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 Mark
      
Very Noble Donor
Location: South Carolina
Gender: Male
What is a lion, king of the savannah, when hes at the south pole?
 |  | The 6Ps of UE – Band-aids don’t cut it
< on 4/19/2012 2:37 PM >
|  | | | (Pics Coming soon)
Proper Planning Prevents Piss Poor Performance. This is one of the hallmark underground mottos of most military organizations, and one of the least followed.
I have been an explorer for a long time, and I move in and out of UER on a regular basis. I have been to some amazing places, seen amazing things and done some extremely stupid things in my day. I was at the first OPEX and while I am not a socialite at all the gatherings in my region, I continue to explore as much for the fun of it, as I do for alternative reasons. Experience teaches us many things in UE, from how to evade security, to how not to fall into big mine shafts. Everyone’s experiences shapes what they bring and how much they bring with them. I for one vary my gear depending on the location from a light and a small knife (just in case I need to cut something) to 3 days worth of gear (which I needed most all of it).
One of the most commonly overlooked things in UE is medical supplies. Too many explorers think they need a small medical kit from Wal-Mart, stashed in a car, and neglect to see the true dangers we face. Some of these same people get respirators t o prevent particles that may cause cancer to get them, but neglect some supplies they might need. Let’s face it even with Ninja passing away from cancer, which is tragedy, more explorers every year get seriously injured or die and some of which might have survived with proper supplies and knowing how to use them. News articles speckle the Main forums, and sometimes stories go unnoticed because our community never even meeting these people.
http://www.guardia...r-hotel-death-fall
http://www.startri...west/43744557.html
http://www.mlive.c...ntral_station.html
Ok here are the basic problems most people encounter in the medical end of what to carry. They don’t know what they need, and they don’t think about what dangers they will face commonly. There is always more and this won’t be a full review, just a skimming to bring attention.
1. Dehydration – This can be caused by not paying attention and staying out to long without water. This can happen in the cold, and while not always a major issue due to the relative close proximity to stores for most explorers the summer is coming and some of us go long distances for our pass time.
2. Bleeding – I am not talking about cuts and abrasions, this is about serious life or death bleeding, which can happen from falling into, off of objects, or just a careless trip.
3. Fractures – These can be just as deadly as bleeding by either immobilization, causing shock from pain, or even tear a artery which will also make you fall into category 2.
Let’s look at dehydration real fast. Many people think hydration is fixed by water, which is mostly true, but while you are drinking water you really need something else. To shorten the science and explanation, absorption of water can only be accomplished when the body has enough salt and sugar in it to absorb the water through the intestine walls. Gatorade and other sports drinks have the proper amount to balance you out and will greatly increase rehydration. Another option is carrying Oral Rehydration Salts in case some of you are doing an overnight trip. I prefer Gatorade packets personally, but with the large selection these days ORS packets aren’t really needed as much. You can look up on the World Health Organization website what the proper salt vs sugar balance is and if you ever get the hearshy squirts drinking this really can help.
Let’s talk bleeding now. Again I won’t go into the science, and I hope many of you actually comment (Hint Hint Paramedics EMT etc) or research this, but let’s look at bleeding in a bland easy to understand format. For the basic Joe Explorer we will break bleeding into minor cuts and scratches, lots of blood and if not taken care of it could be dangerous, and ohh god I am Ash Williams, where is my chainsaw bleeding.
For minor cuts and scratches it is nice to carry Band-Aids, what you should take is good old alcohol pads, or my preferred alcohol gel. Keep in mind unless you have medical issues these wounds will clot, so clean them up and if you have something to cover them go for it.
The next level is big wounds that aren’t quite life immediately life threatening, but could be. My last trip had one of these issues where a knife during dinner. To preface this we were in a abandoned town, on a semi abandoned desert island, in the middle of the gulf. Iran has caused trouble there and it use to be a place for small terror cells to organize right after 9/11. We brought a large medical kit with us, as we had some skilled people with us, and the next boat home was over 24 hours away. However for this incident, all I needed was a compression bandage. Most of the time, we won’t need a box of bandages, but a handful of items that are carefully selected. Nawaf did a number on his finger and blood ran down to his elbow in a few short seconds. The compression bandage that was next a few other items came out and was quickly in place. Luckily Nawaf and I found a small military hospital earlier, but the ambulance, nor were the med techs were around. We had a good 3 hours from injury to seeing anyone. When the bandage was finally removed blood began to pour out. With no hospital, the only thing really keeping Nawaf’s finger from possibly being amputated was the compression bandage. He did get a nasty infection even with drugs but he is recovering nicely now.
