Comments for TacMedSolutions Blog

Comment on Improvised Tourniquets: A Bad Idea by Monk

Monk — Sat, 06 Oct 2012 21:28:37 +0000

I work in a federal law enforcement agency and we just had an AD on the range. 40 SW through the femoral, really bad bleeding, a CAT saved my friends life. I applied one on the upper thigh after using my arm (choke hold) on his leg to temporarily stop/slow the bleeding. What a life saver!

Comment on Rethinking Tension Pneumothorax by TacMedSolutions Blog » Blog Archive » Neelde Decompression Location Reviewed

Wed, 18 Jul 2012 18:04:47 +0000

[...] changing thoughts regarding the sign and symptoms of Tension Pneumothorax in the past (see here: Rethinking Tension Pneumothorax). Although this study was broad, it did not address in detail the implications of different [...]

Comment on How to:One-handed Tourniquet Application by One Hand Tourniquet Application – Jerking the Trigger

One Hand Tourniquet Application – Jerking the Trigger — Mon, 06 Feb 2012 09:01:02 +0000

[...] out the TacMedSolutions blog for tons of great first aid information. This entry was written by Matt, posted on February [...]

Comment on Risks of Rubber Band Tourniquet Use by Kaja

Kaja — Wed, 09 Nov 2011 01:35:34 +0000

Thanks for posting this

In one way the system “tighten until bleeding stops” works good enough for windlass TQs, but since most of our PD and even some .mil guys gets only RBTs this may be the issue. Even worse that they are trained “start easy, and tighten each next revolution more and more”. With long enough piece of rubber….

Comment on Improvised Medicine Part 1 by HOUSE

HOUSE — Sat, 08 Oct 2011 03:57:59 +0000

THANK YOU!!!

I know I have a long way to go in TC3 but everything especially improvised helps!
I appreciate you documenting these particularly with video instruction not just pumping out product.

-HOUSE
http://THOT.thoh.us

Comment on Improvised Tourniquets: A Bad Idea by CPl Corey Sagstuen CF

CPl Corey Sagstuen CF — Thu, 18 Aug 2011 16:33:06 +0000

I have used the SOF-T, CAT and the EMT on Canadian,US,ANSF and LN. not one has failed and countless lives have been saved. training is Key on all devices as well as the prep that needs ot go into it.
Being wounded myself, i know the importance of this life saving device, it should be part of everyday life…it is in mine!
God love all of those men and woman out there keeping everyone else safe! You know who you are!!!

Comment on Improvised Tourniquets: A Bad Idea by All Bleeding Stops Eventually | In The Rabbit Hole Urban Survival

All Bleeding Stops Eventually | In The Rabbit Hole Urban Survival — Thu, 16 Jun 2011 14:02:31 +0000

[...] had limbs tourniqueted? That is because some people got multiple tourniquets. Here is an example of multiple tourniquets in a civilian case. Shooting accident at the range and guy is shot by the person next to him. The bullet goes through [...]

Comment on Risks of Rubber Band Tourniquet Use by starlight_cdn

starlight_cdn — Sun, 22 May 2011 17:21:53 +0000

Excellent post and I will use the pdf as a reference.

I have warned students in the past of the possible dangers of elastic bandages (let alone RBT), improper application of an Emergency dressing or Oales can have similar effects. This only my anecdotal observations in trg and deployments. I do warn about the effects of stretching and cinching a dressing down too tightly and that the effects of an elastic bandage a cumulative. Also, impress upon students the importance of constant assessment of Pulse, Motor and Sensory (PMS) at distal extremities.

This is a training issue. The Oales modular bandage/ BLAST bandage are the best field hemorrhage control on the market.

Comment on Lessons Learned: “Four Hours of Tourniquet Time” by admin

admin — Fri, 20 May 2011 19:20:00 +0000

That is a great point. I think the context does matter. The reason most tactical medicine instruction favors leaving it on is the short evacuation times and the possibility of having to move the patient often. Most quality programs do teach to evaluate the wound and change to a pressure dressing when applicable, while leaving the tourniquet in place so that you can re-tighten it if needed.

Thanks for the comments.

Comment on Lessons Learned: “Four Hours of Tourniquet Time” by tems_wildmed

tems_wildmed — Fri, 20 May 2011 18:58:32 +0000

Something else to consider….how long does it take the normal hemostatic process to occur? For individuals without coagulopathy, most clotting takes 5-15 minutes to occur. Wilderness Medical Associates recommends that, in a prolonged care setting, tourniquets be slowly released after about an hour to assess for re-bleeding. If no re-bleeding occurs, does the TQ REALLY need to be left on and risk this reperfusion injury?