Head Physician, Emergency Medical Service of Žamberk, Czech Republic
The test is certainly a good tool for creating schemes, based on which you can guide your steps when providing first aid and pre-hospital care during car accidents. Although it cannot give precise instructions how to proceed (in face of the diversity of the causes, local conditions, possible traumas of the injured, etc...), it describes quite reasonably closely the occurred situation and directs the examinant through the basic procedures, including securing the accident site, basic diagnostic and therapeutical tasks including communication with the emergency services dispatcher. The given action is generally correct, although certain single procedures, such as “fixing the wrist with jacket” could be discussed, because it is possible to choose different, also correct therapeutical approach, either with the possibility of using different available tools, or other sufficient actions. These are only minor matters, which do not affect the whole correct structure of giving first aid in given situation. Quite the opposite, the test correctly points out some quite generally experienced inappropriate reactions of some car accidents´ participants, either amateurs or medics.
The test is a good tool to create and realize the schemes and principles, which we can follow up when giving first aid and pre-hospital care to ones suffering from hypothermia, exhaustion and also frostbites. Although the situation cannot be set universally for all cases, it describes the situation quite well and with the algorithm chosen for given tasks it is possible to proceed in most cases of this nature. First of all it correctly refers to the high importance of fighting at first for the person’s survival itself and only after that it is possible to proceed with treatment of the individual eventual injuries. Although there could be various classifications of frostbites, recommended by different companies, the classification stated here reflects present trends. The test also leads to stop using of some already deeply rooted mistakes among the public. The overall impression from the test is positive.
Review of algorithms:
The test is very simple and refers mainly to the technique of rescue in the water, especially approaching the drowning person. It does not describe the transport itself or help the person to shore, pulling out of the water, and following care (i.e. activation of IRS, necessity of a medical examination after drowning, exclusion of aspiration, classification of the state of consciousness after drowning and possible following positioning of the patient, identification, causes of drowning (is it a result of a crime?) with all consequences, decision of a possible hospitalization). As to the rescue action itself I find the test well composed.