|
Team Leader
   
This member has been banned. See the banlist for more information.
location:
Uptown,downtown,all around.
Gender: Male
 |  | Re: Call a MEDIC!
<Reply # 40 on 3/5/2006 3:20 AM >
|  | | | A couple good lengths of surgical tube is good to have for heavy bleeding, touneqets can save a life.
Death Sentence- Live to die (good ole one)
http://theaumc.com/forums |
|
dogyeaars
| | Re: Call a MEDIC!
<Reply # 41 on 3/5/2006 3:42 AM >
| | | | Posted by Team Leader
touneqets can save a life.
|
or kill a limb, though that's probabily the lesser of the two evils.
|
|
blackhawk
This member has been banned. See the banlist for more information.
location:
Mission Control
UER newbie
| |  | Re: Call a MEDIC!
<Reply # 42 on 3/5/2006 3:42 AM >
| | | | Posted by Team Leader
A couple good lengths of surgical tube is good to have for heavy bleeding, touneqets can save a life.
|
Tourniquets are a last resort measure for use with say a torn femoral artery. Even so with that injury there's a good chance you would die. I think for the novice they will do more harm than good. Direct pressure works if used correctly almost always, and doesn't cause more damaged.
http://www.dcmilit...tures/30900-1.html
Just when I thought I was out... they pulled me back in.
|
|
dogyeaars
| | Re: Call a MEDIC!
<Reply # 43 on 3/5/2006 3:53 AM >
| | | | Posted by blackhawk
Tourniquets are a last resort measure for use with say a torn femoral artery. Even so with that injury there's a good chance you would die. I think for the novice they will do more harm than good. Direct pressure works if used correctly almost always, and doesn't cause more damaged.
http://www.dcmilit...tures/30900-1.html
|
agreed. be careful when the victim is showing signs of shock and the bleeding is interior, here the use of a tourniquet might be in order.
[last edit 3/5/2006 3:55 AM by dogyeaars - edited 1 times]
|
|
dogyeaars
| | Re: Call a MEDIC!
<Reply # 44 on 3/5/2006 3:59 AM >
| | | | [edit] double post
[last edit 3/5/2006 5:54 AM by dogyeaars - edited 1 times]
|
|
ScarsAndStripes
location:
Dublin, CA
Gender: Male
| |  | Re: Call a MEDIC!
<Reply # 45 on 3/5/2006 5:02 AM >
| | | | Control Bleeding on an Extremity
First
-Apply direct pressure
-Elevate the extremity
-If bleeding continues...
Apply a Field Dressing
-Place a dressing (or tampon as we've come to enjoy) over the wound
-Tie it the dressing in place
-Be sure not to tie the knot directly above the wound
-Leave at least enough space for 2 fingers to fit
-Apply direct pressure
-Elevate the extremity
-If bleeding continues...
Apply a Pressure Dressing
-Wad up some cloth or a few dressings (tampons)
-Place the wad directly over or in the wound
-Tie the dressing in place
-Unlike the field dressing, tie the knot directly over the wound
-Leave at least enough space for 1 finger
-Apply direct pressure
-Elevate the extremity
After the pressure dressing comes the tourniquet. However, I'll leave info on that out because I don't want to bunch of inexperienced UEers to try tying faulty tourniquets and injuring someone (worse in some cases). But if you really feel the need to know how to tie a tourniquet, you can look it up online.
|
|
rainman8889
 
location:
H.T.S.F.C. Time to gain and a time to lose.
Bye for now.
| | Re: Call a MEDIC!
<Reply # 46 on 3/5/2006 12:58 PM >
| | | | Posted by ScarsAndStripes
Control Bleeding on an Extremity
After the pressure dressing comes the tourniquet. However, I'll leave info on that out because I don't want to bunch of inexperienced UEers to try tying faulty tourniquets and injuring someone (worse in some cases). But if you really feel the need to know how to tie a tourniquet, you can look it up online.
|
My First Aid instructor refused to teach us how to tie a tourniquet because of the dangers associated with them. She instead concentrated on the methods you quoted above and told us to stay away from tourniquets since if done incorrectly a tourniquet will do much more harm than good. Also, she told us that in the field, the main priority (after ensuring the victim's airway is clear and the victim is breathing) is controling bleeding and to leave infection control to the doctors. (Just get the victim to the doctor ASAP!) She is a paramedic (in case any one is wondering)
This is definitely one of the most useful threads I have ever read on this forum!
