Just for information. If you travel to Germany (and other Europan countries) and face a situation where someone is in danger (e.g. required first aid or attacked) you have a duty to act (but only if you do not endanger yourself – otherwise it is up to you). Even in the later case, you have a least to help by calling 112 Not acting can lead to a jail sentence (in extrem cases). As I’m not a lawyer here some excerpts from the German “Strafgesetzbuch”: § 323c Strafgesetzbuch (StGB): “Wer bei Unglücksfällen oder gemeiner Gefahr oder Not nicht Hilfe leistet, obwohl dies erforderlich und ihm den Umständen nach zuzumuten, insbes. ohne erhebliche eigene Gefahr und ohne Verletzung anderer wichtiger Pflichten möglich ist, wird mit Freiheitsstrafe bis zu einem Jahr oder mit Geldstrafe bestraft.” § 323c StGB verpflichtet jeden zur Ersten Hilfe. Hilfe ist dann erforderlich, wenn der Verletzte oder Erkrankte ohne sie weiter einer gesundheitsbedrohlichen Gefahr ausgesetzt ist und der potenzielle Ersthelfer die Gelegenheit hat, die Gefahr abzuwenden. Von jedem Bürger wird die Unterstützung verlangt, die er leisten kann. Eine Hilfeleistung ist zumutbar, wenn sie keine erhebliche Gefahr für den Helfer darstellt und damit keine andere wichtige Pflicht verletzt wird. Ist ein direktes Eingreifen nicht möglich, ist immer noch ein Notruf oder das anderweitige Herbeiholen von Unterstützung zumutbar. Strafbar macht sich, wer bei offensichtlicher Notlage einer Person vorsätzlich (bewusst und gewollt) keine Hilfe leistet bzw. keine Hilfe herbeiholt und damit zumindest billigend in Kauf nimmt, dass der Betroffene keine (baldige) medizinische Versorgung erhält. Source: https://www.haufe.de/arbeitsschutz/arbeitsschutz-office-professional/erste-hilfe-1-gesetzliche-grundlagen-der-ersten-hilfe_idesk_PI13633_HI1479552.html
“As for the EU itself Germany is moving into alignment with Russia AGAIN” Just not true! And no! The economoies of Italy, Greece etc… was not destroyed by the EU it was destroyed by spending much more then they could afford.
“Compression-only CPR …It has been found to be more effective than CPR that includes rescue breathing…” I’m surprised about that statement. At my last (I do it every year) First Aid Training we were told, that at the United States one has moved to train CPR without rescue breathing due to psychological reason. According to the trainer the problem was, that not many people are willing to provide breath and without the requirement to do it the people taking responsibility and making CPR (without it) has increased. He told us the decision was then made because even though it is less effective (his statement) by increasing the number of people who do at least CPR overall more lives can be rescued (based on circulating remaining air) – especially because normal the professional support arrives within less than 15min. He did not give sources for his statement, so I could not cross check it. Do you have sources that CPR without rescue breathing is more effective (or is this due to the reason I stated above, so less from looking at a single event and more to look for the overall picture)? “ We will do rescue breathing for patients that are not breathing (or not breathing adequately–too fast and shallow).” I do not get the point here, above it was stated that “Compression-only CPR …It has been found to be more effective than CPR” But here it says “We will do rescue breathing for patients that are not breathing…”. If someone is not breathing his heart will also stop soon and he will likely need both (or is it for case where you catch the very moment when breath just stopped). I also question if you should do it if someone is breathing too fast or shallow, I would start here with trying to bring the person to adapt it on his own – if he is conscious). So to say it shortly I’m a little bit confused about this chapter. I like the first video and I think it is really better to do CPR without breathing before you doing nothing. But as a general approach I still would do CPR with breathing (Ratio 30:2) and I would prefer if this is demonstrated here at the second video instead just giving breath. In addition it would be nice to show additional breathing options like mouth to nose or using one of the cheap mask one can carry always at the key: Sorry If I just didn’t understand the contend correctly but I fear others could also be confused here.
I would also be interested in learning what to do in case of deep wounds in the stomach area (and what not to do)
@Lowell: What should bleeding in this area so strong that a pressure dressing should be required and feasible to avoid severe blood loss? The only things I can imagine are the lungs, the Breast artery and the heart itself but there you will not be able to stop the bleeding with a pressure dressing anyway (with field methods). But I’m not a medicine, so lets wait for the experts.
Very good description about how to apply it to oneself. As I minor point I think it could be useful to add the hint that a second pressure dressing can be used without removing the first one in case it isn’t stopping the bleeding (e.g. because of not sufficient pressure used). For me the main problem is always not use too much pressure and blocking the blood flow. Any hints about how to learn what “just enough” pressure?
