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Speaker 1: You're listening to a podcast from News Talk zed B.

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Speaker 1: Follow this and our wide range of podcasts now on iHeartRadio.

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Speaker 2: We've been talking about CPR and first state, Do you

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Speaker 2: know what to do if you come across a situation

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Speaker 2: when somebody needs your assistance. A man who does know

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Speaker 2: what to do is Gareth Richards. He is a pre

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Speaker 2: hospital and retrieval medicine doctor with the Westpat Rescue helicopter

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Speaker 2: and he's just back from a job. No Lesson joins

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Speaker 2: us on the phone. Now, Gareth, very good afternoon to.

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Speaker 3: You, saying thanks for having me along.

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Speaker 4: Can you share any details of the job or is

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Speaker 4: that as that private?

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Speaker 3: We went to see a young man who'd had an

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Speaker 3: excellent out on one of the islands in the Gulf

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Speaker 3: and with the help of his family managed to provide

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Speaker 3: him with some treatment and get him into startup hostible

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Speaker 3: all successfully to get some further management of that problem.

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Speaker 3: Very well, and we accept them to do very well.

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Speaker 4: Oh good on you mate, that's fantastic. Now we were

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Speaker 4: talking about CPR before, and we've talked about a bit,

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Speaker 4: but CPR is one thing. What did you do if

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Speaker 4: someone's bleeding?

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Speaker 3: Look if you can see bleeding. Then seeing where it's

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Speaker 3: coming from, then the simplest thing to do is to

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Speaker 3: put some pressure on it. And without making that sound simplistic,

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Speaker 3: it's what we teach people in all sorts of situations.

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Speaker 3: So whether it's an accident at the side of the road,

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Speaker 3: whether it's someone who's been involved in a terrorist incident

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Speaker 3: like we've talked about seen recently in the last twenty

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Speaker 3: four hours in Manchester in England, or if someone's injured

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Speaker 3: on the battlefield. The idea of simple pressure over a

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Speaker 3: bleeding point is a very very effective way of helping

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Speaker 3: control that bleeding until appropriate people can come and do

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Speaker 3: something of a greater degree of intervention. So some simple

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Speaker 3: pressure on it, even with fingers and thumbs and a

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Speaker 3: little bit of gauze or something similar, making sure that

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Speaker 3: you keep yourself safe at the same time, what's.

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Speaker 2: The advice around corner caves ever worth trying to fashion

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Speaker 2: some sort of tornicue yourself or is that not really

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Speaker 2: the advice if you see someone who's bleeding.

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Speaker 3: It's an instant question. Sough In the nineteen eighties, it

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Speaker 3: was something we used to see on when I was

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Speaker 3: growing up. It was something we used to see on

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Speaker 3: TV all the time, and then it went out of

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Speaker 3: fashion quite significantly, and it's come back into our clinical

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Speaker 3: practice with experience in the wars in places like Iraq

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Speaker 3: and Afghanistan that the simple thing to do for a

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Speaker 3: simple bleeding point is to put some pressure on it,

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Speaker 3: and the event of catastrophic bleeding, then a tornice is

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Speaker 3: something that we will use. There are downsides to it

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Speaker 3: in terms of blood supplied to the rest of that

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Speaker 3: limb and potentially causing injury, but it's something in our armentarium.

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Speaker 3: We'd encourage people in the first instance to just do

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Speaker 3: some nice direct pressure, nice and firm and see whether

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Speaker 3: that's enough to stop the bleeding.

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Speaker 4: There is a reasonable chance Garris, that you know you

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Speaker 4: might come across someone with a stab wound. What should

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Speaker 4: you do if the stabber is still there? I mean,

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Speaker 4: that's a problem, isn't it.

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Speaker 3: It was interesting talking to listening to your previous caller.

