MOUNTAIN RESCUE ENGLAND AND WALES AND SCOTTISH MOUNTAIN RESCUE COVID-19 GUIDELINE 3 EVACUATION AND END OF RESCUE Consider: • Minimise members involved — but must be operationally appropriate • Face mask on casualty to act as a barrier • Sledging may create more distance between members than carrying • Wheel may be less stressful and helps to reduces breathing rate/high intensity exercise whilst wearing face mask • Gloves — use washable gloves — medical gloves not required • Do not touch face • PPE is hot — consider adjusting layers of clothing/regular change of personal etc.
UPDATED
EVACUATION
WORKING WITH OTHER AGENCIES
• Inform other agencies of your risk assessment. • Maintain your PPE and social distance when working with other agencies • If uncomfortable, ask other agencies to respect your PPE and distancing.
END OF RESCUE AT ROADSIDE AND AT BASE
Dispose. Isolate. Decontaminate. At roadside: • Consider: Decontaminate as much as possible before leaving roadhead, setting up a decontamination zone at roadhead. Use of a buddy system. Removing personal clothing: • Do not touch face. Clean hands between each step . • Removes gloves — turn inside out — dispose/isolate (if washable) • Remove waterproofs — turn inside out — isolate in bags — wash (follow manufacturer’s instructions) • Remove eye protection — isolate/decontaminate • Remove helmet/headwear — isolate/clean (manufacturer’s instructions) • Remove face mask — dispose • Clean hands. At base: • Ensure you have a local procedure to decontaminate or isolate all equipment • Refer to manufacturer’s instructions as required • Clean vehicles and base • Ensure immediate access to hand sanitiser in base for all members.
DRUGS
• There is no proven link between Ibuprofen and worsening of Covid-19. Ibuprofen can be used for analgesia in MR casualties
• Only use Entonox with a viral filter to protect the system from contamination • In HIGH risk casualty avoid the use IND (risk of sneezing or coughing) • Consider use of IM Morphine or Fentanyl Lozenge in these cases.
MREW Covid-19 Guideline 3: Mike Greene Medical Director October 2020. V4.0
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MOUNTAIN RESCUE MAGAZINE WINTER 2021
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