Great to see good ways to apply the Torniquets on oneself and also to see the different types in case one has to use another model than personally owned (even though training with different models would be best it is good to have an idea about the differences).
Very good example and excellent presentation. I found this session really helpful and it lead me rethink how I did such assessments in the past and what I missed!
As I’m ask for feedback by John. 😉 It may be help to avoid confusion to explicitly mention that infections are not only caused by obstructions. For me it sounds here a little bit like that even though I’m sure that is not intended. But that is just a minor thing of course, overall I really likedthat approach to look into the function of the system “human” and the root cause of many issues in this way. It really helps to understand things better and already gave me a lot to think about. Thank you very much for that!
Thanks a lot for the link!
I can highly recommend to read the linked medical supply list. Great descriptions and hints how to build one for the own personal needs (to be exact, building basic and extended versions). Using the IFAK List to clean up my own IFAK made me not only better prepared but also it lead to a lighter, minimal IFAK version which, in the smallest Version, is even on me when I do not carry a back-pack (e.g. when going into the Biergarten 🙂 ).
Thanks for your feedback. The next things I want to try are some of the methods to collect water based on evaporation. I read about such methods the first time about 40 years ago (the “hole in the ground method”) but somehow never tried them on my own. Another thing is to really “test” purifying products. I bought my first also around 40 years ago but (if I remember properly) never tested them – I don’t like to drink chemicals, but of course should not be an issue to do it at least once Btw. I still have those old “Micropur” tablets in my “Survival poach” from this time. Another thing I want to test is the method/concept to find drinking water at coastal areas. If Covid19 rules allow it, I’ll spent next summer a week at the sea and hopefully find the time for it. Thx again for the great course Thomas Btw. I visited the waterhole again last weekend when I was out to collect more Allium ursinum. It is still full of water even though the surrounding area is again quite try. And it was clearly visible that the animals are grateful for this new billabong.
I was already familiar with some of the concepts to find water outside but never really tried to apply them in praxis as I life in an area with plenty of water (even though climate changes causes more and more long periods without rain causing a lot of damage) and even when I was somewhere else I always came across water by luck. Nevertheless highly motivated from watching your video, I decide to close that gap by looking for new, less obvious places of water in my area. I visited a place where water should collect and looked for signs (it is currently quite dry here again, and even two man made ponds where completely empty and bone-dry – I tried digging there without success). Then, at on one spot I saw a difference in vegetation with a lot of plants I normally found near water. On the lowest part of it I came across some mud and when I started digging the whole filled suddenly with a lot of muddy water: Raw-water and after pre-filtering and final filtering: Btw. I entered from a nearby path, but at the opposite side where are no human paths a deer path come down the hill, which would be better described as deer highway, given its extraordinary size. I guess they were happy the next night finding now again plenty of water instead of some wet mud ;-): Thx again, for this create course!
Regarding vines. I’ve got one over my terrace coverage which I cut back last autumn (just a little bit). With increasing temperatures this week it started dripping water from all places where I removed the sprouts. I realized it when I was laying outside and wondered why I get wet (I first thought the birds are responsible 😉). Putting a cup beneath one of the places I collect around 20ml overnight, which tested fresh and good – pure, clean drinking water (even though not as tasty as the vine one could produce from it). It doesn’t sound much but it was just one out of 20 dripping holes and I guess if I would cut the root I could get more than one liter out of the plant at once (which I will not do for sure, as it provides me grapes from August to November). So looking for vines is really a great hint provided at your great course. Result from one night dripping (board width is 8cm, a little bit more than 3 inches):
Great article, I just found some last weekend 100m away from my house and dig some to plant them at my own garden where I already grow Allium ursinum. I wonder if I had realised what it is without seeing the pictures here before (I assumed first it it a kind of Allium schoenoprasum coming from a garden nearby).
Thank you again for the answer. Like always, things are complicated 😉
Thx for the detailed answer!
You are right, what I read before our trip showed dangerous animals are hiding everywhere in Australia (snakes, spiders, jellyfishs, sharks, salties…). But as everywhere else (beside countries with highly infectious deseases transmitted by mosquitos) you rarely see them (I saw a shark while diving, that was great and not scary). Traffic is much more dangerous there 😉
Hi John Mocuta, of course a fit person is able to better adapt to changing environmental conditions but at least according to what I learned about HACE in mountain climbing books and trainings it is not directly related to the likelyhood to suffer from it. Genetics seems to play a more important role. But I’m not a medic so I did not check this statements (maybe I can check for sources). At least one should be aware of it and doing proper acclimatisation and responding to early since instead of feeling undestroyable because of beeing fit and young. Fit, Good Shape means for me a person who is doing endurance on a regular base with an level above the average.
