Thursday, October 22, 2020

WALKRIGHT, Second Edition – CHAPTER SIX Part 4: Medical Emergencies

CHAPTER SIX:  Medical Emergencies


          “Safety is a cheap and effective insurance policy.”

          - Author unknown

 

 

          Section D:  Walking Hazards

 

 

          “Do not think because an accident hasn’t happened to you that it can’t happen.”

          - Safety saying, circa early 1900s

 

 

          Sprains and Strains

 

          Sprains happen as ligaments, the soft tissue that holds your bones together, are stretched or torn.  Strains happen as tendon and/or muscle tissue is stretched or torn apart completely.  Falls and over exertion are the major causes of hikers’ sprains and strains.  The signs are pain when the joint/limb is moved, discoloration, swelling, or any distortion of the damaged area seen by comparing it with the joint/limb on the other side of the body.

 

 

          “You don’t need to know the whole alphabet of Safety. The a, b, c of it will save you if you follow it: Always Be Careful.”

          - Colorado School of Mines Magazine

 

 

          Treat the affected area with an ice pack for about twenty minutes.  If the victim is still in pain, it may be a sign of a serious sprain or strain.  Immobilize the area, bring the victim to a medical center and treat for shock if necessary.

 

          Sun exposure and skin cancer

 

 

          “Too much ultraviolet (UV) radiation from the sun or sunbeds is the main cause of skin cancer. When the sun is strong, spend time in the shade, cover up with clothing and use sunscreen with at least SPF 15 and 4 or 5 stars.”

          - Cancer Research UK

          https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/sun-uv-and-cancer

 

 

          Every year more Americans expose more of their skin for longer periods of time to gain a socially desired tan.  As a result of this questionable behavior, skin cancer rates have been soaring.  The incidence of the most deadly form of skin cancer, malignant melanoma, which each year kills more than nine thousand Americans has jumped 93 percent in the last eight years.  In the 21st century, the chance of developing malignant melanoma in your lifetime is about one in 70.  Some of this may be due to the increased use of high count sun screens, which protect the wearer from sunburn and encourage longer exposure to the sun's rays.  There are two less serious forms of skin cancers, Basal cell and Squamous cell carcinoma, affect three in every ten adults in their lifetimes and four in ten of those born after 1970.

          When it comes right down to it, sun tanned skin is sun damaged skin and subject to skin cancer and premature aging.  The term healthy tan is an oxymoron.  Deliberate sun tanning is something that a knowledgeable and prudent person avoids.  To protect yourself from the harmful effects of the sun's rays wear a wide brim hat, long sleeved shirt, and trousers.  Cover all exposed skin with a sun screen, number fifteen or higher.  Limit your exposure to the sun during summer days, by staying out of direct sunshine between the “high sun” hours of one P.M. to four P.M.  If your shadow is shorter than you are, get under cover from the high sun.  This also is a good time of the day for outdoor recreationists to nap in the shade, as lions and other carnivores do.

 

 

          “Carefulness costs you nothing. Carelessness may cost you your life.”

          - Safety saying, circa early 1900s

 

 

          Plan to do most of your summer hiking in the cooler morning hours.  In warm weather, walk slowly and do not hurry.  Make camp around lunch time and rest under shade during the high sun hours of the day.  Use the late afternoon and early evening hours at your campsite, enjoying nature’s world with activities such as fishing, berry picking, rock hounding, wildlife watching, and resting in the evening shade.

          There is a time and place for everything, and the time and place for active outdoor recreationists during hot sunny summer days is not out in the noon day sun, unless they happen to be mad dogs or Englishmen.  Beware the deception of a cloudy day, as clouds cannot shield you from the dangerous effects of all nonvisible light, such as X and UV rays invisible to the human eye.

 

 

          “During the COVID-19 pandemic, I began to miss the Cold War of my youth.  During the Cold War, I could easily hate an enemy Russian soldier who is carrying an AK-47.  I have a hard time hating a virus.”

          - James P. Buchanan

 

 

          Lyme disease

 

          This is a dangerous infectious disease resulting from a bite of Ixodes dammini; a tick commonly known as the deer or bear tick.  Lyme disease is caused by a coiled bacterium, a spirochete called Borrelia burgdorferi that is carried by the tick.  Doctors have named the disease for the town where it was first identified; Lyme, Connecticut.

 

 

          “The best way to treat a tick biting you is to avoid being bitten in the first place.”

          - James P. Buchanan

 

 

          Tick distribution

 

          At first the deer tick (Ixodes dammini) was found primarily in coastal areas from Delaware to Massachusetts.  A few years later, the tick spread into Wisconsin, Minnesota, Texas and the West Coast states.  Now, the deer tick is now found in at least forty‑three states and may soon spread into five more states.  It is also now found in some European countries.  About 10 to 65 percent of the Ixodes dammini population may harbor the Lyme disease spirochete.  The ticks are spread in grassy and wooded areas by animals, such as birds, mice, deer, and domestic animals.

