what you need to know about helping someone

Summary

This transcript covers essential first aid knowledge, emphasizing the importance of recognizing signs and symptoms of medical distress, understanding normal vital rates, and the differences in pediatric and adult responses. It discusses the significance of patient history, including allergies, medications, and past medical conditions, and the necessity of staying hydrated. The speaker shares practical advice on handling emergency situations, such as spinal injuries and severe allergic reactions, and stresses the importance of not making assumptions during incidents. The script also touches on the challenges of real-life scenarios versus training and the value of preparation and clear communication with emergency services.

Takeaways

• 🩺 A sign is anything observable (see, hear, smell, feel) indicating a problem, such as bleeding, pale skin, or difficulty breathing.
• 😷 A symptom is what the patient tells you, like stomach pain or a headache, which you can't directly observe.
• 👶 Children have different normal breathing and heart rates compared to adults, and their reactions to health issues can vary.
• 💉 Severe allergic reactions require immediate attention, and those with known allergies often carry an EpiPen.
• 📝 It's crucial to ask about and document a patient's allergies, medications, and medical history for proper treatment.
• 🍽️ Knowing a patient's last meal or drink is important, especially if they need surgery, as it affects anesthesia.
• 💧 Dehydration significantly impairs cognitive and physical functions; keeping hydrated is vital, especially in remote areas.
• 🏃‍♂️ Personal sweat rates vary; understanding and managing hydration based on individual sweat rates is essential.
• 🚁 For helicopter landings in emergencies, prepare a large, clear, and flat landing zone and ensure the area is safe.
• 🗒️ In emergency situations, it's useful to have notes or a checklist for quick reference, as stress can affect memory and response.

Q & A

What is the definition of a 'sign' in the medical context mentioned in the transcript?

A 'sign' in the medical context refers to anything that can be observed by a healthcare provider, such as seeing, smelling, or feeling something that indicates a problem, like bleeding, paleness, or sweating.

What is considered a normal breathing rate for an adult according to the transcript?

The normal breathing rate for an adult is between 12 to 20 breaths per minute.

How does the breathing rate for children differ from adults?

Children have a faster breathing rate than adults, typically ranging from 15 to 25 breaths per minute.

What is the importance of asking about allergies in a medical assessment?

Asking about allergies is crucial because severe allergic reactions can be dangerous, and knowing what a person is allergic to can help avoid potential exposure to allergens and guide appropriate treatment.

Why is it important to note if someone has had a severe allergic reaction or is carrying an EpiPen?

Noting severe allergic reactions or EpiPen usage is important because it indicates the need for immediate action in case of an allergic emergency and helps emergency services to be prepared for the situation.

What is the significance of asking about a person's medication during a medical assessment?

Asking about medication is important because certain medications can react badly with others, and knowing what a person is taking can help in determining the appropriate treatment and avoiding drug interactions.

Why should one not rely solely on memory during a medical emergency, as suggested in the transcript?

Relying on memory during a medical emergency is not advised because under stress, it's easy to forget important details; instead, writing down information ensures that critical details are not overlooked.

What is the recommended approach for dealing with a suspected spinal injury according to the transcript?

For a suspected spinal injury, the person should be asked to stay still, and the responder should control the head to prevent nodding or shaking, which could exacerbate the injury.

Why is it important to know the last meal or drink a person had in a medical situation?

Knowing the last meal or drink is important because it can provide information about potential allergies, the need for sugar in case of diabetic episodes, or the contents of the stomach that might affect anesthesia or surgery.

What is the role of dehydration in causing headaches and cognitive impairments as mentioned in the transcript?

Dehydration can cause headaches and cognitive impairments because even a small percentage of body water loss can significantly affect brain function, leading to issues like scattered thoughts and difficulty concentrating.

How can one measure their personal sweat rate and why is it important?

One can measure their personal sweat rate by weighing themselves before and after an hour of high-intensity exercise. It's important because it helps determine the amount of fluid needed to stay hydrated, especially during physical activities.

