Retention of Wilderness Medicine Knowledge & Skills. By: Kent Clement, Ph.D. Nadia Kimmel, M.S. Consider This Scenario. SCENARIO.
By: Kent Clement, Ph.D. Nadia Kimmel, M.S.
You and your friends are hiking on a mountain trail in mid-August. You are enjoying a beautiful sunny afternoon with a temperature of 72 F. You come across a person sitting on the trail holding his/her right arm. This person is alone and there are no bystanders. You are 5 miles from the nearest trailhead where your vehicle is parked. It is ten miles from the trailhead to the nearest town. There is no cell reception until you reach the town limits.
Based on your WFR knowledge and skills what are some of the things that you should do?
After determining that the scene is safe, you find out the person’s name but he/she does no know what happened. The person is confused and exhibits a slurred speech. They complain of pain while guarding their right arm. No sign of life threatening trauma is apparent.
After asking SAMPLE and taking vitals you find out the following:
S: Pain in the right arm, pale, confused, slurred speech.
P: Diabetes (Type II)
L: Not sure
E: Does not recall
BP: Strong radial pulse
LOC: A & 0 X 1 (Alert & oriented to person only)
SCTM: Pale, warm & dry
CSM: Weak in all four extremities, can feel, does not respond to commands well but has good pulses
NO GLUCOSE ADMINISTRATION
POOR AIRWAY MANGMENT