Patient Contact

COVID Rules (2021–2022 season)

Ask all patients:

  1. Is the patient fully vaccinated?
  2. Does the patient or anyone on scene have any of the following symptoms, not due
    to a known health condition: new or worsening cough, fever, sore throat,
    difficulty breathing, new or severe headache, new loss of taste or smell, new
    fatigue, and/or muscle or body aches that are not normal for you with exercise or
    altitude, vomiting or diarrhea, runny nose or congestion that is not normal for
    you?
  3. Has the patient or anyone on scene tested positive for COVID-19 in the past 10
    days?
  4. Has the patient or anyone on scene had contact with a confirmed or possible case
    of COVID-19 within the last 10 days?

Classification

  • CR HIGH – A guest will be considered high COVID-19 Risk (CR HIGH) if:
    • The guest answer YES to any of questions 2–4 above, or
    • The guest is unresponsive, or
    • The guest requires CPR, airway suctioning, high-flow nasal O2, or BVM ventilation.
  • CR LOW – A guest will be considered low COVID-19 Risk (CR LOW), otherwise.

Documentation

Indicate “CR HIGH” or “CR LOW” in the comments section of the 1050 card.

Protection

All CR HIGH patients require all of the following PPE:

  • N95
  • Eye protection (face shield or goggles)
  • Impervious gown/uniform
  • Nitrile gloves

COVID Precautions

  • Volunteers need to complete home self test prior to Patrolling (link to follow)
  • NO face masks required while skiing or for Covid-low patients.
  • Masks are required in the patrol room, bumps and Yurt.
  • COVID-high patients and any non-trauma respiratory patients are not allowed in the clinic.
  • Wait to be invited into the first aid room at the clinic.
  • We do not respond to a walk-in at the clinic.
  • All Patrollers have access to the bumps, no restrictions on capacity.
  • Courtesy transport rules are being updated and will follow.

Protocols

Patient Transport

  • Use the best way for comfort of patient, safety and efficiency (usually head-up).
  • Use Gondola for Transport: only when patient is FULLY ambulatory and has/had no diminished LOC, altered state and/or difficulty breathing
  • Scoop is preferred for transport only (NO SMR required)
  • Back boarding:  SMR protocols are in place and if SMR is required, always use C-collar and tape chin and forehead. Vacuum (Vac) mat is the preferred method of applying SMR, especially for injuries with lumbar spinal involvement. Tape should be applied in addition to the head strap on the mat. Pelvic binder included in mat is not to be used as such, when necessary the pelvic binder in the trauma bag should be applied. If a Vac Mat is not available, the next option is a Combi-board or “Split Board”. When a hard backboard is applied, the backboard must be padded with a blanket.
  • Transfer care for air / ground ambulance: Patroller on scene will call dispatch and say “care transferred to (medic _#_ / flight crew), destination is….”

Indications

  • Code Blue (No pulse, No Respirations): requires CPR, AED, and SMR.
  • Oxygen: use for Altered, Diminished LOC, Shortness of Breath, or pain management. Patients cannot enter clinic while on O2, they must either come off of the O2 or be sent via ground ambulance, per COVID protocols. Keep Oxygen Bottle and Regulator after transferring to ambulance.  Replace (ask ambulance personnel) head blocks, Non-rebreather Mask, and C-collar.
  • Grossly deformed fractures have one shot for realignment to attempt to regain circulation and make packaging possible.
  • Mid-shaft Femur Fractures: Apply traction splint, and SMR protocols apply if judged to be a distracting injury to that patient. Pelvic injuries will always receive SMR.
  • When you pull traction on a Sager, pull to 10% of bodyweight or to comfort of patient.
  • Traction may be pulled on Open Mid-shaft Femur Fractures, depending on the situation to keep the bone in a moist environment, and improve outcome.
  • Ski or Board Boots: do not remove boots. May open boot to define bleeding source.
  • Helmet Removal: only to examine and when applying SMR with a C-collar.
  • Pulse Oximeters: are contained in all trauma bags for use on scene, use is encouraged.
  • EpiPen® (Epinephrine Auto-Injectors) is only assisted, not administered, by Northstar Ski Patrol.
  • Tourniquets are used for uncontrolled bleeding; when applied, write the time on the Tourniquet or on the patient, i.e. T – 1300 hours.