Outlines

00:00

🔍 Identifying Signs and Symptoms in Medical Emergencies

This paragraph discusses the importance of recognizing signs and symptoms in medical emergencies. Signs are observable or perceptible indicators of a problem, such as bleeding or paleness, while symptoms are what the patient communicates, like pain or discomfort. The speaker emphasizes the difference in normal breathing rates between adults and children and the need to be alert for severe allergic reactions, including the use of EpiPens. They also stress the importance of asking about past diving incidents or falls, which could indicate a spinal injury, and the correct approach to stabilizing a potential spinal injury patient by immobilizing the head and instructing them to stay still.

05:01

🤔 Assessing Consciousness and Gathering Medical Information

The second paragraph focuses on assessing a patient's level of consciousness by asking simple questions about their identity, the date, and how they arrived at the scene. It highlights the importance of inquiring about medications, allergies, and previous medical history, especially in the context of potential interactions or needs for specific treatments. The speaker also mentions the significance of knowing about any recent surgeries or implants that could affect medical procedures like MRIs. Additionally, the paragraph touches on the necessity of understanding the patient's last meal or drink, which can be crucial for medical decisions, particularly in cases of suspected poisoning, diabetes, or before surgery.

10:04

💧 The Crucial Role of Hydration and Fluid Management

This paragraph emphasizes the critical role of hydration, especially in remote areas or during physical exertion. It explains how dehydration can affect cognitive function and lists the symptoms associated with different levels of dehydration. The speaker advises on the need for personalizing fluid intake based on individual sweat rates, which can vary greatly between people and activities. They also discuss the effectiveness of different types of drinks for rehydration, noting that while carbohydrate-rich drinks like Gatorade are beneficial before and during exercise, water is sufficient for recovery and that excessive salt intake from such drinks is unnecessary.

15:07

🚨 Avoiding Assumptions in Emergency Response Scenarios

The fourth paragraph warns against making assumptions in emergency situations, such as a car accident, where the driver's condition or location might not be immediately apparent. It recounts a story about a lost earring found by a trained police dog, illustrating the importance of thorough searching and not jumping to conclusions. The speaker also advises on preparing a landing zone for a helicopter, including clearing the area of people and animals, and marking it clearly, especially at night, to ensure the safety of the incoming aircraft.

20:09

📝 The Importance of Preparedness and Recall in Emergency Medical Response

The final paragraph stresses the importance of being prepared for emergency situations and the difficulty of recalling information under pressure. The speaker shares a personal experience where they struggled to remember the doctor's ABCD approach during a real medical emergency. They suggest keeping a notebook or notes in a phone for quick reference, as relying on memory alone can be problematic. The paragraph also touches on the difference between treating injuries and treating the whole patient, highlighting the need for a human-centered approach in medical response.

Keywords

💡Signs

Signs are observable indicators of a medical condition, such as bleeding, pale skin, or sweating. They are crucial for first responders to assess a person's physical state quickly. In the script, signs include physical observations like anxiety, agitation, and abnormal breathing rates.

💡Symptoms

Symptoms are subjective experiences reported by the patient, such as pain, nausea, or headaches. They provide insight into the patient's internal state, which cannot be directly observed. The script mentions symptoms like stomach pain and tingling sensations, emphasizing the need to rely on the patient's description.

💡Breathing Rate

Breathing rate refers to the number of breaths taken per minute, with a normal range being 12 to 20 for adults and 15 to 25 for children. Abnormal rates can indicate serious medical issues. The script highlights the importance of monitoring breathing rate as a critical sign.

💡Spinal Injury

A spinal injury involves damage to the spinal cord and requires careful handling to prevent further harm. The script discusses immobilizing the head and neck to avoid exacerbating the injury and using techniques like the trap squeeze or Mills squeeze.

💡Allergies

Allergies are adverse reactions to substances that can cause severe health issues, such as anaphylaxis. The script advises first responders to inquire about allergies and potential reactions to medications or other substances like iodine.

💡Medication

Medications are drugs taken by patients to manage health conditions. They can interact with other substances, causing complications. The script stresses the importance of knowing what medications a patient is on to avoid harmful interactions and ensure proper treatment.

