郊野急救參考

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Archive through 2010/10/2920  2010/10/29
Archive through 2011/7/0520  2011/7/05

   By Jackwabbit (Jackwabbit) on Monday, April 08, 2013 - 3:11 pm:  Edit Posted From: 116.49.127.153

CVST 另外有一個新的 「郊野急救參考」 連結,歡迎大家到這個網站瀏覽:
http://www.hkcvst.org/forum/forum.php?mod=forumdisplay&fid=45

   By Jackwabbit (Jackwabbit) on Tuesday, April 02, 2013 - 11:44 pm:  Edit Posted From: 112.118.1.57

AETC 會再在六月開野外急救班, 請留意:
http://www3.ha.org.hk/aetc/enrollment.htm

BasicWilderness Medicine&Emergency Care基礎野外醫學及緊急護理:
http://asito.vtc.edu.hk/course_details.php?TP=2&CID=8

請注意,郊野義務搜索隊與包括IVE和AETC在內的團體並沒有商業上的聯繫。

   By Jackwabbit (Jackwabbit) on Wednesday, March 27, 2013 - 12:28 pm:  Edit Posted From: 119.237.182.188

7月 15-18 日  高級野外急救課程:
Please note the following WMA WAFA course(100% attendance needed):
http://www.crux.com.hk/web_new/what_news.html
http://www.crux.com.hk/web_new/pdf/WAFA%20Course.pdf
Original English info:
http://www.wildmed.com/wilderness-medical-courses/advanced-first-aid/wilderness-advanced-first-aid.php
Crux's Remark: 課程以主要以普通話教授,有需要時輔以英文。
請注意,郊野義務搜索隊與包括Crux在內的團體並沒有商業上的聯繫。

   By Jackwabbit (Jackwabbit) on Saturday, February 23, 2013 - 3:41 pm:  Edit Posted From: 112.118.29.8

現在跟進一下之前一個有關肚痛的新聞:
「女子浪茄行山肚痛 - 直升機送院 : 早上(2012年11月11日) 11時44分\,6人於西
貢浪茄行山時,其中一名女子突然肚痛,報警求助,直升機到場將女子送院治理。」
http://hk.apple.nextmedia.com/realtime/news/20121111/51138499

網上對這個個案的批評,尤其是在一個 fb救護/急救醫療區的討論,大家可以
自行查\。跟據醫學書籍,非創傷的腹部痛症最少有一百幾十個原因。
在急救員的立場,我們不需要評估是什麼痛症,而是要評估是否危急(red flag signs)。
大家可以跟據下列幾個指引作為參考:
(1) http://www.wildmedcenter.com/uploads/5/9/8/2/5982510/wfa_sop_v_dec_2012.pdf
Page 8: Common Medical Problems
Indentify red flag signs and symptoms necessitating evacuation
- Abdominal pain (local tenderness, fever, persistent vomiting, getting
worse over 12 hrs)
- Vomiting and diarrhea (blood, fever, tenderness, what goes out exceeds
intake)
- Any noticeable blood in stool, urine, or vomit
- Cough/URI (respiratory distress, fever, coughing up colored phlegm)
- UTI (fever, back pain/tenderness, vomiting)
- ENT (visual problems more than blurring, fever, airway compromise)
- Fever (abnormal mental state, headache, other as above)

(2) http://www.outdoored.com/Community/cfs-file.ashx/__key/communityserver-components-postattachments/00-00-00-30-72/WFR-Scope-of-Practice-Oct2010.pdf
Page 8: Backcountry Medical Problems

(3) Google book: The Outward Bound Wilderness First-Aid Handbook
http://books.google.com.hk/books?id=SSPhzelgdKEC&printsec=frontcover&hl=zh-TW#v=onepage&q&f=false
Page 171:
yourpic.jpg

Page 172:
yourpic.jpg

在香港,所有的急救員訓練課程都好少提到腹部痛症的處理。
作為一個急救員,你會怎樣做呢?

