12/16/2011

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Fiist Aiu Neiit Bauge "Show" Requiiements:
A uuiue foi the Neiit Bauge Counseloi
1he show" requlremenLs call upon Lhe scouL Lo acLually do or demonsLraLe someLhlng lnsLead of slmply
descrlblng or explalnlng someLhlng lor Lhe llrsL Ald merlL badge Lhese requlremenLs are
O repare a flrsLald klL for your home ulsplay and dlscuss lLs conLenLs wlLh your counselor
O ldenLlfy Lhe condlLlons LhaL musL exlsL before performlng C8 on a person 1hen demonsLraLe proper
Lechnlque ln performlng C8 uslng a Lralnlng devlce approved by your counselor
O Show Lhe sLeps LhaL need Lo be Laken for someone sufferlng from a severe cuL on Lhe leg and on Lhe wrlsL
1ell Lhe dangers ln Lhe use of a LournlqueL and Lhe condlLlons under whlch lLs use ls [usLlfled
O 4o uescrlbe Lhe slgnals of a broken bone Show flrsLald procedures for handllng fracLures (broken bones)
lncludlng open (compound) fracLures of Lhe forearm wrlsL upper leg and lower leg uslng lmprovlsed
maLerlals
O 4 uescrlbe Lhe sympLoms and posslble compllcaLlons and demonsLraLe proper procedures for LreaLlng
suspecLed ln[urles Lo Lhe head neck and back Lxplaln whaL measures should be Laken Lo reduce Lhe
posslblllLy of furLher compllcaLlng Lhese ln[urles
O o lf a slck or an ln[ured person musL be moved Lell how you deLermlne Lhe besL meLhod uemonsLraLe Lhls
meLhod
O WlLh helpers under your supervlslon lmprovlse a sLreLcher and move a presumably unconsclous person
O n WlLh your counselors approval arrange a vlslL wlLh your paLrol or Lroop Lo an emergency medlcal faclllLy
or Lhrough an Amerlcan 8ed Cross chapLer for a demonsLraLlon of how an ALu ls used
noLe
O Some of Lhe above requlremenLs also lnclude a nonshow" componenL (eg descrlbe" or dlscuss" or show"
componenL)
O nly one of 6b and 6c ls requlred CurrenLly ln 1roop 764 requlremenL 6c ls noL usually done and wlll noL be
consldered ln Lhls documenL
1he followlng pages descrlbe Lhe above as a serles of 6 sLaLlons Lach of Lhe 6 wlll Lake an esLlmaLed 20 mlnuLes
Lo an hour
AL lLs slmplesL Lhe M8C need only ask Lhe scouL Lo fulflll Lhe requlremenL ln quesLlon lor example for
requlremenL 4a Lhe M8C can slmply ask Lhe scouL Lo descrlbe Lhe slgnals" (slgns and sympLoms) of a fracLure
Lhen ask hlm Lo demonsLraLe spllnLlng/sllnglng/swaLhlng for Lhe fracLures ln quesLlon A wellprepared scouL can
meeL Lhe requlremenL ln a few mlnuLes
ln some (or perhaps mosL) cases Lhe scouL wlll noL be prepared enough and wlll requlre a cerLaln amounL of
lnsLrucLlon coachlng and pracLlce before he ls able Lo meeL Lhe requlremenL 1o Lhls end Lhe LuCL 1eachlng
MeLhod ls Lhe Leachlng model LhaL Lhe 8SA has chosen 1he LuCL meLhod conslsLs of Lhe followlng four sLeps
1 oin how it is one
2 emonstrote the stes
3 ie eorners os they rontine
4 noe them to snnee on their own
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uslng Lhe LuCL meLhod mlghL be helpful Lo Lhe scouL ln LhaL Lhe M8C ls Lhen modellng behavlor for Lhe scouL ln
preparaLlon for hls meeLlng requlremenL 7
ln some cases Lhe scouL mlghL presenL as so unprepared LhaL Lhe M8C wlll ask Lhe scouL Lo do a blL of
woodsheddlng before Lrylng agaln

