野外急救導師, WFA Educators, Experiential Learning, 患者化妝 CasSim

Jackwabbit

I am attempting to re-vamp our SAR curriculium using our WFA training model.  This is all new to me, so I am not sure how to organize this topic yet.  Please visit here often as I'll update more education related references in the next few months.  SAR education will have its own column in this forum.

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Never says never...etc
The following article is written by TS, he is referring to the saying: "Lightning NEVER strikes the same place twice."

「Lightning: This is an easy one. Of course it's a myth.
by NOLS Wilderness Medicine Institute (Notes) on Wednesday, February 17, 2010 at 2:41am...
According to it's internet site the Empire State Building is struck an average of 100 times a year. If you watch lightning storms in the high mountains you'll see the same peak struck repeatedly.
Even if you're not familiar with lightning you should be skeptical simply from the use of the absolute, never. Like always, it's a high standard to hold, and often a source of error. Many a medical educator has fallen into the trap of speaking in absolutes about medicine, a topic where uncertainty is common.
Tod Schimelpfenig
Curriculum Director -Wilderness Medicine Institute of NOLS」

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Classroom Medicine (T Schimelpfenig, 2012):
  https://www.outdoored.com/community/risk_management/b/wildmed/archive/2012/05/07/classroom-medicine.aspx

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Skill Retention in First Aid Training:
http://rendezvous.nols.edu//content/view/2572/964/
http://www.wemjournal.org/article/S1080-6032(12)00112-3/fulltext

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NOLS-WMI: Wilderness Medicine Expedition Resources (updated and fixed on 23 May 2013)
http://rendezvous.nols.edu/content/view/1748/964/
http://rendezvous.nols.edu//content/view/1751/964/
http://rendezvous.nols.edu/content/section/48/964/

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The use, over-use, and misuse of the terms "randomised controlled trails" , "evidence-based medicine", and "anecdote-based medicine".

NOLS-WMI:  Evidence-informed Wilderness Medicine:
  http://rendezvous.nols.edu/files/WMI/MedicalCurriculum/Evidence%20informed%20wilderness%20medicine%202010.pdf
Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials (Smith & Pell, 2003): http://www.unav.es/departamento/preventiva/files/file/parachute-%20TRIAL%20BMJ.pdf  or
  http://elucidation.free.fr/parachuteBMJ.pdf
Parachute  approach to evidence based medicine (Potts et al., 2006):
  http://bixby.berkeley.edu/wp-content/uploads/2010/05/Parachute-approach-to-evidence-based-medicine-09.06.pdf
Evidence-Based Medicine in the Wilderness: The Safetyof Backcountry Water (T Welch, 2004):   http://adirondoc.com/publications/water_quality_2004.pdf
EMB's Six Dangerous Words (There is no evidence to suggest...) (RS Braithwaite, Nov 2013):   http://jama.jamanetwork.com/article.aspx?articleID=1785467

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Teaching First Aid on Field Courses - 2012 NOLS Faculty Summit (2012): http://www.youtube.com/watch?v=n16bH7cUz3M
NOLS 會在各個戶外課程 (field courses) 中教一些基本的急救給學生們傍身.  Video 中注重利用情境式教學 (scenario-based teaching) 去教這些短簡的急救課題.

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About teaching and learning wilderness medicine: http://wildernessmedicine.wikispaces.com/teaching
Train the Trainer Basic Manual (Dept. of Health, Victoria, Australia):  http://docs.health.vic.gov.au/docs/doc/Train-the-Trainer-basic-manual
Rescuing the Physical Exam (Brown & Lemery, 2010):
  http://rendezvous.nols.edu/files/WMI/MedicalCurriculum/patient%20exam%20lemery%20wemj2010%20copy.pdf
  http://www.wemjournal.org/article/S1080-6032(09)00014-3/fulltext
Editor’s Response to “Rescuing the Physical Exam” (Norris, 2010): http://oyyum.net/Wilderness/pdf/editor-response.pdf

