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Fri Dec 15 11:25:35 GMT 2006

I don't teach them pressure points so that they will use them.  I
teach them so they won't use tourniquets.

On 12/15/06, oded private <tangentcarrot at hotmail.com> wrote:
> 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 & 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
> >> >--
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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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-- 
V/R

Forrest Robleto
R House Health & Safety
www.RHouseTraining.com
FRobleto at RhouseTraining.com
609-792-9047

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