Here’s my fourth week of notes on CERT training. Any misinformation is the fault of the note taker.

Prevent spread of disease

• Purify water: you can purify water with a role orienting for four minutes. Always use purified water and soap when washing hands. Wash water 15 to 20 seconds was soap.
• Gloves one part bleach to 10 part water. You’d also use rubbing alcohol after washing hands.
• Use 95% face filter which means a catches 95% particles. The mass protects the helper as well as the patient.
• Bleach has an expiration date. Alternatives to cleaning water are purifying tablets or filters for water.
• Don’t open passages and dressings and taste are using them. Then use the whole package.
• When treating patients always wear a mask and goggles and gloves
• Anything that is marked medical waste should be starved separately from other waste and should be more clearly
• Bathroom facilities need to dig a hole and market. Provide walls for privacy. It must be over 100 feet from running water

Establish a place of medical treatment:

• Should be as close to a highway or main means of transportation as possible
• It is let the structure choose one that has light damage.
• Should be upwind from the point of catastrophe.
• If multiple people are hurt spread throughout the neighborhood you may need multiple areas of triage so victims don’t have any transported unnecessarily
• Your area of triage and easily expandable for the possibility of new patients
• You need to have a morgue that is out of sight from the patient’s. The bodies need to be protected from the elements. If there is evidence of a crime the body should remain where it sat.
• In triage document things thoroughly. Tape on head is one way to label a patient status. Maybe include notebook and pencils in your packet. Some of the things you will want to document is the gender, type of injury, description such as clothing or appearance, identification information (guy with red coat) what treatment has been done to them.
• You need to conduct a hand to toe assessment. You would gently feel around the head the neck without movement and check your hands from time to time in search of blood. Then the body arms and legs

Analysis of patient:

• Find out where and when they got hurt and maybe possible causes of the hurt. Get a verbal and visual report of where they were found.
• Pay careful attention. Look listen and feel
• Look for medical jewelry to find out if they have any special medical needs
• Signs of a spinal injury: unconsciousness look at surrounding evidence such as if the latter is tipped over when they may have fallen off. Weak pulse. You can check the rest the neck
• See if they are feeling numb or fill no sensation in certain parts of the body. If there’s a tingle there’s a chance of there’s an injury. The same if they can’t feel all their body.
• Stabilize head and keep spine straight. Keep head aligned with the body at all times if not twisted.
• You could quickly flash a flashlight in their eyes to see if they respond.
• If close or torn fill for Bolton feet.
• In the head to toe examination on the belly press in to feel this damage
• Look to see the hip bones are misaligned

Burns:

• Try to find out what caused the bird.
• Find out the still burning. Cool was still cloth. Wash burn with cool water. Dress a wound gently with dry sterile dressing to prevent infection.
• Need to find shade for the patient don’t use any ointments even aloe Vera
• Don’t remove cloth when it gets stuck to the burn.
• Elevate the burn above the heart to prevent blood flow on the burn.
• Don’t pop blisters. They can protect the body from infection. Chemical burns: well your equipment (love mask. Remove clothing and jewelry and identify who the owner is.
• Irrigate the burn for 15 minutes to lessen intensity of chemical.
• Brush chemical away from eyes.
• Provide a cool wet compress
• Cover the burn loosely and treat for shock
• Provide no medications.
• Signs of a burn might be seen by singed facial hair or they might smell like smoke.

Wounds:

• Provide pressure on wound to stop bleeding. If necessary provide pressure on the pressure points of the body to stop bleeding and levitate the damaged area to restrict blood flow. Tourniquet should never be used unless patient life is in danger. Document the time that the tourniquet is applied and try to get the patient to tell you if they can no longer feel the guillotine in their body part
• Use room temperature purified water
• Never scrap wound
• Signs of infection: discoloration, discharge, lines along the veins
• If a body part is severed put it in a plastic bag and put in a container to keep it cool. Don’t how the body part directly connected to ice as it can destroy cells.
• Impelled objects should not be removed but wrapped. It is an object in I you may want to put a cop over the eye and then bind the cop in the face. It’s important to cover both eyes because of what I see and it moves around it will also move the other damaged I.
• Control bleeding at the entrance wound
• Clean as best as you can and sustain impelled object. Do not remove
• Immobilized above and below of wounded joint. If it’s a knee for example you need to bind above and below the knee.
• When you find the wound if you have it between two boards provide padding so that the arm or leg is not move around. I’d is wedged tight
• Wounds should be wrapped in wet dressing.
• Two types of fracture.

Dislocation = is where we can see the bone outside the body.

Non-displacement. Is where a bone may be cracked but remains within the body. Hold both in place.

• If you have a sprain immobilize.
• Look the PMS after splint (pulse, movement, sensation-I think)
• If you bind to legs together create padding between the two legs
• You can tie a knot in the corner of it triangle bandage to create a new book that the armrest in

Other injuries:

• Nasal injuries: can be caused by blunt force was close fracture. The stop blood press above the nostrils or upper lip. Have the patient leaned forward so they don’t have blood were down your throat it can create later vomiting.
• Frostbite: you can see this when the body turns color and tingling or numbness, less blood flow. If this happens to immerse injured area in warm water. Warm slowly do not rub. Cover with this sterile dry dressing. Hypothermia. This occurs when 95% or lower temperature. The patient experience numbness and shivering. Slowed speech. This could affect the brain.. To fix remove wet clothing dry first and then add one close and give food and drink. Do not massage the body. Put in a warm bath. Fetal position is when the person played on their side the bottom arm is laid out before them the top arm and hand forward with a hand under the chin and the front leg is in front the back leg.