Class senarios suggestion scroll
First Aid |
Midwifery |
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These are just suggestions or guides, do not feel that you have to ask just these questions or go in this order. Allow the RP to guide you.
I. First Aid Class Scenario suggestions
by Caitlin
1. You have been brought to the scene of an
accident. A small outbuilding at a nearby Cothold has collapsed,
trapping a boy inside. As you near, you can hear the beams
creaking from strain. What should you do first?
A. This question is looking for their knowledge of Assessing the
situation for safety, something that seems to have been
overlooked before. If they reply that they would rush in and
remove the victim, tell them the roof collapses on them too and
then let them think of a better way. Any answer that shows they
assess the situation and take steps to reduce danger is
acceptable. Most common might be that they have others reinforce
the beams. Anything is fine.
2. all right, you are now in the building. The boy is lying on
the floor, his left arm is buried up to the shoulder in debris,
his left leg is at an odd angle and pinned under a small beam.
Cuts and bruises adorn his face. he is breathing and his pulse is
faint but steady. How would you treat him?
For more clarification if they ask or after they remove the beam
and debris. his left leg is broken in 2 places and the ankle is
pretty much a mess. No cuts or broken skin there. nasty gash from
elbow to wrist on arm, not pulsing blood, just a steady ooze.
Once they treat this, you can ask them what they would do if it
had been pulsing blood. Have them describe how they would use a
tourniquet. Refer to the first aid quick reference guide for
clarification. cuts and bruises are superficial. Head wound
likely.
This basic question covers shock, head wounds,
broken bones, cuts and bleeding, and tourniquets. Answers need
not be in depth but should be thoughtful and reflect a working
knowledge of first aid.
To sum up class, have them briefly describe treatments for the
following
Heat Exposure Cold Exposure Poisoning due to over ingestion of
Fellis Poisoning due to ingestion of a normally non-edible
substance ( i.e. bleach..to clarify. I know we don't have
bleach..this is just an example) Choking.
Anything else you feel is valid that you want to cover. Whole class can be done in less than 40 minutes.
By Mitzu
Q: A kitchen drudge comes into the infirmary
complaining of nausea every morning. Upon inquiry, you find out
she has missed her last two menses and suspect she might be
pregnant. What else should you ask to determine possible
pregnancy?
A: Has she been vomiting more than usual, almost in a regular
routine? Has she had to go to the bathroom more often than usual?
Are her breasts sore or tingling as of late? Has she been very
tired lately for no obvious reason?
Q: What is the average amount of time for a pregnancy?
A: 9 months or 280 days
Q: A man comes to you concerned. His friend's baby is due at any
time, and she keeps asking him to be there for the birth, but
he's nervous about it, not knowing what will happen. Explain the
three stages of delivery.
A: The first stage is when the mother begins to feel regular
contractions, which dilates the cervix. She may feel the need to
go to the bathroom, have lower back pains and be excited or
nervous. Provide her with a warm bath and loosen all garments so
they come off easily. The baby is shifting so that its head will
be towards the birth canal. When the membranes break, which is
known as the water breaking, the mother should be made to lie
down on her left side. Some prefer kneeling or being immersed in
water... whichever is available and most comfortable
for the mother.
The second stage is when the cervix is completely dilated. At
this point, the mother's pubic area and the healer's hands should
be
cleaned and washed with redwort. At this stage you will want the
mother
to bear down with her abdominal muscles and help in the birth of
the
baby. Often a towel tied to the bed that she can grip onto helps.
Do
not let the mother pushed too much too fast, because the soft
tissues of
the pelvis can be asily torn. When you see the child's head, push
slightly on it to bring it close to its chest to help make the
birth
easier. If possible, reach a finger around the child's neck to
make
sure the cord is not wrapped around it, and if so, reposition it
so as
not to cause unneeded pulling. Once the head and shoulders are
out, the
healer can turns the baby so that the child will be delivered
completely
on the next contraction. Then cut the umbilical cord by tying off
an end
near the mother's body to prevent bleeding and clamp the cord
about six
inches from the child so that it does not bleed to death when you
severe
the cord. Cut - do not pull or tear - the cord between the two
sealed
ends and remove the forceps from the cord. Gently swab the
child's eyes
and get rid of mucus via a suction tube. If the child is not
crying, a
light spank its buttocks will encourage the child to try. Crying
is a
good sign. Wash the babe carefully, wrap it in soft clothing and
present
to the mother.
The final stage continues after the baby's birth. About one hour
after the child is born, a gentle pressure on the abdomen will
give way
to the afterbirth (the placenta, umbilical cord and other
membranes).
Following the afterbirth, the vaginal area may be examined for
tears,
which must be repaired immediately. Do not apply dressings unless
severe
bleeding takes place.
