Wednesday, July 15, 2020
daily actions toward becoming better prepared for societal collapse
Your article is great except for the information on tourniquets. There is a course being taught in the schools in Texas called Stop The Bleed. It is excellent. We are training the children to apply tourniquets in cases of mass shootings because it has been found that many of the lives lost could have been saved if the bleeding was treated immediately. It is best to treat each severe bleed with a tourniquet and then move on to the next victim. We have found that tourniquets can be left in place many hours with no loss of limb. My email is larry_m_79556@yahoo.com. I have been a physician for over 40 years and the info in your article is what I was taught in medical school but is now outdated.
Is there a difference in the approach to treatment if you are treating one person as opposed to a mass casualty event? If there are five victims and only one person to work on them, I can see where the tourniquet would be applied immediately, without trying direct pressure first. But if you have one patient, and there is no immediate threat to safety, why wouldn’t you use direct pressure first?
Dr Larry responded to an email I sent earlier today:
“You can always try pressure to a wound. You shouldn’t waist much time though as your patient can bleed out relatively quickly. If the patient has already lost a lot of blood and appears to have a high volume bleed a tourniquet should be applied as the bleeding can resume even if it stops initially. If you apply a tourniquet you have the luxury of being able to evaluate and treat other wounds on this patient or others. If you just apply pressure you should make sure the bleeding doesn’t resume. Some times the blood comes out distal to the severed artery and the pressure you apply doesn’t really stop the bleeding. That is why you apply the tourniquet as high as possible on the extremity. Any wound on the torso or head can only be treated with pressure or wound packing. Your article was good and I hope to read more.”
Wednesday, July 15, 2020
Research & References of Wednesday, July 15, 2020|A&C Accounting And Tax Services
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