Last but not least is the near amputation/ deep wound. Look I don’t expect any of you to be EMT qualified for exploring, but let’s learn something from the military. Soldiers don’t learn how to do EMT style treatments normally, but they learn enough to help a person get from point A to treatment alive. Bleeding from the femoral artery or a deep gash to an artery in the arm bleed can take as little as a couple minutes and it might not stop bleeding without medical attention. One of the best things to stop this bleeding is a tourniquet. Now day’s tourniquets such as C-A-T are one handed application tourniquets, they are small and fit in a pocket. We as a community should really look into these for the ease of use, and life saving ability of these items. Many people believe you will end up missing a arm if you use one of these, but the reality is you can have a tourniquet on for 5+ hours and not lose the limb due to blood loss. That myth came from WWII where men routinely had tourniquets save their lives, but stay on for over a day.
Fractures are also another issue. The fracture can compound problems by being either internal bleeding (seen as dark bruising in the affected area) to a compound fracture out of the body. I won’t say bring splints, but make sure you bring enough of a bandage to cover a good hole in you for both the bleeding, and to cover a fracture. I would also add some rope, or duct tape on a card to your medical supplies to attach sticks, or other items to help splint a break. Many military dressings will be compact and can be used as a bandage, or just extra material to help set a splint. They also have gotten smaller in packaging size allowing you to have a pocket sized med kit that could help a very hurt person.
Side not – Many people have found quik-clot and this product is very amazing. Remember this should not be used on compound fractures, neck, and head injuries. Beyond that this item can help cut bleeding down massively; it will however have to be cleaned out of the wound at the hospital in many cases. I don’t recommend it for wounds that can be bandaged, but serious issues it is hard to beat.
"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles" |
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 2 on 4/19/2012 6:14 PM >
| | | | Posted by Mark
Proper Planning Prevents Piss Poor Performance. This is one of the hallmark underground mottos of most military organizations, and one of the least followed.
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Proper planning doesn't do anything good if you don't have a backup plan. Plan A mostly doesn't work very well.
One of the most commonly overlooked things in UE is medical supplies.
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I believe this is the answer on your medical supply problem:
Let’s look at dehydration real fast. Many people think hydration is fixed by water, which is mostly true, but while you are drinking water you really need something else. To shorten the science and explanation, absorption of water can only be accomplished when the body has enough salt and sugar in it to absorb the water through the intestine walls. Gatorade and other sports drinks have the proper amount to balance you out and will greatly increase re-hydration.
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Gatorade is NOT a good drink. 8 ounce (240 ml) has 14 grams of sugar in it.
The best way to get dehydrated would be to put a knife tip of salt in every liter of water. That's right what you need. If you want to make it even better, put some apple juice in it.
I carry a 100 ounce camlepak with me when I go doing this stuff, I don't think 175 grams of sugar is way above the 35 gram limit that is recommended. And I didn't even eat any food with this.
Let’s talk bleeding now.
For minor cuts and scratches it is nice to carry Band-Aids, what you should take is good old alcohol pads, or my preferred alcohol gel. Keep in mind unless you have medical issues these wounds will clot, so clean them up and if you have something to cover them go for it.
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When I was a child, we let it bleed so that whatever was in it will get out. I am still alive and most of the people I grow up with a still alive. Besides someone that hang himself over a girl.
Don't overdo it.
The next level is big wounds that aren’t quite life immediately life threatening, but could be. My last trip had one of these issues where a knife during dinner. To preface this we were in a abandoned town, on a semi abandoned desert island, in the middle of the gulf. Iran has caused trouble there and it use to be a place for small terror cells to organize right after 9/11. We brought a large medical kit with us, as we had some skilled people with us, and the next boat home was over 24 hours away. However for this incident, all I needed was a compression bandage. Most of the time, we won’t need a box of bandages, but a handful of items that are carefully selected. Nawaf did a number on his finger and blood ran down to his elbow in a few short seconds. The compression bandage that was next a few other items came out and was quickly in place. Luckily Nawaf and I found a small military hospital earlier, but the ambulance, nor were the med techs were around. We had a good 3 hours from injury to seeing anyone. When the bandage was finally removed blood began to pour out. With no hospital, the only thing really keeping Nawaf’s finger from possibly being amputated was the compression bandage. He did get a nasty infection even with drugs but he is recovering nicely now.
