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Fri Dec 15 09:22:44 GMT 2006

Pressure points are troublesome when teaching time is limited, since many 
people have a hard time aqcuiring the correct technique.

As I mentioned earlier about tourniquets- many of them use them improperly 
and can cause paradoxial increase of bleeding. So I rather teach them how to 
do it right- they will use it anyway

>From: "Forrest Robleto" <farcpr at gmail.com>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
>Subject: Re: tourniquets
>Date: Thu, 14 Dec 2006 10:10:57 -0800
>
>I teach a lot of first aid classes and lately the sanctioning agencies AHA,
>ASHI, etc.  have been moving away from three steps (direct pressure,
>elevation, or pressure points)  to a single step, direct pressure.
>
>I used to explain why pressure points were better than tourniquets. Now I
>leave them with direct pressure only and with a troublesome bleed I know
>they will move directly to a tourniquet.
>
>
>On 12/14/06, oded private <tangentcarrot at hotmail.com> wrote:
>>
>>You're probably right, but I'm not sure you realize how far it's gone in
>>some places. IDF soldiers- and I'm not talking just about medics- have to
>>carry a perssonal bandage with them at all times. Many of them carry a
>>tourniqet with them- forgetting all about the bandage, and sometimes don't
>>even carry it at all. They hang out of their pockets in a fashionable and
>>"operationale" matter- while they don't understand that if they pull it
>>out
>>unrolled- it's no good. One time an instrouctor in medic's course talled
>>me
>>she carried a tourniquet instand of a perssonal bandage -"like I could
>>ever
>>save anyone's life using a bandage". As I stated before- even lay rescures
>>use tourniqutes. They don't know of any other way to controll hemmorhage.
>>They don't understand that you can use manual pressure to controll
>>hemorhage. I know of a case were a kindergarten teacher brought a very
>>young
>>child (3 y/o if I remember correctly) with a bleeding soft tissue injury
>>to
>>leg cuased by a piece of broken glass. By the time she got her to the ED
>>she
>>had exshanguinated. Noone working in that kindergarten thought they could
>>control it simply by pressing on it!
>>
>>Just today I tought first aid class to lay rescures- when I said "now we
>>are
>>going to learn how to control external bleeding" (that's what I said- I
>>didn't even ask a question) - someone immediatley said "tourniquets,
>>right?"
>>
>>
>> >From: bensonblues at comcast.net
>> >Reply-To: "Trauma & Critical Care mailing list"
>> ><trauma-list at trauma.org>
>> >To: trauma-list at trauma.org
>> >Subject: tourniquets
>> >Date: Thu, 14 Dec 2006 07:47:27 +0000
>> >
>> >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
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>
>
>
>--
>V/R
>
>Forrest Robleto
>R House Health & Safety
>www.RHouseTraining.com
>FRobleto at RhouseTraining.com
>609-792-9047
>--
>trauma-list : TRAUMA.ORG
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