Fillable Order Of The Arrow - Boy Scouts Of America Health And Medical Record Form (Page 2 of 5) in pdf

Acute Myocardial Infarction, an Acute Stroke, or an Acute Hypertensive Emergency. As a result, the patient’s blood pressure

should be well controlled and screened prior to arrival. No participant or staff member will be allowed out of the base camp area

with a blood pressure of 180/85 or greater. The initiation or continuance of diuretic therapy should be reevaluated prior to

participation as well. This is because this may result in dehydration in this type of environment.

Insulin Dependent Diabetes Mellitus

During the activities at ArrowCorps

, the diet will vary. While in the remote activity areas, the food will be of a trail food nature.

These foods are usually high in carbohydrates and complex sugars and may result in significant fluctuations in the participant or

staff member’s blood sugar. In addition, the various strenuous challenges placed on each individual will also affect their glucose

and glucose stores. As a result, the examiner needs to be aware that the poorly controlled or very sensitive diabetic should not be

in this environment. For the diabetic who does require insulin, there should be a means in place to allow for the participant or

staff member to have his insulin near by and the other members of his work crew should be aware of his condition and they

should all be able to recognize the common symptoms of high or low blood sugar. They should also be familiar with how to treat

either condition.

Any person who has had multiple admissions to the hospital for diabetic ketoacidosis and/or hypoglycemia should not participate

in this program. A patient with stable diabetes is encouraged to attend. This is defined by no hospital admissions for

hyperglycemia or hypoglycemia within the past six months prior to the start of ArrowCorps

Excessive Body Weight

The ability to be physically fit is a part of the Scout Oath. In addition, being over weight places the participant or staff member at

a higher risk for potential life threatening conditions in these ouster environments. As a result, the participants and staff are

required to follow the height and weight guidelines as set forth on page 5. There may be some flexibility in this policy for staff

members who are not participating in backcountry work crews.

Seizures/Epilepsy

While the existing diagnosis of a seizure disorder and/or epilepsy should not preclude someone from participating in this event if

their seizures have been stable and controlled with anti-seizure medications. Being seizure free for at least 12 months prior to

ArrowCorps

would be considered stable. If the patient has a history of having an unstable seizure pattern when placed into a

stressful situation where he/she may have a significant reduction in his/her sleep and changes in his/her diet, than he/she should

not be allowed to participate in this program.

Respiratory Conditions

The environmental exposures and strenuous work projects have the potential for providing multiple antigens and or risk factors

for the patient with significant airway disease. Whether this is asthma, reactive airway disease, COPD, and/or other restrictive

lung disease, significant consideration and discussion with the patient regarding their participation is imperative. Attention needs

to made with the patient with exercise induced asthma and those sensitive to environmental antigens. The ability to treat

someone emergently is going to be greatly limited due to the distance to emergency medical personnel and definitive medical

facilities. With this in mind anyone who has been hospitalized for any of the above conditions within the past six months will not

be allowed in the back country. In addition, anyone who requires the frequent use of a rescue inhaler, or nebulizer, will not be

allowed to participate. Anyone who requires the use of a CPAP machine for sleep apnea will not be allowed to participate due to

the lack of support for this equipment in most of the locations.

Allergies/Anaphylaxis

The participants and staff will be exposed to numerous environmental elements. These can be in the form of inhaled, ingested,

skin contact, bit, and/or, envenomation. If your patient has significant allergies that have required hospitalization within the past

six months they will not be able to attend. If they have had minor exposures and reactions which have been adequately treated

and controlled with oral medications or suppressive injections then they will be allowed to participate. If is highly recommended

that the primary physician or allergist provide the patient with two epi-pens

prior to their arrival and provide the patient with the

appropriate instructions on how and when to properly use epi-pens

Recent Musculoskeletal Injuries and Orthopedic Surgeries

If the participant or staff member has had an orthopedic procedure within the past six months they will be required to have a

letter prepared by their orthopedic surgeon releasing them to participate in the ArrowCorps

program and the letter must include

any limitations and if none exist the letter must say so.

Psychological and Emotional Difficulties

If a person is under the direct treatment by a physician for emotional and/or psychological care then the physician needs to be

aware that the activities of this program may create both potential physical and emotional stressors. As a result, anyone whose

condition(s) is/are not well controlled may need to be excluded from this activity.

Order Of The Arrow - Boy Scouts Of America Health And Medical Record Form Page 2

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