Cycling first Aid outline Scenarios Common injuries First aid care Techniques Supplies Objectives What would you do as a first responder when encountering an accident What tools and techniques can you use ID: 723785
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Slide1
Brandy Ferguson, MDDisaster Med/EMS Fellow GWU Hospital
Cycling first AidSlide2
outline
Scenarios
Common injuries
First aid care
Techniques
SuppliesSlide3
Objectives
What would you do (as a first responder) when encountering an accident
What tools and techniques can you use
How to feel comfortable with different injuriesSlide4
Common Cycling injuries
Head Injuries
Broken Bones/Sprains
Collapse
Lacerations/road rash
Wounds, bleedingSlide5
First aid goals
Provide aid to others
Prevent worsening injury/damage
Treat/stabilize
patient until help arrivesSlide6
First aid tools: “Water bottle kit”
Easy to use
Compact
Can be used for different injuries
Can buy pre-assembled kit
Can make your own kitSlide7
Water bottle kit: diy
General Equipment
Small scissors
Duct tape
Tweezers
Headlamp
Medications
Tylenol
Ibuprofen
Antihistamine pillsSlide8
Water bottle kit: DIY
CPR/Bleeding
Nitrile gloves
Antimicrobial hand wipe
Wound Care
Antibiotic ointment
3-inch square gauze pads
Gauze wrap
Band-aids
Wound-closure stripsSlide9
Water bottle kit: diy
Blister care
Blister pads
Moleskin
Broken Bones/Sprains
ACE Bandage
Ice packsSlide10
Case #1Slide11
Case #1
60 year old male cyclist on Rock Creek Parkway
Suddenly falls to the ground
He is not moving
What next?Slide12
Approaching the scene
C
are
Be aware of any dangers (moving traffic, blind bends)
R
econnaissance
How many people are injured? Minor or serious injuries?
I
nform
Call for assistance or call 911
T
reat
Assess affected persons, do not move patientSlide13
Assessing the patient:
ABCs:
A
irway
Look for objects in mouth
Look for any injuries to mouth, neck, chest
B
reathing
Look, listen, feel
C
irculation
Check for pulses, look for bleeding
No breathing or circulation: start CPR!!Slide14
Back to the case
CRIT done:
Scene safe, 1 injured person, called for help, treatment started
ABCs:
No airway issues
Patient not breathing
No pulse
CPR startedSlide15
Back to the case
911 called
Ambulance en route
CPR continues
Supplies to use from water-bottle kit?Slide16
CollapseSlide17
collapse
Important things to remember:
Scene safety is key!
Use CRIT and ABCs
Call for help
Look for injuries, bleeding
Start CPR if neededSlide18
Case #2Slide19
Case #2
42 year old female involve in collision with oncoming car
Helmet broken
Confused, vomiting
What next?Slide20
Assessing the scene
CRIT assessment complete
Scene safety
No other injured persons
Called for help
Treatment in process
ABCs
Airway is clear
Breathing normally
Good pulses
What
are we most concerned about?Slide21
Head Injury
Different types:
Lacerations (cuts) to scalp
Concussion
Shaking of the brain
Compression
Bleeding in the brain
Skull fractureSlide22
Head injury
Important things to assess:
Check ABCs
Level of consciousness
Alert and responsive
Verbal: responds to speech
Pain:
responds
to pain
Unresponsive:
no
response
Monitor pulse, breathing
Look for wounds, bleedingSlide23
Head injury: Treatment
Control bleeding
Check your water bottle kit
Do not move patient!
Do not remove helmet!
Keep head still
Wait for assistance to arriveSlide24
Case #3Slide25
Case #3
21 year old male fall into brush
Has large branch in left leg
He removes branch and has profuse bleeding
What next?Slide26
Assessing the scene
CRIT assessment complete
Scene safety
No other injured persons
Called for help
Treatment in process
ABCs
Airway is clear
Breathing normally
Good pulses
What are we most concerned about?Slide27
Bleeding
Body reacts to bleeding in 3 ways:
Blood clots
Ends of blood vessels contract
Blood pressure fallsSlide28
bleeding
Preventing blood loss:
P
osition patient
E
xpose/explore for other wounds
E
levate affected limb
P
ressureSlide29
Bleeding: Applying pressureSlide30
Bleeding: applying pressure
If bleeding after 10 mins of direct pressure:
Apply pressure to pressure point
If gauze soaked, add additional gauze to woundSlide31
Bleeding: applying pressureSlide32
Back to the case
CRIT done:
Scene safe, 1 injured person, called for help, treatment started
ABCs:
No airway issues
Patient breathing
Good pulses
Blood oozing from left legSlide33
Back to the case
Supplies from water bottle kitSlide34
Back to the case
Bleeding controlled with 10 mins of direct pressure
Bandage applied with gauze and gauze roll
Patient transferred to medical facility for further careSlide35
Case #4Slide36
Case #4
33 year old female starts biking portion of Nation’s Triathlon
Involved in bike collision
Falls onto right arm
What next?Slide37
Broken Bones
Function of the skeleton
Gives shape and support
Protects internal organs
Major bones surrounded by major blood vessels and nervesSlide38
Broken bones
Broken bone (fracture) types:
Closed
Bone is broken but there are no wounds or broken skin
Open
External wound located adjacent to or over fracture
Bone may be protruding from skin
Complicated
Broken bones causing damage to vital organsSlide39
Broken bones
Common fractures from cycling accidents:
Hand/wrist
Forearm
Collar bone
Shin
AnkleSlide40
Broken bones: Signs & symptoms
Swelling
Loss of movement
Irregularity
Pain
Deformity
Unnatural movement
Area tender to touchSlide41
Broken bones: treatment
Upper limbs
Support in comfortable position
ACE bandage or gauze wrap
Lower limbs
Do
not
move unless scene unsafe
Do
not
try to straighten limb
Continuous monitoring of pulse in upper/lower limbsSlide42
Broken bones
Sometimes difficult to tell if injury is a fracture or sprain
Treat as a broken bone until person receives further medical careSlide43
Back to the case
CRIT done:
Scene safe, 1 injured person, called for help, treatment started
ABCs:
No airway issues
Patient breathing
Good pulses
Deformity to right forearm, no wounds or bleedingSlide44
Case #4: Treatment
Placed right arm in position of comfort
Used ACE bandage or gauze wrap for sling
Monitored pulses
Patient taken for further medical evaluationSlide45
Case #5Slide46
Case #5
24 year old male traveling at high speed falls from bicycle
Skids across asphalt to a halt
Complaining of severe pain/burning to right side
What next?Slide47
Road Rash
These injuries look and feel painful
Important to look for:
Any broken bones
Internal injuries
Bleeding
Head or neck injuriesSlide48
Road rash: treatment
Look for associated injuries
Wash out dirt from wound
Cover with antibiotic ointment/gauze
Consider pain medication
Need medical attention for detailed wound care
Area needs to be thoroughly scrubbed/cleansedSlide49
Back to the case
CRIT done:
Scene safe, 1 injured person, called for help, treatment started
ABCs:
No airway issues
Patient breathing
Good pulses
Road rash to right side of body, no active bleedingSlide50
Back to the case
Dirt washed out from wound
Antibiotic ointment and gauze applied
Patient transferred for further careSlide51
Summary
Be prepared!
Always apply CRIT
Assess ABCs
Always call for help
Feel comfortable providing first aid for different injuriesSlide52
Questions?