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severe bleeding

  • How to apply a tourniquet

    With the accessibility of tourniquets now (heavily recommended by the Hartford Consensus, the Stop the Bleed program and now also required in ANSI Class B First Aid kits for workplaces) we thought we would share some information on tourniquet use.

     Hemostatic Band / Tourniquet Strap - 1 Each Product Description Genuine First Aid GFAP-62-01 Hemostatic Band / Tourniquet Strap - 1 Each Genuine First Aid Hemostatic Band / Tourniquet Strap is designed with an elastic strap and easy release button. The strap itself is 1" x 12" and it also has the two buckle pieces on the ends. Clever and easy-to-use tourniquet! Bandages and packaging are certified latex free. This item has CE & FDA approval Meets strict conformity with international standards - ISO9001, ISO13485
    Hemostatic Band / Tourniquet Strap - 1 Each
    Product Description Genuine First Aid GFAP-62-01 Hemostatic Band / Tourniquet Strap - 1 Each
    Genuine First Aid Hemostatic Band / Tourniquet Strap is designed with an elastic strap and easy release button. The strap itself is 1" x 12" and it also has the two buckle pieces on the ends. Clever and easy-to-use tourniquet!
    Bandages and packaging are certified latex free.
    This item has CE & FDA approval
    Meets strict conformity with international standards - ISO9001, ISO13485

    After years of first aid courses for bystanders recommending against tourniquet use (for fear of causing more damage than good) it has become evident that bystanders need to have tourniquets available and know how to use them, A person can dies from exsanguination (bleeding out) in 3-5 minutes... faster than from cardiac arrest, and much faster than the national average emergency response time of 8-14 minutes - bystanders are the key to saving lives from bleeding injury.

    CBS 10 News gives these directions:
    Using a tourniquet is something you want to use only for an extreme injury according to Tampa paramedic Capt. Stephen White.

    "An auto accident where someone has a severed limb, shark bites, when someone cuts themself severely," he says.

    Regardless, it's a technique that many physicians and paramedics say you should know in case you ever have to use it, just like CPR.

    While professional tourniquets can be purchased, White says most people will not have one will have to improvise with what they have on scene. Consumers will want to find something clean, in addition to long and at least an inch wide. He suggests ripping a sheet, shirt or towel, or using a belt or even a dog leash.

    White says to start tying it about 5 inches away from the wound. Once it is secured in place, find something sturdy like a stick or screwdriver. Then, tie the fabric around that.

    "Then you begin to twist it and as you twist it, it's going to get tighter and tighter until the blood stops flowing," says White.

    Once the bleeding stops he says, "You want to write a big T on their forehead for 'tourniquet' and the time you got there, so when they finally get to the hospital they'll know how long the tourniquet has been in place."

    It's a simple first-aid approach that can be the difference between life and death, but he reminds people that it is to be used only in an extreme situation or when elevating the wound above the heart or putting pressure on the wound won't stop the bleeding.tourniquet-application

  • Moving an Injured Casualty?

    What happens when you need to move a casualty / injured person away from danger? You must take great care not to cause further injury...

    • Avoid moving an injured casualty if possible. If there is immediate danger or the possibility of further injury (such as on-coming vehicles, explosion, fire, chemical leak, etc.) if not moved, then move the casualty as safely as possible.
    • Attend and control severe bleeding, maintain an open airway, and splint all fractures before moving the casualty.
    • Use the following steps to move the casualty safely:

     

    Pull a casualty to safety:

    • Kneeling behind the casualty’s head, tightly grab her/his shirt or coat collar so the casualty’s head is lying on your forearms.
      Image of responder preparing to move injured casualty
    • Keep the casualty’s head as close to the ground as possible.
    • Keep the casualty’s body in a straight line – do not allow it to bend or twist.

     

    Lift the casualty to safety:

    • If the casualty must be moved for safety reasons before you can check for injuries, lift him/her and keep her/his body in a straight line – support every part of the body and do not allow it to bend or twist.

