When nobody is looking, Cub Scout Joey Knowitall decides to try his hand at chopping wood for the fire. He gets an axe that is too heavy for him. He loses control on his first swing and cuts his left leg just above the ankle, which starts spurting bright red blood. He panics, trips, and falls into the campfire, setting his left shirt sleeve on fire. Your Patrol hears him scream and quickly reaches him. Blood is spurting from his left leg above the ankle. His shirt still has some burning areas, and his left forearm is quickly forming blisters. Treat! Severe Bleeding, Lower Left Leg 35 Points Score Criteria Patrols Score First aider wears latex gloves to protect himself 0 to 2 Apply pressure to wound with gauze or cloth (After one or 0 to 10 two minutes, the Judge should announce The bandage is soaked and dripping ) First aider places new bandage over soaked bandage, does 0 to 6 not remove old bandage. (After two or three minutes, judge announces The bleeding has stopped ) Elevate leg. 0 to 2 Get to work as quickly as possible 0 to 6 Treat lower left leg. 0 to 1 Bind dressing to wound. 0 to 5 Checks tightness of dressing. 0 to 3 Second Degree Burn, Left Forearm 25 Points Score Criteria Patrols Score Smoldering Shirt Sleeve Smothered 0 to 5 Snow or Cold Water applied. 0 to 5 Affected area allowed to dry. 0 to 5 Affected area covered with dry, loose clean bandage. 0 to 5 Treat left forearm. 0 to 1 No ointment applied 0 to 4

7 Treat for Shock 18 Points Score Criteria Patrols Score Cover patient to keep warm 0 to 6 Raise legs 0 to 6 Careful with left leg 0 to 3 Monitor patients condition, breathing, pulse 0 to 3 Send for Help 12 Points Score Criteria Patrols Score Send one or two Scouts to Park Headquarters 0 to 3 Gives location of accident 0 to 2 Describes what is wrong with the patient 0 to 3 Tells what treatment has been given 0 to 2 Clear understandable talk 0 to 2 Patrol Action 10 Points Score Criteria Patrols Score Patrol functions well as a team 0 to 4 Patrol follows directions of Patrol Leader 0 to 3 Patrol gets to work immediately 0 to 3 Judge:

8 2012 Chief Logan District First Aid Meet Problem #1 Your Patrol is headed to West Virginia for a backpacking trip in the family van of a patrol member, cruising down U.S. 35 on this cool and rainy fall afternoon. A sports car suddenly slides across the median, and collides with an 18 wheel semi right behind you. The sports car comes to a rest beside highway mile marker 163. You pull over, back up to the car, and race to the scene. There is no one in the car, the driver having been hurled about 20 feet from the wreckage. The driver is a woman, about 30, lying face down in the grass. Her right foot has been completely severed from her leg, the remainder of which is spurting blood rapidly. She is unconscious. Her lower right arm is strangely deformed, bent at the center, strangely discolored, and starting to swell. The driver of the truck has now arrived at the scene. While he appears unhurt, he is screaming hysterically, I never saw her coming, I couldn t help it, is she OK?, and running around the area, out of control. Cars are slowing down or pulling over to help, or just see what happened. Cell phone service is available. Treat!