💡Previous Medical History

Previous medical history includes past health conditions and surgeries that can impact current treatment. The script mentions the need to know recent hospital visits for conditions like stroke or diabetes to provide appropriate care.

💡Dehydration

Dehydration occurs when the body loses more water than it takes in, impairing physical and cognitive functions. The script explains the effects of dehydration on the brain and body, emphasizing the need for adequate fluid intake in remote areas.

💡Personal Sweat Rate

Personal sweat rate is the amount of sweat an individual produces during exercise, which varies based on factors like intensity and environment. The script describes how to measure sweat rate and its importance in maintaining hydration during physical activity.

💡Landing Zone

A landing zone is an area prepared for helicopter landing, especially in emergencies. The script outlines the need for a large, flat, and clearly marked area, free of obstacles, to ensure a safe landing for medical evacuations.

Highlights

A sign is anything you can see, hear, smell, or feel that's wrong (e.g., bleeding, pale, sweaty, anxiety, agitation, breathing difficulty).

Normal breathing rate is 12 to 20 breaths per minute for adults and 15 to 25 breaths per minute for children.

A symptom is anything the patient tells you (e.g., stomach pain, shooting pain in the left arm, headache, numbness).

For spinal injuries, ensure the patient stays still and avoid nodding or shaking their head. Use techniques like trap squeeze or Mills squeeze for stabilization.

Severe allergic reactions require immediate attention and knowledge of the patient's allergies (e.g., shellfish allergy might indicate an allergy to iodine).

Medication interactions are important; ask about any medications the patient is taking.

Previous medical history is crucial, but focus on recent hospital visits or significant conditions (e.g., stroke, epilepsy, diabetes).

The last meal or drink can impact medical decisions, especially for surgeries or if the patient has conditions like diabetes.

Dehydration is critical; losing 2% of body water can reduce brain capacity by 20%, and losing 6% can be fatal.

Carbohydrate drinks are useful before and during exercise but not significantly better than water for rehydration afterward.

In emergency situations, avoid making assumptions about the cause of the incident; gather as much information as possible.

For helicopter evacuations, prepare a large, flat Landing Zone and clear the area of animals or debris.

In a real emergency, people may panic and forget procedures; keeping a notebook or reference guide can be very helpful.

Training scenarios should include multiple injuries and conditions to better prepare for real-life situations.

When providing information to emergency services, answer their questions in sequence and keep responses short and precise.