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Israeli Trauma Bandage is a great thing as you can even apply them one handed. Also QickClot is great to stop any bleeding. As it was made for the armed forces to stop heavy bleeding, it should be fine for civilian use as well.
Last but not least is the near amputation/ deep wound. Look I don’t expect any of you to be EMT qualified for exploring, but let’s learn something from the military. Soldiers don’t learn how to do EMT style treatments normally, but they learn enough to help a person get from point A to treatment alive. Bleeding from the femoral artery or a deep gash to an artery in the arm bleed can take as little as a couple minutes and it might not stop bleeding without medical attention. One of the best things to stop this bleeding is a tourniquet. Now day’s tourniquets such as C-A-T are one handed application tourniquets, they are small and fit in a pocket. We as a community should really look into these for the ease of use, and life saving ability of these items. Many people believe you will end up missing a arm if you use one of these, but the reality is you can have a tourniquet on for 5+ hours and not lose the limb due to blood loss. That myth came from WWII where men routinely had tourniquets save their lives, but stay on for over a day.
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Two of these came in my trauma kit, I have one of them in my vehicle and one with me:
Please be advised, if you put one on, you can't take it off for any reason. This will be deadly. Only a physician is allowed to take one off. At least in the civilian world. So make sure that you can handle this.
Fractures are also another issue. The fracture can compound problems by being either internal bleeding (seen as dark bruising in the affected area) to a compound fracture out of the body. I won’t say bring splints, but make sure you bring enough of a bandage to cover a good hole in you for both the bleeding, and to cover a fracture. I would also add some rope, or duct tape on a card to your medical supplies to attach sticks, or other items to help splint a break. Many military dressings will be compact and can be used as a bandage, or just extra material to help set a splint. They also have gotten smaller in packaging size allowing you to have a pocket sized med kit that could help a very hurt person.
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The answer would be this here:
Your bandages are for the bleeding that might still come. One SAM Splint isn't so heavy to carry so bring one if you think you need one.
Side not – Many people have found quik-clot and this product is very amazing. Remember this should not be used on compound fractures, neck, and head injuries. Beyond that this item can help cut bleeding down massively; it will however have to be cleaned out of the wound at the hospital in many cases. I don’t recommend it for wounds that can be bandaged, but serious issues it is hard to beat.
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If nothing else can stop the bleeding it will be your choice, no matter where the bleeding is. If you only can stop a bleeding by sticking your finger in, QuikClot will be your choice as you can't transport someone when you have your finger in his body.
A good start, but some of the things you have to over think a little.
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KirkTheJerk
Location: MIA
Gender: Male
Here for a good time, not a long time.
| |  | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 3 on 4/19/2012 8:31 PM >
| | | | god damn, how long are you guys exploring that you need camel packs and have to worry about getting dehydrated while doing it? guess it depends where you explore.
http://www.newkirk.biz
Canon 7D, XSi, 10-22mm, 18-55mm, 50mm F/1.4, 70-200mm F/4 |
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 4 on 4/19/2012 9:42 PM >
| | | | Posted by KirkTheJerk
god damn, how long are you guys exploring that you need camel packs and have to worry about getting dehydrated while doing it? guess it depends where you explore.
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Last year in the summer, we had it nice and comfy at 110 degrees.
So I don't know how short you do it, as I could go through 10 water bottles per day without a problem.
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MrSivalls
This member has been banned. See the banlist for more information.
I'll be a-surfin' in yer blood on Saturday night
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 5 on 4/19/2012 10:40 PM >
| | | | Carrying too much water becomes a liability, minimum amount I carry on me is a quart, sometimes as much as 2 gallons. I stash the excess whenever possible.
Avoid midday heat, unnecessary exertion, and hot places that cause you dehydrate faster. Some protein bars have a good potassium/calcium/sodium balance with carbs and protein. I use these.
I always wear a hat, long pants, high top boots, and a long sleeve shirt for desert survival.
For first aid I always carry a roll of cloth adhesive tape. I'm not a bleeder, and can patch most anything with it.
Rule One: think ahead, take your time, and don't get injured.
Your security measures were inadequate.
