CAP Talk

Operations => Safety => Topic started by: RNOfficer on August 09, 2016, 03:51:11 AM

Title: After Orlando, doctors debate value of tourniquets
Post by: RNOfficer on August 09, 2016, 03:51:11 AM
In mass shootings, maybe what to do in certain circumstances until EMS arrives.

https://www.statnews.com/2016/06/24/orlando-shooting-tourniquet/?trendmd-shared=0 (https://www.statnews.com/2016/06/24/orlando-shooting-tourniquet/?trendmd-shared=0)

the June 12 shooting has renewed attention to the tourniquet as a simple, cheap solution to save lives in civilian mass shootings.

King and other members of the Hartford Consensus, a group of public safety, legal, and medical officials who came together in the wake of the Sandy Hook school shooting, have recommended public training on, and access to, tourniquets.

"They should be next to every AED [automated external defibrillator] and every first aid kit in every public place," said King. A manufactured tourniquet costs just $18, he said — cheap enough to keep on every ambulance, fire truck, and police cruiser, and in the trunk of every car.

Tourniquets alone will most likely not have the same effect on death rates in civilian active shooter situations" that they do in combat, he said. Combat involves fragmentation injuries from explosives, where tourniquets are helpful, while civilian shootings involve more wounds to the head and torso, he said.

Smith said public training needs to go beyond tourniquets. Civilians need to learn other techniques, such as how to clear a person's airway of vomit and prop them on their side so they can breathe, and how to prevent hypothermia, he argued.

"We need to stop the dying," he said. "Stopping the dying is more than just stopping the bleeding."

improvised tourniquet

http://www.armystudyguide.com/content/army_board_study_guide_topics/First_Aid/tourniquets.shtml (http://www.armystudyguide.com/content/army_board_study_guide_topics/First_Aid/tourniquets.shtml)

guidance from a survival doctor

http://thesurvivaldoctor.com/2015/04/06/tips-tourniquets/ (http://thesurvivaldoctor.com/2015/04/06/tips-tourniquets/)

from the Mayo Clinic

http://www.mayoclinic.org/medical-professionals/clinical-updates/trauma/combat-tested-tourniquets-save-lives-limbs (http://www.mayoclinic.org/medical-professionals/clinical-updates/trauma/combat-tested-tourniquets-save-lives-limbs)
Title: Re: After Orlando, doctors debate value of tourniquets
Post by: SarDragon on August 09, 2016, 06:53:04 AM
Political post removed, as not germane to the OP.

A quick review of the MCoC (http://captalk.net/index.php?topic=13.msg49#msg49) is suggested.
Title: Re: After Orlando, doctors debate value of tourniquets
Post by: etodd on August 09, 2016, 07:05:25 PM
There is a helicopter Medivac team based at our airport. They have been coming to a few of our meetings to talk with both Cadets and Senior ground team members in regards to initial triage in the event we do happen to be a first responder on the scene. Some basics in tourniquets, bandaging and much more. And other areas as well, as in last week where they taught us how to prepare a Landing Zone for the helicopter and what signals to use in guiding the helicopter down.

My point being that most of these folks enjoy teaching various groups and are looking for this to do on their down time. Maybe you don't have a helicopter, but you surely have EMT's and ambulances around.  Contact them.
Title: Re: After Orlando, doctors debate value of tourniquets
Post by: stillamarine on August 09, 2016, 07:56:17 PM
I've seen in LE more and more officers having a TQ nearby, many guys wearing them on their belts. I have one that goes in my cargo pocket, one on the strap of my plate carrier, one in my IPOK and one on the visor of my car. I have used one in real life and know they are lifesavers. I am actually writing a proposal for the dept to make all officers learn how to use them and be issued one.
Title: Re: After Orlando, doctors debate value of tourniquets
Post by: grunt82abn on August 09, 2016, 08:35:31 PM
My SFS has trained everyone in Combat Lifesaver, and has standardized placement of an IFAK and TQ on everyones IBA, Both military and civilians follow this practice. I also carry a Army style STOMP bag in my vehicle at all times, just in case!!!
Title: Re: After Orlando, doctors debate value of tourniquets
Post by: JayT on August 10, 2016, 03:50:44 PM
Should be mandatory. I always carry one on my duty belt, with an ETD  and quick clot in my pocket, one in my duty bag, and two in my POV.
Title: Re: After Orlando, doctors debate value of tourniquets
Post by: Stonewall on August 11, 2016, 01:18:25 AM
I literally have a "blowout kit" with tourniquet everywhere I go.  At my desk, in my daily carry backpack, in the car, in my "go bag", at home, in my wife's car, and in my gun range bag.