Q: A male Holder comes to you and wants to know how long it will
take his wife to get "back to normal" now that she's
had their beautiful baby boy. What do you tell him?
A: It takes about six weeks o the average for a female to recover
after
the birth of a child. During this time she should rest and
dedicate her
time to learning to care for the child with the guidance of a
Healer
(learning about feeding, bathing, the care and changing of
diapers) and
making the home "baby-safe."
Q: A nervous Rider comes to you. She's just found out she's in
the early stages of pregnancy and is afraid she might have
endangered the child because she went between. What do you tell
her?
A: Congratulate her on her pregnancy, offer her help via the
Healers for
care throughout her trimesters and reassure her that it is okay
for
Riders to go between until the beginning of the third trimester
without
harming the child.
Q: If you have the unfortunate situation that requires an
abortion, what should you do?
A: Get a Master of the craft because the dangers are very extreme
and
only Masters are allowed to create the mixture which induces
abortion.
Q: Name three problems that can occur during Pregnancy (any three
below are acceptable)
A: 1. Spontaneous abortion (10-40% end this way)
2. Ectopic pregnancy - fetus grows in the site rather than inside
the uterus (fallopian tube, on the ovary and sites outside the
abdomen)
3. Infectious diseases - gonorrhea and syphilis
4. Poor nutrition - should gain 25-30 pounds while pregnant
5. Alcohol and stimulants - AVOID THEM - harms the baby
Q: Watcher a fellow Healer deliver a baby, that Healer decides
she needs to do a cesarean section. What could the reasons for
this decision be? Name three possibilities.
A: 1. cephalopelvic disproportion (the baby is too large for
mother's pelvis)
2. transverse lie
3. fetal distress
4. prolapsed cord
5. failure to progress in labor
6. maternal diseases, such as diabetes or heart disease
Q: On your journey back to Healer Hall, you are stopped by a
Cotholder. His wife is in labor. You go with him and help deliver
the child, only to find the newborn is not breathing. What should
you do?
A: Resuscitate the baby by placing it in a warm bath and gently
applying
artificial respiration, first clearing the mouth and throat with
a soft
rubber catheter. The baby could be partly asphyxiated or
suffering from
shock. Only after attempting to revive the newborn can the child
be
declared stillborn. If this is the case, the Healer must be
prepared to
deal with the mental distress of the mother and others.
Q: A new mother feels totally overwhelmed about what to expect
now that she's had her baby. What quick tips can you, as a
Healer, give her to put her at ease? (A couple of those listed
below will do.)
A: 1. Let her know the umbilical cord will fall off about 10 days
after the birth. She must clean it with clinical alcohol every
diaper
change to keep it sterile.
2. Expect to change diapers about 10 times a day, especially
after a feeding
3. If the child is yellow, it would be helped by placing the babe
in a sunlit window, careful to keep the child's eyes covered and
make
sure of no sunburn.
4. Bathe the child every day.
5. When taking the child out in the cold, bundle the baby well
and cover its face to prevent its lungs from freezing.
6. Babies don't like high altitudes, so don't take them
dragonriding when they're very young.
III. Question suggestions for Herbs
By Elora
A woman of about 65 turns comes to you complaing
of chronic pain, creaking,
and a burning sensation in her joints. (Willow Tea and/or
Angelica decoction
compresses.)
A woman of 45 turns complains of frequent and extrmely intense
and painful
headaches. (Lavender Oil Massage *Temples* and/or capsules of
powdered
Feverfew.
A woman of 35 turns has been suffering from constant colds and
flu-like
symtoms. (Symtomatic--Catnip Preventative--Echinacea)
A man of 52 turns has suffered a severe dry, hacking cough for
severeal
weeks. (Syrup of Hyssop, Mallow, Comfrey, and Borage.)
A young man of 17 years has extremely severe acne on his face and
back.
(Cabbage juice wash, Rub garlic on affected areas.)
A woman of 52 years has suffered occasional chest pains and
shortness of
breath. (Refer to Master. Possible treatment: Fox Glove essence.)
An elderly man complains of having difficulty sleeping since the
loss of
his wife. (Infusion of poppy and/or hops before retiring)
A young woman of 15 turns has been feeling very melancholy of
late and has
been finding it increasingly difficult topull herself out of it.
(Basil fresh,
infusion, or bath oil. Borage juice thrice daily.)
What are the applications of Redwort?
What are the applications of Numbweed?
Name three analgesics, weak or strong. (Willow, Meadowsweet,
Fellis, Hops.
Refer to scroll for others.)
What is a diaphoretic? (Increases perspiration.) A febrifuge?
(Reduces
fever.) Give an exapmle of each. (Refer to Scroll.)
What are tonics for? (Stimulate and restore body to health after
illness.)
The most common treatment for minor burns? (Aloe or Dragon's
Tongue)