How unfortunate for you. |
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KirkTheJerk
Location: MIA
Gender: Male
Here for a good time, not a long time.
| | | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 6 on 4/19/2012 11:06 PM >
| | | | Posted by SuchundFind
Last year in the summer, we had it nice and comfy at 110 degrees.
So I don't know how short you do it, as I could go through 10 water bottles per day without a problem.
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im from up north(New england) so we dont worry about heat like that to much. but now that you mention it, if it was hot like that here, i prob wouldnt even venture out. i would sit home and eat freeze pops all day.
http://www.newkirk.biz
Canon 7D, XSi, 10-22mm, 18-55mm, 50mm F/1.4, 70-200mm F/4 |
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 7 on 4/19/2012 11:38 PM >
| | | | Posted by KirkTheJerk
im from up north(New england) so we dont worry about heat like that to much. but now that you mention it, if it was hot like that here, i prob wouldnt even venture out. i would sit home and eat freeze pops all day.
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For 2 month straight?
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HungarianSM
Location: Toronto, Canada
Gender: Male
Eh?
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 9 on 4/20/2012 12:54 AM >
| | | | http://
For Bleeding (Major & Minor
The easiest way to remember is three simple letters: R.E.D.
(Same color as blood, simple)
R. Rest (and reassure if not the victim)
Simple really, rest the body part after injury, do not continue to explore if you have a moderate to severe cut, remember, even a small scratch can easily get infected in the numerous environments we find ourselves in.
E. Elevate
Elevating the injured body part can really help if it's a moderate to slightly dangerous cut, If it's really severe, elevating isn't going to do much,
The reason you do this is to Prevent blood pooling, and lessen the circulation if the body part is held above the heart (preferably the head also) Lower blood pressure = less bleeding; while not usually possible on the torso, it's really useful for your extremities (arms, legs, feet whatnot)
D. ****Direct Pressure*****(really damn important)
Direct pressure should be the #1 thing you do for a cut, no matter the size to immediately stop bleeding, Utilize anything you may have, clothes, bandages, (I mean real medical grade stuff, no my little princess bandaids your mom gave you when you left the house...)
Apply pressure directly and forcefully to the wound, if the blood soaks through the bandage, DO NOT REMOVE IT! [Because of potential blood clot sites you may be disturbing] apply more bandages on top to absorb the blood, Compression bandages, and gauze are the best/easiest combination to use.
Follow up to Bleeding
1. Sterilize, sterilize, sterilize, I can't stress this enough, if you have a goddamn open wound on your arm, don't go all rambo style on everyone, pour some good 'ol alcohol into that wound [*On second thought, alcohol isn't the best there are better safer alternatives, but if you don't have anything else... make do damnit!]
2. Make sure the wound is closed, if it's smaller it will close on it's own, if bigger (worse) pour some super glue into that bitch, or better yet medical grade skin sealant (Think flat tire repair rubber for your skin) Most non-toxic super glues won't harm your wound, and as it heals it will eventually dissolve.
(I'm not going to get into stitching here, as it's too complicated for the average person, and who the hell carries that many medical supplies?  )
3. Get to a &*cking doctor if your wound is serious, don't be a little badass bitch, do you want to lose your foot? or arm? I didn't think so, so stop being a hero, and go to an emergency room, a seemingly small cut/abrasion/laceration/bruise/blood bubble/whatever the hell else... can turn ugly real fast, medical emergencies are no joke...!
More Bleeding Sh*t
For amputations (Hope to God it doesn't happen) the bleeding itself may seem very serious at first, but treat it like any other open wound, If you're lucky the arteries will collapse in on themselves, and you will have a surprisingly small amount of bleeding, [Make sure when applying gauze or and other random "bandage" material to an amputation you wet it first, even if only a little, when it comes time to take off that bandage, a damp one for the first layer (trust me you'll go through quite a few) will be much easier to remove for medical professionals and won't rip open the wound inducing more bleeding.
Or... you could get seriously messed up, and have blood squirting out of the appendage of your choice... In that case, take off your belt/tie/rope (Don't worry about your lowryder jeans falling down and showing everyone your hairy ass, we're saving someone here!)
Tie that bitch 'round the extremity, hopefully you can pull it tight, and form a 'ghetto tourniquet, slowing or stopping the bleeding.