Transcripts

seen that one at some stages before yeah

some have some moment all right so signs

and symptoms a sign is basically

anything you can see here smell or feel

that's

wrong so bleeding pale sweaty uh some of

the subtle stuff like anxiety or

agitation breathing difficulty too fast

too slow not at all what's a normal

breathing

rate 0 breathing right not rightor

breathing right yeah but if it's 80

you're having real problems

please God no light you be out in a

minute so in for three out three yeah so

about 12 to 20 12 to 20 12 to 20 per

minute is really what you're looking at

as as an average breathing R fromus too

much below that too much above that and

you're looking at problems kids are not

small adults they don't react to things

the way that we do completely different

Beast so a kid normal breathing rate for

a kid is going to be 15 to 25 they bring

faster than we do their heart rate's

faster than ours yeah so a sign very

simply anything you can see hear smell

or feel a symptom is anything they tell

you I'm sick in the stomach and shooting

pain them my left I'm splitting headache

I can't feel my

legs so I can't see a symptom I need to

rely on their description of pain or

lack of pain to let me know that there's

a problem so tingling pins and needles

neck pain back p pain

numbness they're going to let me know SP

so ask them that and make certainly if

they've gone diving into the water or

they've had a Fall Down rocks or

something like that I'm absolutely going

to start asking these questions and if I

get any red flags faced like air written

my neck really hurts my left a arms

feels really strange it's all tingly uh

just stay really really still for me yet

and I'm probably going to sit behind

them and I'm going to bring my hands up

on either side of their head if they're

lying on the ground it's going to be

either trap squeeze which will show you

how to do or a Mills squeeze so Mills is

Middle in line stabilization so

basically it's thumbs in front of their

ears and fingers behind their ears which

again we'll show you how to do really

really simple to do but the most

important part with something like a

spinal ask them to stay still we're

instinctive creatures we nod and we

shake our head when we ask a question

you got somebody was suspected spinal up

here neck injury I don't want them to

not so what I'll say is is it like I

know you want to nod and shake your head

I don't want you to when I ask you a

question pay very close attention just

say yes or no do you understand yes I

do so hold your hands on other side of

the head you got control of the head you

can stop nodding fair enough so next one

a allergies severe allergic reactions

are dangerous if there's somebody

severely allergic something they're

going into a remote area they're going

to have an EpiPen they will probably Jam

the EpiPen into themselves before you

even know anything is wrong yeah in a

more remote area it's not really so much

of a problem for us it's more a problem

for emergency services down the track

they need to know what they're allergic

to so if they're allergic to shellfish

that's not really a big deal is it

what's

ping really powerful antibacteria

where's iodine come

from Ocean thank you yes so the thing is

they're allergic to shellfish they might

also be allergic to badine orine or any

of those and they're the most powerful

antibacterials name the man incredibly

good stuff but it's not something I'd do

use up days because you put it on an

open wound or something like that well

done it kills off all of the bacteria

and stuff that was there and you keep

putting it on it's going to start

killing the flesh as well so the flesh

around the area dies they're not

designed to be used like that they're

designed to clean they're not designed

to completely disinfect does that make

sense

so ask them what they're alleged to

write it down the biggest lie we tell to

ourselves every single day is I will

remember

that no you won't and you know you won't

you write it down so you don't have to

make sense so medication ask some what

they're on uh some medications react

badly with other medications sometimes

they need it uh like one of my uh best

cousins like he's an absolute dude total

Legend I've known him for 29 years

that's well he is and he found out the

other day he's diabetic he's been

diabetic since he was six I had no idea

absolutely no idea so I don't even know

how the subject came up um he sort of

disappeared and came back where'd you go

so each

one

what so even people that you've known

for a very very long time ask these

questions not only because I want to

find out the answers I want to see if

they know the answers because if they

don't know the answers to any of these

really really really simple

questions what's what's

happened probably something going wrong

there yeah so start asking them simpler

stuff what's your name what day is it

how did you get here I used to ask

people what Australia's current prime

minister is I've stopped doing that a

while ago because it's really difficult

um I'm pretty sure there's a dolphin in

charge at the moment he's probably doing

a great job but so ask what they're on

sometimes they badly other times they

need it sometimes they've had too much

chest pan chest pan was really bad today

I'll take three tablets not one whoops

oh that stuff's hardol like their blood

pressure is going to drop like a stone

they will probably pass out and be

