Just stop fidgeting with your knife!
Hah! Only the second one was a negligent, self-inflicted knife wound. The other was a laceration on my forehead resulting from a fall in August of 2009 (there is a topic about it somewhere on here).
Just stop fidgeting with your knife!
Hah! Only the second one was a negligent, self-inflicted knife wound. The other was a laceration on my forehead resulting from a fall in August of 2009 (there is a topic about it somewhere on here).
Just messing with you.I think I've seen that thread.
Holy crap. Carry a first aid kit, or dont.
Stock it however you want.
Why tell others what is "too much"?
Holy crap. Carry a first aid kit, or dont.
Stock it however you want.
Why tell others what is "too much"?
You are doing it wrong!
No way!! Not on INGO! It's INCONCEIVABLE!
I wasn't even sure one was really a self-infliced knife wound.Just a guess.
Holy crap. Carry a first aid kit, or dont.
Stock it however you want.
Why tell others what is "too much"?
As long as they stop short of a total hysterectomy, what’s the problem?In the spirit of hyperbole, I want to encourage people to be aggressive in providing first aid but I don't want them rushing to do a c-section to a fat man with stomach pain because they have a sharp knife and saw it on an episode of ER.
This!!!Dump the pressure dressings for more gauze to pack the wound with.
Before the crying starts, yes they have their place but if we are treating a gunshot wound or multiple, good luck with the pressure dressings. They rarely give you what you seek. Bullet holes never happen where you want them to for easy bandage and tournaquet application. Wanna stop that bleeding as best as possible and fast? Pack that sob
Cleaning it out is a bear. By dire circumstances, I mean no ems response available or long, like days, to EMS. When those substances first hit the scene, they were the be all and end all to wound care. I think that direct pressure, tq's and packing will take you all the way without ER personnel cursing your lineage for the contamination. Please know that I am not saying they are without merit.If you don't mind my asking, why?
This!!!
I have a friend that was a deployed Ranger. When he got out he became a Paramedic. While he was still with IEMS, he taught my unit on the department, our tactical first aid. My unit gets it once a year. He came up with a quick reference remember what to do. Tourniquet anything that Terminates in a Thumb or a Toe. Pressure for anything in the Pits or the Penis. Cover anything in the Chest.
Tourniquets high and tight on the limbs, pack the junctions (neck, armpits, groin), seal the box (torso). Anthing to the head, they were either going to live or die anyway. Easy as pie.
As far as needle decompression goes, it's far less risky than some seem to believe. Go midaxillary and don't ride the rib. You're not going to hit the heart or the aorta with 3.25" needle. Going midaxillary avoids the subclavian, plus the chest wall is a bit thinner there. Besides controllable bleeding, tension pneumo is one of the few things that can be treated in the field. No trauma patient should ever die without bilateral needle chest decompression!
Have you done many of them? Fortunately I've only practiced.
I understand the cautions offered by some and the dismissal from others, but using the needle cath to treat a tension pneumothorax is a core part of Doc Gunn's Tactical Treatment of Gunshot Wounds class. He was the first teacher from whom I learned about the specifics of gunshot wounds and similar injuries, I what he teaches and recommends is part of my foundation. I've been through the class a few times.
"Mid clavicular line, second intercostal space" is one of the things seared into my memory.
While I certainly can't claim to have done MANY, I have done a few.Have you done many of them? Fortunately I've only practiced.
I understand the cautions offered by some and the dismissal from others, but using the needle cath to treat a tension pneumothorax is a core part of Doc Gunn's Tactical Treatment of Gunshot Wounds class. He was the first teacher from whom I learned about the specifics of gunshot wounds and similar injuries, I what he teaches and recommends is part of my foundation. I've been through the class a few times.
"Mid clavicular line, second intercostal space" is one of the things seared into my memory.
Over the rib or under the rib?
While I certainly can't claim to have done MANY, I have done a few.
Above. By staying above the rib, you avoid the nerves and blood vessels that run on the bottom side of the ribs. Again, another benefit of mid axillary (imaginary line running down the middle of the armpit). You can go in the fourth or fifth intercostal space (between ribs 4 and 5, or 5 and 6) and have more room to work. There is more room between the ribs, allowing you get right in the middle of the intercostal space. There is a typically a higher success rate when decompressing in the mid axillary line.