Evacuate if blisters form, patient is unable Elective WMS WFA topics to use the injury, or you cannot protect required for ASRC members from refreeze Strike-out indicates topics not recommended Prevention: identify predisposing for ASRC member minimum training environmental conditions and preventive Dislocations strategies Elective with program specific Altitude parameters Recognize signs and symptoms of acute Passive reduction of shoulder dislocations mountain sickness (AMS) and key indicators (simple hanging arm/Stimson) of serious altitude illness, high altitude cerebral edema (HACE) and high altitude Passive reduction of patella dislocations pulmonary edema (HAPE) Reduction of obvious digit dislocations Initiate appropriate treatment: Does not include: Stop ascent if symptomatic Reduction of the hip, ankle, wrist, or Descend if no improvement knee Descend immediately in presence of Spine Injury Management shortness of breath (HAPE) and ataxia or It may be for students to learn how to mental status changes (HACE) accurately and correctly perform a spine Evacuate altitude illness with shortness of evaluation (e.g., National Emergency breath (HAPE) and ataxia or mental status Utilization Study (NEXUS) or changes (HACE) Canadian or NEXUS) within the context of a standard 16-hour WFA course. WFA Prevention: identify predisposing training providers may, on a case-by-case basis, environmental conditions and preventive supplement the core WFA topics with strategies training modules covering spine evaluation and Does not include: patient packaging. Dispensing prescription altitude Local Cold Injury (Frostbite and Nonfreezing medications. Cold Injury) Poisoning Recognize signs and symptoms of frostbite and nonfreezing cold injury Know common sources of poisons in the wilderness Initiate appropriate treatment Initiate appropriate treatment If not frozen, warm the injury Ingested poisons If frozen, warm water bath (37.2°–38.9°C [99°–102°F]) Supportive care and evacuation Protect from refreeze, do not use radiant Consult with poison control heat or massage
Elective WMS WFA topics required for ASRC members Strike-out indicates topics not recommended for ASRC member minimum training Dislocations Elective with program specific parameters Passive reduction of shoulder dislocations (simple hanging arm/Stimson) Passive reduction of patella dislocations Reduction of obvious digit dislocations Does not include: Reduction of the hip, ankle, wrist, or knee Spine Injury Management It may be for students to learn how to accurately and correctly perform a spine evaluation (e.g., National Emergency Utilization Study (NEXUS) or Canadian or NEXUS) within the context of a standard 16-hour WFA course. WFA training providers may, on a case-by-case basis, supplement the core WFA topics with training modules covering spine evaluation and patient packaging. Local Cold Injury (Frostbite and Nonfreezing Cold Injury) Recognize signs and symptoms of frostbite and nonfreezing cold injury Initiate appropriate treatment If not frozen, warm the injury If frozen, warm water bath (37.2°–38.9°C [99°–102°F]) Protect from refreeze, do not use radiant heat or massage Evacuate if blisters form, patient is unable to use the injury, or you cannot protect from refreeze Prevention: identify predisposing environmental conditions and preventive strategies Altitude Recognize signs and symptoms of acute mountain sickness (AMS) and key indicators of serious altitude illness, high altitude cerebral edema (HACE) and high altitude pulmonary edema (HAPE) Initiate appropriate treatment: Stop ascent if symptomatic Descend if no improvement Descend immediately in presence of shortness of breath (HAPE) and ataxia or mental status changes (HACE) Evacuate altitude illness with shortness of breath (HAPE) and ataxia or mental status changes (HACE) Prevention: identify predisposing environmental conditions and preventive strategies Does not include: Dispensing prescription altitude medications. Poisoning Know common sources of poisons in the wilderness Initiate appropriate treatment Ingested poisons Supportive care and evacuation Consult with poison control
ASRC-WFA-Integration-Proposal.docx