@shades2 never loosen your tourniquet, only if you suspect that it is not needed. a tourniquet can be left in place for up to six hours with no adverse effects. if you loosen the tourniquet you will just blow out your clots and pour more vital fluid on the ground.
Would you use a hemostat at this point, I guess it's only useful if an artery or major blood vessel has been severed?
A tourniqet on a limb above the wound can definately help slow the bleed, but it must not be too tight and needs to be released regularly to allow blood flow or the patient's tissues can die, and is probably more appropriate for arterial damage.
I would have thought some sterile saline would have soaked the gauze prior to insertion. Would this not be the case, or is this solely for stopping a bleed?
omg....im so glad i saw this!(no i did not save anyone(yet))but now i know what to do! btw wtf is up with the 2 'dislikes'?well i just hope that everyone gets to see this so they can save someone.
Awesome demo video guys. To those saying to just use a tourniquet instead: the tourniquet isn't the end all answer. As was pointed out, there are plenty of places that can have life threatening bleeding that a tourniquet can't be placed. Even so, even after you've placed a tq you still need to do something about the wound. Another tool for the tool box. This video will def be going into the bookmarked list as a good demo of the technique. Thanks guys from a former Devil Doc.
very likely that the injured would have died 10 times of pain shock before the medic had have finished his diggings in meat and bone. why not to use tourniquet if u can?
not true. Yes a tourniquet should be used if possible, but for areas that do not allow placement of a tourniquet wound packing is preferred. Its also useful if performing a tourniquet conversion.
@tacmed2003 I was taught that use of a tourniquet should be avoided if possible, and when used it can be assumed the patient's limb will be lost (amputation) after further treatment. Is this still sound advice? I see now some units are quick to tourniquet a severe bleed.
@1dducks The average person can have a tourniquet applied for 1.5-2 hours before nerve damage even starts. If the bleeding appears life-threatening (gushing, etc), apply tourniquet ASAP. If it's not life-threatening, direct pressure is usually sufficient.
An excellent video. Very different from the vague " apply direct pressure" that is taught. I was wondering if there were any written resources on wound packing that you could direct me to. I've searched for it on places where I expected there to be some mention on this method of wound packing - PHTLS, SOF 2008 medical manual, etc - but nothing so far. Any pointers would be most appreciated!
Our blog has more information on wound packing. Most of the information we have was taught to us in the 18D course or learned throught our experiences overseas. There is a great book called "Pack To The Bone" that covers the topic, but it is pretty tough to find.
LOL! No one said it was going to feel good, but it's better than dying. This is one of those tasks that it really pays to be quick at. Thanks for the comment.
My thoughts were (from the 2 accident scenes I had to do this at - Not enough blood/dirt, and the "leg" isn't attached to a screaming patient that won't hold still - makes things a tad harder in real life, particularly as a civilian, where you can't stick him with morphine ahaead of time
they did this to my leg.. i got impailed by a bikr clutch the brake thing.. i had a huge hole in my leg and they packed it and shipped me to hoapita.. it hurt alot.
HOW DID I GOT HERE!?!?
LegoMasterClub 3 months ago
in the forest this will save you live, or if the medical industry decieds to go to hell
ViolentEncounter 5 months ago
Guess this is not a good thing to do without morphine, as it would be painful as hell?
commandoPR 5 months ago
Execellent demonstration. May i ask how exactly did you replicate that wound? Using meat or something? lol
WenYi1994 6 months ago
Great Video - I learned a maw packing skill!
DrSpeculum 7 months ago
When do you decide to pack a wound vs tourniquet or use a compression bandage?
CSRevenant 7 months ago
this is really helpful... thanks so much
EMINEM2010JUNINHO 10 months ago
@shades2 never loosen your tourniquet, only if you suspect that it is not needed. a tourniquet can be left in place for up to six hours with no adverse effects. if you loosen the tourniquet you will just blow out your clots and pour more vital fluid on the ground.
88mikehoncho 11 months ago
ouch!
sabagaparada 1 year ago
Would you use a hemostat at this point, I guess it's only useful if an artery or major blood vessel has been severed?
A tourniqet on a limb above the wound can definately help slow the bleed, but it must not be too tight and needs to be released regularly to allow blood flow or the patient's tissues can die, and is probably more appropriate for arterial damage.
shades2 1 year ago
I would have thought some sterile saline would have soaked the gauze prior to insertion. Would this not be the case, or is this solely for stopping a bleed?
briankofke 1 year ago
omg....im so glad i saw this!(no i did not save anyone(yet))but now i know what to do! btw wtf is up with the 2 'dislikes'?well i just hope that everyone gets to see this so they can save someone.
1sn4ke1 1 year ago
Hi, very interesting video. How would the treatment be different for a gun shot wound? Thx
sexyalexlancaster 1 year ago
@sexyalexlancaster no diff for a gun shot wound. just be sure to look for an exit wound.
docbaddass 1 year ago
no, this is a model. It is not a real patient.
tacmed2003 1 year ago 5
is this an actual patient?
