CMP 003 - Direct Threat / Massive Bleeding

Direct Threat - “Care Under Fire”

Controlling major bleeding
Doing medicine in bad places

Put on a TQ and then re-evaluation after the fight

Self Aid

Massive Bleeding


TQ are for arms/legs and wound packing for junctional areas. You can also wound pack if you don’t have a TQ.

Tourniquets

  • Talk about different ones on the market

  • High and Tight or few inches about

  • Myths

Wound Packings

  • Regular Gauze

  • Combat Gauze

  • Celox

Use other bystanders to help you. During a bad event people will do what you tell them to do.

Product of the week:

SWAT-T Tourniquet

-not the best one handed

-great pressure bandage

-great for small kids or K-9


Civilianmedical for a 10% at medical gear outfitters

CMP 002 - MARCH

Today we’re going to talk about MARCH and Phases of Care.

Direct Threat / Care Under Fire

Presence of an immediate direct threat


Indirect Threat / Tactical Field Care

Treatment

Evacuation / Tactical Evacuation

CCP

Help EMS get patients close to the exit

Massive Bleeding

What is a massive hemorrhage?

  • Clothes covered in blood

  • Large pool getting larger

  • Unable to control with GOOD direct pressure

  • May not be spraying because of low B/P

Tourniquets

Commercial

Improvised

Wound Packing if no TQ available

Wound Packing

Clothes

Gauze

Hemostatic Agents

Pressure Bandages

Airway -

Position
Airway Adjunct

You CAN use an NPA

Suction

Recovery Position


Respiratory

Chest Seals

BVM

Hole must be .75 size of the trachea for a “sucking chest wound”

Circulation

Do a detail exam so you don’t miss another injury

Head Injury / Heat Loss

Cheap mylar blanket

Evaporation Cooling

Product

Gen 7 CAT

After Action

Leopard at the Zoo

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