https://www.trauma-news.com/2018/04/...-in-mortality/
Not NEW information but to the extent that you still have people who question the use of tourniquets, I can't think of a more authoritative source nor relevant study.
https://www.trauma-news.com/2018/04/...-in-mortality/
Not NEW information but to the extent that you still have people who question the use of tourniquets, I can't think of a more authoritative source nor relevant study.
Conventional trauma management is still behind the times, by about 5 years. The gold standard courses--ATLS for physicians, TNCC for nurses, and PHTLS for everyone else--still cling to the old ways. I am trying to change this in my institution, but it's largely jousting at windmills.Quote:
Originally Posted by Esq.
In what aspects it is behind times? just interested.Quote:
Originally Posted by chuckman
It is still largely driven by ABCDE instead of MARCH, still 2 large-bore IVs, it treats permissive hypotension as something to consider rather than the current doctrine. It's the nature of institutional medicine plus textbooks/curricula that hasn't caught up to research and current practice. It will in the next iteration, but it takes forever.Quote:
Originally Posted by EvanDuffy
It seems some still cling to the belief that once you put a tourniquet on, the patient will loose the limb.
I still thought that until I got some training (Dark Angel) and got a new, updated perspective.
Any change in any industry is always time-consuming.
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Here's what's funny to me about that- in Major surgeries, physicians regularly clamp off blood flow etc...and think nothing of it....How is a tourniquet any different?Quote:
Originally Posted by chuckman
It's really not; in fact, it (TQ) is actually safer. It's a whole paradigm shift in a way of thinking that is over 75 years old. As the current generation of providers age and move out, and the curriculum catches up, it will be good.Quote:
Originally Posted by Esq.
How's this to blow your mind: in my institution, only physicians--not nurses, not paramedics who work in the ED, not mid-level providers--can put on a tourniquet.
Thanks for sharing this research! I am a newbie about the gun. My father wants to buy it, but I am really worried about it.
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Nice. I just started putting together a small IFAK, and this makes me feel slightly less silly in doing so. I've narrowed it down to tourniquet, combat gauze, chest seals, trauma shears, nasopharyngeal, and pneumothorax. If there's room left, I'll add an Israeli bandage and maybe a space blanket.
Nothing can replace gun safety courses with hands on instruction. If everyone would follow any one of the three safety rules at all times, accidents would be virtually nonexistent. Every accident is always without exception caused by a complete breakdown in all three categories. The system works when people learn it and practice it.Quote:
Originally Posted by DeannaUnger
I'd put the Israeli bandage in the kit before the combat gauze. A clotting agent needs something to keep it in place, pressed into the wound/artery.Quote:
Originally Posted by okie
What would be wonderful is if the little gauze that's bundled inside the Israeli bandage had a clotting agent in it. That way you could skip the combat gauze and just carry the Israeli bandage.Quote:
Originally Posted by LMT Shooter
Thats a very good basic kit. Go to a FREE Stop the Bleed training session. Its a nationwide program. You can find a local presentation through google.Quote:
Originally Posted by okie
The standard Israeli does not have removable gauze for wound packing, just a non-adherent pad. The newer T3 varient does. It's an interesting product that combines several things in one package. https://persysmedical.com/products/h...ol/t3-bandage/Quote:
Originally Posted by okie
The T3 looks interesting. Might have to get one and see how it compares size-wise.Quote:
Originally Posted by Eric
Sent from 80ms in the future
This is my next move also. I watched a video by Karl Erickson, Tactical Rifleman, who has medical training and experience. He made a big point of buying a tourniquet made in North America and not some cheap crap made in China for airsoft appearance purposes. So I intend to put together a kit from my local military surplus company.Quote:
Originally Posted by okie
Yea that's the one I'm talking about. Would be awesome if the gauze had a clotting agent.Quote:
Originally Posted by Eric
Like a gun, no good without training.Quote:
Originally Posted by okie
I watched a youtube vid. What more do you want?Quote:
Originally Posted by chuckman
Broblem being not everything needs a tq. Many injuries just need a pressure dressing and idiots throw a tq on it.
Well in my defense, it was the worst paper cut I've ever seen in my entire life.Quote:
Originally Posted by chef8489
North American Rescue (CAT) and Tactical Medical Solutions (SOF-T) are probably the 'better' sources, but you can find reputable TQs from many vendors (to include Chinook Med, My Medic, and others).Quote:
Originally Posted by Dr. Bullseye
Yes, like that moron in Kenosha....Quote:
Originally Posted by chef8489
Background in medical field or what training do you have for the chest decompression needle?Quote:
Originally Posted by okie
Old post I know.Quote:
Originally Posted by chef8489
What is the cost of an unneeded TQ, applied by a layman who couldn't tell whether or not it was needed?
This is often a contentious issue. An IFAK is to be used on YOU, by someone else. You might get a trauma surgeon, you might get Ricky Rescue who saw it on Youtube. The probability is more the latter and not the former. I do not advocate anyone use one if they have not been trained. Even if you have been trained, depending on state law, you may or may not be liable regardless of any Good Samaritan laws.Quote:
Originally Posted by 99cobra2881
I will say, in 30 years (almost 31 now), I have never seen anyone die of a singular tension pneumo. TPs are usually accompanied by other things, and those other things are usually the cause of death.
$20 for peace of mind. If they don't need it and it was applied correctly, then everything is OK. If it WAS needed and it was applied correctly, then there's that...Quote:
Originally Posted by Warp
Quote:
Originally Posted by chuckman
That is precisely the SOP I have had in my mind for awhile now, based upon various gathered info. When in doubt,
I’m not an expert at all, but I feel like needing to do decompression as a citizen seems like a unicorn scenario. TQs, bandages, gauze and a cell phone seem way more useful than a needle.Quote:
Originally Posted by chuckman
As others have said, there is no real downside to a correctly applied TQ unless it’s on for an incredibly long time.Quote:
Originally Posted by Warp
Class I just took said: If you aren’t sure if it needs a TQ, it needs a TQ.