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Ronald Gross Rgross at harthosp.orgThu Dec 14 12:01:12 GMT 2006
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I ain't young, but may be able to speak with some authority, unfortunately having cared for many of the very same injuries you discussed - and you are absolutely correct in your assessment! Happy Holidays, Ron >>> <bensonblues at comcast.net> 12/14/2006 2:47 AM >>> Pret had something with his "compare Baghdad to Baltimore" statement. I'll take the liberty to compare Da Nang (circa '69) to Detroit: The homeboys in Detroit 1) can't shoot straight (thank God), and 2) (usually) use low velocity weapons (thank God again). Low-velocity GSWs tend to crush tissue, and bleeding from an extremity is usually adequately controlled with direct pressure. Wounds produced by high-velocity rounds, however, such as the 7.62 x 39 mm (AK-47) produce considerable soft tissue injury and sometimes near-amputation of an extremity. Bleeding from these injuries can be difficult to control with direct pressure, and in many situations using a tourniquet may be all that a corpsman can do to keep his Marine from bleeding to death. I doubt that much has changed in terms of GSWs in Bahgdad - the AK-47 is still a favorite killing tool. Likewise, wounds produced by "Bouncing Bettys" (a creative VC modification of the Claymore mine) or the contemporary IEDs are likely t o prod uce extremity wounds in which hemorrrhage is difficult to control with available hands, thus necessitating a tourniquet. Any young combat medics out there with input? DB -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/traumalist.html Confidentiality Notice This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential or proprietary information which is legally privileged. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please promptly contact the sender by reply e-mail and destroy all copies of the original message.
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