[last edit 3/5/2006 1:08 PM by rainman8889 - edited 1 times]
Gone for a while. Be back when I'm back. |
|
Team Leader
This member has been banned. See the banlist for more information.
location:
Uptown,downtown,all around.
Gender: Male
| | Re: Call a MEDIC!
<Reply # 47 on 3/5/2006 2:14 PM >
| | | | When you got a cut artery spraying blood in your face all you want to do is stop the spray, surgical tube stops the spray, inside the golden hour is what we are talking about. After that loosen and re-tie on the hour. Put a big red T on the forehead if you gotta go for help. Better then bleeding out, you can surgical tube all the extremites in a bad enough situation (imagine stumps). Triangular bandages work almost as good.
P.S. As if a tourneqet is an advanced technique. Pretty simple stuff.
[last edit 3/5/2006 2:25 PM by Team Leader - edited 3 times]
Death Sentence- Live to die (good ole one)
http://theaumc.com/forums |
|
Team Leader
This member has been banned. See the banlist for more information.
location:
Uptown,downtown,all around.
Gender: Male
| | Re: Call a MEDIC!
<Reply # 48 on 3/5/2006 2:22 PM >
| | | | T.L. what a jerk
Death Sentence- Live to die (good ole one)
http://theaumc.com/forums |
|
-MisfitStyle-
    
| | Re: Call a MEDIC!
<Reply # 49 on 3/5/2006 2:30 PM >
| | | | Posted by rainman8889
This is definitely one of the most useful threads I have ever read on this forum!
|
Agreed. It's been a long time since anyone has taken a topic this seriously and posted such informative, relevant information. Thanks everybody!
"I feel like I just got in a battle of wits with some kid in a helmet I found licking a window."
Need help? Please use the Contact a Mod forum — I'm slow to see PMs. |
|
ScarsAndStripes
location:
Dublin, CA
Gender: Male
| | | Re: Call a MEDIC!
<Reply # 50 on 3/5/2006 6:45 PM >
| | | | Posted by Team Leader
P.S. As if a tourneqet is an advanced technique. Pretty simple stuff.
|
Tourniquets are very simple once you know how to do them. But your average Joe doesn't really know how to tie a tourniquet in the first place. And I'd rather not hear about a UEers who injured/was injured because someone didn't know what they were doing. Tourniquets are lifesaving if done properly, but there is a risk of further injury and aggravation of the wound if not done properly.
|
|
Swimr
location:
Edmonton, Canada
Gender: Male
| | Re: Call a MEDIC!
<Reply # 51 on 3/5/2006 6:55 PM >
|  | | | Real quick, I want ot say this thread is cool.
I was taught that for pressure dressings you always place the knot on the opposite side if it's a head injury, and directly over the wound for anywhere else. In my NLS class I wrote a song to remember the steps to treat spinal victims(to the tune of tiny tim the turtle) so it's easy to remember.
If you suspect a spinal,
or other injury,
You should get it checked out,
for a full recovery.
Recognizing the spinal
is the first thing you should see
Immobilize, Activate(EMS),
Manage ABC's
If you need assistance,
But there is no EMS,
You can use a bystander,
To stabilize their neck.
Unless they are safe,
With them you must stay,
Until EMS arrives,
And have a wicked day!
And yeah Avoid tourniquets, if it's bleeding a lot keep dressing it and get the crap outta there.
School, Sustinence, Swim, Sleep, Repeat. UE when possible. |
|
FoxTwoFoxTwo
location:
Clarksville, Tennessee
Gender: Male
I'm an explorer who photographs...
| | | Re: Call a MEDIC!
