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Re: Slippery when wet

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Mike,

I am assuming that we are ignoring the medical stuff and concentrating on

the rescue side?

Lets go with three attemps here and see how poorly I do.

1 Have we got a ladder I could use? Secure it at one end on the dry bit, lay

it onto the wet bit and use that to move across the ice.

2 Rope on the back of the board, try and get some basic momentum out towards

the patient. She is on a flat surface and pretty cold by now. If possible,

get part of her onto the 'sled', do a basic tie down and ask the crew to

pull you back to shore. Be prepared to act as brakes to slow down on

approach.

3 Throw a rope across the ice, from one end to the other. Use this as a

safety line and slide over on bin bag sledge, with board attached to rigged

lanyard and rescuer. Secure patient and gently hand over hand return to

base.

For rope, read anything that can be improvised; such as tow rope from car,

rescue line from life-bouy etc

Ross

> Slippery when wet

>

>

> My first try at a scenario, and I realise its not exactly

> " remote " but it is a teaser and may be good for a few posts

> (anyone else noticed how quite its gone lately?).

>

> You are the medic at an outdoor ice rink, it has been raining all

> morning and the ice has become too slippery even to stand on

> (believe it or not dry cut up ice is actually quite easy to

> stroll across). The safety staff are on the verge of closing the

> ice as even the ice stewards are having difficulty skating.

>

> A panicked call comes over the radio calling you to the ice and

> on arrival at the doorway you see a lady laying unconscious about

> 20m from you. Her legs have slipped from under her and she has

> landed head first on the ice.

>

> One of the ice stewards tells you she is bleeding from the head

> and seems to be having difficulty breathing.

>

> You have a decent amount of kit- O2, Spine board, collars,

> airways, a scoop and York stretchers. The only problem is only

> one of the ice stewards has even the slightest clue how to use

> any of it (He's a lifeguard and has played with spine boards).

>

> There you go, not so much how you treat her as how do you get to

> her? The fire brigade are on strike and its 30+ min wait for a

> Green Goddess And no you don't have crampons!

>

> Have fun

>

> Mike

>

>

>

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What fails to kill us can only make us stronger.

Slippery when wet

> My first try at a scenario, and I realise its not exactly " remote " but it

is a teaser and may be good for a few posts (anyone else noticed how quite

its gone lately?).

Probably because every ones in their bunkers waiting to see who going to

press that shiny red button first.

>

> You are the medic at an outdoor ice rink, it has been raining all morning

and the ice has become too slippery even to stand on (believe it or not dry

cut up ice is actually quite easy to stroll across). The safety staff are on

the verge of closing the ice as even the ice stewards are having difficulty

skating.

>

> A panicked call comes over the radio calling you to the ice and on arrival

at the doorway you see a lady laying unconscious about 20m from you. Her

legs have slipped from under her and she has landed head first on the ice.

>

> One of the ice stewards tells you she is bleeding from the head and seems

to be having difficulty breathing.

>

> You have a decent amount of kit- O2, Spine board, collars, airways, a

scoop and York stretchers. The only problem is only one of the ice stewards

has even the slightest clue how to use any of it (He's a lifeguard and has

played with spine boards).

>

> There you go, not so much how you treat her as how do you get to her? The

fire brigade are on strike and its 30+ min wait for a Green Goddess And no

you don't have crampons!

Does the rink not have when of those cleaner polisher thingys you could get

a lift out on and isn't there usualy matts that are at the gates onto the

ice pick a bit of that up on the way for you to stand kneal on whenyou treat

cas if not usre blanket out your kit. not much of a fan of ice skating after

a mate got his fingers run over when I was about 10 yrs old. Long time ago

but still remeber the ice turning a nice shade of red.

As far as tretment I asume (dangerous thing i know) that it is posible to

call ambulance back up or are they on strike as well?

Call Ambulance

Take your lifeguard mate out with you

Airway management clear airway O2 therapy

get lifeguard chapy holding head neutral until backup arives just in case

but airway priority

From what you have described bleading probably superficial but head injuries

tend to look worse then they are how much blood from wound more importantly

any csf?

once airway spine stablish servey for injuries,

I supose your going to tell us the head injury is a depressed fracture now?

Any obs pulse resps spo2 pupils etc

Wait for the cavalry to arrive

Oh one last thing if theres any chanse of ice i always have my crampons with

me!!

Ian

>

> Have fun

>

> Mike

>

>

>

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Rope up the spine board,scoop and a stretcher, go out on the spine board

pull the other gear as required towards you and alongside the casualty.

possibly using something like knives from the canteen taped together in a

bunch taped together as hand axes to claw your way across the ice and

anchor, The other guy does the same thing. Both are attached by ropes to be

pulled back in again??? the get on with the survey and treatment????? just

guessing

Slippery when wet

>My first try at a scenario, and I realise its not exactly " remote " but it

is a teaser and may be good for a few posts (anyone else noticed how quite

its gone lately?).