     

    Carry a casualty to safety:

    • If the casualty must be moved, a stretcher or similar device is the best option for moving the casualty safely.
    • Use a wide, flat item such as a board, an ironing board, folded blankets, or a door as a stretcher and fasten the casualty onto it.
    • If the above items are not available or the person is too heavy or frail, a two-person carry method with a chair may be used.

    Content excerpted from the Urgent First Aid Guide used by permission Copyright 2013 UrgentFirstAid.com
    All Rights Reserved. Get a full copy of the First Aid Guide for under $1!

  • Bleeding and Soft Tissue Injury Treatment

    Image of cut on back of legSevere bleeding is a Medical Emergency. Controlling severe bleeding is an important part of first aid.

    Treatment

    • Call 9-1-1 or EMS if bleeding is severe and difficult to stop.
    • Have the casualty lie down, if possible.
    • Place a clean, sterile, cloth directly over the bleeding site. If available, the rescuer should wear gloves to protect from Bloodborne Pathogens.
    • Firmly apply pressure to the wound using one or both hands.
    • Apply a bandage to hold the first dressing in place. Apply additional cloths or pads if bleeding continues. Do not remove the initial dressing as this will tear away the clotted blood and cause bleeding to start over.
    • Elevate the bleeding site above the heart level if bleeding is difficult to control with firm, direct pressure. Do not elevate the limb if you suspect the possibility of broken bones or head, neck, or spinal injury.
    • Continue to apply direct, firm pressure to control bleeding until Emergency Medical Personnel arrive.
    • A tourniquet should be used only as a last resort and is not recommended unless the responder has specific training on how to use a tourniquet safety.
    • Do not give the casualty alcohol, caffeinated beverages, or aspirin.
    • Once the bleeding has been controlled:
      1. Continue to apply firm pressure to the injury site.
      2. Keep the casualty warm by covering him/her with coats or blankets.
      3. Do not move the casualty unless necessary.
      4. If the casualty is conscious and asks for water, moisten her/his lips with a small amount of water. Do not give water to an unconscious casualty or if abdominal injury is suspected.

    Also read: Treatment for Cuts and Abrasions & Shock First Aid Treatment

    Content excerpted from the Urgent First Aid Guide used by permission Copyright 2013 UrgentFirstAid.com
    All Rights Reserved. Get a full copy of the First Aid Guide for under $1!

  • Shock First Aid Treatment

    Image of responder assisting an anaphylactic shock victim

    • Call 9-1-1 or EMS immediately.
    • One of the most important treatments for shock is keeping the casualty as calm and comfortable as possible.
    • Control the cause of the shock; such as controlling severe bleeding, if possible.
    • If a spinal, neck, or head trauma is not suspected, keep the airway open with the head tilt-chin lift method.
    • If the casualty vomits, turn her/his head to one side to avoid aspirating on or swallowing the vomit. If a spine, neck, or head injury is suspected, keep the casualty’s head, neck, and body in a straight line while turning him/her on her/his side.
    • If possible, elevate the casualty’s legs above the level of the heart. Do not elevate if you suspect broken bones in the legs, neck, or spine.
    • Keep the casualty as comfortable and warm as possible. Cover any visible injuries with a clean, sterile dressing.
    • Do not give fluids to an unconscious casualty. If medical assistance is delayed for more than an hour, you may give the casualty small sips of water.
    • Do not give any fluids if you suspect an abdominal or other injury that may require immediate surgery.
    • Do not give alcoholic, caffeinated or sugary beverages.

    Learn what Shock is.

    Content excerpted from the Urgent First Aid Guide used by permission Copyright 2013 UrgentFirstAid.com
    All Rights Reserved. Get a full copy of the First Aid Guide for under $1!

    Shock can be a life-threatening condition and can manifest itself in a variety of ways and levels of severity. Learn The Signs & Symptoms for shock, as well as treatment for specific types of shock. Find out about LIVE OSHA Standard First Aid & Emergency Care at your location... check out American CPR Training™

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