   By Jackwabbit (Jackwabbit) on Friday, February 22, 2013 - 12:08 pm:  Edit Posted From: 116.49.160.11

三月野外急救課程:
內地: http://www.terratribes.com/en/training/wma
香港: http://www3.ha.org.hk/aetc/enrollment.htm

   By Jackwabbit (Jackwabbit) on Thursday, February 21, 2013 - 8:10 pm:  Edit Posted From: 119.237.171.31

再次又post多一個:
Source: NOLS WFA pocket guide
yourpic.jpg

   By Jackwabbit (Jackwabbit) on Tuesday, December 18, 2012 - 3:07 pm:  Edit Posted From: 116.48.109.163

之前貼上多個急救三角圖( Oct 02 2011 to Nov 02 2011 ). 現在又post多一個:

yourpic.jpg

DRsGO: Danger, Response, Shout, Gloves-On...
Source and additional info: http://www.remotemedicine.ie/resources/REC2-Slide-Handout.pdf

   By Jackwabbit (Jackwabbit) on Monday, December 17, 2012 - 1:52 pm:  Edit Posted From: 116.48.109.163

2013年有兩個野外急救課程開班:
LPCUWC-WMT (FFH 1&2) 六月全英文班:
https://zh-hk.facebook.com/lpcuwc (見12月9日或 photo)

AETC 三月全中文班:
http://www3.ha.org.hk/aetc/app/WFA%20Mar%20%202013.pdf

   By Jackwabbit (Jackwabbit) on Tuesday, November 27, 2012 - 8:17 pm:  Edit Posted From: 116.49.115.27

浪茄行山肚痛...假設你在場, 你會怎樣處理?

http://hk.apple.nextmedia.com/realtime/news/20121111/51138499

yourpic.jpg

   By Jackwabbit (Jackwabbit) on Wednesday, April 18, 2012 - 5:08 pm:  Edit Posted From: 116.49.114.59

To those of you who are taking WFA or have taken the recent WMA WAFA, please soak this in..., i.e. ideal vs. real situations, risk vs. benefit decisions, and don't forget the list of "anticipated problems".
Wilderness EMS Has Special Considerations:
http://www.jems.com/article/training/wilderness-ems-has-special-consideration#comments

   By Jackwabbit (Jackwabbit) on Tuesday, December 20, 2011 - 1:16 pm:  Edit Posted From: 116.48.109.184

以往幾年我通常抱怨香港的急救課程同我三十多年前所學的相差無幾.
但是最近一班在AETC的朋友在這些課程上有不斷的創新和突破:
http://www.facebook.com/aetcha?sk=photos

而最新版的紅會急救手冊又有不少更新的資料:
http://www.redcross.org.hk/tc/firstaid_healthtraining/firstaid_training/training_materials.html
請留意他們的"憑舊書買新書優惠".

現在附上幾個對學習態度和尋求知識有關的英文文章(作者都是paramedic instructors),
我希望大家對野外急救有興趣的朋友們不斷學習和促進郊野安全.
http://theemtspot.com/2011/05/06/five-tips-for-new-paramedic-school-students/#more-4348
http://theemtspot.com/2010/10/15/skill-acquisition-and-protocols/
http://theemtspot.com/2010/08/25/too-much-information/
http://www.everydayemstips.com/paramedic-that-knows-everything-declines-additional-learning/
http://lifeunderthelights.com/2010/08/1212/

   By Jackwabbit (Jackwabbit) on Tuesday, December 06, 2011 - 5:58 pm:  Edit Posted From: 116.49.115.40

之前在September 13, 2011 講過中風; 以下是轉載daywalker 兄在SJ大會堂的討論.

治中風 緊記「談笑用兵」:
今日看報紙頭條,兒子投訴醫護無盡力拯救,因此錯過黃金三小時.其實錯過黃金三小時的人,不是醫護,是其家人.事實上,黃金三小時是從開始有病徵開始計算,不是入院才開始計.
新聞中,老婦在上星期四凌晨已經出現突然暈眩不適,家人在清晨時間才叫救護車,老婦0730到院,中間已經六七個小時了,黃金三小時一早已錯過了.已經不可以用溶血栓藥了.如果家人懂得運用「談笑用兵」的口訣,相信情況可能會比現在好.

「談笑用兵」其實是香港中風基金提議用的口訣,意思是緊記當身邊有人「談」話時口齒不清、想「笑」時兩邊面表情不對稱、想「用」手腳時卻軟弱無力,便應急召救「兵」, 撥999安排救護車送院,把握時間及早治療。

將「談笑用兵」推廣給大眾市民, 可以減少日後再出現以上中風延誤救治的情況.

