Emergencies And Hazerds Duering Hunting....
duering hunting unfortunatily any one member of can be encounterd emergency shock or trauma..AND AT THAT TIME NO TREATMENT AND SPECIALIZED PERSON IS AVAILABLE TO TREAT HIM INITALY...SO 50 % OF PATIENT CONDITION CAN BE MANAGED WITH URS SKILLS WITHOUT DRUGS.AND IT WILL HELPFULL FOR PATIENT TO SERVIVE AND RESEQUE......its necessery to know the acute management of trauma or shock by all hunters to provide basic treatment to fellow one............. shock can be of two types ....1# with involvement of back bone injury 2#and without back bone injury...thats very dangerus and carefully managed.....basic steps are .FIRST OF ALL CONTROL URS SELF AND DONT BE CONFUSED... first acess the condition of victum is it in coma or unconcious.... 2nd step CARE OF BACK BONE ND NECK PORTION OF BACK BONE SHOULD NOT BE MOBALIZED.....patent should be flat lying at earth . some thing like cloth ,jecket or leather gun case or even any solid thing are rolled and placed both side of the neck and neck should not mobilized..........gentely open victum mouth and swab urs finger in victum mouth and mouth should be free and dust or blood that will help him to take breathing proper and if prob in breathing u give him artifical breathing by urs mouth..if pt is concious give him water to drink......quickly open the patient clothes and see any bleeding....if bleeding exist take any cloth and roll around the bleeding wound or area....if bleeding d,nt stop in 2 to 3 mins..u can stop bleeding by rase the bleeging area.for example bleeding is from the leg u elevate leg bleeding will stop...then plz take some sand or mati and pore at bleeding area.....the next step is evaluate any fracture or disablity in patient and arange him to take nearest health care unit......

From what my PH's all told me, your best bet is to shoot yourself rather than go to an African bush hospital. If you don't have HIV when you go in one, you will have it when you come out.

But if you had a choice of living for another 10 years until the contracted HIV killed you or dying right there...what would it be? Hmmmm, that requires a few moments of thought.

@ tombo and woodro, friends this topic is for those person who dont know abt initial traetments and become confused and thay increase ther sympthatic duering emergency.....
as far as hiv is concern iu will not coment on it may GOd bless each and every of us....

I and the other PHs who work for us all carry a very comprehensive 'giving kit' as part of our first aid kit. This consists of a full set of sterile needles, tubes, sutures etc etc for the obvious reasons...... I have to say, the training I've had, doesn't agree with the statement of pouring sand onto a wound to stop the bleeding though. I'd prefer to apply a pressure bandage or a plug etc dependant of the type of wound.

I have seen many horses get infection from pouring dirt into a wound, wouldn't want someone doing that to me, I would have to shoot them and pour dirt in the hole!

I have been in a hospitals in Dar, Johannesburg, Capetown, and found it to be very clean indeed, I know of many PHs who have been taken to them and survived without aids and who would have surely died without their help. Some of them are very professional and blood has been cleaned I am told by American doctors who have served there.

I will add that I am not a medical expert by any means and can only pass on what I saw, which may or may not be an indication of anything.

I would like to hear from some Phyicians on this board who have done work there or have knowledge of the hospitals. Perhaps some of the PHs could bring us up to date on this.

yeah but do any of the PH's carry any of that medical marijuanna stuff?

Most African countries have reasonably good hospitals/centres of medical excellence nowadays..... for those who can afford to pay for it. The Aga Khan in Dar, The Nairobi Hospital in Nairobbery, where AMREF always maintain 2 empty beds in the ICU and of course, SA has plenty of very good medical centres.

I guess a few countries such as Botswana and Mozambique probably just hop the patients across the border to SA.

Having survived with almost no medical treatment for two days with several small holes in my right lung, - Don't ever Give Up. It is amaizing what you can live through. I recieved first aid and some Morphine at the gokwe clinic, (a three hour drive from where I was hit) a cursory check of my wound by an Army doctor who also set up a drip and was then delivered to Gweru hospital- when the drip ran out they just left it hanging. They put a plate of food in front of me, but as I couldn't sit up and eating sadza (grits) mixed with peanut butter was asking too much, the nurse ate the dinner and they did waste time bringing me breakfast. it was only two days after being shot that I was moved to Bulawayo and saw another doctor.

Since then I have always carried a very comprhensive medical kit and take an advanced first Aid course every year. PH's in Zim are required by law to have a current MARS advanced first aid certificate - it is valid for three years but you forget if you don't practice so I go every year.

Also, our government clinics and hospitals may be poorly staffed with very little medication available but their standards of safety is still high. They open the syringe packet and vial in front of the patient. They try but often rely on the PH having all the kit (like a drip and morphine) and they will do a good job even if the PH is out of his depth. Catching AIDS is a remote chance from medical attention - even in Zim. Pick up a nice zambezi blond with nice original bushman paintings on the side of her cave and you are begging to catch HAGS (Herpies, Aids, Gonnorhea and Syphalis)

I think all PH's carry a first aid kit so I would go with a clean bandage over pouring sand in the wound. If the injured pary will be evacuated shortly (within a few hours) they should take nothing by mouth (water) When people go into shock it is common for them to vomit and aspirate it into their lungs. If the time to evacuation is extended, take small amounts of fluid as tolerated to help with dehydration.

@ sniper and shikari......pouring sand is to decrese the blood coagulation time when there is any artery is cut offf...as far as tetnus is concern it will be prophylacted after any major or mine injury at outside.....

Better off having this stuff in your hiking kit. It coagulates blood immediately. Invented for the troops in Iraq and has saved a number of lives. I think it is made from ground up shells.

http://www.cabelas.com/cabelas/en/templates/links/link....=first+aid&noImage=0

Pack your big wounds tight and call your medivac.

I am a special operations medic and there is little difference between a war wound and the serious type of wounds/injuries that we can receive from hunting in the bush around dangerous game. They both have similar characteristics which can include long medevac times and high risk of infection.

One of the best - if not the best - thing you can do for yourself is carry a 2-3 day supply of a broad spectrum antibiotic - preferably one that crosses the blood brain barrier. A simple but extremely effective antibiotic is Cipro.

If you get injured take your initial dose of 1000mg of Cipro then take another 500mg every eight hours until you make it back to a hospital. This is preventive medicine to make sure you dont get an infection.

Wash the wound out to the best of your ability with clean water and bandage. This is of course after you have done the initial stop the bleeding and other necessary life saving measures.

Once you have the wound bandaged do not remove the bandage. Leave it in place until you make it to a doctor. The bandage will become part of the clot and should not be removed.

Pain complicates all injuries so I also like to carry some kind of opiate based pain killers in my personal medkit. Again 2-3 days worth so that I can control the pain until I make it back to a hospital. There are a lot of different options/medications out there and none of them are wrong per se. You have to use what you have available.

Again - this is ditch medicine. I am sure a Doctor will have a lot more specifics but this is a quick down and dirty.

Heck - here are a couple more points:

- obviously dont pack the wound with dirt. That is ridiculous.

- A good bandage is called Kerlex. You can pack wounds with it, make bandages, etc

another bandage which is a good all around bandage is called the Isreali Bandage. I prefer Kerlex but I have a lot more training. This was designed for soldiers with no training.
http://www.botac.com/ficaemba.html

- don't touch the locals if they get wounded. This sounds bad but with places like Botswana with a 40% HIV rate do you really want to stick your scraped up hands in their blood?