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a few good points here.....first, tourniquets DO NOT work when there is a bone in the way, it needs circumferential soft tissue and when places above the ankle and around the popliteal fossa, the tibia at the anke and the patella or tibia at the knee will prevent the tourniquet from performing its intended duty.....need to refresh the anatomy and placement of tourniquets with the medics!!
IMHO, a touniquet over gauze at the site of injury 'most likely' would have taken care of this. Yes, quik clot will stop the bleeding and he didn't sustain a burn most likely because the field was very dry...it remains as he describes a LAST DITCH EFFORT/PROCEDURE. That is the most important point
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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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