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Speaker 3: Is this idea of people want to help, people want

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Speaker 3: to get involved, but it's really important that you maintain

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Speaker 3: your own safety in the first instance as well. If

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Speaker 3: you being there and intervening and helping simply makes you

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Speaker 3: another casualty, then that doesn't help you. It doesn't help

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Speaker 3: the person that you've tried to save, and it doesn't

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Speaker 3: help the emergency services that are coming to you. So

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Speaker 3: if we're going, if we're tasked to an incident like that,

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Speaker 3: then the police will clear that scene for us and

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Speaker 3: say that it is safe to go in and help

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Speaker 3: the people that need our help. If you're approaching that

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Speaker 3: as you're somebody walking down the street, or you're out

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Speaker 3: of the movies or out at the shopping center, then

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Speaker 3: making sure that you're safe in the first instance, and

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Speaker 3: calling for help from emergency services. So the sooner you

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Speaker 3: call for help, the sooner that help can be on

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Speaker 3: its way and helping to manage that situation.

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Speaker 4: Is there any advice at all? And this is probably

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Speaker 4: a tough thing to put on someone like yourself, so

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Speaker 4: just tell me if you don't want to answer the question,

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Speaker 4: But is there anything any words you should yell at

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Speaker 4: someone that has you know, stabbed someone or attacked someone

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Speaker 4: that that helped clear the scene? Is it helpful to

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Speaker 4: stand back and go get out if you leave them alone?

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Speaker 3: You know?

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Speaker 4: Is there words that can help in that kind of situation?

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Speaker 3: I think that's so unpredictable, isn't it. You're trying to

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Speaker 3: understand the mental state and the motivation of the person

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Speaker 3: that we think has actually caused that injury in the

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Speaker 3: first place. I think that's very unpredictable. So my approach

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Speaker 3: to it would be trying to withdraw myself from that

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Speaker 3: scene to a safe distance, maybe keeping because the offender

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Speaker 3: and calling to help, trying to provide as much information

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Speaker 3: as possible to the emergency service call that you're getting

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Speaker 3: in touch with, but maintaining your own safe he is

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Speaker 3: really key here. We don't want you to be hurt.

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Speaker 2: As part of this, we're speaking to Gareth Richards. He

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Speaker 2: is a pre hospital and retrieval medicine doctors with the

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Speaker 2: whe's pat Rescue helicopter. Gareth, say, you come across a

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Speaker 2: traffic accident and clearly you've got some skills there that

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Speaker 2: you can assist. I mean, is it not quite a

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Speaker 2: similar thing. But that idea of taking that leadership approach

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Speaker 2: and trying to manage what is going on around you

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Speaker 2: when you've got those skills, is that something that needs

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Speaker 2: to be taught as well.

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Speaker 3: I think there's a great opportunity there, isn't there. So

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Speaker 3: we've got a number of programs on television of pre

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Speaker 3: hospital paramedic and helicopter responses. If someone's sitting at home

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Speaker 3: and there watching those things on TV, there's an opportunity

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Speaker 3: to have a think about how you might approach it

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Speaker 3: if you came upon a scene like that, because that's

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Speaker 3: the way it evolves. You're driving down the road, you

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Speaker 3: see a car cranch. The approach is the same is

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Speaker 3: we want you to be saved. So the first thing

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Speaker 3: is to stop, take a breath, and just get your

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Speaker 3: head together to check that there's no danger to you specifically,

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Speaker 3: so things like power lines that are down, things like

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Speaker 3: fuel leaks that may ignite around flot engines, for example,

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Speaker 3: those things that are going to put you at danger

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Speaker 3: oncoming traffic, so making sure that your car is protecting

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Speaker 3: you from oncoming traffic, for example, identifying what they're the

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Speaker 3: problem is, so who are the people that are injured,

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Speaker 3: what are the number of those people, and then calling

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Speaker 3: for help. Again this idea of getting emergency services activated

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Speaker 3: early so that people can come to you. And if

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Speaker 3: those are the first things that you can do and

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Speaker 3: make sure everyone else is safe at the same time,

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Speaker 3: then that response is already well underway. To help the

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Speaker 3: people that are injured, and then we get into the

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Speaker 3: ABC type approach of that we can talk about for

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Speaker 3: resuscitation in CPR. And you may have covered already.