Zodiac6594 1 year ago
how do they make these videos . with real people
xxCKYxxYKC 1 year ago
Awesome demo video guys. To those saying to just use a tourniquet instead: the tourniquet isn't the end all answer. As was pointed out, there are plenty of places that can have life threatening bleeding that a tourniquet can't be placed. Even so, even after you've placed a tq you still need to do something about the wound. Another tool for the tool box. This video will def be going into the bookmarked list as a good demo of the technique. Thanks guys from a former Devil Doc.
atb51 1 year ago
My wife having a wound vac close to her clitoris and we are looking for info or have this ever been done
chocplayaperl 1 year ago
@chocplayaperl
chocplayaperl 1 year ago
Thanx for sharing life saving vids ,.. Very valuable info... Your series are as good as it gets,...Again thanx for sharing & educating...
normbrag 2 years ago
thanks for the great comments! More will be on the way soon.
tacmed2003 2 years ago
sallright his leg had actually been blown off before the procedure so he felt no pain!!!!
madmelon1 2 years ago
very likely that the injured would have died 10 times of pain shock before the medic had have finished his diggings in meat and bone. why not to use tourniquet if u can?
zaotechestvo2010 2 years ago
not true. Yes a tourniquet should be used if possible, but for areas that do not allow placement of a tourniquet wound packing is preferred. Its also useful if performing a tourniquet conversion.
tacmed2003 2 years ago 3
@tacmed2003 I was taught that use of a tourniquet should be avoided if possible, and when used it can be assumed the patient's limb will be lost (amputation) after further treatment. Is this still sound advice? I see now some units are quick to tourniquet a severe bleed.
1dducks 5 months ago
@1dducks The average person can have a tourniquet applied for 1.5-2 hours before nerve damage even starts. If the bleeding appears life-threatening (gushing, etc), apply tourniquet ASAP. If it's not life-threatening, direct pressure is usually sufficient.
brized 3 months ago
i like the "scoop"..
SavantRara 2 years ago
man, I would just ask for a tourniquet to be applyed there man
MI6CORPORAL 2 years ago
Very helpful, it's good to know these things !!!!!
619Movement 2 years ago
GREAT VIDEO! it was very helpful thx!!
blckbeltx123 2 years ago
yuck yuck yuck.really good demonstation but yuck
gothgirlsunited 2 years ago
eww my leg started hurting when i watched it.I cant imagine how it would feel in real life,and I REALLY dont want to
linkinparkfan1027 2 years ago
It's not cows meet. They have teaching models for trauma cases. Not to mention, they weren't trying to say it was a real person.
ViktoriaGrace 2 years ago
dammmmmmmmmmm i could feel it
breezy101270 3 years ago
awesome, awesome video. Very informative, and helpful for realistic story writing.
And great practical knowledge to have in case of an emergency. Your blog looks promising. Going there next...
ninnariaein 3 years ago
that would hurt sooo much o.O
cool video though
theace1477 3 years ago 2
Sir,
An excellent video. Very different from the vague " apply direct pressure" that is taught. I was wondering if there were any written resources on wound packing that you could direct me to. I've searched for it on places where I expected there to be some mention on this method of wound packing - PHTLS, SOF 2008 medical manual, etc - but nothing so far. Any pointers would be most appreciated!
jashl85 3 years ago 2
Our blog has more information on wound packing. Most of the information we have was taught to us in the 18D course or learned throught our experiences overseas. There is a great book called "Pack To The Bone" that covers the topic, but it is pretty tough to find.
tacmed2003 3 years ago
LOL! No one said it was going to feel good, but it's better than dying. This is one of those tasks that it really pays to be quick at. Thanks for the comment.
tacmed2003 3 years ago
My thoughts were (from the 2 accident scenes I had to do this at - Not enough blood/dirt, and the "leg" isn't attached to a screaming patient that won't hold still - makes things a tad harder in real life, particularly as a civilian, where you can't stick him with morphine ahaead of time
KG2V 3 years ago
this looks like it will hurt so muchh but i guess it beats dieng
Chris97yo 3 years ago
they did this to my leg.. i got impailed by a bikr clutch the brake thing.. i had a huge hole in my leg and they packed it and shipped me to hoapita.. it hurt alot.
heyheyhowsitgoing 4 years ago
Man thx for this video now i no wat to do in bloody situations. :)
chainkill7 4 years ago 2
is that a reel person?!?!
wiitard22 4 years ago 2
instead of a power ball that looks more like a power pebble
bacon427 4 years ago
do the medics in wars actually do these thing, kinda hard,cuz your trying to save a soldier's life
tucker1012 4 years ago
very very good
donutman13 4 years ago
Thanks! We appreciate the positive comments!
tacmed2003 4 years ago
omg where wuz this the war?
jessie280 4 years ago
No, this was made here in the US. It is not a living thing, just a model we use to demonstrate packing a wound.
tacmed2003 4 years ago
man i would trust him
porkman111 4 years ago