OK, so being that this is a carry web site, my first priority would be if shot by a BG. Gauze, direct pressure, possibly a tourniquet. Am I missing something? Again, this would be a kit to cover the 7-15 minutes waiting on EMS. If shot and survived the initial interaction. I would sooner not bleed out waiting on LEO/EMS response.
OK, so being that this is a carry web site, my first priority would be if shot by a BG. Gauze, direct pressure, possibly a tourniquet. Am I missing something? Again, this would be a kit to cover the 7-15 minutes waiting on EMS. If shot and survived the initial interaction. I would sooner not bleed out waiting on LEO/EMS response.
OK, so being that this is a carry web site, my first priority would be if shot by a BG. Gauze, direct pressure, possibly a tourniquet. Am I missing something? Again, this would be a kit to cover the 7-15 minutes waiting on EMS. If shot and survived the initial interaction. I would sooner not bleed out waiting on LEO/EMS response.
To piggy back off of Chen, as far as the tourniquet goes... we have always been taught that this is the last measure used to stop bleeding. As you know, use direct pressure on the wound, if it's an extremity raise it above the heart and if this doesn't slow the bleeding you would then move to place pressure on the pressure points (Google where they're located). We are taught to think that if we apply our own or have a tourniquet applied to us, that because of the time required to be taken to a hospital, this would likely mean losing the limb. This, however, is combat trauma treatment and hospitals are usually much further away but, I believe the line of thinking to remain true... a tourniquet is the last option. If you're conscious, and there are bystanders, you can direct them to apply the pressure for you being as that you may very well go into shock soon and may lose the ability to self-treat. Do your best to explain what needs to be done to them and if you can... tell them how to treat for shock as quickly as you can... because you are about to be in it.
EMS got rid of pressure points and elevation about 5 years ago due to new information coming out of the military.
The procedure for uncontrolled bleeding is direct pressure with gauze, if bleeding doesn't stop apply another gauze (keep the original gauze in place, pulling it off risks pulling any clotting that has occurred) and apply more pressure, if bleeding doesn't stop apply a tourniquet and write on the tourniquet the time it was put on. A tourniquet is recommended to be a minimum of 2" wide, placed 2" above the wound if possible, and can be on for 6 hours before any risk to the limb distal to the tourniquet.
Pressures points are a good thing to know, but we no longer delay a tourniquet for pressure points or elevation. The least amount of blood lost the better...so even if help is 6+ hours away, it's better to lose the limb then the life.
Good post though Bob, the more tools in the tool box the better.
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gunnerbob, I addressed sucking chest wound in my post with the comment about adding a disposable poncho. They're small, cheap and plastic. Good insurance for about a dollar.
Go with your ABCs, which is what's told to all first responders. A-irway, B-reathing, and C-irculation. Bleeding may be the most common threat to life with a gunshot wound, but you have no way of knowing what emergency situation life is going to throw at you. Get trained in CPR. It's changed some, so if you haven't had it recently, it might be a good idea to get the training again.
That's right chen, of course. My wife recently (2015) went through a CPR refresher course and A-B-Cs has been replaced with C-A-Bs. The new course puts a lot of emphasis on doing compressions for unresponsive patients above nearly everything else. The logic, as far as I understand it, is that there will still likely be usable oxygen inside the blood stream even if the patient isn't breathing on their own... for hopefully long enough for EMTs to arrive to put them on O2. So, compressions should/may be good enough for the trained bystander to perform in order to keep the patient from suffering brain damage, organ failure, etc.
Also, there's the fear of contracting diseases associated with mouth-to-mouth that should be avoided when possible. We have CPR masks with our vehicle first-aid kits but, I suspect we're the exception.
P.S. Good post, Rhino.
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