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Station : First Aid Kits
O kLUIkLMLN1 2D kLAkL A IIkS1AID kI1 ICk CUk nCML DISLA AND DISCUSS I1S CCN1LN1S
WI1n CUk CCUNSLLCk
O 8LCul8LMLn1 SC 78 8LA8L A L8SnAL ll8S1 Alu kl1 1 1AkL Wl1P ?u n A PlkL
aterials
O 8aslc flrsL ald supplles and equlpmenL for demonsLraLlon purposes (eg roller bandages moleskln and sclssors)
O Sample flrsL ald klLs such as personal and group Amerlcan 8ed Cross Wllderness and 8emoLe llrsL Ald klLs
(opLlonal)
O Advanced equlpmenL or supplles for demonsLraLlon such as speclallzed bllsLer supplles SAM spllnLs pockeL
masks survlval lLems gear repalr klLs (opLlonal)
escription
Ask Lhe scouL Lo show you hls home (or paLrol) flrsL ald klL polnLlng ouL each lLem and explalnlng lLs use Pe
should be able Lo [usLlfy any lncluslons or excluslons
8emlnd Lhe scouL LhaL Lhere ls no slngle perfecL flrsL ald klL and LhaL ln selecLlng conLenLs for any klL Lhe scouL
needs Lo conslder a number of facLors lncludlng Lhe person or person who wlll be uslng Lhe klL Lhe ln[urles or
lllnesses LargeLed space consLralnLs and so on
lf Lhere ls Llme you can have Lhe scouL pracLlce some skllls such as maklng a moleskln donuL
1he merlL badge book llsLs Lhe followlng conLenLs
Home or PatrolJTroop First-Aid Kit
O 8oller bandage 2lnch (1)
O 8oller bandage 1lnch (2)
O Adheslve Lape 1lnch (1 roll)
O Alcohol swabs (24)
O AssorLed adheslve bandages (1 box)
O LlasLlc bandages 3lnchwlde (2)
O SLerlle gauze pads 3by3lnch (12)
O Moleskln 3by6lnch (4)
O Cel pads for bllsLers and burns (2 packeLs)
O 1rlple anLlbloLlc olnLmenL (1 Lube)
O 1rlangular bandages (4)
O Soap (1 small bar) or alcoholbased hand sanlLlzlng gel (1 Lravel boLLle)
O Sclssors (1 palr)
O 1weezers (1 palr)
O SafeLy plns (12)
O nonlaLex dlsposable gloves (6 palrs)
O roLecLlve goggles/safeLy glasses (1 palr)
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O C8 breaLhlng barrler (1)
O encll and paper
Personal First Aid Kit
O Adheslve bandages (6)
O SLerlle gauze pads 3by3 lnch (2)
O Adheslve Lape (1 small roll)
O Moleskln 3by6lnch (1)
O Soap (1 small bar) or alcoholbased hand sanlLlzlng gel (1 Lravelslze boLLle)
O 1rlple anLlbloLlc olnLmenL (1 small Lube)
O Sclssors (1 palr)
O nonlaLex dlsposable gloves (1 palr)
O C8 breaLhlng barrler (1)
O encll and paper
1he scouL's flrsL ald klLs do noL have Lo follow Lhe above suggesLlons buL Lhe scouL should be asked Lo explaln
why or why noL he lncluded or excluded any lLem

