Thursday, March 19, 2015

Likely Range Emergencies

We have large first aid kits on the ranges. We are less than five minutes from the nearest ambulance and EMT.  Fifteen minutes from the trauma center.

You might think I am considering gunshot wounds and I am not ruling those out. But when I go to the range, as I will this weekend to help with a public event, I can look around and tell you what the likeliest emergency is.

It's heart attacks, stroke, heat exhaustion, fainting. There are a lot of older members. They come to help and they push themselves. The guests are sometimes not in the best of health. Every time the rescue squad has been called when I was there, it has been for fainting, being lightheaded, or shortness of breath.

Our latest addition to the safety equipment is an automatic defibrillator.  I expect it will get used sooner or later.


R.K. Brumbelow said...

You need as many people at the range trained on a defib as possible. They are only really useful for V-tach and V-fib so people need to know what to look for, what clothing needs be removed (underwire bras and anything with obvious metal in the target area) etc. Yes middle school kids have been reported to have used them, but as with anything: Training training training.

ASM826 said...


Absolutely, as many people trained as possible. This will be the guest speaker topic for an upcoming membership meeting, too.

Old NFO said...

Smart move. And I'd also make sure a good blow out/med kit is on hand.

Jake (formerly Riposte3) said...

"They are only really useful for V-tach and V-fib so people need to know what to look for"

Actually, the AED will do that for them. Most don't even have a display, so all you get is the "shock / don't shock" prompt. You'll never know what the actual rhythm was.

I won't say not to get people trained - training is always a good idea - but modern AEDs are designed to be used by people with no training. They have instructions printed on them, and verbally prompt the user through the whole process.

Jake (formerly Riposte3) said...
This comment has been removed by the author.
R.K. Brumbelow said...

@Jake No the machine will diagnose the issue once it is applied, but not knowing what to look for will waste time and given every minute of a cardiac event is ~ 7% chance of death increase I stand by my comment.

I mean know what visible signs are for a cardiac event so you know when to use the machine and when to do other methods.

Oh and yes I am trained on them, and yes I did work with a group of cardiologists at UTSW on the early rollout of the devices.

as I stated and you chose to ignore, yes middle school students have used the devices successfully, but it takes longer so train, train, train.

Sherm said...

And then one day you look around and you are one of the old guys.

ASM826 said...

I'm one of them now.

Anonymous said...

As someone with an expired intructor certificate on CPR and AED, I'll second the motion on training, and suggest adding in some good first aid and basic trauma training for RSOs.

Part of a club's RSO training should include a pocket card on "what to do during an emergency" along with proper phrases to use when calling 911 to ensure correct and rapid response. I'd guess local EMTs could help in that. Don't forget to put critical phone numbers on the back of the card (club officials, etc.)

One board member, or other club official, should wear the mantle of "Emergency Response Manager" to put the responsibility for arranging training, and frequent refreshers, on one person who then owns it, and reports to the board on it.

Conduct drills. Frequently. Correct action under stress occurs more frequently when it's been well practiced. I'd wager that local EMTs would agree, or even embrace the opportunity, to participate in the drills once or twice a year.

Medical info is personal, but a suggestion to club members with medical issues to either wear a medical alert bracelet or necklace would be a good idea. It's important to know whether Bob collapsed because he's got heart trouble or an allergy to bee stings.

R.K. Brumbelow said...

I agree completely with No Smoking er Nosmo King and add:

Don't forget to check expiration and follow test procedure. AEDs are brightly coloured metal/plastic bits without batteries, gel pads go bad, firmware goes out of date (I think at this point EVERY manufacturer has had a significant recall.)

Also, even with all the tech people still die. I suspect the devices now fall into the Good Samaritan protection clauses, but make certain your device is certified and your local law protects you. I would never think twice about administering aid and comfort, but it would suck to get sued afterwards for trying to save a life.

Goober said...

Goddamned things will shock the ever loving f#$% out of you for A-fib or A-flutter, too.

Ask me how I know...