01-28-2005, 16:01
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#1
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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How Tight to make a Tourniquet
I enjoy this subject because when the adrenaline is flowing in the thick of things, it is sometimes forgotten how tight is toooooooo tight.
Remember, just tight enough to slow/stop the bleeding!!! Generally, the artery spasms and shuts itself off but the vein stays wide open and flowing...the vein is a LOW pressure system therefore not much pressure is needed.
Picture #1 is an arm that another hospital wrapped up (pseudo-tourniquet) and sent to us..pt. had a badly lacerated brachial artery, significant hemorrhage and forgot their 'basic' skills
Picture #2 is the same arm, close up of the mottled hand...tooooo tight
*****pics too big, I'll shrink them and post later
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(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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swatsurgeon is offline
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01-28-2005, 16:07
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#2
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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here are the pics......
__________________
'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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swatsurgeon is offline
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01-28-2005, 16:12
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#3
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Gun Pilot
Join Date: Jan 2004
Location: Iowa and New Mexico
Posts: 2,143
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Ouch!
That would leave a mark.
How long before permanent damage, given it's way too tight?
Terry
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CPTAUSRET is offline
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01-28-2005, 16:59
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#4
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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6 hours of warm ischemia leads to likely permanent damage to the nerve, muscle and other tissues
__________________
'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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swatsurgeon is offline
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01-28-2005, 17:33
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#5
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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I had a stud ask me on Monday if they should release and re-apply. He said he was taught 5 minutes for every 15 on. 
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He knows only The Cause.
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NousDefionsDoc is offline
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01-28-2005, 18:12
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#6
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Moderator
Join Date: Feb 2004
Location: Central Florida
Posts: 3,045
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Quote:
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Originally Posted by NousDefionsDoc
I had a stud ask me on Monday if they should release and re-apply. He said he was taught 5 minutes for every 15 on. |
I'd heard that too, in the past, but I think the release time was less than 5 min. I've also heard that at one time a tournaquet was no longer to be used.
Just repeating heresay
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