   By Jackwabbit (Jackwabbit) on Friday, December 02, 2011 - 1:09 pm:  Edit Posted From: 116.49.114.171

立克次體病 Rickettsial disease,
如發現自己有有關症狀和病歷 (近期有行山) , 請告知醫生.
傳染病直擊 英文 "Rickettsial disease in November", pg 99-100
http://www.chp.gov.hk/files/pdf/cdw_v8_24.pdf
翻譯成這段新聞 http://the-sun.on.cc/cnt/news/20111202/00410_030.html

其它參考:
http://the-sun.on.cc/cnt/news/20101231/00410_034.html
http://the-sun.on.cc/channels/news/20080614/20080614025102_0000.html
http://the-sun.on.cc/cnt/news/20091024/00410_002.html
http://orientaldaily.on.cc/cnt/lifestyle/20091024/00304_001.html

   By Jackwabbit (Jackwabbit) on Thursday, November 10, 2011 - 2:59 pm:  Edit Posted From: 116.48.119.171

昨天 posted 左有關 wilderness risk 和 survival emotion 的參考:
http://www.hiking.com.hk/discus/messages/44998/60747.html?1320827607

今天這個參考是 Arizona 醫學院 野外醫學grand rounds streaming videos 包括兩個野外醫學道德 (Ethics of Wilderness Medicine) 的討論 :
http://streaming.biocom.arizona.edu/search/?s=wilderness

   By Jackwabbit (Jackwabbit) on Wednesday, November 02, 2011 - 12:43 am:  Edit Posted From: 116.49.115.58

又一個急救三角: Trauma Triad of Death (其它三角見 Oct 03, 2011)

yourpic.jpg

   By Jackwabbit (Jackwabbit) on Sunday, October 30, 2011 - 4:07 pm:  Edit Posted From: 116.48.49.122

Backcountry Lightning Risk Management
http://www.wec.ufl.edu/safety/BackcountryLightningSafety.pdf

   By Jackwabbit (Jackwabbit) on Thursday, October 27, 2011 - 1:22 pm:  Edit Posted From: 116.48.119.43

教材/參考: http://sites.google.com/site/sarbook1/medical
Website 左邊有好多SAR excerpt links.


其它深入醫療課題的參考:
從 MIST 轉送簡報演變成為IMISTA 和 IMIST-AMBO...

IMISTA, Remote Area Nurse Guideline 2012
http://www.nursing.health.wa.gov.au/docs/reports/Remote_Area_Nursing_Emergency_Guidelines.pdf

IMIST-AMBO:
http://centreforhealthcom.org/wp-content/uploads/2011/05/Amb-ED_Report_Online.pdf

   By Jacques (Hammer) on Wednesday, October 26, 2011 - 7:25 am:  Edit Posted From: 202.140.110.37

病蟲口入飲溪水可致命
http://orientaldaily.on.cc/cnt/news/20111026/00176_063.html

飲山澗水腸穿肚爛
感染阿米巴變形蟲 入腸入肝
http://hk.apple.nextmedia.com/template/apple/art_main.php?iss_id=20111026&sec_id=4104&subsec_id=3626368&art_id=15741549

   By Jackwabbit (Jackwabbit) on Wednesday, October 19, 2011 - 2:19 pm:  Edit Posted From: 116.48.51.249

先前在這裡講過MIST 報告: Oct 02, 2011; March 27, 2010
大家可以在 Google book: 176頁找到參考:
EMSA Practical Global Guidebook 或在
http://books.google.com.hk/books?id=MtBlevPHBCgC&printsec=frontcover&dq=A+Practical+Global+Guidebook&hl=en&ei=z12eTs6cMM-uiQep5rCqCQ&sa=X&oi=book_result&ct=book-thumbnail&resnum=1&ved=0CDMQ6wEwAA#v=onepage&q&f=false

   By Jackwabbit (Jackwabbit) on Monday, October 10, 2011 - 9:37 am:  Edit Posted From: 218.250.105.251

現在附上在近期一個討論中講到美國政府網上有這些SAR或急救救援有關的資料:

http://www.fema.gov/plan/prepare/plan.shtm
http://www.fema.gov/emergency/usr/wilderness_search_team.htm
http://training.fema.gov/is/crslist.asp?page=all
http://www.fema.gov/emergency/usr/medmanual.shtm
http://www.prepareandsurvive.info/documents/WaterPurificationandStorage.pdf
http://wwwnc.cdc.gov/travel/page/water-treatment.htm
http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-2-the-pre-travel-consultation/water-disinfection-for-travelers.htm
http://www.cdc.gov/healthywater/drinking/travel/backcountry_water_treatment.html
http://www.redcross.org/portal/site/en/menuitem.d229a5f06620c6052b1ecfbf43181aa0/?vgnextoid=b60461150e8ae110VgnVCM10000089f0870aRCRD (google search: red cross water purification)