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Wilderness injury statistics and teaching basic first aid as part of a risk management plan:
Risk Management at the National Outdoor Leadership School (2013): http://www.nols.edu/pdf/risk_management_at_nols.pdf
Injuries Related to Hiking with a Pack During Nationa lOutdoor Leadership School Courses: A Risk Factor Analysis (Hamonko et al., 2011):
  http://wildernessmed.org/images/Injuries_Related_to_Hiking_with_a_Pack.pdf
Medical Incident and Evacuations on Wilderness Expeditions (McIntosh et al., 2007):
  http://rendezvous.nols.edu/files/Curriculum/research_projects/Risk%20Management%20Reports/Medical%20Incidents%20and%20Evacuations%20on%20Wilderness%20Expeditions.pdf
Sailing Injury and Illness: Results of an Online Survey (Nathanson et al., 2010):
  http://rendezvous.nols.edu/files/WMI/MedicalCurriculum/sailing%20injury%20and%20illness%20WEMJ2010.pdf
What Really Happens Out There? (T Schimelpfenig, 2008):   http://www.facebook.com/note.php?note_id=283477166330&comments&ref=mf
   
== Fin ==

Jackwabbit

Using the experiential learning model to teach wilderness first aid  用體驗學習模式去教野外急救。
這是一個外國常用在野外急救課程的教學方法。對一些習慣用講課模式或 ppt 去教授技能的導師來說，這種體驗式學習方法可能是一個很大的挑戰。

Jackwabbit

CasSim is an art in progress, there are a lot youtube vids and websites to screen through, please be patient :-)

患者化妝, 假傷口  CasSim
真實的「模擬患者」 和「情境式學習」應該是「體驗式學習法」的一個重要部份。
Realistic casualty simulation and scenario-based learning should be an important part of experiential education.

AETC 模擬傷者組 Casualty Simulation Unit:
  https://www.facebook.com/media/set/?set=a.331674044954.51975.112607254954&type=3

Bobbie Merica's articles:
A complete  list of Bobbie Merica's "Wound of the Month" articles:  http://www.emsworld.com/contact/10732152/bobbie-merica
How Moulage Brings Realism to Training (B Merica, 2013):
  http://www.emsworld.com/article/10858762/how-moulage-brings-realism-to-training
Moulage Minute: Newborn, with Umbilical Cord  (B Merica, 2013):
  http://www.emsworld.com/article/10855580/moulage-minute-newborn-with-umbilical-cord
Wound of the Month: Open Pneumothorax (Sucking Chest Wound) (B Merica, 2012):
  http://www.emsworld.com/article/10757479/wound-of-the-month-open-pneumothorax-sucking-chest-wound
Wound of the Month: Fresh Bruise or Contusion (B Mercia, 2012):
  http://www.emsworld.com/article/10731960/wound-of-the-month-fresh-bruise-or-contusion
Wound of the Month: Creating Close Range Bullet Entry Wounds (B Mercia, 2012):
  http://www.emsworld.com/article/10778965/moulage-training
Wound of the Month: Degloving (B Mercia, 2013):
  http://www.emsworld.com/article/11115349/ems-moulage-techniques
Wound of the Month: BlistersùLarge, Blood-Filled and Rupturable (B Mercia, 2012):  
  http://www.emsworld.com/article/10814075/wound-of-the-month-blisters-large-blood-filled-and-rupturable

=== vids ==
Inside The Walking Dead: The Making of "This Sorrowful Life" (2:57 --> vegetarian sausages and what? ...strawberry jam?):
  http://www.youtube.com/watch?v=OnQB-D8ve24
The Walking Dead: Zombie make up tips  http://www.youtube.com/watch?v=VhB6NYPo2Sw
The Walking Dead (yellow vaseline. and layering... foam > bone > skin)  http://www.youtube.com/watch?v=n-fAmwcFISk
The Walking Dead (the guts, rolled up stockings etc) : http://www.youtube.com/watch?v=VzJobzyafQY

===Fin===

Toolbox... no students are safe from my bloody toolbox!

Jackwabbit

比起使用傳統講學模式及只針對試題而操練的急救班，野外急救課程是比較有創意，充滿挑戰性，好玩，又會增加自信心。
https://www.facebook.com/wildernessmedicine >> http://www.youtube.com/watch?v=faSCfArKfOI&feature=youtu.be

Jackwabbit

National Ski Patrol, Outdoor Emergency Care Instructor's Guide: The Instructor's Six Pack, pg 2 (sorry, no beer here :-)
  http://cnyskipatrol.org/2010%20OEC%20Refresher/2010%20OEC%20Instructors%20Guide.pdf


練習試題參考(英文):
WMI quiz: http://wmiquiz.com/wmi/index.asp

== Fin ==