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.
In what aspects it is behind times? just interested.
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.
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.
The research papers are sometimes very important. You can always refer to https://edubirdie.com/research-paper-help for advice. If you are a student writing research, this will be helpful to you.
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?
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.
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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So I am trying to learn about it as much as I can. A few days ago I prepared the article and reading https://gradesfixer.com/free-essay-examples/death-penalty/ it’s posted, there were many stories with a bad end. I was learning about the death penalty from free essay examples and there were cases people got it because of a gun(
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.
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.
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.
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.
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/hemorrhage-control/t3-bandage/
The T3 looks interesting. Might have to get one and see how it compares size-wise.
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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.
Yea that’s the one I’m talking about. Would be awesome if the gauze had a clotting agent.
Like a gun, no good without training.
I watched a youtube vid. What more do you want?