prepared for their breathing to be quite

shallow previous medical history don't

ever ask an 85-year-old what is your

previous medical history you are going

to be there days you're going to

learn things about that person you never

wanted to know all you really need to

know is you been to hospital for

anything recently stroke epilepsy

diabetes heart attack uh could either

got a plate in their shoulder or a pin

in their knee from a previous incident

not so much important for us that one

but it is important for embos and

doctors down the track if they need an

MRI what's an

MRI it's a giant magnet so if that's

made of a ferris material the MRI is

going to attempt to rip it

out

so most people will assume or the ambos

will ask them all of this doctors will

oh yeah they will if they go unconscious

before they get to hospital and bear in

mind we're probably going to be looking

after them for a long time it's entirely

possible if they've got serious injuries

get as much information as you can while

you can no such thing there too much

information make sense right last meal

or drink this doesn't mean you give them

their last meal butter chicken with a

Tander n just in case you're wondering

will be the death of me one day could be

something they're allergic to there

could be the

diet treat been a diabetic haven't eaten

in 12 hours could be they need to go

into surgery doctors are going to want

to know if there's anything left in

there and most serious incidents it's

going to be niled by mouth you don't

give them anything to eat or drink CU if

they're going in for surgery then that's

more time that they've got to wait or

they've got to pump stomach or they've

got to adjust the anesthetic accordingly

depending on what the incident is yep

what if you strongly believe that it is

something

exe de then I'm absolutely going to be

given water and there are exceptions to

the rule almost any of these there are

going to be exceptions to the rule so

for something like dietr dependent

diabetic I'm not going to say well nil

by mouth cuz they need sugar drinks they

need um carbs to get them back up and on

top of things again so uh dehydration

absolutely I'm going to give them as

much water as they need will I give it

to Quick is Sor not obvious ones that we

might be able to give them food really

most of the time it's the case

generally mouth you're not going to give

them too much to eat or drink but if

you've got them over several days you're

going to have to feed them aren't you

yeah so little bits at a time no big

meals so if you give heaps and heaps and

heaps and heaps of stuff if they're in

shock or they've lost a fair bit of

blood the brain is just going to

simplify things if you give them too

much the brain will say look I don't

have the blood to run that can't process

it because it takes a lot of blood to

run the digestive system it'll just say

get

so they show up so little bits at a time

lots of teeny tiny little meals rather

than big meals because chances are

they'll just get rid of it again cut so

sorry so why does the last meal stand

for why is last meal sorry so the last

time they had anything to eat or drink

now if it's within sort of six seven

hours kind of thing it'll depend on what

they've had if it's alcohol they almost

always pump the stomach if it's within a

couple of hours I think to teach the

patient a lesson

um don't get drunk and full over we hate

that uh but if it's if it's food depends

on what it is most of the time nowadays

they can just adjust the aesthetic so

you'll go under but you won't go all the

way under and they just do the surgery

there sometimes though go you know what

really serious surgery we're going to

have to put you all the way under and

I'll pump the stomach which I'm told is

an incredibly unpleasant experience they

send a tube down into your stomach and

they suck up everything that is in there

while you're awake not very M fa enough

yeah cool so last drink obviously

dehydration and you lose 2% of your

body's water you lose about 20% of your

brain capacity that's a fair bit you

lose 4% of your body's water you lose

40% of your brain capacity you will have

problems getting from the start of a

sentence to the end just go scattered

can't concentrate on anything you'll

have problems walking at at 4%

dehydration most people can't function

at 4% dehydration

at 6% you die if you are thirsty you are

dehydrated n out of 10 headaches are

caused by dehydration and certainly in

remote areas and it's part of what Jake

was talking about earlier it's fluids

fluids fluids fluids fluids you've got

to keep your fluids

up so you've all probably heard the

eight glasses a day thing or 2 lers a

day something what we're supposed to

have it's absolute because it

doesn't take into account anybody's

personal sweat rate everybody has

different sweat rates

temperature day exactly yeah so the

thing is if you got a nice cool day and

you're not really doing much and you

have a classes of water a day you're

going to be going to the toilet heaps if

you got a day like today 38° and you're

out in the

sun and you're looking at your sweat

rate is going to be a hell of a lot

higher do it m yeah so I had the

privilege of seeing a hyper marathoner

speak she's a a sports medicine

Australia so she's like 49 she's right

here ensy tiny little thing but she's

made of leather and whip cord she's

absolutely insane there's nothing of her

but her personal sweat rate of high

intensity exercise so Marathon type

