What are Best Practices For Handling Multiple Injuries During An Evacuation?

Assessing Injuries and Prioritizing Care

When multiple injuries are present, it’s essential to quickly assess the severity of each wound and prioritize care accordingly. Start by identifying the most critical injuries, such as those affecting the airway, breathing, or circulation (the ABCs). For example, a severe head injury or a sucking chest wound should be addressed first. Non-critical injuries, such as sprains or minor lacerations, can be stabilized to prevent further damage and pain.

Improvised Bone Setting and Reduction

For displaced fractures or dislocations, use improvised methods to reduce and stabilize the affected limb. Apply traction to the affected area using available materials, such as sticks, vines, or rope, and gently pull the bone into place. To secure the reduction, use splints made from rigid materials like wooden boards or aluminum foil. For example, a broken femur can be immobilized using a traction splint made from a long piece of wood and some rope.

Pain Management and Evacuation Techniques

Pain management is crucial during evacuation to prevent patient distress and anxiety. Use available medications, such as ibuprofen or acetaminophen, to manage pain and inflammation. For severe pain, consider using cold or heat therapy to reduce discomfort. When evacuating patients with multiple injuries, use a stretcher or litter to prevent further movement and injury. If no stretcher is available, use improvised methods, such as a backboard or a makeshift sled, to transport the patient safely.