Wilderness Medicine, 5th; Beyond First Aid

by William W. Forgey, M.D.

• ISBN13: 9780762704903
• ISBN10: 076270490X
• Edition: 5th
• Format: Trade Paper
• Copyright: 1999-09-01
• Publisher: Globe Pequot

Summary

You and your group are on the adventure of a lifetime, far from civilization, surrounded by wilderness. Someone gets hurt or sick. What do you do? With Dr. William Forgey's comprehensive Wilderness Medicine: Beyond First Aid in hand, you can recognize, assess, and treat many kinds of medical emergencies. This illustrated text is essential reading for anyone from trip leaders, guides, and search and rescue groups to EMTs, paramedics, and physicians who must provide immediate care when access to a medical facility is difficult or impossible. Learn how to survey, assess, and stabilize the victim and the medical situation, what questions to ask to gain necessary vital information, how to manage physical symptoms as well as care for wounds and orthopaedic injuries and much more.

Author Biography

William W. Forgey, M.D., is president of the Wilderness Medical Society and Assistant Clinical Professor of Family Medicine, Indiana University School of Medicine.

Table of Contents

Preface	p. x
How to Use This Book	p. 1
How to Prepare for Remote Wilderness Travel	p. 3
Mental Preparation	p. 3
Physical Preparation	p. 4
Assessment and Stabilization	p. 8
Assessment and Care	p. 8
Initial Survey	p. 10
Survey the Scene
Check the Airway
Check Circulation Check Severe Bleeding
Check the Cervical Spine
Focused Survey	p. 13
The Physical Exam
Vital Signs	p. 13
Level of Consciousness
Pulse
Respirations
Skin Signs Blood Pressure
Medical History and Physical Examination	p. 14
Head
Neck
Chest
Abdomen
Back
Pelvis/Hip Legs Shoulders and Arms
Shock
Difficult Respiration
Foreign Body Airway
Adult One-Rescuer Cardiopulmonary Resuscitation (CPR)	p. 19
Adult Two-Person CPR	p. 21
Rapid Breathing	p. 22
Cardiac Evaluation and Care	p. 23
Rapid Heart Rate	p. 24
Slow Heart Rate	p. 25
Body System Symptoms and Management	p. 27
Symptom Management	p. 27
Fever/Chills
Lethargy
Pain
Itch
Hiccups
Headache
Eye	p. 35
Eye Patch and Bandaging Technique
Foreign Body Eye Injury Contact Lenses
Eye Abrasion
Snow Blindness, or Ultraviolet Conjunctivitis
Iritis
Allergic Conjunctivitis
Sties and Chalazia Spontaneous Subconjunctival Hemorhage
Blunt Trauma to the Eye
Glaucoma
Nose	p. 47
Nasal Congestion
Foreign Body Nose Injury
Nose Bleed Nose Fracture (Broken Nose)
Ear	p. 49
Earache
Outer Ear Infection
Middle Ear Infection
Foreign Body Ear Injury
Ruptured Ear Drum
Temporal-Mandibular-Joint (TMJ) Syndrome
Mouth and Throat	p. 55
Sore Throat
Infectious Mononucleosis
Mouth Sores
Gum Pain or Swelling
Mouth Lacerations
Dental Pain
Lost Filling
Loose or Dislodged Tooth
Pulling a Tooth
Chest	p. 62
Pneumonia/Bronchitis
Pneumothorax
Pulmonary Embolus
Abdomen	p. 64
Abdominal Pain
Vomiting
Motion Sickness
Diarrhea Constipation
Hemorrhoids
Hernia
Bladder Infection
Reproductive Organs	p. 74
Venereal Diseases
Vaginal Discharge and Itching
Painful Testicle
Menstrual Problems
Spontaneous Abortion
Ectopic Pregnancy
Poisoning	p. 79
Plant or Food Poisoning
Petroleum Products Poisoning
Ciguatera Poisoning
Scromboid Poisoning
Pufferfish Poisoning
Paralytic Shellfish Poisoning
Managing Diabetes	p. 81
Water and Waste	p. 82
