Unchained Preppers
General Category => Health => Topic started by: kindredspirit on September 01, 2011, 07:49:42 AM
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If possible, before you try to stop severe bleeding, wash (or use hand sanitizer) your hands to avoid infection and put on latex gloves.
1. Have the injured person lie down and cover the person to prevent loss of body heat. If possible, position the person's head slightly lower than the trunk or elevate the legs. This position reduces the risk of fainting by increasing blood flow to the brain. If possible, elevate the site of bleeding.
2. While wearing gloves, remove any obvious dirt or debris from the wound. Don't remove any large or more deeply embedded objects. Don't probe the wound or attempt to clean it at this point. Your principal concern is to stop the bleeding. The first step in controlling a bleeding wound is to plug the hole. Blood needs to clot in order to start the healing process and stop the bleeding. Blood will not coagulate when it's flowing.
3. Apply FIRM pressure directly on the wound until the bleeding stops. Use a sterile bandage or clean cloth and hold continuous pressure for at least 20 minutes without looking to see if the bleeding has stopped. Maintain pressure by binding the wound tightly with a bandage (or a piece of clean cloth) and adhesive tape. Use your hands if nothing else is available. If possible, wear rubber or latex gloves or use a clean plastic bag for protection. Most bleeding can be stopped by holding FIRM, DIRECT PRESSURE on the wound. NO quick clot needed.
4. Don't remove the gauze or bandage. If the bleeding continues and seeps through the gauze or other material you are holding on the wound, don't remove it. Instead, add more absorbent material on top of it and apply DIRECT FIRM PRESSURE. Peeling blood soaked gauze off a wound removes vital clotting agents and encourages bleeding to resume.
5. Squeeze a main artery if necessary. If the bleeding doesn't stop with direct pressure, apply pressure to the artery delivering blood to the area of the wound. Pressure points of the arm are on the inside of the arm just above the elbow and just below the armpit. Pressure points of the leg are just behind the knee and in the groin. Squeeze the main artery in these areas against the bone. Keep your fingers flat. With your other hand, continue to exert pressure on the wound itself.
6. Immobilize the injured body part once the bleeding has stopped. Leave the bandages in place and get the injured person to the emergency room as soon as possible.
7. Tourniquets are tight bands used to control bleeding by completely stopping the blood flow to a wound. Tourniquets work only on arm and leg injuries. Tourniquets are usually reserved for the worst bleeding to keep the victim from developing shock. Complications of tourniquet use have led to severe tissue damage. Victims treated with tourniquets have had amputations of limbs attributed to the use of the tourniquet.
If you suspect internal bleeding, call 911 or your local emergency number. Get to the closest hospital fast!! Signs of internal bleeding may include:
Bleeding from body cavities, such as the ears, nose, rectum or vagina, vomiting or coughing up blood bruising on neck, chest, abdomen or side (between ribs and hip) Wounds that have penetrated the skull, chest or abdomen, abdominal tenderness, possibly accompanied by rigidity or spasm of abdominal muscles, fractures, shock- indicated by weakness, anxiety, thirst or skin that's cool to the touch.
(These are REALLY BAD and if you cant get to an operating room quickly you are probably S.O.L.)
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very nice. from an EMT-I to a ( nurse ) ... good job
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very nice. from an EMT-I to a ( nurse ) ... good job
Thank you very much.... Southern Patriot suggested this thread. (yes nurse lol)
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Great post, too many people think quick clot is the cure all for bleeding.
Again great post
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and here i thought rubbing dirt in it and walking it off would work...........
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Eventually, ALL bleeding stops.
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Eventually, ALL bleeding stops.
yea eather your dead or its patched up... eather way.. dont get fucking shot
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Eventually, ALL bleeding stops.
yea eather your dead or its patched up... eather way.. dont get fucking shot
Well said UnBroken!! [URL=http://www.smileyvault.co
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Great post, too many people think quick clot is the cure all for bleeding.
Again great post
Amen Put some 'Tussen on it![/b] :)) (http://www.smileyvault.co
Great thread Kindred, oh and...
[b)
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Good stuff [URL=http://www.smileyvault.co
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You forgot to mention to elevate!!!! ( if possible)
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You forgot to mention to elevate!!!! ( if possible)
If possible, before you try to stop severe bleeding, wash (or use hand sanitizer) your hands to avoid infection and put on latex gloves.
1. Have the injured person lie down and cover the person to prevent loss of body heat. If possible, position the person's head slightly lower than the trunk or elevate the legs. This position reduces the risk of fainting by increasing blood flow to the brain. If possible, elevate the site of bleeding.
Nuh Uh....I did say elevate...
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Sorry about that. My add helps me lose interest in anything over 3 sentences and without pictures. It's a curse.
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Sorry about that. My add helps me lose interest in anything over 3 sentences and without pictures. It's a curse.
lmao.... next time I will do a video.
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oooh a video..........
DO IT!!!!!!
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Sorry about that. My add helps me lose interest in anything over 3 sentences and without pictures. It's a curse.
lmao.... next time I will do a video.
Haha awesome!! I don't know how I ever made it through medic school with such a short attention span.
And mountainredneck.... There are other websites where you can watch "videos"!!! 8)
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while i didn't mean that kind of video, i'd still be happy to check out a link or two [URL=http://www.smileyvault.co
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Nice post.
Great post, too many people think quick clot is the cure all for bleeding.
Again great post
You're right papabear, funny thing is that they forget that even using quick clot you need to apply direct pressure over the wound or the blood stream could wash away the powder and don't allow the clot to be formed.
Direct pressure is the key.
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mountainrdneck's first aid tips:
1. walk it off
2. rub some dirt in it
3. if wound is still a problem, take a heavy dose of man the fuck up!
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mountainrdneck's first aid tips:
1. walk it off
2. rub some dirt in it
3. if wound is still a problem, take a heavy dose of man the fuck up!
LOL. Oh man, this is great! That needs to be in a home remedy medical journal somewhere.
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The information about not removing soaked bandages and tourniquets should be updated.
Try taking a Stop the Bleed course (www.bleedingcontrol.org (http://www.bleedingcontrol.org))
Tourniquets don't cause amputation. 17 years of combat in the middle east and not one time was a tourniquet the reason for an amputation being performed.
If a would is still bleeding through the gauze, you haven't stopped the bleed, (especially with GSW's or other penetrating wounds) you need to remove the gauze and try packing the wound again to make sure you are packing to the actual source of the bleeding.
I will agree that quickclot isn't always necessary, my own IFAK's and my Aid bag is packed with plain cotton gauze. You can find rolls of sterile gauze for as cheap as $1. And Kerlix is crazy multi use.
Just my $0.02
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Medic,
what are the steps one can take to remove a tourniquet after hours have passed from a victim w/o allowing the built up in the extremity to shock the system?
... I am thinking about a collapse of society scenario where i likely dont have qualified medical other than myself (your average TC3 grad)
Or is it impossible w/o access to professional medical care like a well equipped PA/NP and up?
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Honestly, that is above my level as well, but surgeons do it all the time when they perform surgery. They use tourniquets to create bloodless fields that stay on for much longer than 2 hours. How they utilize this is as I said beyond my scope of practice. But honestly, I would rather loose a limb than die because someone waited 5-8 minutes to put on a tourniquet while I bled out.