Wilderness First Aid Module Zero - Scenario
Outline: Two hikers, six miles from the trailhead, with rain starting and the temperature dropping, beyond cell phone service. One of the hikers has fallen and has an apparent femur fracture. Response: The now, first aid provider, (you) approaches the now, patient, to access his condition after the fall. The patient is in sever pain complaining about pain in the upper right leg. You check the patient for bleeding and determine that he does not have sever hemorrhaging. He is hesitant to move the leg and did not want to flex the right foot. He has straightened out the left leg and is willing to move the left foot. He is not complaining about any pain in his back. His breathing is good and no apparent circulation issues. He did not hit his head but the rain and dropping temperature is cause for hypothermia concern. You get him to sit on a waterproof sit pad and cover him with his poncho to get him out of the snow and out of the rain. You check cell service and determine that you do not have cell coverage and can not call 911. Your pack has a SAM splint and ace bandage, so you use your splinting training to stabilize the leg to minimize movement. Reassess to check pulse, respiration, and minor injury. You locate a suitable place to set up his T 6-zero lean-to shelter and gather firewood for a fire. As each of you are close to 200# and both on the cusp of 70 Y.O., it is apparent that you are not going to be able to transport him, the patient, by yourself. Your partner, the patient is scared, so you are talking to him as you are working on the fire preparation and firewood procurement. Understandably, he is concerned about how the two of you are going to get out, so you are talking out a plan together. Being six miles from the trailhead, that is a hike of two-plus hours to the car, and you are not sure how far it is to cell service. You save a waypoint on your smartphone and take a screenshot of the map with the waypoint. You have come to consensus that you should hike out when the fire is stabilized and firewood gathered. You donât carry the GSMR radios when you hike and cell phones will not allow communication as you hike out. You leave him in the shelter with fire.