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Thread: Stop The Bleeding - Clasz

  1. #1
    Join Date
    Mar 2007
    Posts
    3,153

    Default Stop The Bleeding - Clasz

    I was fortunate to attens a class at Sacramento Black Rifle last night. The topic was stopping blood loss due to field trauma. The presenter waz a surgeon with middle-east field hospital experience who has seen firsthand what works and what doesn't.

    Takeaways -

    Tourniquet
    If you think the injured needs a TQ don't dither, put it on immediately.
    Putting it on too loose is worse than not putting it on at all because if you don't shut off the deep artery you only prevent return via the vein, causing more blood loss.
    Putting it on tight enough hurts a lot, sometimes more than the injury.
    Doc says it is possible to cause injury applying a tq but that is somsthing he can fix in the OR. He can't fix DEAD.
    DO NOT pefiodically loosen a TQ. Not necessary and intefrults any clotting of the wound. BAD. Can go up go 18-20 hous and still usually save the limb. Also there are "factors" in the blood in the limb once tq is applied, loosening allows them to travel to lungs, kidneys etc. Doc can deal with that in hospital but it can be very bad if you are not there yet. Don't loosen a tq, ever.
    Write time on injured : TQ 14:00

    Combat gauze:
    Big innovation, highly recommended
    Do not stuff unrolled... maximizw surface area
    You need a lot of blood for it to work well.. do not try to get blood out of wound. You want a big pool of blood in the wound.
    Stuff it into the wound... it soaks up blood and becomes red... that means more is needed. When it changes from red to pink, that's enough, apply pressure for 3 minutes then compression bandage and transport.
    Write time on injured: CG 14:00

    If you are injured in a mass casualty setting do not roll over on your front. Medics doing triage will roll dead over like that so next medic will pass them by. Don't be presumed dead.

    Lots of other terrific material. Well worth my time to attend. Citizens being armed won't help in a situation like the LVM so trying to save lives is about the only way an average person can respond.
    Last edited by bruss01; 10-20-2017 at 01:37 PM.
    In a crazy world, it's the crazy man who can get by - and it's about to get cray-cray up in here.

  2. #2
    Join Date
    Nov 2009
    Location
    East Tennessee
    Posts
    2,332

    Default

    Great info. Thanks for sharing it.
    Greater love hath no man than this, That a man lay down his life for a friend.
    John 15:13

  3. #3
    Join Date
    Feb 2010
    Location
    South East US
    Posts
    1,148

    Default

    i carry two first aid kits. the first one is for induction and the second being for reduction.
    Vox Populi!

  4. #4
    Join Date
    Mar 2007
    Posts
    3,153

    Default

    Ppp- i heard it as 2 kinds of trauma kit... one for fix'n, one for caus'n...
    In a crazy world, it's the crazy man who can get by - and it's about to get cray-cray up in here.

  5. #5
    Join Date
    Jan 2011
    Location
    Sweet Tennessee
    Posts
    2,540

    Default

    Thank you!
    Don't bring skittles to a gun fight.

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