Diagram: The skeleton Diagram: The internal organs Abbreviations and conversion tables Preface READ THIS PART 1 THE FUNDAMENTALS 1 Prevention Preparation (hope for the best, plan for the worst) Keeping healthy Safety in extreme climates Particular situations Care of local people 2 Positioning and moving a victim Positioning a victim Immobilization techniques Ways to move a victim 3 Medications - what you need to know The basics Special considerations At altitude 4 Pain management Painkillers (analgesics) Other medications and techniques for pain relief PART 2 ACCIDENT AND ILLNESS PROTOCOL 5 Accident and illness protocol summary 6 Primary survey - dealing with life-threatening emergencies Response Airway Breathing CPR or chest compressions 7 Primary survey for specific situations Suspected spinal injuries Life-threatening bleeding Choking (blocked airway) Near-drowning (submersion) Hypothermic victim Primary survey for children Fainting Triage 8 Shock management Common causes of shock Symptoms and signs of shock Shock prevention and management 9 Secondary survey - working out what the problem is Taking a medical history Carrying out a physical examination Checking the vital signs 10 Evacuation Sending for help Evacuating the victim Helicopter evacuation PART 3 PROBLEMS AND THEIR TREATMENT 11 Spinal and head injuries General management of spinal and head injuries Spinal (neck and backbone) injuries Head (skull and brain) injuries 12 Burns Burn management Specific burns 13 Broken bones and dislocations General management of broken bones (fractures) Specific broken bones General management of dislocations Specific dislocations 14 Sprains and strains General management of sprains and strains Specific sprains and strains 15 Wounds General management of wounds Complications Specific wounds 16 Bites, stings and toxins On land At sea 17 Near-drowning and diving problems Near-drowning (submersion) Diving 18 Altitude illness - AMS, HACE and HAPE AMS, HACE and HAPE Treatment of altitude illness Going back up again? Treatment of altitude illness (table) 19 Cold weather problems Hypothermia Frostnip and frostbite 20 Hot weather problems Heat stress, heat exhaustion and heat stroke Other hot weather problems 21 Dehydration Type of rehydration Amount of rehydration liquid Rate of rehydration 22 Diarrhoea and food poisoning Mild diarrhoea Severe diarrhoea Food poisoning 23 Abdominal (belly) problems Common abdominal problems Serious abdominal problems Specific serious abdominal problems 24 Respiratory problems Respiratory tract infections Non-infective respiratory problems 25 Infectious diseases Malaria Typhoid Meningitis Tick-borne diseases Viral illnesses Dengue fever Hepatitis A Rabies Yellow fever Japanese B encephalitis Other infectious diseases 26 Eyes, ears and mouth Eyes Ears Mouth and teeth 27 Skin problems Rashes Other skin problems 28 Gender-specific problems and STIs Women Men Sexually transmitted infections (STIs) 29 Other problems Allergy Diabetes Epilepsy (Grand Mal) Fever (cause unknown) Headache and migraine Blood circulation (vascular) problems Mental problems Insomnia (cannot sleep, poor sleep) APPENDICES Appendix 1 Chart of medications Appendix 2 First aid kits Appendix 3 Lake Louise Score (LLS) Appendix 4 Altitude illness flowchart Appendix 5 Rescue request forms Appendix 6 Useful contacts Appendix 7 Index of diagrams Index
Jim Duff has more than 30 years experience of climbing, trekking and teaching wilderness medicine, first aid and leadership in the Himalayas. He was doctor on Chris Boningtons 1975 Expedition, which made the first ascent of Everests Southwest face, and on the Australian first ascent of the North face of Everest in 1984. As well as expeditions to K2 and Changabang, Jim has climbed in the UK, the Alps, Norway, New Zealand and North America. Dr Peter Gormly was involved in safety, first aid and health issues in Antarctica for many years.