9 2012 Chief Logan District First Aid Meet Problem #1, Judge Score Sheet Troop: Patrol: Total Score: Your Patrol is headed to West Virginia for a backpacking trip in the family van of a patrol member, cruising down U.S. 35 on this cool and rainy fall afternoon. A sports car suddenly slides across the median, and collides with an 18 wheel semi right behind you. The sports car comes to a rest beside highway mile marker 163. You pull over, back up to the car, and race to the scene. There is no one in the car, the driver having been hurled about 20 feet from the wreckage. The driver is a woman, about 30, lying face down in the grass. Her right foot has been completely severed from her leg, the remainder of which is spurting blood rapidly. She is unconscious. Her lower right arm is strangely deformed, bent at the center, strangely discolored, and starting to swell. The driver of the truck has now arrived at the scene. While he appears unhurt, he is screaming hysterically, I never saw her coming, I couldn t help it, is she OK?, and running around the area, out of control. Cars are slowing down or pulling over to help, or just see what happened. Cell phone service is available. Treat! Severe Bleeding, Right Foot 26 Points, FAMB, Pg. 90 Score Criteria Patrol Score Get to work as quickly as possible 0 to 3 First aider wears latex gloves to protect himself 0 to 1 Apply tourniquet to lower leg 0 to 4 Use cloth at least 2 wide 0 to 1 Tie overhand knot 0 to 1 Place rod in knot 0 to 1 Tie down with square knot 0 to 1 Twist rod to stop bleeding. JUDGE, DO NOT ALLOW FIRST- 0 to 3 AIDER TO ACTUALLY TIGHTEN TOURNIQUET Secure rod with other strap or bandage 0 to 1 Write time on paper or victims forehead 0 to 2 Loosen after 5 minutes to check bleeding - Judge announces 0 to 4 Bleeding has Stopped. Make effort to bind dressing to wound. This will be difficult to 0 to 3 do considering that the foot is supposed to be severed, so reward any honest effort. Treat RIGHT foot 0 to 1 Suspected Spinal or Head Injury 10 Points, FAMB, Pg. 48 Score Criteria Patrol Score Do not move patient 0 to 6 Stabilize head and neck, can be done by simply holding head still 0 to 4

10 Simple Fracture of Lower Right Arm 10 Points Score Criteria Patrol Score Do not move patient to treat 0 to 2 Arm does not need to be immobilized, patient is in no danger. 0 to 6 If patrol goes ahead and splints the arm, make sure neck and back are not twisted. Make patient comfortable by placing pads, sleeping bags, clothing over and around her. 0 to 2 Treat for Shock Woman 10 Points Score Criteria Patrol Score Cover patient to keep warm 0 to 4 Don t raise legs due to suspected spinal injury 0 to 3 Monitor patients condition, breathing, pulse 0 to 3 Treat for Shock Truck Driver 11 Points Score Criteria Note to judge, Patrol may not have enough scouts to provide a second victim, remind them the truck driver is out of control, and they can simply explain what they would do. Have patient lie down someplace dry and warm (van) 0 to 2 Cover patient to keep warm, or keep warm with car heater 0 to 3 Raise legs slightly 0 to 2 Give patient sips of water 0 to 2 Talk to patient to reassure him everything is OK 0 to 2 Patrol Score Crowd Control 6 Points Score Criteria Patrol Score Scout directs traffic, or asks bystander to direct traffic 0 to 6 Call for Help 14 Points Score Criteria Patrol Score Scout gives location of accident 0 to 4 Gives time of accident 0 to 2 Describes patients injuries 0 to 3 Tells what treatment has been given 0 to 3 Clear understandable talk 0 to 2 Patrol Action 10 Points Score Criteria Patrol Score Patrol functions well as a team 0 to 4 Patrol follows directions of Patrol Leader 0 to 3 Patrol gets to work immediately 0 to 3 Judge:

11 2012 Chief Logan District First Aid Meet Problem #2 Your Patrol is camping at Kenton Creek State Park. After a tough rainy day, everyone is exhausted. You have settled down in the cabin for the night, when your Patrol Leader wakes you up while going outside to use the latrine. He is wearing only a pair of gym shorts and sneakers. It s a chilly, windy night, although the rain has stopped. After 10 minutes, you start to worry about the Patrol Leader, so you gather your patrol to go look for him. You find your PL in a large water puddle near the latrine. His left ankle is badly swollen. He is shivering uncontrollably. He is conscious but talking incoherently. (He is talking but not making any sense.) Scout Timmy Tenderfoot brings the first aid kit and a jar of what he thinks is water. Timmy quickly gives your Patrol Leader a big sip, which he gulps down, then starts coughing and choking. You realize the jar has lighter fluid in it, used for starting charcoal fires. (The original plastic bottle started leaking, so the Quartermaster poured it into a jar earlier in the day.) Your Patrol Leader suddenly vomits. Cell phone service is available. Treat!