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Station : Basic Life Support {CPR]
O kLUIkLMLN1 38 IDLN1II 1nL CCNDI1ICNS 1nA1 MUS1 LkIS1 8LICkL LkICkMING Ck CN A
LkSCN 1nLN DLMCNS1kA1L kCLk 1LCnNIUL IN LkICkMING Ck USING A 1kAINING DLVICL
AkCVLD 8 CUk CCUNSLLCk
O kLUIkLMLN1 3C LkLAIN 1nL USL CI AN AU1CMA1LD Lk1LkNAL DLII8kILLA1Ck (ALD)
O 8LCul8LMLn1 SC 7A1 SPW WPA1 1 u l8 A Pu88?" CASL l S1Lu 88LA1PlnC
O 8LCul8LMLn1 lC 8u LxLAln 1PL S1LS (8CLuu8LS) ln CA8uluLMnA8? 8LSuSCl1A1ln
aterials
O C8 manlklns lncludlng nose/mouLh lnserLs
O C8 breaLhlng barrlers (one per scouL)
O ockeL masks (opLlonal)
O ShlrLs for manlklns
O nonlaLex dlsposable gloves (mulLlple slzes)
O ALu Lralner (opLlonal)
escription
noLe 1he followlng ls modeled afLer Lhe Amerlcan 8ed Cross C8/ALu Lralnlng program as of 2011 (2011 Consensus on Sclence for C8 and Lmergency
Cardlovascular Care (LCC) lL dlffers ln cerLaln ways from Lhe Amerlcan PearL AssoclaLlon Lralnlng program
1he scouL should be presenLed a brlef scenarlo of an adulL or chlld who ls found down" Pe should demonsLraLe
all of Lhe followlngs sLeps
Steps for adult basic life supportJCPR
1 Check Lhe scene for safeLy
2 Check Lhe person for consclousness (Lap on Lhe shoulder and shouL Are you okay?")
3 lf no response call or have someone call 911 or Lhe local emergency number
a lf Lhe person ls lylng facedown genLly roll Lhe person faceup keeplng Lhe head neck and back ln a
sLralghL llne
4 pen Lhe alrway (Pead LllL/chln llfL)
3 Culckly check for breaLhlng
6 Culckly scan for severe bleedlng
7 Clve 30 chesL compresslons
a lace your hands on Lhe cenLer of Lhe chesL and keep your arms as sLralghL as posslble wlLh your
shoulders dlrecLly over your hands
b ush hard push fasL
l Compress Lhe chesL aL leasL 2 lnches for an adulL
ll Compress aL a raLe of aL leasL 100 Llmes a mlnuLe
lll LeL Lhe chesL rlse compleLely before pushlng down agaln
8 Clve 2 rescue breaLhs
a Lach rescue breaLh should lasL abouL 1 second and make Lhe chesL clearly rlse
9 8epeaL sLeps 7 8 for a LoLal of 3 cycles)
When properly done 3 cycles Lakes abouL 2 mlnuLes 1yplcally aL LhaL polnL a rescuer ls faLlgued and lf posslble a
second rescuer should Lake over
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Automated External efibrillator {AE]
8equlremenL 3c regardlng Lhe ALu ls noL a show" requlremenL Powever lL makes sense Lo lnclude lL here