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Speaker 4: What about burns? What should do if you come across

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Speaker 4: some with burns while you're waiting for other help to come.

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Speaker 4: What's the current thinking on that.

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Speaker 3: Yeah, it's a horrible idea that that terrible injuries are

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Speaker 3: really confronting. They can be enormously painful for the people

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Speaker 3: that the person that's been burnt again, the same same

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Speaker 3: general approach, So is it safe to be involved? Who

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Speaker 3: are the number of casualties? What sort of response are

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Speaker 3: they able to give? You? Making sure helps on the way.

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Speaker 3: We provide often some fairly simple interventions for burn victims

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Speaker 3: when we're transporting them, so will give them, We'll do

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Speaker 3: our resuscitation component, We'll add some pain relision. Simple things

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Speaker 3: might be wrapping something like some glad wrap around the

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Speaker 3: burns as well to seal them off from the air.

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Speaker 3: Not too tight, we don't want to affect the circulation

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Speaker 3: to those limbs. But simple glad wrap is a surprising

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Speaker 3: piece of first aid that we use, even on the helicopter.

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Speaker 3: There are lots of different burns, creams and dressings as well,

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Speaker 3: but we like to keep things simple.

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Speaker 4: Yeah, you probably recommend people to have a decent first

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Speaker 4: aid kit in their car and in their house, I imagine.

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Speaker 3: Gareth again, I think it's enormously useful. So the having

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Speaker 3: the equipment, having an idea of how to use them,

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Speaker 3: so that there's lots of different first aid courses that

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Speaker 3: are taught so John offers them. There are private providers

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Speaker 3: a first first aid courses. Having an idea of what's

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Speaker 3: in your kit. It doesn't have to be all the

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Speaker 3: bells and whistles, so just some simple things, like we said,

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Speaker 3: maybe some gloves to protect you, to be able to

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Speaker 3: stop some bleeding, an idea of how to do the CPR,

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Speaker 3: some simple first aid intervensions, and maybe some simple pain relief,

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Speaker 3: and knowing where that is and how to access this,

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Speaker 3: and what's in your kit, making sure that it's up

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Speaker 3: to date and that you know how to use the

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Speaker 3: things that are in there. It's better to be able

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Speaker 3: to use a small number of things effectively than to

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Speaker 3: have a whole bunch of things in your first aid

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Speaker 3: kit that you don't really.

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Speaker 4: Know what to do with a couple of texts coming

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Speaker 4: through here, What about choking? Can you ask them about choking.

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Speaker 3: Taking yep. So again depends a little bit on the

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Speaker 3: injury or what's the cause. But the approach again would

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Speaker 3: be this very simple structured approach. So is there any

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Speaker 3: danger to you? Is the patient responding? If not, then

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Speaker 3: I'm calling for help. I'm getting those emergency services along

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Speaker 3: the way. Some simple airway maneuvers would be to check

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Speaker 3: inside the mouse and make sure there's nothing that's including

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Speaker 3: the breathing unresponsive. Can you get to get the whatever's

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Speaker 3: in their mouth or the upper part of their throat

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Speaker 3: out of the way. Does that help? And if they're

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Speaker 3: not responding still, then we go down this pathway of

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Speaker 3: the ABC type approach. I'm managing the airways, starting to

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Speaker 3: do some supportive breathing and doing some CPR. Brilliant.

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Speaker 4: Well, thank you so much, Gareth and you guys do

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Speaker 4: fantastic work. And there's a bunch of people just texting

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Speaker 4: through thanking you for the great work you do at

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Speaker 4: the WHISTPEC Rescue helicopter.

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Speaker 3: Yeah.

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Speaker 1: Great, people for more from us talks b listen live

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