Emergency preparedness has never been more relevant. How can we be prepared for the next disaster?
“This current pandemic is an alarm bell,” says Dr. Bill Brandenburg, founder of Wander Medicine Clinic and a Global Rescue Safe Travel partner. “It is telling us to learn from our mistakes, improve our preparedness and get ready for much greater challenges. While governments have a large role, preparedness actually begins with every single one of us.”
Disasters are a part of life, and more pandemics will occur. How can we be prepared next time?
Brandenburg’s Idaho-based wellness clinic offers primary care, urgent care, travel medicine and emergency wilderness training. His courses are hands-on and meant to prepare students for real-world accidents and emergencies.
“The key to preparedness is thinking through possible emergency scenarios, planning ahead, gathering necessary supplies, training and periodically revisiting scenarios to keep them fresh in the mind,” Brandenburg said. “Simulation is an invaluable tool for preparedness and greatly underutilized. Things are always easier if we have been through them before.”
Brandenburg doesn’t just teach the skills; he uses them daily.
“In the hospital, I respond to Code Blues, which occur when a patient is dying,” Brandenburg said. “To prepare, I simulate code scenarios with my medical teams and constantly run through potential situations in my head during down time at the hospital. Every time I respond to a Code Blue, I have a plan. Any time you respond to an emergency, you should have a plan, too. This plan starts with an algorithm.”
The Initial Assessment
Whether you are the first person on scene at an automobile accident, come across an injured person on a remote mountain, or see a co-worker collapse on the job, you should be prepared. Luckily all of these scenarios, as well as every other emergency involving human casualties, can be safely and effectively addressed utilizing what is called an initial assessment.
The purpose of the initial assessment is three-fold. The first and most important goal is always the safety of the responder.
“If you are injured, incapacitated or even killed as a result of your rescue attempt, emergency medical services now have an extra body to handle,” Brandenburg said. “If you cannot safely help, you should not help at all.”
The second goal is the early activation of additional resources. Any individual responder will usually have severely limited resources. The first move will usually be calling for help, whether that be local resources or a travel protection services membership like Global Rescue.
The third goal of the initial assessment is to take action against immediate life threats to the person you are trying to help.
“Opening an airway, starting chest compressions and stopping a bleed can buy people time and has saved many lives,” Brandenburg said.
SAD LAB CATS
Brandenburg has found the best way to be prepared is to have an algorithm you understand and have practiced in real life.
“Following an algorithm takes the chaos out of a rescue and prevents important things from being missed,” he said.
Brandenburg uses the “SAD LAB CATS” acronym as his algorithm when teaching Wilderness First Aid and First Responder courses.
S: Scene safety
Can I safely enter the scene? If not, wait.
A: Additional resources/Number of patients
Can I handle the situation, or do I need help? How many people are injured?
D: Disease prevention/Body substance isolation
Always wear medical gloves and a mask when touching patients and especially body fluids. Do not forget eye protection as well.
L: Level of Consciousness
Is the patient alert and oriented? Or are they completely unresponsive?
If the patient is unresponsive, make sure their airway is open. Tilting the head back and lifting the chin is a good way to do this. If something is in their mouth, try and remove it.
Is the patient breathing?
Do they have a pulse?
A: Arterial Bleeds
Look for any active bleeding. Apply direct pressure to stop bleeding. If this does not work, try a pressure wrap or tourniquet.
Injured or sick individuals can become very cold or very hot rapidly. Take steps to protect such individuals from exposure.
If concern exists for a spinal or head injury, take great caution regarding any manipulation of the neck or spine to prevent spinal cord injury.
“If you would like to take this knowledge a step further, I strongly suggest pursuing additional training,” Brandenburg said. “This information is only a starting point. Training is required in order to become an effective first responder.”
Reassess the Scene
After you have gained control of the scene and stabilized any patients using the above algorithm, resurvey the scene. Is it still safe? Has extra help arrived? Take a moment for self-care. Hydrate yourself and adjust clothing if needed.
If you are in a wilderness environment, it might take time before help arrives. Make a plan for changing conditions like rain or night fall.
The final part of disaster response is reflection. Anyone who responds to emergencies, takes care of patients or even creates response plans behind a desk should constantly reflect.
Ask yourself what went well, what could have been done better and what steps are needed in the future to improve outcomes. Disasters never go as planned and responses can always be improved.
“Reflection and constant improvement are the keys to success in disaster response,” Brandenburg said. “Bigger challenges and more costly disasters are surely in our future. How we prepare today will matter tremendously tomorrow.”
How Global Rescue Can Help
Travelers can be prepared for any emergency — in a metro city or a remote wilderness location — with a travel protection services membership from Global Rescue, the leading provider of worldwide evacuation, field rescue and advisory services.
Global Rescue’s Safe Travel partners, like Wander Medicine, are also dedicated to protecting clients before, during and after travel. Dr. Bill Brandenburg is the founder of Wander Medicine Clinic, a wellness clinic in Boise, Idaho focused on keeping people healthy in any environment. The clinic offers occupational, travel, aviation and wilderness medicine consultation as well as primary care.
Safari Club International highly recommends purchasing a Global Rescue membership prior to your next trip. Single trip, annual and family options are available. Click here for more information or call (617) 459-4200 and mention you’re a Safari Club International member.