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Old 12-22-2007, 15:56   #37
Pacer
Asset
 
Join Date: Dec 2007
Location: Pennsylvania
Posts: 7
Question tampons in bullet wounds-FST TASC experience

New guy here, and will apologize for jumping right in.

Tis question comes up from time to time while educating /discussing field expedients. Now, as per my intro, most of my experinece is civilian, but I do train up and pre-plan for "Grid Down" no helo from Big Brother government scenarios.

So, while a GSW at the local range, or a Tactical EMS environment may not require it, if there were a prolonged or heavy fire situation, a tampon INTO the wound TRACT might seem reasonable (at least as reasonable as the proven Tourniquets)

A three week search for CLS/CMAST/91W and TRYING to get into Mil Medicine discussions, as well as a review of the latest edition of War Surgery, and I can't find the answer to the question...

Have any surgical personnel received a 'forward element' member with a tampon in the wound TRACT, and while at TASC, or salvage surgery, has it been the appreciation that the insertion of the tampon disrupted major vessels that had not previously been destroyed? (Risk Benefit analysis)

Thanks for opportunity to answer my OCD/AnalCompulsiveness by exploring this. I just set up the patients for the surgeon, and couldn't see vessles well enough to pursue the operating skills myself (though I do a fairly good job of surgical skills for resuscitation, including a mean cric...)

Pacer --awaiting INTEL
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