12 2012 Chief Logan District First Aid Meet Problem #2, Judge Score Sheet Troop: Patrol: Total Score: Your Patrol is camping at Kenton Creek State Park. After a tough rainy day, everyone is exhausted. You have settled down in the cabin for the night, when your Patrol Leader wakes you up while going outside to use the latrine. He is wearing only a pair of gym shorts and sneakers. It s a chilly, windy night, although the rain has stopped. After 10 minutes, you start to worry about the Patrol Leader, so you gather your patrol to go look for him. You find your PL in a large water puddle near the latrine. His left ankle is badly swollen. He is shivering uncontrollably. He is conscious but talking incoherently. (He is talking but not making any sense.) Scout Timmy Tenderfoot brings the first aid kit and a jar of what he thinks is water. Timmy quickly gives your Patrol Leader a big sip, which he gulps down, then starts coughing and choking. You realize the jar has lighter fluid in it, used for starting charcoal fires. (The original plastic bottle started leaking, so the Quartermaster poured it into a jar earlier in the day.) Your Patrol Leader suddenly vomits. Cell phone service is available. Treat! Internal Poisoning 25 Points Score Criteria Patrol Score Call Poison control center, tell likely poison (May be done as 0 to 6 part of call to help) Follow instructions of Poison Control Center 0 to 3 Do not force patient to vomit (again). 0 to 4 Monitor patients breathing. 0 to 4 Collect vomited material in bucket or pot for later 0 to 4 identification Do not give patient anything to drink unless directed to by Poison Control Center. 0 to 4 Hypothermia 21 Points Score Criteria Patrol Score Take patient to shelter 0 to 5 Remove any damp or wet clothing 0 to 5 Provide fresh clothing or sleeping bag to re-warm 0 to 6 In severe cases, use body to body heat, e.g. second person in sleeping bag. Note to Judge Prompt patrol to explain this, tell them patient is still shivering in sleeping bag, what else can they do? Explain only! 0 to 5 Note to Judge Normally warm liquids would be given to patient to drink, but due to poisoning, this should not be done. If the Patrol gives liquids to drink, take points off score in Internal Poisoning section.

13 Transportation 10 Points Score Criteria Patrol Score May use any of the following carries Four hand seat, 2 man 0 to 7 carry, stretcher carry, hammock carry, chair carry. Handle patient gently 0 to 3 Treat for Shock 8 Points Score Criteria Patrol Score Raise patients legs 0 to 4 Talk to patient for reassurance. 0 to 4 Note to Judge Patient should already be covered for warmth as treatment for hypothermia, and water will not be given (or according to Poison Control Center), so these items are not covered here. Send for Help 17 Points Score Criteria Patrol Score Cell phone used to call 911 (or Poison Control Center, to ) Gives location of accident 0 to 3 Gives time of accident 0 to 2 Describes what is wrong with the patient 0 to 3 Describes lighter fluid as poison. 0 to 2 Tells what treatment has been given 0 to 2 Clear understandable talk 0 to 2 Sprained Left Ankle 9 Points Score Criteria Patrol Score Do not remove shoe 4 to 0 Apply compression bandage to provide support to ankle 3 to 0 Do not apply ice pack or cold pack 2 to 0 Note to Judge Part of first aid is to raise leg, this is already done as part of treatment for shock. Also, ice or cold compresses are usually applied, but in this case this should not be done due to hypothermia. Patrol Action 10 Points Score Criteria Patrol Score Patrol functions well as a team 0 to 4 Patrol follows directions of Patrol Leader 0 to 3 Patrol gets to work immediately 0 to 3 Judge:

14 2012 Chief Logan District First Aid Meet Problem #3 Listed below are several common first aid situations that you may encounter. During the time allotted, demonstrate as many of these as possible to the judge. These should be assigned to your patrol members as follows: - If you have less than five scouts, each scout must do at least one item. The Patrol Leader may do only one item. - If you have exactly five scouts, each scout does one item. - If you have more than five scouts, no scout may do more than one item. Additional patrol members may act as patients, if needed. First-aiders may be preparing while others are with the judge. 1. Explain how to tell if someone is choking on food. Explain and demonstrate (gently) how to treat a choking patient. Explain all possible situations. 2. Explain the symptoms and first aid for frostbite. 3. Explain and demonstrate first aid for a bee sting. Consider all possible situations. 4. Explain proper first aid for someone who has a wound from stepping on the sharp end of a nail. 5. Explain and demonstrate first aid for something in the eye. Consider all possible situations, and give do s and don ts.

