Left Popliteal Injury

[Doc Dutch]

Originally Posted by 11Ber

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.

Please, feel free to use it. There are no identifying features on the photos and the case has no identifying features in the scenario, so it is HIPPA compliant. Teaching our colleagues is critical for good outcomes in the future.

Good luck on the presentation.

Dutch

[Doc Dutch]

Originally Posted by swatsurgeon

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

Wow! Now that is awesome!!! That is a great case on that website. I would recommend everyone going over and looking at it. Tourniquets are here to say and never should have left in the first place in my opinion. I am glad to see this website.

Dutch