12/16/2011

7

Station : Severe Bleeding
O kLUIkLMLN1 3D SnCW 1nL S1LS 1nA1 NLLD 1C 8L 1AkLN ICk SCMLCNL SUIILkING IkCM A
SLVLkL CU1 CN 1nL LLG AND CN 1nL WkIS1 1LLL 1nL DANGLkS IN 1nL USL CI A 1CUkNIUL1 AND
1nL CCNDI1ICNS UNDLk WnICn I1S USL IS IUS1IIILD
O 8LCul8LMLn1 SC 7A2 SPW WPA1 1 u l8 A Pu88?" CASL l SL8luS 8LLLulnC
aterials
O Cloves dlsposable nonlaLex
O Lye proLecLlon eg plasLlc goggles dlsposable goggles safeLy glasses
O uresslng maLerlal eg sLerlle gauze pads
O 8andage maLerlal eg roller bandages elasLlc bandages Lrlangular bandages
O Commerclal LournlqueL (opLlonal)
escription
1he M8C presenLs Lhe scouL wlLh a scenarlo LhaL lncludes severe bleedlng from an arm or leg wound AfLer Lhe
scouL accompllshes approprlaLe dlrecL pressure Lhe M8C descrlbes bleedlng Lhrough Lhe flrsL sLack of pads Lhe
scouL should Lhen wlLhouL leLLlng up pressure on Lhe orlglnal sLack of pads apply a second sLack AfLer a
whlle Lhe M8C announces LhaL Lhe bleedlng has abaLed enough Lo leL up on dlrecL manual pressure and apply a
pressure bandage 1he scouL should check for adequaLe clrculaLlon dlsLal Lo Lhe wound (noLe Lhe sLeps below
have been modlfled sllghLly from Lhe M8 book)
First Aid Steps for Severe Bleeding {modified sligbtly from tbe B book]
1 roLecL yourself and your paLlenL from lnfecLlon puL on gloves and goggles
2 Apply flrm dlrecL pressure over Lhe bleedlng slLe uslng a sLerlle dresslng (or clean cloLh) as a pad uependlng on Lhe
bleedlng source and Lhe slze of Lhe wound you mlghL have Lo hold pressure for a long Llme 1020 mlnuLes or so
uon'L leL up pressure Loo soon!
3 lf Lhe bleedlng ls so severe LhaL Lhe pad beglns Lo soak Lhrough add a second pad wlLhouL leLLlng up on your
pressure for more Lhan ls necessary
4 nce Lhe bleedlng sLops (or aL leasL slows down conslderably) malnLaln pressure by placlng a pressure bandage on
Lhe wound 1o make a pressure bandage place several addlLlonal pads (310) on Lop of Lhe orlglnal pads and
secure Lhe enLlre sLack of pads wlLh a bandage such as a roller bandage an elasLlc bandage or a Lrlangular
bandage made lnLo a cravaL
3 erlodlcally check clrculaLlon numbness/Llngllng loss of plnk color or loss of warmLh mlghL lndlcaLe LhaL Lhe
pressure dresslng ls lnLerferlng wlLh clrculaLlon and musL be loosened
Common errors ScouLs Lend Lo noL apply enough pressure and Lo noL hold Lhe pressure for enough Llme
1he M8C can also choose Lo lnclude LreaLmenL for shock
AfLer Lhe above exerclse scouLs should descrlbe Lhe rlsks of LournlqueL (lschemlc gangrene)and descrlbe an
approprlaLe slLuaLlon for a LournlqueL (ampuLaLed exLremlLy) AlLhough noL requlred a M8C can choose Lo
demonsLraLe a LournlqueL (or ask Lhe scouL Lo) 1ournlqueL use ls lncluded ln Lhe Wllderness and 8emoLe llrsL
Ald course
12/16/2011

