 This video is an introduction to our combat lifesaver program. The purpose of this video is not to teach you how to implement these skills, but to give you an introduction so that you'll be interested in coming to our class where you will learn how to implement these skills. The Army developed the combat lifesaver program to prevent deaths that were occurring on the battlefield by providing point of wound care, either self care or buddy care. Part of the doctrine costs for regular non-medical soldiers to be given training in providing additional emergency care to wounded soldiers beyond the first aid that is normally taught as part of basic training. What was happening was soldiers were dying on the battlefield before they could get to a field hospital or before a medic could get to them. And the Army discovered that if they taught soldiers this care, lives could be saved. The Army found out that the primary causes of preventable death on the battlefield were hemorrhage from an extremity counting for 60% of the preventable deaths, tension pneumothorax accounting for 33% of the preventable deaths, and airway problems accounting for 7%. So the CLS program concentrates on these skills. Alright, nasopharyngeal airway, someone's unconscious, you want to use this to prevent breathing problems later on. Or someone's having trouble breathing, gurgling sounds, obviously having trouble getting air, then you use this. We don't recommend you use this on a conscious person generally because it's kind of painful going up to nose and unconscious people don't complain as much, sorry. So you move it from the back, lubricate it, expose the opening of the nostril and insert the tip of the airway right into the right nostril with bevel facing the septum. Alright, here's a picture of it. Common blockage of the airway is the tongue. And no, you can't swallow your tongue, but the tongue does slide back, especially the unconscious person, it slides back and it blocks the airway. And as you can see right here, this is where the tongue, this is the tongue right here, where it would slide back and this just maintains that airway. Okay, next is, I'm going to cover here is hemorrhage from an extremity. This is the big one. 100% arterial bleeding from an arm or a leg, alright. We go over different ways to control bleeding, direct pressure, emergency or Israeli bandage, digital pressure, pressure points, splints, combat gauze and we determine if a tourniquet is required. You want to start with a simpler procedure first. If direct pressure would take care of the bleeding, then that's what you want to do. If that doesn't, you want to move to more advanced methods of stopping it. An attorney could, of course, will stop all blood flow to the limb. Alright, one of the ingredients in your IFAC is Israeli bandage. It's all wrapped up sterile like this. You don't want to open it if you have one in your IFAC, you don't want to open it. Alright, but this is what an open one looks like and sterile pad, you place this also once on the bleeding side, he's bleeding right here, place that on there, run it through here. This is the pressure bar, put pressure on the point, then you finish wrapping it up. See, this is how easy it is to use it if you know what you're doing. And this little device right here, just clips on there to hold it. My helper here, that's what you get for sitting close to me. Alright. Anyway, here are the directions. Like I said in the class, we go over this in detail. We're not going to go over the detail here. Alright, another item of sitting in here is combat gauze. It's in a sterile package. It has a clotting formula. It has a chemical in the pad that stops bleeding. Alright, so this is for serious bleeding. This is good if you have like a hole in someone, blood is gushing through there. If you can wipe the blood out, pack this in against the bleeding artery. And then you've got to hold it, key, because you've got to hold it for three minutes to allow the clotting agent to work. And of course, the cat, or the tourniquet that we use. And I won't put this in the sorry. That's okay. We have a time factor here, so I won't go into this. But of course, we did go into this in the class in detail. This is a very, very important part. The tourniquet we recommend is the cat tourniquet or combat application tourniquet. Alright, now moving on here. One thing that can happen is a penetrating chest wound. It can happen by many different kinds of mechanisms. One thing, since we all have guns in here. We like to go out hunting and cheating. And so a gunshot wound is a definite possibility. So what are you going to do if someone gets a gunshot wound to the chest? Alright, the first thing you want to do now is holding their chest. This is another product that's in the IFAC, the chest seal. Again, it's sterile. You open this and you patch the hole. And you check, always check for an exit wound. Because often there's an exit wound, not always. The exit wound is sometimes the worst one. If it's the worst one, then you want to use this on the worst one. Alright, and if you only have one and you have two, you can always just tear this open and just use this right here to seal it. Just taping, you know, put this over the hold and take it around the forehead. Okay. Now, this is to prevent a pneumothorax as air into the chest cavity. And pneumothorax is another, maybe 33%. We learn how to relieve attention pneumothorax. Say if you don't get the chest seal on there in time. Or you can still develop a pneumothorax even with the chest seal. Because air can come in through an injured lung. But anyway, pneumothorax basically has a hole in the chest right here. Air comes in and air gets between the lung and the chest wall. Alright, then this fills up with air and then that starts putting pressure on the lung and the person can't breathe and also puts pressure on the heart. And it's definitely a life-threatening situation. Alright, the solution to that is needle decompression. Another one of the products is in your IFAC. And it's a three and a quarter inch needle with a catheter on it. And we teach you how to locate the right place, insert this in, pull the needle out, leave the catheter in. And this allows the air to escape from the lung. Not something I'd recommend you try without training. And that's why you should come take our combat life saver class. Alright, that's the end of this introduction. Alright, here again is the information if you want to get on our list to be notified of when the next one we teach. It's right here at St. Louis Oath Keepers dot info. Or you can also just get involved with those keepers or the Missouri militia and you'll find out when the next one is. Okay, moving on.