Very interesting. I was familar with Rhabdomyolysis caused by mushrooms but not aware of problems caused by hard exercises or work (even though lifting weights is part of my daily life since more than 40 years now). A mushroom which was commonly eaten here in Europa in the past which is now classified as poisonous is Tricholoma equestre (https://en.wikipedia.org/wiki/Tricholoma_equestre). In rare cases it led to Rhabdomyolysis by people eating it more than once (and plenty of it) in a short period of time. Just checked, even though it is know in the US it didn’t cause here the same problems according to this wiki-link: https://en.wikipedia.org/wiki/Tricholoma_equestre (which could be, as the link indicates, because of different species but also just because it is not very likely, and other factor may also play a role – who knows ;-). Btw. that is one of the reasons why I generally do not recommand eating mushrooms in short term emergency situations.
I wonder if it would be possible to show in a short video how to remove the tooth in case it can not be avoided. But please don’t do it as John as he is a really nice guy 😉
Pushing out air after filling the syringe isn’t done (for the ampule)? To aspirate is not necessary because the risk of hitting a veine is low or is there a different reason also? (I learned to remove air after filling it – but a long time ago).
I really like this session as I never received such an detailed explanation of the ways to handle this frequent problem. Thx for that (I like all session but this one is particular valuable for me).
What about Antibiotics in case of appendicitis? I know a famous mountain climber who survived in a situation where he could not be evacuated by taking antibiotics to slow down the infection until he could get to professional medical care (but he had the chance to talk to medics who did the diagnosis – something which may not always be possible).
I don’t see a video. Is it not yet available or could it be because of limited availability depending on location?
Thx for the very good video about this important topic. Also interesting to learn about a tick born disease which I wasn’t aware of (the Rocky Mountain Spotted Fever). Some personal notes: In particular in Western Europe (Germany) ticks are a really big problem (likely the biggest animal caused risk) As I’m often walking through scrubs looking for Mushrooms and Plants I “collect” ticks quite(record was around 50 in about a week). Nevertheless I manage to have normally not more than one or two really biting me per year: For me the most important part is to carry clothes (in the way explain at the video) where you can detect them easily and to look for them regulary if you walk through areas (e.g. fern in a forest). Over time you learn where they are very likely and you can avoid this areas or remove them immediately if yo have to pass through. It also makes sense to check you whole party when returning from the forest, often they can be catch before they bite or at least just after.As explained at the video often you can feel the crawling (the bigger ones), in addition I always feel a very specific itching short after they have bitten. By this I could remove all early enough to avoid getting Lyme disease which is also quite common here. Additional Note for Western Europe:The best chance to detect Lyme Disease in our area is by checking for red areas (often but not always around the bite, bigger than normal minor infection – https://www.allgemeinmedizin.uni-wuerzburg.de/lehrpraxen/infobereich-fuer-lehrpraxen/studien/lyme-borreliose-lydi-sentinel/) at the skin. As mentioned at the video if you remove them early there is a good chance to not get infect (in my area about 20% of the ticks are carrying it). Another disease transmitted by ticks in Western Europa (depending on region) is Tick-borne encephalitis, TBE (FSME in German). It is less common but more dangerous and transmitted in the very moment the tick bites. Making it more important to avoid getting bitten. For this diseases no effective treatment is available but a vaccine (recommended only in risk areas for people who are often out in the woods). Final remark: You mentioned that they also may have their role in nature but you can not really see it. I also asked myself this question many times (as they are nasty little bastards) but sometime ago I read an article which explained their role for the immune system and (as far I remember) natural selection for game. It was in German but here they say something similar: https://sciencing.com/what-purpose-do-ticks-serve-in-the-ecosystem-12192945.html
I think it would not harm to mention that in other parts of the world deadly kinds of spiders exist which require immediate medical care (of course if available). At the end many of us a travellers and like to go outdoor all over the world (even tough not many may ever been bitten by a Spider ;-)). Australian spiders: the 10 most dangerous
Very good explanation of this topic! On minor point to add: While for many problems it is helpful to be young and in good shape it seems like this does not really reduce the risk of Altitude Sickness (based on information I got from current literature about the topic). One guy from our area here was a young and extremely fit Karateka who died because of it in a high of about 5.000m on the other side I know guys in their 60s who go to this high every year (I know that proofs nothing as the sample size is too low – but it somehow is not unexpected based on the current state of knowledge). Final Note: One of my Mountain trainers alway has a medicament against serious mountain sickness in his back when he lead group above 3000m. Sadly I can not tell what it is and how effective it is.
Thx, John (sorry, I missed the answer somehow until now)
Thank you for the translation which is of a good quality and expresses the law correctly (as far as I can say- I’m not a lawyer). Better than I could translate it. I put in the German version as I had bad experiences with translation tools but it seems like they have improved since then.