Outdoor activities in remote areas are often strenuous and challenging. Due to the activities and often unpredictable environment, the need for remote First Aid is more likely to occur.
Hikes through thick forestry, camping off-road and offshore fishing trips are part of Australia’s beloved outdoor culture. But every outdoor adventure, no matter how often you’ve done it before, should always begin with the preparation for a remote First Aid emergency.
Because you are in a remote area, possibly hours from help, it is likely that emergency services will be delayed in accessing your location. This is why it’s so important that every outdoorsperson should know how to provide remote First Aid for the duration of the time it may take for medical assistance to arrive.
Follow our tips on how to prepare, how to provide trauma management and how to deliver patient care to ensure you’re ready if a remote First Aid emergency occurs on your next outdoor escape.
If you’re planning an off-road camping trip, a long hike in thick bush or off-shore fishing voyage, the first thing you should do is create an emergency response plan. Prior to your departure, follow this guide:
Once you have decided who in your travel group will be the First Aid leader, they must take control if the need for remote First Aid occurs.
The First Aider Must Consider:
If you’re on a remote outdoor trip and a member of your group suffers from a serious injury such as a broken leg or serious wound, you must follow this trauma management plan whilst waiting for medical assistance.
If a member of your group slips on a cliff ledge and falls a few meters down, you must visually assess whether they are injured – are there any signs of blood, dislocation or unconsciousness?
If you can see they have suffered a serious injury call triple zero (000) immediately.
Before you get any closer to the casualty you must assess if the environment is dangerous to you or the casualty. If you can remove the danger from the scene, do so before you move in to help.
If there is a risk you will injure yourself by approaching the casualty, the situation is deemed dangerous and unsafe. In this case you must call triple zero (000), explain the situation and wait for their arrival.
Conscious casualty: ask them if they can breathe comfortably. If they answer YES ask them to take a deep breath. If they cannot breathe normally check that they have not endured a chest injury.
If you have discovered the casualty is having difficulty breathing you must roll them on their side to assist their breathing.
Unconscious casualty: you must roll them onto their side immediately, check there is nothing in their mouth blocking the airways to ensure the airways are clear and open.
If the casualty does not seem to be breathing you must roll them onto their back and perform CPR.
If a lot of blood is being lost from a serious wound you must try to stop the bleeding. If you do not have the equipment in your remote First Aid kit you can use clothing or a towel to create a provisional pad. Hold the pad firmly against the wound and apply pressure until the bleeding stops.
If the casualty has suffered a head or neck injury you must stabilise their head or neck to ensure they can breathe comfortably.
You can do this with your hands or with a soft item such as a towel or jumper than you can place underneath and around the head and neck to prevent any additional movement.
Complete a head-to-toe assessment of the casualty to ensure there are no unrecognised serious injuries such as large wounds or broken bones.
If the casualty’s condition is stabilised and they are conscious, find out their medical history if you do not already have it recorded. This will assist medical staff when they arrive.
Check for issues such as allergies, current and past medical conditions, medications and dosage.
When recording the casualty’s history apply the AMPLE acronym:
Their condition can worsen over time so it’s imperative you are diligently monitoring and recording the state of their condition. A record of this information is incredibly useful to emergency services when they take over care.
If a casualty is severely injured you should monitor and record their condition in 15 minute intervals. For lesser injuries half hour intervals will suffice.
Important characteristics to take note of when monitoring a casualty:
A casualty with a serious injury should only ever be moved if they are in danger or the benefits outweigh the possible risks.
Situations where it is acceptable to move a casualty include:
You must record all fluid intake and output to handover to medical staff upon arrival. Important things to remember about fluid intake and output include:
Important things to record:
Australia is renowned for its natural beauty, because of that we embrace the outdoors more than many other countries around the world. Experienced outdoorspeople are well aware of the risks involved when travelling to remote areas and it’s critical that every person prepares for the worst prior to their departure.
Camping, fishing, hiking, climbing and horseriding are some of the common remote outdoor activities Australians grow up enjoying. But no matter how experienced you are in these activities, the need for remote First Aid is unpredictable and does not discriminate.
Ensure you’re ready if a remote First Aid event occurs on your next outback adventure by following our tips. Preparation will reduce stress in a high-pressure situation, provide comfort to the injured and guarantee the correct care is provided whilst waiting for medical assistance to arrive.
A few simple steps could make a huge difference to your outdoors groups’ readiness for an emergency – preparation for remote First Aid is an investment worth making.