8

Station : Fractures
O kLUIkLMLN1 4A DLSCkI8L 1nL SIGNALS CI A 8kCkLN 8CNL SnCW IIkS1AID kCCLDUkLS ICk
nANDLING IkAC1UkLS (8kCkLN 8CNLS) INCLUDING CLN (CCMCUND) IkAC1UkLS CI 1nL
ICkLAkM WkIS1 ULk LLG AND LCWLk LLG USING IMkCVISLD MA1LkIALS
O 8LCul8LMLn1 lC 88 uLMnS18A1L 8AnuACLS l8 A S8AlnLu AnkLL Anu l8 ln!u8lLS n 1PL PLAu
1PL uL8 A8M Anu 1PL CLLA88nL
aterials
O SpllnL maLerlals eg boards Lrekklng poles sleeplng pads magazlnes blankeL plllow plus paddlng maLerlal
O 1rlangular bandages roller bandages elasLlc bandages
O uresslng maLerlal 4x4s eLc
O Cloves eye proLecLlon
escription
8efore Lhe sesslon lay ouL boLh sulLable and unsulLable spllnL maLerlal plus swaLhlng maLerlal
LlLher dlrecLly ask a scouL Lo descrlbe Lhe slgns and sympLoms of a fracLure or glve hlm a brlef scenarlo and ask
hlm whaL he would do Lo help deLermlne wheLher or noL a fracLure exlsLed
uslng anoLher scouL or a volunLeer vlcLlm presenL a brlef fracLure scenarlo and have Lhe scouL demonsLraLe
LreaLmenL uo Lhls for forearm wrlsL upper leg and lower leg
Signs {page ]
O leellng or hearlng a snap or pop aL Llme of ln[ury
O 1enderness Lo palpaLlon or manlpulaLlon
O lnablllLy Lo move Lhe ln[ured parL normally
O ueformlLy
O Swelllng dlscoloraLlon
AcronymsJnemonics {not in book, but commonly used]
O u1S (deformlLy open fracLure Lenderness swelllng) Lo look for on lnlLlal evaluaLlon
O CSM (clrculaLlon sensaLlon moLlon) Lo look for lnlLlally and check perlodlcally
Specific Fractures
O Collarbone Sllng swaLhe (page 48)
O upper arm SpllnL sllng swaLhe (page 47)
O Lower arm/wrlsL SpllnL sllng (page 43 48) posslbly swaLhe
O upper leg SpllnL (page 43)
O Lower leg SpllnL (page 43)
1he scouL should check perlodlcally for clrculaLlon sensaLlon and movemenL (CSM) Speclflcally skln color (lL
should noL be blue) or Lhe qulck reLurn of a nlce plnk color afLer squeezlng and releaslng pressure on Lhe nall
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beds aL Lhe Llps of Lhe vlcLlm's flnger or Loes reporL of any numbness or Llngllng or loss of Louch sensaLlon and
Lhe vlcLlm's ablllLy Lo wlggle hls or her flngers or Loes lf CSM ls noL normal Lhe scouL should conslder Lhls a llkely
medlcal emergency
Additional Bandaging
O Ankle spraln
O Pead wound

12/16/2011

10

Station : Stretcbers plus Head, Neck, and Back In|uries
O kLUIkLMLN1 68 WI1n nLLLkS UNDLk CUk SULkVISICN IMkCVISL A S1kL1CnLk AND MCVL
A kLSUMA8L UNCCNSCICUS LkSCN
O kLUIkLMLN1 48 DLSCkI8L 1nL SM1CMS AND CSSI8LL CCMLICA1ICNS AND DLMCNS1kA1L
kCLk kCCLDUkLS ICk 1kLA1ING SUSLC1LD INIUkILS 1C 1nL nLAD NLCk AND 8ACk LkLAIN
WnA1 MLASUkLS SnCULD 8L 1AkLN 1C kLDUCL 1nL CSSI8ILI1 CI IUk1nLk CCMLICA1ING 1nLSL
INIUkILS
aterials
O oles (2)
O ShlrLs or sweaLshlrLs (aL leasL 2)
O AsslsLanLs (aL leasL one)
escription
lL ls convenlenL and senslble (buL noL mandaLory) Lo comblne Lhe above Lwo requlremenLs
resenL Lhe scouL a scenarlo lnvolvlng an unconsclous vlcLlm wlLh suspecLed splnal cord ln[ury who needs Lo be
LransporLed a falrly long dlsLance by mulLlple rescuers
Ask Lhe scouL Lo descrlbe Lhe sympLoms and slgns of posslble head neck and back ln[urles and dlscuss Lhe
posslblllLy of splnal cord ln[ury
1he scouL should dlrecL Lhe lmprovlsaLlon of a sLreLcher Lhe safe placemenL of Lhe vlcLlm on Lhe sLreLcher and
Lhe LransporL of Lhe vlcLlm 1he scouL should ensure Lhe esLabllshmenL and malnLenance of lnllne sLablllzaLlon
noL as easy as lL sounds (and mlghL noL always be posslble or even deslrable) Pead LllL/chln llfL (or posslbly [aw
LhrusL) mlghL be added (buL LhaL really ls asklng a loL for a scouL Lo do)
As wlLh mulLlplerescuer asslsLs (buL perhaps even more so) safe and smooLh sLreLcher LransporL requlres close
coordlnaLlon among Lhose bearlng Lhe sLreLcher 1hus Lhls ls ln parL a demonsLraLlon of leadershlp
Improvised Stretcbers
O ShlrL sLreLcher
O 8lankeL sLreLcher
O 8oard sLreLcher
Lher sLreLchers such as one made from cllmblng rope are posslble buL noL descrlbed ln Lhe maln scouLlng
llLeraLure