   By Jackwabbit (Jackwabbit) on Wednesday, October 05, 2011 - 3:32 pm:  Edit Posted From: 116.48.48.104

教材:
http://www.osucascades.edu/sites/default/files/Trip_Leader_Handbook.pdf
http://hedu5800.org/coursetextbook.html

   By Jackwabbit (Jackwabbit) on Monday, October 03, 2011 - 2:18 pm:  Edit Posted From: 116.48.119.57

唔多講, 大家可以睇下網上不同的的急救三角:
http://www.doyouhike.net/group/19049/3/487751,0,0,0.html
yourpic.jpg

http://www.doyouhike.net/group/19049/2/495243,0,0,1.html
yourpic.jpg
yourpic.jpg

其它來源
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   By Jackwabbit (Jackwabbit) on Sunday, October 02, 2011 - 6:43 pm:  Edit Posted From: 116.48.108.218

在近期的交流會有講到野外急救, 現在附上一些資料作為參考.先前的資料可以在以下鏈結找到:
http://www.hiking.com.hk/discus/messages/44998/63367.html?1279621636

http://www.hiking.com.hk/discus/messages/44998/44998.html 中的 郊野急救參考 和 山中求救訊號

yourpic.jpg
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   By Jackwabbit (Jackwabbit) on Thursday, September 15, 2011 - 8:18 pm:  Edit Posted From: 119.236.94.152

2011年國際急救與復蘇指南:
http://www.redcross.org.hk/tc/latestnews_events/latest_news_detail.html?id=1076

中文:
http://www.redcross.org.hk/hcs_faht_files/news_events/FirstAidGuidelines2011Highlight_c.pdf
http://www.redcross.org.hk/hcs_faht_files/news_events/2011Guedeline.pdf

英文:
http://www.ifrc.org/PageFiles/53459/IFRC%20-International%20first%20aid%20and%20resuscitation%20guideline%202011.pdf
http://www.redcross.org.hk/hcs_faht_files/news_events/FirstAidGuidelines2011Highlight_e.pdf

   By Jackwabbit (Jackwabbit) on Tuesday, September 13, 2011 - 1:18 pm:  Edit Posted From: 116.48.49.143

據我所知,香港有兩個地方可以讀 Advanced Stroke Life Support:
http://www.sparkoflife.org.hk/courses/2010aslsc.html
http://www3.ha.org.hk/aetc/default.htm

希望大家多多留意在身旁的老人家 ;-O
我們在 NOI, Nature of Illness 的交流會有提到這個ppt:
yourpic.jpg

   By Jacques (Hammer) on Tuesday, September 13, 2011 - 6:47 am:  Edit Posted From: 112.119.188.91

搶救急性中風 威院24小時候命
http://orientaldaily.on.cc/cnt/news/20110913/00176_064.html

新界東醫院加強中風治療
http://hk.apple.nextmedia.com/template/apple/art_main.php?iss_id=20110913&sec_id=4104&subsec_id=11867&art_id=15608778

   By Jackwabbit (Jackwabbit) on Friday, August 19, 2011 - 11:18 pm:  Edit Posted From: 218.250.105.33

香港中毒諮詢中心:被蛇咬傷應如何處理http://www.hkpcn.org.hk/chi/ER.html
再選擇 被蛇咬傷應如何處理
http://www.hkpcn.org.hk/chi/content/pdf/leaflet/DOH%20leaflet_snake_bite_chi.pdf

   By Jackwabbit (Jackwabbit) on Friday, July 29, 2011 - 6:29 pm:  Edit Posted From: 116.49.114.38

AETC WFA class in Sept-Oct:
http://www.facebook.com/aetcha
http://www3.ha.org.hk/aetc/enrollment.htm

Certificate Course on Wilderness Medicine for Healthcare Professionals 2011:
http://www.fmshk.org/fmshk.php?id=312

Hong Kong Wilderness Medicine Workshop:
http://www.envy-production.com/ssem/en/content/hong-kong-wilderness-medicine-workshop


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