Oral Fluid Replacement Therapy
Water Purification
Human Waste Disposal
Soft Tissue Care and Trauma Management	p. 89
The Bleeding Wound	p. 90
Stop the Bleeding
Clean the Wound
Antibiotic Guidelines
Wound Closure Techniques	p. 94
Tape Closure Techniques
Stapling
Suturing
Eyebrow and Lip Closure
Mouth and Tongue Lacerations
Control of Pain
Dressings
Other Types of Wounds	p. 101
Abrasions
Puncture Wounds
Splinter Removal
Fishhook Removal Friction Blisters
Thermal Burns
Human Bites
Animal Bites
Finger and Toe Problems	p. 111
Ingrown Nail
Nail Base Infection
Felon
Blood under the Nail
Wound Infection and Inflammation	p. 114
Abscess
Cellulitis
Skin Rash	p. 116
Fungal Infection
Allergic Dermatitis
Bacterial Skin Rash Seabather's Eruption
Orthopedic Injuries	p. 120
Concepts of Orthopedic Care	p. 121
Muscle Pain--No Acute Injury
Muscle Pain--Acute Injury
Joint Pain--No Acute Injury
Joint Pain--Acute Injury
Fractures
Diagnosis and Care Protocols	p. 128
Head
Neck
Spine
Collar Bone
Shoulder
Shoulder Blade Upper Arm Fractures (Near the Shoulder)
Upper Arm Fractures (Below the Shoulder)
Elbow Trauma
Forearm Fractures
Wrist Fractures and Dislocations
Thumb Sprains and Fractures
Hand Fractures
Finger Fractures and Sprains
Hip Dislocation and Fracture
Thigh Fractures
Knee Cap Dislocation
Knee Sprains, Dislocations, or Fractures
Ankle Sprains, Dislocations, or Fractures Foot Injuries
Chest Injuries
Bites and Stings	p. 153
Bee Stings	p. 154
Anaphylactic Shock	p. 154
Snake Bite	p. 156
Identifying Common North American Poisonous Snakes
Signs and Symptoms of Pit Viper Bite
Treatment of Pit Viper Bite
Treatment of Coral Snake Bite
Insect Bites and Stings	p. 161
Spider Bites
Black Widow Spider
Brown Recluse
Ticks Caterpillar Reactions
Millipede Reactions
Centipede Bites Mosquitos
Black Flies
No-See-Ums and Biting Gnats Scorpion Sting
Ant, Fire Ant
Aquatic Stings, Cuts, and Rash	p. 168
Sea Urchin
Jellyfish
Coral Stings
Coral Cuts, Barnacle Cuts Sting Ray
Catfish
Scorpion Fish
Sponge Rash
Infectious Disease	p. 171
Babesiosis
Blastomycosis
Cholera
Coccidioidomycosis
Colorado Tick Fever
Dengue
Echinococcus
Erhrilchiosis
Encephalitis Giardiasis
Hantavirus
Hepatitis A
Hepatitis B
Hepatitis C Hepatitis D
Hepatitis E
Hepatitis G
Lyme Disease
Malaria Meningococcal Meningitis
Plague
Rabies
Relapsing Fever Rocky Mountain Spotted Fever
Schistosomiasis
Tapeworms Tetanus
Tick Paralysis
Trichinosis
African Sleeping Sickness Chagas' Disease
Tuberculosis
Tularemia
Typhoid Fever Endemic Typhus, Flea Borne
Epidemic Typhus, Louse Borne
Yellow Fever
Environmental Injuries	p. 193
Hypothermia	p. 194
Chronic Hypothermia
Acute Hypothermia
Cold Water Submersion
Cold Stress Injuries	p. 197
Frost Nip
Frost Bite
Cold-Induced Bronchospasm
Immersion Foot
Chilblains
Heat Stress Injuries	p. 200
Heat Cramps
Heat Exhaustion
Heat Stroke
Prickly Heat
Lightning	p. 204
High Altitude Illnesses	p. 207
Acute Mountain Sickness (AMS)
High Altitude Pulmonary Edema (HAPE)
High Altitude Cerebral Edema (HACE) Other High Altitude Conditions
The Wilderness Expedition Medical Kit	p. 213
Topical Bandaging Module	p. 215
Non-Rx Oral Medication Module	p. 220
Rx Oral/Topical Medication Module	p. 222
Rx Injectable Medication Module	p. 226
International Immunizations and Dosage Schedules	p. 229
Index	p. 238
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