Originally Posted by 11Ber (Post 272805)

This is why I come to this site. With permission I am printing and taking into to TCCC tomorrow to run through with the guys during lunch.

Originally Posted by swatsurgeon (Post 272876)

he had breakthrough bleeding and they had to reinforce the bandage twice.
This is a classic case of uncontrolled hemorrhage with what people fondly refer to as a pressure dressing ....in reality it is nothing more than a "sponge" that soaks up precious blood and doed very little to slow/stop the hemorrhage...I really belive that these people dream in technicolor when they think a "pressure dressing" applied to a wound does something useful. The tourniquet should have been applied at this point, not when they are in the air. Where was it placed on the thigh by the air crew, was it tight enough to stop the bleeding, what tourniquet type was it?
Just for fun, I am adding a link to what has become my preferred tourniquet because it acts both as a pressure dressing that actually has physiologic results as a true pressure dressing and if wrapped as directed acts as a tourniquet.....by releasing 2 'wraps', it changed from tourniquet to pressure dressing when I tested it in the vascular lab.
The case report was my patient here.....it worked great.

http://swattourniquet.com/casereport.html

ss