Erste Hilfe beim Fesseln / First Aid for Rope von KittyRea
Die praktischen Erste Hilfe Anleitungen von KittyRea wurden von ihr zur EURIX13 im Oktober 2018 auf Fetlife veröffentlicht und können auch dort nachgelesen werden. https://fetlife.com/users/1605470/posts/5280451
First Aid for Rope
First rule! If you are unsure, call 112 / 911
Streamlined way of thinking of first aid:
• Always watch chest for 10 seconds, for signs of breathing. If not breathing, call emergency services and start CPR.
• If you don’t have something that is actively getting worse and person is breathing and responsive, leave it alone, call the ambulance.
• Take control of the situation, see who can help, delegate tasks.
falls on head - do not move the person
falls anywhere else - check that the person is ok / if there is a possibility that the spine was injured, do not move the person!
nerve damage - for nerve damage, remove cause of damage
fainting - for fainting, elevate legs
bleeding - compress
For fainting:
remove the cause of fainting - low blood pressure, not enough air, scared or in pain
lay the person on the floor
raise legs up above the level of the head
wait for them to come around (they might not become fully conscious, but start moving)
if they do not show any improvement at all after a minute, call the emergency services
For nerve damage:
remove the cause of the nerve damage:
• if in suspension, remove pressure from suspension line and then untie
• if in floor work, grab the wraps, flip them up and then untie
there is nothing else you can do immediately at the venue
do not massage, stretch, do not apply ice!
heat might be useful after 48 hours
if function returns after a while (even 15 minutes or half an hour), it is a good sign / if they can lift the thumb at all, it is a good sign
if the nerve function is not clearly on the way to total recovery by the third day, seek medical attention (physical therapist in order to help the muscle while the nerve regenerates)
nerve ripping is very rare without open wound - it can happen, but very rarely
For falling:
if they don't bump their head, neck, back, just check that the person is ok
if the person lands on their head, the cervical spine might be broken or damaged - the person might paralyze
• immobilize the person, move them as little as possible
• a fall from even 20 cm off the ground, head first, might be fatal (low probability for it to happen, but very high risk if it happens)
• Immediately call 112
• a dislocation of the cervical spine doesn't really hurt
the muscles spasms to protect the area from moving too much (exactly what happens with broken bones)
For cuts or bleeding accidents (falls, ripped moles, severe rope burn or pinching):
cuts on face or head bleed a lot and look a lot more scary than they are
if the tongue gets severed big bleeding and tamponade because they can bleed to death
ripped moles are not dangerous; check with a doctor if the mole grows back and looks odd (asymmetrical shape, asymmetrical coloration, very large size)
for any kind of bleeding, apply pressure
usually, applying pressure makes it stop; if it doesn’t stop, just keep pressing it and call 112 if you panic
For bruising:
apply ice on it
advise person to apply a heat pack or heating creams in the following days, to reduce time of bruising
For dislocations and broken bones:
don’t try to put it back
go to hospital or call ambulance
For panic attack:
talk calmly to the person
help them focus their minds on something else (ask them to count slowly and breathe in deeply)
don't touch them unless you ask before
For epileptic seizure:
don't cut the suspension lines; untie and then you can cut the person out of the ropes once they are on the ground and after the seizure
they should communicate what your should do before you start tying at all
remove ropes as soon as possible, after seizure
Information for the person in charge of event
Take a first aid course to increase your knowledge.
Before the event starts, you should decide who is in charge: event organizer / venue owner.
When anything happens, be aware of the bystander effect - something happens when there are a lot of people around; everyone waits for someone else to do something (diffusion of responsibility so no action is taken).
someone needs to step in - as an organiser is your responsibility to do something
the rigger knows what they did bondage-wise, they have to act
if the rigger doesn't know what is happening, seems confused, frozen - explain what is happening
ideally the rigger should take down the model
if they can't do it, someone else takes responsibility for taking the model down (an organizer/ DM - talk before with all those involved who is in charge)
delegate tasks - one person calls the emergency services, one waits for the ambulance outside (often times the emergency service cannot find the exact place where they were called), one supervises accident, one makes sure that others step aside
if you are the only person on the scene, first call for help, then focus on the other things
If someone takes responsibility, others will tend to fall in line and respect the instructions given to them.
The bondage is the rigger’s responsibility, the problem is the organizer’s responsibility.
Rope people are not necessarily good at anything else (like first aid or managing crises).
Information for Dungeon Monitors
Take a first aid course to increase your knowledge.
If it is a small problem, just go ask if they need help.
If the person can handle the situation, you let them handle the situation.
You only intervene if you absolutely need to (rigger is panicked, doesn't respond, doesn't seem to realize what is happening).
If you need to get the person down:
ask someone to lift model and clip the carabiners if there are carabiners.
if no one can help, make sure you can lift the model and hold their weight
if you need to cut the rope to get the person down, cut next to the frictions to make the descent more controlled; it's best to cut the rope ends and then untie the uplines
List of health conditions that pose a great risk in bondage and should be communicated before tying:
any kind of chronic diseases
diabetes
heart conditions
epilepsy
asthma
this list is not exhaustive!
vielen Dank FreeSpirit 
