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I agree...it does make perfect sense for CUF conditions.......once can evaluate the injury, place another and remove proximal one...common sense wins this one.
This is actually where the blackhawk ITS system (internal TQ system) was coming from...all 4 TQ's (2 UE, 2LE) were all very proximal to get control ASAP, then apply your second one closer to hemorrhage.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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