<Reply # 52 on 3/5/2006 9:29 PM >
| | | | Tourniquets are a last ditch effort if the victim shows signs that he or she may die from rapid blood loss unless all blood flow to the wound is cut off. Because, that is what tourniquets do, they cut off all bloodflow to the wound and anything beyond, which will later have to be amputated. The only things I would recommend them for is severe arterial bleeding.
Lets go over the types of bleeding from least severe to most severe, understand that when you go up a level of severity, the last type may very well still be going on:
Capillary Bleeding: Least severe. Slow oozing type, usually from shallow cuts. Think scrapes and small cuts. This comes from the small blood vessels known as capillaries from tissue. Higher risk of infection. Treat with antiseptic and bandage.
Venus Bleeding: Moderately severe, easier to stop than the next level. Steady flow of dark blood. Some would call it Maroon colored. Treat with direct pressure and pressure bandage/field dressing.
Arterial Bleeding: Most severe. An artery is a direct outflow from the heart and is characterized with large periodic spurts of blood with each heartbeat. The blood will be bright red but will darken when it hits the air. This is severely life threatening, if the victim does not get proper medical treament, he or she may very well bleed to death. Usually comes as a package deal with shock later. Keep victim calm, apply direct pressure and pressure dressing. Tourniquet for LAST RESORT, as in, the victim is definately going to die and nothing else is working. THAT is a last resort.
Note that when you apply direct pressure, you must continue doing it. Bleeding stops easier if it is disturbed least. Remember that with arterial bleeding, shock can come into play along with panic from the victim when he or she see his or her life spurting away. Seek REAL medical attention (911/emergency room) for arterial bleeding.
ScarsAndStripes, have anything to add to that? Want to go over how to treat shock? Fractures? Puncture wounds? Lung punctures? Disembowelment?
Bringing exploration to Clarksville.
Journal: http://www.uer.ca/...id=4&catid=2000173 | RUAUER!?!?!?111ONE??QUESTIONMARK | FoxTwoFoxTwo - "I just ordered a large. I have a relatively huge head so yeah..." |
|
blackhawk
This member has been banned. See the banlist for more information.
location:
Mission Control
UER newbie
| | | Re: Call a MEDIC!
<Reply # 53 on 3/6/2006 1:39 AM >
| | | | Posted by FoxTwoFoxTwo
Tourniquets are a last ditch effort if the victim shows signs that he or she may die from rapid blood loss unless all blood flow to the wound is cut off. Because, that is what tourniquets do, they cut off all bloodflow to the wound and anything beyond, which will later have to be amputated. The only things I would recommend them for is severe arterial bleeding.
Lets go over the types of bleeding from least severe to most severe, understand that when you go up a level of severity, the last type may very well still be going on:
Capillary Bleeding: Least severe. Slow oozing type, usually from shallow cuts. Think scrapes and small cuts. This comes from the small blood vessels known as capillaries from tissue. Higher risk of infection. Treat with antiseptic and bandage.
Venus Bleeding: Moderately severe, easier to stop than the next level. Steady flow of dark blood. Some would call it Maroon colored. Treat with direct pressure and pressure bandage/field dressing.
Arterial Bleeding: Most severe. An artery is a direct outflow from the heart and is characterized with large periodic spurts of blood with each heartbeat. The blood will be bright red but will darken when it hits the air. This is severely life threatening, if the victim does not get proper medical treament, he or she may very well bleed to death. Usually comes as a package deal with shock later. Keep victim calm, apply direct pressure and pressure dressing. Tourniquet for LAST RESORT, as in, the victim is definately going to die and nothing else is working. THAT is a last resort.
Note that when you apply direct pressure, you must continue doing it. Bleeding stops easier if it is disturbed least. Remember that with arterial bleeding, shock can come into play along with panic from the victim when he or she see his or her life spurting away. Seek REAL medical attention (911/emergency room) for arterial bleeding.
ScarsAndStripes, have anything to add to that? Want to go over how to treat shock? Fractures? Puncture wounds? Lung punctures? Disembowelment?
|
Wrong.
