Scenario 2
Scenario 3
PADDLER 37
Scenario 2
A paddler has capsized rock hopping in heavy swell or surfing into a beach landing. As you approach, you can see the red colour of blood in the water. Major blood loss. l A deep laceration – perhaps from a rock, fin or blade – can cause significant blood loss. Major bleeding needs to be stopped as quickly as possible.
l
Apply direct pressure using a sterile dressing or the cleanest cloth available. Maintain pressure continuously. Elevate the limb if practical and not fractured. l Cohesive bandages( e. g., Vet Wrap) are especially useful in wet environments, as they adhere to themselves without the need for adhesives and can maintain pressure. If blood loss is heavy and unmanageable, call for emergency help immediately. In remote areas or expeditions, carrying blood-clotting( haemostatic) bandages can be considered.
Scenario 3
Descending a river, your buddy capsized in a rapid but managed to roll back up. They complain they banged their head while trying to roll up. Head knock and potential concussion.
Falls in whitewater or surf can lead to blows to the head – whether from rock, boat or paddle. A head injury on the water can be serious, even when symptoms are subtle. Helmets are invaluable, but don’ t prevent concussions. After a collision, assess for signs such as confusion, nausea, headache, sensitivity to light or sound, sluggishness, or short-term memory loss. The person may not remember banging their head. If you suspect a concussion, consider how to end the activity safely or at least cut it short and seek medical attention. If in doubt, treat it as a concussion and get out of the water.
Watch for delayed symptoms too. These include vomiting, balance issues, difficulty concentrating, blurred vision, and irritability. Monitor them for at least 24 hours.
Helmets can be removed, especially if the casualty’ s airway is compromised, they’ re vomiting and unconscious, or you need to control severe bleeding under the helmet. Always support the head and neck while removing it.
PADDLER 37