running personal sweat rate is 500 m in

an hour front rower just over 3 l an

hour so hers is 500 M an hour and she

can absorb up to 1.2 L an hour she can

absorb more fluid than she is losing by

a significant amount which is why she's

a hyper marathoner she can do 70k a day

every day for seven days absolutely

insane and she's carrying all of the

stuff that she needs to eat and it's

going to keep her safe on her back

absolute freak I was completely blown

away you hear about yes everybody's sort

of built the same no we're not some

people are genetically predisposed to be

much much better athletes and she is one

of them so the way you measure your

personal sweat rate is basically weigh

yourself same sorts of clothes that

you're wearing and all of that sort of

uh stuff the best way to do it is

actually

naked and then get yourself dressed high

intensity exercise for an hour and then

strip off get back on the stale scales

and see how much you've lost in that

high intensity exercise in that one hour

there's your personal sweat rate yeah so

you need to be taking in at least as

much as you are losing if you drink only

water water you will drink basically to

thirst and that's it you just drink

until you're no longer thirsty because

water doesn't taste like anything so we

don't continue drinking past that

because there's really no point it

doesn't taste like anything if you're

drinking like fizzy drinks and flavor

drinks and orange juices and stuff like

that because it tastes nice we're going

to drink more than we actually need uh

and all you're doing is just loading

your stomach up and you're making it

hotter for yourself yeah so drink too

thirst if you're just drinking water

you'll just drink until you're no longer

thirsty

the carbohydrate rinks so Gatorade

Powerade staminate all of those sorts of

things they are brilliant before

exercise and during exercise because

there are about 6 to 8% carbohydrates in

them which means you will retain more

water when you are

exercising but as for Recovery they are

no better at rehydrating than water

is so you see these people massive gym

session or big run or whatever and then

they start smashing the Gatorade

afterwards unless you really love the

taste you kind of wasting your money and

the amount of salts and stuff that is in

those things is absolutely ludicrous the

carbohydrates is great don't get me

wrong but the salts and things that are

in them is is way above what it needs to

be you'll take two swallows from the

bottom and boom one hour of my intensity

exercise all of those salts are replaced

the salts will come back naturally when

you eat you don't really need them so

carbohydrate drinks like Gade par Etc

really really useful before really

really useful during not really very

useful afterwards fair enough

survival yeah okay good stuff very

enough mhm any questions on any of the

Stu up

that so no that was last drinking oh

sorry what happened find out the story a

lot of the cases you're just going to

assume that you know what's happened

already assumption is a really good way

to stuff up so let's say you were

driving along your C across a car roll

over

and you're missing the driver of the

accident what are you

thinking out now what

that out probably lying in a ditch

somewhere what if it was just a car that

crashed into somewhere on fro Saturday

night you're missing the

driver they're drunk and they're done

Runner so what have we just done then we

we've made an assumption we've assume

that we know what's happened so what if

the the car roll over that guy woke up

and going oh bleeding oh they go get

help and they just wand off down the

road they find them two or three down

the road now the Friday Saturday night

chances are the dude wasn't wearing his

seat belt he might have been thrown from

the car now if he is drunk and he's done

to Runner it's going to be a case of B

there you explain the situation then

you're going to get the police arrive as

well and what will they

brings I'm so glad we didn't bring that

guy

that remember the guy

the hell oh man it's totally confused um

so that WR is anybody here over a work

with police dos before or or seen them

work oh they are amazing they're

absolute land shars totally up one of

our trainers is a former cop and he's a

canine trainer he's got two police dogs

both drug dos so we were at a Christmas

breakup one year and one of the uh the

ladies my wife uh lost an anal earring

and we're we're at a park I mean

everything's green and emerald is green

so I was very gently trying to explain

to her that bab look I know it's not

worth anything but it's given by your

grandma and sentimental value we'll look

for it but we're not going to find that

we'll look we're probably not going to

find it and gra walked over and he got

there we will Charla come so Chara's

come sprinting off the back of the tray

skid into a halt on her bus I'm g wow I

can't get dogs to eat when I say

eat so Shila so he gave her the other

earring fine so sh's tracked everywhere

Liz had walked for about the past 45

minutes took her about 4 minutes she sat

down and started barking at the grass

and I initially got incredibly excited

cuz Char is a drug

dog well this is going to be the best

Christmas party we ever but she just

found Anil earring kind of disappointing

in the end but good yeah good is so

realistically if you don't know what to

do do that phone first phone first in

rem area anything more than 40 minutes