15 2012 Chief Logan District First Aid Meet Problem #3, Judge Score Sheet Troop: Patrol: Total Score: Listed below are several common first aid situations that you may encounter. During the time allotted, demonstrate as many of these as possible to the judge. These should be assigned to your patrol members as follows: - If you have less than five scouts, each scout must do at least one item. The Patrol Leader may do only one item. - If you have exactly five scouts, each scout does one item. - If you have more than five scouts, no scout may do more than one item. Additional patrol members may act as patients, if needed. First-aiders may be preparing while others are with the judge. 1. Explain how to tell if someone is choking on food. Explain and demonstrate (gently) how to treat a choking patient. Explain all possible situations. 2. Explain the symptoms and first aid for frostbite. 3. Explain and demonstrate first aid for a bee sting. Consider all possible situations. 4. Explain proper first aid for someone who has a wound from stepping on the sharp end of a nail. 5. Explain and demonstrate first aid for something in the eye. Consider all possible situations, and give do s and don ts. Choking on food 20 Points Score Criteria Patrol Score Symptom Patient clutching throat 0 to 2 Symptom Patient cannot talk, breathe, cough, etc 0 to 2 Stand behind victim, wrap arms around waist 0 to 2 Clasp hands, knuckle of thumb should be between navel and 0 to 3 ribcage Thrust hands inward and upward (Simulate gently) 0 to 2 Judge should ask, What if you can t reach around victim, or what if victim is unconscious? Place victim on back, straddle victims legs 0 to 2 Give thrusts into victims abdomen, and up towards patients 0 to 2 head. Use finger sweep to remove any object from patients mouth 0 to 2 Judge should ask, What if the victim is not breathing? Begin rescue breathing (No need to demonstrate or explain) 0 to 1 Judge should ask, What if victim is coughing? Do not perform Heimlich maneuver if victim can talk, breathe, 0 to 2 or cough.

16 Frostbite 20 Points Score Criteria Patrol Score Symptom Affected area feels painful, then numb 0 to 4 Symptom Skin becomes grayish or white 0 to 4 Warm area gradually Skin contact, get indoors, lukewarm 0 to 4 water. DO NOT rub injured area (against skin, snow) 0 to 4 Seek medical attention 0 to 4 Bee Sting 20 Points Score Criteria Patrol Score Remove by scraping with fingernail, knife blade, credit card, 0 to 4 etc. Apply ice or cold water 0 to 4 Judge may ask What if victim is allergic, and does not have a bee sting kit? Send for medical help 0 to 4 If sting is on a limb, apply a constricting band above wound 0 to 2 Constricting band should be tight enough to fit one finger 0 to2 under Keep affected area lower than rest of body 0 to 2 Apply ice or water to area 0 to 1 Watch victims breathing and give rescue breathing if 0 to 1 necessary Nail Puncture Wound 20 Points Score Criteria Patrol Score Remove nail from wound 0 to 3 Allow wound to bleed to remove embedded material 0 to 5 Wash wound with soap and water 0 to 4 Apply sterile bandage to area 0 to 3 Seek medical attention, may need tetanus shot 0 to 5 Object in the Eye 20 Points Score Criteria Patrol Score DO NOT rub the eye 0 to 4 Have victim blink to try to wash out object 0 to 4 If object is under upper lid, pull upper lid out and down over 0 to 3 lower lid If object is under lower lid, place thumb below lid, and pull it 0 to 3 down gently If object is visible, remove with a clean cloth 0 to 3 If all else fails, cover eye with gauze pad and take patient to doctor. 0 to 3 Judge:

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