>

>You are the medic at an outdoor ice rink, it has been raining all morning

and the ice has become too slippery even to stand on (believe it or not dry

cut up ice is actually quite easy to stroll across). The safety staff are on

the verge of closing the ice as even the ice stewards are having difficulty

skating.

>

>A panicked call comes over the radio calling you to the ice and on arrival

at the doorway you see a lady laying unconscious about 20m from you. Her

legs have slipped from under her and she has landed head first on the ice.

>

>One of the ice stewards tells you she is bleeding from the head and seems

to be having difficulty breathing.

>

>You have a decent amount of kit- O2, Spine board, collars, airways, a scoop

and York stretchers. The only problem is only one of the ice stewards has

even the slightest clue how to use any of it (He's a lifeguard and has

played with spine boards).

>

>There you go, not so much how you treat her as how do you get to her? The

fire brigade are on strike and its 30+ min wait for a Green Goddess And no

you don't have crampons!

>

>Have fun

>

>Mike

>

>

>

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I'm sorry guys but this ice skating scenerio is not a very amusing thread. I

work in one of the warmer parts of the U.S. and recently our local ice hockey

team drowned in spring training. We are still in mourning.

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>Chill out amigo..slippery when wet is a 'scenario' and secondly that as

>proffesional medics we may have encountred jobs sometime or another that

>have been similar to those posted , the " scenarios " are also a good

>training tool for " sprog " medics to get a feel for the industry.Sometimes

>that kitchen gets a wee bit hot..you can either adapt to the enviroment or

>go out through the emergency exit door.

>From: AMR3330@...

>Reply-

>

>Subject: Re: Slippery when wet

>Date: Sun, 12 Jan 2003 01:36:59 EST

>

>I'm sorry guys but this ice skating scenerio is not a very amusing thread.

>I

>work in one of the warmer parts of the U.S. and recently our local ice

>hockey

>team drowned in spring training. We are still in mourning.

>

>

>

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I'm sorry guys but this ice skating scenerio is not a very amusing thread. I

work in one of the warmer parts of the U.S. and recently our local ice hockey

team drowned in spring training. We are still in mourning.

Im sorry but I don't quite get this. Whether its amusing or not and whether it

has a bearing on a local tragedy or not was not really what I was driving at.

Im sure most of us can find a sad story to go with one scenario or another, that

is the business we are in. If we steered clear of all types of training where we

may touch a nerve in someone all training would grind to a halt.

Mike

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I am sure this is a joke

Its very similair to the Joke

What happened to the blode hockey team?

They drowned during spring training!

Geoff

Re: Slippery when wet

> I'm sorry guys but this ice skating scenerio is not a very amusing thread.

I

> work in one of the warmer parts of the U.S. and recently our local ice

hockey

> team drowned in spring training. We are still in mourning.

>

>

>

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Mark,

Well said, A little humour goes a long way. I put a a small post on

this scenario but it was not malicious and was deemed acceptable or it would

not have got past our moderater. We are a bunch of professionals and

interested people and this is how situations are sometimes dealt with, much

better to share a laugh with the guys than find one of the team rocking

against the wall or worse after a job. If we have to worry about issues to

stear away from I suggest we ban a few of the following: Cardiac cases,

Trauma,Respiratory problems, Drugs and Alcohol,Neuro injury etc etc as I'm

sure we have all been personally involved at some time in our lives.

Now to my Scenario: My 2 typing fingers really really hurt please

investigate!!!

Well done to Mike (Wreck Ferret) for a good first try, it is an interesting

and thought provoking scenario I'm looking forward to more.

Matt

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Mark I think you missed the joke in the last one mate.

.

mark groves <markgroves66@...> wrote:>Chill out amigo..slippery when

wet is a 'scenario' and secondly that as

>proffesional medics we may have encountred jobs sometime or another that

>have been similar to those posted , the " scenarios " are also a good

>training tool for " sprog " medics to get a feel for the industry.Sometimes

>that kitchen gets a wee bit hot..you can either adapt to the enviroment or

>go out through the emergency exit door.

>From: AMR3330@...

>Reply-

>

>Subject: Re: Slippery when wet

>Date: Sun, 12 Jan 2003 01:36:59 EST

>

>I'm sorry guys but this ice skating scenerio is not a very amusing thread.

>I

>work in one of the warmer parts of the U.S. and recently our local ice

>hockey

>team drowned in spring training. We are still in mourning.

>

>

>

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Mark I think you missed the joke in the last one mate.

.

Oops, having re-read it about a dozen times, i now realise i also overlooked

the obvoius (or not so).... DOH!

Mike

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