by Wheels they won't send Wheels they

will send

rotors so what sort of things would you

need to do to prepare for a helicopter

lift Landing Zone Landing Zone how do

you prepare our Landing

Zone yeah in regards to identifying it

or and or you're a big ass area don't

you so unless you got a very very

skilled pilot and most of the time they

are but even so you want as big an area

as you possibly can and generally as

flat as you possibly can you want to

make sure that everybody's around and

the area first and doing this number try

and scare out any birds or animals y cuz

the last thing you want is the chopper

going straight over the top bird going

straight up into the roads enough so

it's a good idea to Mark it really

really clearly if you can so how would

you do that at

night fire is going to be the best way

to do it would you put it in the center

of the landing area not a great idea

you'd be surprised how many people do it

though so good idea to just sort of ring

a Rosie kind of thing and you got to

keep it really small and tight and

controlled he's good at fire talk to him

enough yep can I just say something that

happened to me when I had to use the

last thing you showed me man um when we

had a guy at the headquarters who CED a

really solid knock on the chin and and

passed out um I was trying to go through

the doctor's ABCD that I just done with

um AJ here and I couldn't

remember it because one I've been

teaching in Japanese the whole time and

I'm going to try and switch to English

this guy's passed out convulsing

and his eyes are rolling back and s's

jumped on top of him's slapping him he's

slapping him in the head one

thing we're told in security um doing

patrols was always have your little

notebook on you and I thought to myself

man I should keep that on me in my

EDC my response bag that's everything

and just have this and like the sample

and the doctor's ABCD give a c it's all

on the cut and I couldn't I didn't even

think to look in my wallet man that's in

my wallet as well and I thought and

all I'm saying is when kicks off

you can't remember this so you're

writing it down now but when we do

simulations and that you start I

remember you put it through me threw it

the first time what was it what was

it again when it's for real and

someone's actually in front of you and

turning pale and doing these ones and

that you can't remember that so

just as an idea have a have a

notebook or have this in your phone or

something you can get too quick and go

right signs allergies medication Pro

because you won't remember I'm

just telling you cuz this just happened

to me and it was scary because I was

trying to control the situation make

sure there's no danger and one of my

guys jumped on me went Bam Bam Bam

trying to wake him up and I'm going

what if he's a spinal injury victim you

know what I just got knocked out

probably not a great idea to be hitting

in more

no gone useless bastard you back to

Japanese and try and control that so

there was no danger but everyone's

swarmed him and I'm going

he's trying to get a response out of me

but it's not the best way to do it is it

yeah you see it and you hear it all the

time people say in courses I don't worry

in a real situation it all come plotting

back to you

that's so unless you've trained for it

no it usually doesn't come flooding

straight back to you I've seen um

so-call professionals that have panicked

and just totally flipped out so the way

we'll run the scenarios we're not going

to do the scenarios today it be a bit

too much too fast kind of thing the way

we'll do the scen scenarios tomorrow is

I'm going to set you patience with

multiple interest you might have a

medical condition or fall thrown in

weird previous history strange allergies

odd medications because I want you to

get used to that if you can do that most

of the rest of the stuff is easy the

vast majority of the stuff that people

have problems with is

this because when you're doing first a

courses you're dealing just injuries so

they'll give you a card telling you

what's wrong with you when the first a

walk in you hand on the card they read

the card they tell you you know this is

this is what's wrong with me I've been

doing real first a for 20 years I've

never yet had anybody hand me a card

telling me what's wrong with them I

think is really shortsighted wouldn't

that be so much easier you wouldn't have

to talk to them would you so you're not

dealing with injuries you are dealing

with a patient that is injured so it's a

subtle difference but it's a really

really important one got to remember

person's human treat the human don't

treat the injuries Coan all right any

other questions on any of this do you

have the best outline of what

information to give the ambos cuz some

people they'll ask it depends on the

thing is every call is going to be

different yeah so

they they've got a system and they will

run through their system at nor if you

race through and give them a whole heap

of information that you think they need

to know they actually slowing the

process down and not speeding it up

that's what I want to get to so answer

the questions they ask in sequence short

sharp to the point uh they don't need

big long stories yeah they don't really

care they've got to get an ambulance

dispatched inide a minute and then get

another one dispatched and another one

dispatched and another one dispatch and

you're not talking to the person driving

the truck you're talking to a dispatch

officer for