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Flight-ER-Doc said: ↑
Except you can’t always do that, and even if you can then what do you do? You can’t let go of the patient, you can’t get help, you can’t do anything.Packing wounds with combat gauze (gauze impregnated with hemostatic agents), tactical tourniquets, and needle decompression of pneumothorax saves lives….
I can’t do anything? False. Even holding onto a wound or pulse point, I can certainly instruct other bystanders in what to do; or I can have a bystander perform the pressure under my direction. Far from being helpless, keeping one’s cool in any situation, and using one’s skill sets to fit a patient’s need within the recognized limitations of any setting will always be helpful to some degree. My point was, if one didn’t have a CAT at hand, it’s important to remember the principles of what we’re trying to accomplish.But, sometimes it’s just a patient’s bad luck to get into a bleeding situation and have a regular run of the mill health care provider, and not be lucky enough to have someone of such profound depth of knowledge like yourself at the scene. We all work with what we got, eh?
#31Flight-ER-Doc said: ↑
Except you can’t always do that, and even if you can then what do you do? You can’t let go of the patient, you can’t get help, you can’t do anything.Packing wounds with combat gauze (gauze impregnated with hemostatic agents), tactical tourniquets, and needle decompression of pneumothorax saves lives….
I can’t do anything? False. Even holding onto a wound or pulse point, I can certainly instruct other bystanders in what to do; or I can have a bystander perform the pressure under my direction. Far from being helpless, keeping one’s cool in any situation, and using one’s skill sets to fit a patient’s need within the recognized limitations of any setting will always be helpful to some degree. My point was, if one didn’t have a CAT at hand, it’s important to remember the principles of what we’re trying to accomplish.But, sometimes it’s just a patient’s bad luck to get into a bleeding situation and have a regular run of the mill health care provider, and not be lucky enough to have someone of such profound depth of knowledge like yourself at the scene. We all work with what we got, eh?
#31Some info on TQ’s from 2007.I carry the TK4 and was going to order the SOFTT,I just ordered the CAT instead.
http://www.acep.org/WorkArea/Downloa….aspx?id=40782
ralphrepo said: ↑
I can’t do anything? False. Even holding onto a wound or pulse point, I can certainly instruct other bystanders in what to do; or I can have a bystander perform the pressure under my direction. Far from being helpless, keeping one’s cool in any situation, and using one’s skill sets to fit a patient’s need within the recognized limitations of any setting will always be helpful to some degree. My point was, if one didn’t have a CAT at hand, it’s important to remember the principles of what we’re trying to accomplish.But, sometimes it’s just a patient’s bad luck to get into a bleeding situation and have a regular run of the mill health care provider, and not be lucky enough to have someone of such profound depth of knowledge like yourself at the scene. We all work with what we got, eh?
Even people who think they’ve got a clue. You don’t have time to learn everything you need to know yourself, from making mistakes: Wise people learn from themistakes that others make first. 15 years of combat experience, evidence based medicine, and an understanding of the practicalities involved make a difference….if people are smart enough to learn.But, not everyone is. Thats OK: It keeps emergency physicians employed.
i dont carry an actual tourniquet but fs steady pressure doesn’t stop the bleeding ill use a shoe lace or belt or something as an improvised. i thaought about carrying one of those rubber bands they use when taking blood but didn’t want to chance anyone saying its drug paraphernalia
leverett said: ↑
i dont carry an actual tourniquet but fs steady pressure doesn’t stop the bleeding ill use a shoe lace or belt or something as an improvised. i thaought about carrying one of those rubber bands they use when taking blood but didn’t want to chance anyone saying its drug paraphernalia
You’d be better off carrying a real tourniquet, or at least a triangular bandage. A shoe lace, or a belt, will cause damage to the vessels or nerves, and have been shown to NOT be effective in stopping blood flow. And the phlebotomy tourniquets don’t work at all at stopping arterial blood (they’re designed not to).I do-I use the second generation SOF tourniquet. As far as the CAT goes, I have heard from some people over in the sandbox that the velcro gets bloody and the windlass slips. The SOF tourniquet is retained by a d-ring, thus decreasing the chances of that happening. I had a first generation SOF but my gear got stolen on vacation. They came out with a new one that is supposedly more comfortable. I have to say, however, I would go back to first generation. The second generation is harder to put on one handed. I by all my tactical medical stuff at chinook medical. I have a youtube video on my blow-out kit (the one that got stolen) of you want the specifics on the SOF. http://www.youtube.com/user/medic2807#p/a/u/1/bC8u_IEh1AY
Flight-ER-Doc said: ↑
Even people who think they’ve got a clue. You don’t have time to learn everything you need to know yourself, from making mistakes: Wise people learn from themistakes that others make first. 15 years of combat experience, evidence based medicine, and an understanding of the practicalities involved make a difference….if people are smart enough to learn.But, not everyone is. Thats OK: It keeps emergency physicians employed.
Amen Doc. I just had to yell at the EMS group of a large Fire Department because they told a group of LEO recruits “don’t worry about tourniquets cause we will be there when you need us. Also tourniquets cause tissue and nerve damage so they are still dangerous.” Nevermind that tourniquets are in the paramedic protocols that the FD uses and the two guys who asked about TQ’s just got back from two+ years in Iraq. It’s this mindset that ****** me off – An EMS person telling a LEO to not worry about their own safety because the fire department is only 3 minutes away. As Doc said the research is there, find it, read it, understand it. If you need help you can be pointed in the right direction.
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