Worst comes to worst, you can go all SAW style on the amputation, and induce blood clotting yourself, (Think lots of heat) but please avoid this at all costs! 
[b]Some Final Notes[/b]
1. Gloves! These are extremely handy for dealing with all first aid situations, do you want someone else's blood on your hands? What about vomit? Spinal Fluid? I Didn't think so, I Personally always wear gloves, you never know what a person (or even you may have) This may be less important in this scenario as you most likely know the person at least a little bit, but always use gloves no matter what, if not available, then sterilize (wash and stuff) hands right after dealing with the emergency
2. NEVER use AspirinR when dealing with ANY kind of bleeding
Aspirin is a blood thinner (heart attack patients often use it after surgery) and will prevent the clotting of blood.
3. Some people may have something called Hemophilia It's a disease in which (Dumbed down ver.) basically your body cannot form clots in blood, or does so very slowly and inefficiently, If you are a hemophiliac, and are exploring obviously your know the dangers, MAKE SURE TO INFORM EVERYONE! If anything happens to you (think even a paper cut) the bleeding will not stop! Essentially you have to get them to a hospital ASAP if they have any sort of injury, no matter how minor, [a bruise could be deadly]
(Please forgive my lack of knowledge about Hemophilia, I have never treated someone with it, or known someone with it, my understanding is limited to my previous training, and academic knowledge, if anyone would care to help a little here , I would greatly appreciate it! )
That's all for today folks! I'm going to play Xbox,
I'll drop some more Grade-A knowledge on you guys tomorrow, or possibly later tonight,
POLL: What next? I'm thinking Treatment of burns, Victim Shock (not electrical)
Basic CPR, Choking, what else guys?
BTW do you guys want images in the next post?
I'm thinking of writing up a full UER first aid guide if I have the Time...
?
[EDIT: If forgot to write about a bunch more stuff, my bad ]
[last edit 4/20/2012 1:16 AM by HungarianSM - edited 2 times]
Skys the limit! :)
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 11 on 4/20/2012 2:56 AM >
| | | | Posted by HungarianSM
http://
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In the field, I go with the human version of battle damage repair, as you not always can rest or elevate a person and get him to an ER.
I am not sure how I should apply direct pressure and hold someone upright or even carry this person.
First thing in the field is to stop the bleeding in any way possible. And if this means you use duck tape on it, go ahead. But if you have a trauma kit with you, this would be the better choice.
And the duck tape came from a Paramedic that make to an event where an IED exploded next to a bus that was carrying 50 soldiers. The bus had no armor plating.
Also, if you are in a group, everybody should carry there own personal trauma kit. And you only use the persons trauma kit never your own one. In case you get injured too, you will your own one.
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Mark
Very Noble Donor
Location: South Carolina
Gender: Male
What is a lion, king of the savannah, when hes at the south pole?
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 12 on 4/20/2012 5:02 AM >
| | | | Posted by KirkTheJerk
god damn, how long are you guys exploring that you need camel packs and have to worry about getting dehydrated while doing it? guess it depends where you explore.
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Drink lots of beer, get up to go exploring and all of a sudden you fall down due to hydration issues isn't fun. The majority of the time its not a big deal, but its worth nothing.
Also yes gatorade isn't the best, but it isn't bad for the average explorer who drank way to much the night before to start getting electrolytes back in order.
Again this was a post to get people talking, and I think your med kit is great, but I don't carry nearly as much.
"If the threat level goes up its probably because of me." "I am looking for a girl who enjoys headbutting beltbuckles" |
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 13 on 4/20/2012 2:32 PM >
| | | | Posted by Mark
Again this was a post to get people talking, and I think your med kit is great, but I don't carry nearly as much.
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The kit is the car version.
I have a way smaller one with the most important thing to stop a bleeding no matter what.
And of course 3 pairs of gloves, you never know how messy it gets.
I might take a picture later on.
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MrSivalls
This member has been banned. See the banlist for more information.
I'll be a-surfin' in yer blood on Saturday night
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 14 on 4/20/2012 4:35 PM >
| | | | Posted by Mark
Drink lots of beer, get up to go exploring and all of a sudden you fall down due to hydration issues isn't fun. The majority of the time its not a big deal, but its worth nothing.
Also yes gatorade isn't the best, but it isn't bad for the average explorer who drank way to much the night before to start getting electrolytes back in order.
Again this was a post to get people talking, and I think your med kit is great, but I don't carry nearly as much.
