First Aid

busy home [deleted] 7:45pm, 15 April 2011
After bashing my skull on the boom last year I thought I should do something about first aid this,
And after pulling a lady from the water I realized what you normally buy at the chemist is not what I need, So Ive asked Skycomish what to do,, He can put together a kit suited to our needs,,, for approx £20.
Sounds cheap to me... Stop giggling this is serious
Important.... e mail skycomish no orders on here..
Discussion is ok
blueachilles 8 years ago
I knew someone who was a great believer in homeopathy. When she went travelling, she bought a travel pack of homeopathy tablets, which comprised about twenty small plastic bottles each containing about 50 small tablets. God knows how she got them through customs.

Anyway, there was an explanatory booklet giving a list of ailments that each bottle could cure.

One of them was "apparent death from drowning".

Can you imagine the scene: half drowned sailor plucked from the sea, along comes this woman saying " pop this under your tongue, you'll be fine...."

I'd prefer what Skykomish can offer anyday. I'll be in touch!
pjbharrison 8 years ago
Sounds like an excellent idea Ron. With Malcolm's paramedic and sailing experience it should be an excellent and appropriate piece of kit.
It should be backed up with a first aid course too with cpr so the owner knows how best to use it.
I'll be in touch Malcolm when I get back from France.
Skykomish E29 Posted 8 years ago. Edited by Skykomish E29 (member) 8 years ago
OK chaps I can put together a basic kit from what I think you need but when you e mail me can you advise me of any special requirements and the type of sailing you are doing, obviously I am assuming most of us don't stray far from land and therefore will only need enough to deal with minor injuries to get you home, plus resuscitation. Medications like pain relief & seasickness tablets should be left for you to choose as you know what works best for you, remember strictly speaking you can not give anybody else medication, they have to decide if it is appropriate for them and take it themselves.
Also Norman approached me about providing a basic first aid course for his yacht club, but there was not much enthusiasm, however if as a group you would like to meet up some where I would be happy to put together a short course for the essential stuff like CPR, drowning management etc for a small cost if we could get a venue thrown in approx £15 each. Just an idea and for it to work would need a high take up rate perhaps combine it with a meeting or something.... just a thought.
Our blog has lots of free advice and information as a taster and advice on managing a drowning incident follow this link
NormanKlipspringer 8 years ago
How about combining a first aid course with an Achilles Owners meet somewhere central. Any offers for a location and a bit of organisation? Probably in the Autumn - Oct would be best.
Skykomish E29 Posted 8 years ago. Edited by Skykomish E29 (member) 8 years ago
fine with me Norman I would need about 3 hours for a course to cover what would be needed.In the meantime if anybody needs any advice feel free to contact me
Skykomish E29 8 years ago
Just a little something that may be useful to carry on board, particularly as a lot of us are at that "dangerous age".
It is universally accepted that what is done in the first few minutes of a heart attack can have a dramatic effect on the outcome. A heart attack happens when a small clot becomes trapped in one of the coronary arteries that feed the heart muscle with oxygen, and starve that area of oxygen causing it to die and stop functioning.
The key to treating a heart attack is recognising the symptoms (if any) and destroying the clot causing the blockage.
Ambulance crews carry very expensive and potent drugs for doing this and have to run through a checklist to minimise the risks before administration as there is a danger from the side effects.
However a very effective "clot buster" available over the counter is ASPRIN. This is the first line drug given by ambulance crews to chest pain casualties who are not contra indicated.
DO NOT TAKE ASPRIN IF you have a history of :
Stomach Ulcers
Are Allergic to it
Are on other clot bust medication like Warfarin
Are under the age of 16.
The casualty should be given 300 mg and encouraged to chew it slowly if possible.
This destroys platelets that cause the blood to clot and so will help to break down any clot forming in the coronary artery, however the casualty needs to be in hospital FAST so if you suspect a heart attack put out a MAYDAY call ASAP .
busy home [deleted] Posted 8 years ago. Edited by busy home (member) 8 years ago
Recognising symptoms!
Pain in calf musles when walking.
Getting tired at 5pm.
Hungry feeling , (For about three years)
Then Metalic taste in mouth. feeling unwell , cold sweat, slight chest pain, (no colour loss) Time to call ambulance or doc NOW
I was taken to Brompton by ambulance and had a quadrupil bypass the next day,,The doc said I would not have got through the month.
Look after yourselves, PS get your colesterol checked.
Skykomish E29 Posted 8 years ago. Edited by Skykomish E29 (member) 8 years ago
Be warned symptoms do not always become apparent , often Diabetics have no pain when having a heart attack (? why)
OK Common things to look out for:
Central Chest Pain radiating down one arm, & jaw
Crushing restricting feeling around the chest
Pale Cold Clammy Skin
Casualty may be continually hiccuping
Nausea / vomiting
Sense of impending doom (the casualty believes that he is about to die)
Rapid breathing, Rapid weak irregular pulse.
Pain is not eased with rest

I once was called to an elderly lady who was just feeling unwell but was hiccuping a lot, she had no pain, but when we did an ECG it showed that she was having a heart attack, the hiccuping was the only indicator that alerted us.
Skykomish E29 Posted 8 years ago. Edited by Skykomish E29 (member) 8 years ago
A piece on our Blog about heart attacks with a video link too
jendave1 8 years ago
Thanks for the information Malcolm, really helpful. I can understand mechanical things but the body is a bit of a mystery really.
Hopefully we'll never need to use it, but it helps if you have an idea what to look out for.
Skykomish E29 Posted 8 years ago. Edited by Skykomish E29 (member) 8 years ago
If you understand mechanical things then you will be able to understand how our body works as it all has a similar logic.

I often use a simple method to describe the symptoms of Shock during our courses.

Shock occurs when there is not enough blood pressure to feed the brain with oxygen, this can be caused by excessive blood loss or extensive dilation of the blood vessels for various reasons so the symptoms come about like this:

The brain sits in the head happily feeding on the nutrients and oxygen supplied by the blood, suddenly this supply is reduced, the brain calls down to the heart and complains that it is hungry and is not getting enough food, so the heart, in an effort to keep the Boss happy works a bit harder (pumps faster) to get the blood to the brain, but as there is too little there isn't much to push along the pipes (weak pulse)
The brain is now complaining that it is not getting enough Oxygen, the heart thinks "Hey you think you have problems I'm working hard here to keep you happy, but I need feeding too. Hey Lungs, we need more oxygen work harder, so the lungs, in an effort to provide the blood cells that are rapidly passing through with enough Oxygen works faster but in an effort to increase productivity it also reduces the depths of the breaths so that it can ventilate more often (rapid shallow breathing), by now the kidneys have noticed that the blood isn't as runny as it usually is to help them filter the toxins so they call up to the brain and request more fluid, Brain responds by stimulating the impulse that makes us drink (thirst).
As the blood pressure continues to decrease, the brain says ok, let's start shutting down non essential systems and protect the important machinery that keeps me alive, so blood in the extremities is diverted to the core (Pale skin), but at the same time the central heating system in the body is also turned down as no warm blood is flowing to the outer regions, (cold) .

I have found that by showing the relationship that the organs have with each other to protect the body, students pick up the way it works very quickly, especially when you turn the body into a "machine" and liken illness / trauma to machinery going wrong.
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