Providing Emergency Care

As you know, emergencies can happen. Girls need to receive proper instruction in how to care for themselves and others in emergencies. They also need to learn the importance of reporting to adults any accidents, illnesses, or unusual behaviors during Girl Scout activities. To this end, you can help girls:

• Know what to report. See the “Procedures for Accidents” section later in this chapter.
• Establish and practice procedures for weather emergencies. Certain extreme-weather conditions may occur in your area. Please consult with Girl Scouts Heart of Michigan for the most relevant information for you to share with girls.
• Establish and practice procedures for such circumstances as fire evacuation, lost persons, and building-security responses. Every girl and adult must know how to act in these situations. For example, you and the girls, with the help of a fire department representative, should design a fire evacuation plan for meeting places used by the troop.
• Assemble a well-stocked first-aid kit that is always accessible. First-aid administered in the first few minutes can mean the difference between life and death. In an emergency, secure professional medical assistance as soon as possible, normally by calling 911.
Emergencies require prompt action and quick judgment. For many activities, Girl Scouts recommends that at least one adult volunteer be first-aid/CPR-certified. For that reason, if you have the opportunity to get trained in council-approved first-aid/CPR, do it! You can take advantage of first-aid/CPR training offered by chapters of the American Red Cross, National Safety Council, EMP America, American Heart Association, or other sponsoring organizations approved by Girl Scouts Heart of Michigan. Try to take age-specific CPR training, too—that is, take child CPR if you’re working with younger girls and adult CPR when working with older girls and adults.
Caution: First-aid/CPR training that is available entirely online does not satisfy Girl Scouts’ requirements. Such courses do not offer enough opportunities to practice and receive feedback on your technique. If you’re taking a course not offered by one of the organizations listed in the previous paragraph, or any course that has online components, get approval from your support team or council.
A first-aider is an adult volunteer who has taken Girl Scout-approved first-aid and CPR training that includes specific instructions for child CPR. If, through the American Red Cross, National Safety Council, EMP America, or American Heart Association, you have a chance to be fully trained in first-aid and CPR, doing so may make your activity-planning go a little more smoothly. The Safety Activity Checkpoints always tell you when a first-aider needs to be present.
Activities can take place in a variety of locations, which is why first-aid requirements are based on the remoteness of the activity—as noted in the Safety Activity Checkpoints for that activity. For example, it’s possible to do a two-mile hike that has cell phone reception and service along the entire route and EMS (Emergency Medical System) is, at maximum, 15 minutes away at all times. It is also possible to hike more remotely with no cell phone service at a place where EMS would take more than 15 minutes to arrive. It’s important that you or another volunteer with your troop has the necessary medical experience (including knowledge of evacuation techniques) to ensure troop safety.
The levels of first aid required for any activity take into account both how much danger is involved and how remote the area is from emergency medical services.

*Although a WFR is not required, it is strongly recommended when traveling with troops in areas that are greater than 30 minutes from EMS.

The table above does reflect the limitations of some first-aid (level 2) trainings. It is important to understand the differences between an extended first-aid course, like the American Red Cross Sports Safety Training program, and a wilderness-rated course. Although standard and sport-safety first-aid training provides basic incident response, wilderness-rated courses include training on remote-assessment skills, as well as the emergency first-aid response, including evacuation techniques, to use when EMS is not readily available.
Note: The presence of a first-aider (level 2) is required at resident camp. For large events, there should be one first-aider (level 2) for every 200 participants. The following healthcare providers may also serve as first-aiders (level 1 or 2): physician, physician’s assistant, nurse practitioner, registered nurse, licensed practical nurse, paramedic, military medic, and emergency medical technician.
First-Aid Kit
Make sure a general first-aid kit is available at your troop meeting place and accompanies girls on any activity (including transportation to and from the activity). Please be aware that you may need to provide this kit if one is not available at your meeting place. You can purchase a Girl Scout first-aid kit, you can buy a commercial kit, or you and the girls can assemble a kit yourselves. The Red Cross offers a list of potential items in its Anatomy of a First Aid Kit. (Note that the Red Cross’s suggested list includes aspirin, which you will not be at liberty to give to girls without direct parent/guardian permission.) You can also customize a kit to cover your specific needs, including flares, treatments for frostbite or snake bites, and the like.
In addition to standard materials, all kits should contain Girl Scouts Heart of Michigan and emergency telephone numbers (which you can get from Girl Scouts Heart of Michigan contact). Girl Scout activity insurance forms, parent consent forms, and health histories may be included, as well.
Procedures for Accidents
Although you hope the worst never happens, you must observe Girl Scouts Heart of Michigan procedures for handling accidents and fatalities. At the scene of an accident, first provide all possible care for the sick or injured person. Follow established GSHOM procedures for obtaining medical assistance and immediately reporting the emergency. The emergency contact phone number during business hours is 800-497-2688; after hours the phone number is 989-399-7299.
After receiving a report of an accident, Girl Scouts Heart of Michigan staff will immediately arrange for additional assistance, if needed, at the scene, and will notify parents/guardians, as appropriate. If a child needs emergency medical care as the result of an accident or injury, first contact emergency medical services, and then follow GSHOM procedures for accidents and incidents. Your adherence to these procedures is critical, especially with regard to notifying parents or guardians. If the media is involved, let Girl Scouts Heart of Michigan-designated staff discuss the incident with these representatives.
In the event of a fatality or other serious accident, notify the police. A responsible adult must remain at the scene at all times. In the case of a fatality, do not disturb the victim or surroundings. Follow police instructions. Do not share information about the accident with anyone-including the media and the family of the victim(s)- but the police and Girl Scouts Heart of Michigan, and, if applicable, insurance representatives or legal counsel.