Just when I thought I was out... they pulled me back in.
|
|
Mark
Very Noble Donor
location:
South Carolina
Gender: Male
What is a lion, king of the savannah, when hes at the south pole?
| | Re: Call a MEDIC!
<Reply # 54 on 3/6/2006 1:43 AM >
| | | | Posted by blackhawk
Wrong.
|
I am not disagreeing but I would like you to clarify, since alot of his info is the basic and reliable stuff.
Also please keep it civil between the two of you.
"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles" |
|
blackhawk
This member has been banned. See the banlist for more information.
location:
Mission Control
UER newbie
| | | Re: Call a MEDIC!
<Reply # 55 on 3/6/2006 1:46 AM >
| | | | Posted by ScarsAndStripes
Tourniquets are very simple once you know how to do them. But your average Joe doesn't really know how to tie a tourniquet in the first place. And I'd rather not hear about a UEers who injured/was injured because someone didn't know what they were doing. Tourniquets are lifesaving if done properly, but there is a risk of further injury and aggravation of the wound if not done properly.
|
http://www.dcmilit...tures/30900-1.html
You are right on the money S&S. Amen.
Just when I thought I was out... they pulled me back in.
|
|
FoxTwoFoxTwo
location:
Clarksville, Tennessee
Gender: Male
I'm an explorer who photographs...
| | | Re: Call a MEDIC!
<Reply # 56 on 3/6/2006 2:32 AM >
| | | | Wrong? I don't believe I've ever seen a more impotent post in my life. Oh please, don't feel obliged to post anything useful or offer any solutions or anything... no, of course not! [/sarcasm]
Bringing exploration to Clarksville.
Journal: http://www.uer.ca/...id=4&catid=2000173 | RUAUER!?!?!?111ONE??QUESTIONMARK | FoxTwoFoxTwo - "I just ordered a large. I have a relatively huge head so yeah..." |
|
Logan
location:
Ra-Cha-Cha, NY
Gender: Male
We miss you Jerry
| | | | Re: Call a MEDIC!
<Reply # 57 on 3/6/2006 10:02 AM >
| | | | So yeah, on sat I got a smallish punture wound from a fence, didnt even realize I had it until sunday morning. I was wearing UnderArmour Cold gear and when I rolled up the leg there it was. All the blood in it was black and it hadnt scabbed over. I washed it out and put some rubbing alcohol on it, then some first aid ointment and a bandaid. I washed it out later on sunday with peroxide and put more ointment on it. What sorts of things should I watch out for to see if its infected?
Cogito Ergo Sum |
|
Team Leader
This member has been banned. See the banlist for more information.
location:
Uptown,downtown,all around.
Gender: Male
| | Re: Call a MEDIC!
<Reply # 58 on 3/6/2006 10:55 AM >
| | | | Ooozin green puss, itchy feeling, redness around the wound. Scars and stripes?
Death Sentence- Live to die (good ole one)
http://theaumc.com/forums |
|
Caput_58
location:
Virginia, USA
Gender: Male
| | | Re: Call a MEDIC!
<Reply # 59 on 3/6/2006 1:14 PM >
| | | | Superglue in the field, be it dermabond or the standard stuff isn't a great idea. It seals the wound, trapping in any dirt and germs, which then get to fester inside. You really can't glue it until you clean it, and you're unlikely to be able to do the appropriate amount of cleaning in the field.
Speaking of cleaning, generally you should avoid applying alcohol/peroxide/betadine/windex?? to a wound, especially if you plan to seal the wound. While those are all good at killing bacteria in the wound (and leaving it streak free?), they also kill some of the living tissue. Sealing dead tissue in a wound pretty much guarantees infection. In rare occasions of gross contamination, this might be preferable, but in general, the accepted practice is prolonged low pressure irrigation with saline or clean water. Antiseptics can be used to cleanse the skin surface around the wound.
Finally, I've always been a big fan of the caver's first aid kit, which I probably touted in the 1st generation of this thread:
1. Bottle of Jack Daniels
2. .45 Pistol
|
|
Powered by AvBoard AvBoard version 1.5 alpha
Page Generated In: 93 ms
|
|
Ethics