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I've experienced electrolyte imbalances and heat exhaustion before. The former can be corrected quickly if you have the right supplies, the latter is going to knock you out for the day or worse if not handled properly.
There's very little warning if any.
When it gets really hot I'll wet down my hat and shirt if enough water is available, it helps.
Your security measures were inadequate.
How unfortunate for you. |
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MrSivalls
This member has been banned. See the banlist for more information.
I'll be a-surfin' in yer blood on Saturday night
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 15 on 4/20/2012 4:49 PM >
| | | | Posted by SuchundFind
In the field, I go with the human version of battle damage repair, as you not always can rest or elevate a person and get him to an ER.
I am not sure how I should apply direct pressure and hold someone upright or even carry this person.
First thing in the field is to stop the bleeding in any way possible. And if this means you use duck tape on it, go ahead. But if you have a trauma kit with you, this would be the better choice.
And the duck tape came from a Paramedic that make to an event where an IED exploded next to a bus that was carrying 50 soldiers. The bus had no armor plating.
Also, if you are in a group, everybody should carry there own personal trauma kit. And you only use the persons trauma kit never your own one. In case you get injured too, you will your own one.
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Direct pressure will work with almost any wound except something like a torn femoral artery. You need brains and to stay chilly more than supplies if injured. Carrying too much junk is just that.
If I could legally carry it the first thing I would have is a couple morphine sticks. Severe pain will put you into shock within seconds, morphine helps to stabilize you and give your body more time to adjust to the trauma. It allows you to set bones and close or pack severe wounds with less risk of fatal shock.
Your security measures were inadequate.
How unfortunate for you. |
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 16 on 4/20/2012 10:02 PM >
| | | | Posted by MrSivalls
Direct pressure will work with almost any wound except something like a torn femoral artery. You need brains and to stay chilly more than supplies if injured. Carrying too much junk is just that.
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The carrying and applying of pressure doesn't work very well.
So this is only a short term option, because you need to get this person some how to the ER. As the ER might not come to you.
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KirkTheJerk
Location: MIA
Gender: Male
Here for a good time, not a long time.
| | | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 17 on 4/20/2012 10:53 PM >
| | | | Posted by SuchundFind
For 2 month straight?
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i love freeze pops
http://www.newkirk.biz
Canon 7D, XSi, 10-22mm, 18-55mm, 50mm F/1.4, 70-200mm F/4 |
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MrSivalls
This member has been banned. See the banlist for more information.
I'll be a-surfin' in yer blood on Saturday night
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 18 on 4/21/2012 12:13 AM >
| | | | Posted by SuchundFind
The carrying and applying of pressure doesn't work very well.
So this is only a short term option, because you need to get this person some how to the ER. As the ER might not come to you.
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Direct pressure works. Unless you can clamp the bleeder(s) it's the best option.
Stopping the bleeding and stabilizing has priority unless you get them to a trauma center before they go into terminal shock. The pain alone from moving them without morphine can put them into terminal shock almost instantly.
A medivac is your best option if they're really messed up.
Your security measures were inadequate.
How unfortunate for you. |
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SuchundFind
Location: San Antonio, Texas
Gender: Male
| | Re: The 6Ps of UE – Band-aids don’t cut it
<Reply # 19 on 4/21/2012 4:37 AM >
| | | | Posted by MrSivalls
Direct pressure works. Unless you can clamp the bleeder(s) it's the best option.
Stopping the bleeding and stabilizing has priority unless you get them to a trauma center before they go into terminal shock. The pain alone from moving them without morphine can put them into terminal shock almost instantly.
A medivac is your best option if they're really messed up.
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I know a couple of places in Texas where you will have no cell phone connection.
Where EMS in case you call 911 is an hour or two away from the next nearby street.
Where the next street that can be used by EMS is two hours away on offroad streets.
And where a heli might not be able to land for several reasons.
Direct pressure works well, but if you don't transport the victim, EMS will not be there in time.
A good friend of mine had to transport a shooting victim to the ER in his private vehicle. EMS would have taken 40 before they would have arrived at the scene and another 40 minutes to get to the ER, he was at the ER in 30 minutes.
For West Texas and other rural areas, transport is the only option. Unless you give me a better option.
And yes I discussed the same topic with professionals.
And helicopters and ambulances might be not available in certain areas of the USA.
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