12/16/2011

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Station : Assists
O kLUIkLMLN1 6A II A SICk Ck AN INIUkLD LkSCN MUS1 8L MCVLD 1LLL nCW CU DL1LkMINL
1nL 8LS1 ML1nCD DLMCNS1kA1L 1nIS ML1nCD
O 8LCul8LMLn1 lC 8C1 SPW PW 1 18AnS81 8? ?u8SLLl Anu Wl1P nL 1PL8 L8Sn A
L8Sn l8M A SMkLllLLLu 8M
O 8LCul8LMLn1 lC 8C2 SPW PW 1 18AnS81 8? ?u8SLLl Anu Wl1P nL 1PL8 L8Sn A
L8Sn Wl1P A S8AlnLu AnkLL l8 A1 LLAS1 23 ?A8uS
aterials
O 8lankeL (for blankeL drag)
O ld sweaLshlrL (for shoulder drag)
O lllusLraLlons of varlous asslsLs (opLlonal)
O Chalr (for chalr carry)
O AddlLlonal scouLs (one for vlcLlm" and mulLlpleperson asslsLs excepL for hammock carry whlch can requlre up Lo
3)
escription
1he M8C should presenL Lhe scouL wlLh a Lyplcal scenarlo for example
O A scouL spralns hls ankle on Lhe lasL leg of a paLrol hlke oLherwlse unln[ured
O A vlcLlm wlLh suspecLed head neck or back ln[ury who musL be qulckly moved a few feeL from a flre
O A small vlcLlm wlLhouL splnal cord ln[ury who musL be moved a falr dlsLance by a large rescuer
O A vlslLor Lrlps and falls down Lhe sLalrs and lles aL Lhe boLLom unconsclous
O ?our buddy spralns hls ankle on hls way Lo Lhe camp sLore AfLer you apply a bandage you Lhen deLermlne he
should be moved back Lo Lhe campslLe Lher Lhan Lhe spralned ankle he ls k 1here ls no one else around
O As above excepL you have a helper
O ?our frlend decldes he's [usL Loo Llred Lo make Lhe lasL 300 yards of a day hlke
O ?our frlend genLly crumples Lo Lhe ground whlle on a beach walk wlLh you aL Lhe waLerllne [usL as Lhe Llde ls
rolllng ln
Ask a second scouL Lo acL as vlcLlm"
Single-Rescuer Assists
uescrlbed ln Lhe Pandbook (lC 8c)
O Walklng asslsL (Puman cruLch SupporLlng carry)
O Ankle drag Lo avold ln[ury Lo Lhe second scouL vlcLlm" use only on a smooLh surface)
O Shoulder drag (CloLhes drag)
O 8lankeL drag
O acksLrap carry
uescrlbed ln M8 book
O neperson llfL (Cradle carry Arms carry) larger scouL smaller vlcLlm"
O llreflghLer carry larger scouL smaller vlcLlm"
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ultiple-Rescuer Assists
uescrlbed ln Lhe Pandbook (lC 8c)
O 1wohanded seaL
O lourhanded seaL
uescrlbed ln M8 book
O Pelplng Lhe person walk (1woperson asslsL 1woman supporL carry)
O Chalr carry
O Pammock carry