          Many times, the bite of Ixodes dammini may go unnoticed.  After an outing in tick habitat inspect your body for the freckle size ticks.  It may take a tick up to twelve hours to connect itself to your skin, so you should check for the tick soon after exposure to its habitat.  If you find an attached tick, first cover its body with thick oil such as mineral oil.  This cuts off the tick’s air and causes it to relax its hold.  After its grip has loosened, remove it with a pair of small tweezers.  Be careful not to squeeze the tick’s body; but grasp it where the mouth parts enter the skin and pull away, gently but firmly.  Wipe the bite area with an antiseptic.  Place the tick in a bottle and label it with the date, when the bite occurred, the place where you picked up the tick and the location on your body where you found the tick.  Then, take the bottled tick to your local medical center.

          About 75 percent of the people bitten by an infected tick develop a slowly expanding red rash called Erythema migrans, which heals from the center forming a red ring.  Further symptoms of Lyme disease that might develop include fatigue, mild headache, pain, stiffness in joints and muscles, slight fever, or swollen glands.  If you feel that you may have contracted Lyme disease contact your local medical center and have your blood tested.  Lyme disease can be treated with antibiotics.

          The best way to prevent Lyme disease is to avoid the ticks’ habitat.  If this is not possible, when in tick habitat, wear protective clothing such as a wide brimmed hat, long sleeved shirt, trousers, and boots.  Tuck your shirt inside your trousers.  Tuck the trouser legs into socks and boots.  In addition, apply a tick repellent around your ankles.

 

 

          “So why create the poisonous plants at all?” Mack queried, handing back the twig. (Sarayu then answers) “Your question presumes that poison is bad; that such creations have no purpose. Many of these so-called bad plants, like this one, contain incredible properties for healing or are necessary for some of the most magnificent wonders when combined with something else. Humans have a great capacity for declaring something good or evil, without truly knowing.”

          - Wm. Paul Young, The Shack

 

 

          Poisonous Plants

 

 

          Wild Mushrooms.

 

 

          “Advice is like mushrooms. The wrong kind can prove fatal.”

          - Charles E. McKenzie

 

 

          There are many types of wild mushrooms, including some that are lethal when ingested by humans.  To most people the identification of wild mushrooms can be tricky.  Even experienced mushroom pickers have been fatally fooled.  To play it safe, don’t ever eat any wild mushrooms!  Be certain that any mushrooms you put in your mouth came from a store.

 

          Poison Oak, Poison Ivy, and Poison Sumac

 

 

          “A poisonous seed will only kill you if you chew it and swallow.”

          - Amy Stewart, Wicked Plants: The Weed That Killed Lincoln's Mother and Other Botanical Atrocities

 

 

          These plants can give humans skin poisoning by oils on the plant’s leaves.  If you come in contact with these toxic plants, wash off the affected area with soap and water.  Afterwards, treat with alcohol and then apply lotion to stop the itching.

 

 

          Treating the bite of poisonous Snakes and Insects

 

 

          “Cultivate a habit of caution.”

          - Safety saying, circa early 1900s

 

 

          If a poisonous animal has bitten someone, the first thing to do is to get the victim to lie down and relax.  Don’t waste time killing the animal, but find out what species it is so that doctors can give the victim the right anti-venom.  Next, tie a cord about three inches above the bite to slow down the spread of poison.  Make sure the band is not so tight as to prevent some blood from flowing into the bite area.  Then, get the victim to a medical center for treatment as soon as possible.

          Do not waste time on an acrimonious blame game for the event happing.  No amount of scathing and sardonic finger pointing can reverse an accident after it has happened.  The best thing to do is avoid be bitten in the first place.  Stay on well-used trails, while avoiding being in areas that snakes often hid in such as tall grass and underbrush, rocky areas and fallen logs, along with marshes, swamps, and any holes in the ground.

          Nearly all bites are on the feet, ankles, and hands.  Thus, wear sturdy hiking boots, tennis shoes, with thick socks.  Snake bit reports show that boots that cover the ankles offer the most protection.  Do not wear sandals and open-toed shoes, or walking barefoot.  Be sure to wear long and loose-fitting pants to protect your legs.  Do not attempt to touch any unknown snakes.  Moreover, do not put your hands and feet in any dark holes, unexplored spaces, or under objects without first being sure a snake isn’t hiding underneath.

 

 

          “Don't do anything that you wouldn't feel comfortable reading about in the newspaper the next day.”

          - Joel Osteen, Your Best Life Now: 7 Steps to Living at Your Full Potential

 

 

          Dangerous weather

 

          Do take precautions for dangerous weather.  Besides lightning strikes and flash floods, high winds will blow around hard objects that inflict dangerous or deadly impact injuries.  During dangerous weather such as thunderstorms, windstorms, and hailstorms you must seek protection within a solid walled structure.  The walls of a canvas tent, the branches of a low-hanging evergreen tree, and/or your homemade Society for Creative Anachronism (SCA) body armor will not keep you safe from storm driven flying projectiles.  Keep all of your exaggerated masculinity such as “Real men never turn back” confined to your daydreams, superhero comics, and action movies.


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