Last edited by OldRunner/CSAT Neighbor; 11-28-2018 at 08:42 PM.
As per the email I received the code is .....
CYBERMON
It seems to work for me with the kit I placed in my cart.
CYBER MONDAY SALE:
Save 20% on ALL trauma kits!
Coupon Code: CYBERMON
Applies to Trauma Kits, Bleeding Control Kits, and Inserts Only. Trauma kits are available on a first come, first serve basis.
Sale ends on December 1, 2018!
GREAT job, MSparks909. And very compelling AAR too, thanks for that.
”But in the end all of these ideas just manufacture new criminals when the problem isn't a lack of criminals.” -JRB
Msparks909, you did well.
FWIW my guess on the rifle is that he loaded a healthy charge of fast burning powder.
"Gunfighting is a thinking man's game. So we might want to bring thinking back into it."-MDFA
Beware of my temper, and the dog that I've found...
Strong work. One piece of info for the next time (hopefully there isn't one) - you don't have to go all the way up the extremity with the TQ. Going just proximal (i.e. just "above") the injury is what is currently advised.
Good on you for being prepared!
For most instances, yes. I just had to retrain the entire squad after skills update from a kinda affiliated EMT-IC. If you are providing care to yourself or another during or immediately after a gunfight, win the fight, if possible. Get off the X while winning the fight if possible. If not, then get the patient off the X, and TQ high and tight, over clothing, unless not feasable (winter clothing, etc). Sweeps, Rakes, pressure and pack. For me and my guys, if they are only going to remember one method, I prefer it to be along the lines of TECC. That said, for non "tactical" patient care expose, 1.5-2 inches proximal to the wound, pack and pressure bandage while awaiting transport. I have a level one trauma center literally minutes away in my jurisdiction, (IIRC you are VERY familiar with the facility and people), and AFR's EMT-Ps are TQing everything high and tight... I have yet to see one make it to the OR..The ED staff get them off in the Trauma Bay as a general rule.
MSparks, you done good.
Just picking nits, my friend Nephrology, not slighting you, your training, or experience.
pat
@nephrology needs no medical education from me, but for the benefit of those listening...
High-or-die is a 99% solution that requires remembering only one thing. Limiting judgemental and conditional tasks is critical for lay rescuers with minimal training and experience. If the limb is bleeding and DP isn't working, shut it off. Other rescuers can reevaluate the work and make changes as indicated.
Application proximal to the wound also works and can be a better plan. However, it requires the lay rescuer to consider distance and potential involvement of joints. Already in the last few posts we've seen two different distance measures that will be assessed visually in the heat of the moment. Application proximal to the wound may also involve combinations of less tissue, more bone, smaller circumference with resulting effects on control. As many lay rescuers will be using field expedient TQs, this matters more.
I have experimented with umpteen drill sets and recommendations for teaching TQs across diverse populations, and been astounded by the axles some get wrapped around. Easy-buttons rule, especially for lay rescuers and the minimally trained.
In my earlier post, I didn't mention high-or-die specifically but I touch on the decision making process and what the best way looks like for me and mine.
Last edited by ST911; 11-29-2018 at 12:20 PM.
الدهون القاع الفتيات لك جعل العالم هزاز جولة الذهاب