Re: tourniquets, pressure points, etc.
Ted Burton (tedburtn@CRIS.COM)
Sat, 23 Sep 1995 12:36:22 -0600
I had said:
>> first choice, pressure on the wound and pressure bandage
>> second choice, pressure points upstream
>> third choice, tourniquet
>> fourth choice, death by bleeding.
Tim Tilley then suggested:
> First choice is pressure on the wound
> Second choice is elevation
> Third choice is pressure points upstream
> Foruth choice tourniquet
> and then bleeding to death
In my experience elevation is a nice way to *start* with a wound on an
extremity, to slow things down while you move onto the next step, or if it
is a little wound without a lot of bleeding, but if pressure won't stop
bleeding, elevation won't stop it either. Pressure plus elevation while
transporting might be worth trying in close cases; and to the extent of
resting/strapping an arm on top of a chest (or to a shoulder where the
patient is ambulatory with a hand wound) routinely a good idea; and beats
gangrene from premature tourniqueting. Depends whether you are dealing with
cuts and venous bleeding on the extremities, for which pressure bandages
are generally great, but with arterial bleeding from a major vessel you are
into a big trouble in a hurry, and on an extremity stopping that bleeding
but good, and fast, with pressure and if that fails, with a tourniquet
(marked with time it was put in place and with last time loosened for a
time), is essential.
In the woods and with a wound not on an extremity, but rather from a wound
in the side, chest, or belly, of course there is no such thing as a
tourniquet, and pressure and prayer is the best one can generally do
without learning and instruments.
Should you, Heaven forbid, ever get a wound with bloody froth in the chest
(air bubbling in the blood, indicating a punctured lung), cover with
plastic flat against the skin (air-tight seal) under adhesive tape or under
the pressure bandage and transport with that side down (body weight helping
to maintain the air-tight seal).
May all of this dialogue remain of strictly academic interest to you all,
and may none of you ever find our country in need of these serices in war,
ever again. Pray for peace, which will naturally grow out of the twelve
points of the Law being truly accepted by all nations.
=-=-=-=-=-=- II <<<=-=<I=-=<<< II -=-=-=-=-=-=
"Future years will never know the seething hell and the
black infernal background, the countless minor scenes and
interiors of the war; and it is best that they should not.
The real war will never get in the books."
------------ "a good ol' Fox too..." ------------
who is netAddressed for, personal use, as: firstname.lastname@example.org
and for business use as: email@example.com
Terry Howerton Sakima Group, Inc. SCOUTER Magazine Kansas City