🕖 Reading Time, 1 minutes Teaching wound packing has always been challenging as there are few good wound packing models. The Phokus wound cube has 4 different wound profiles and has a realistic texture. In this short video, see the …
Massive hemorrhage is the leading cause of preventable death from injuries.
How much blood loss is too much?
In December 1970, the US military published data on 7,800 soldier and Marine casualties from the conflict in Vietnam. In that data, specifically 10% of combat fatalities were from extremity hemorrhage. This dataset would later form the first TCCC guidelines in 1996. With the widespread adoption of tourniquets by the US. Military in the early 21st Century, death from massive extremity hemorrhage is now unusual in combat. This improvement has lead to greater awareness of massive hemorrhage from “junctional areas” like the neck, axilla/armpit, and groin, areas not amenable to circumferential tourniquet placement. To be facile at controlling massive hemorrhage, wound packing is a needed but often neglected skill set.
🕖 Reading Time, 1 minutes Used the X-Stat trainers in class today on a hog thigh with a simulated femoral artery laceration. This narrow wound track is a challenge to pack with Kerlix Gauze, the X-Stat 12 applicator worked awesomely.
🕖 Reading Time, 3 minutes One of the best parts of the Special Operations Medical Association annual meeting is connecting with your peers and discussing issues we all deal with. One evening, while having a bar napkin discussion about prehospital …
🕖 Reading Time, 2 minutes Our first plan to manage massive extremity hemorrhage is to use a proven commercially available tourniquet. Barring that, create an improvised tourniquet using a cravat, or a strip of fabric, with a windlass for leverage. …
Change in CAT tourniquets from 6th to 7th generation 🕖 Reading Time, 4 minutes In October 2015, the 6th generation Combat Application Tourniquet, or CAT, with its double-eyelet buckle was discontinued, in favor of the 7th generation CAT which has …
Knowing the quantity of blood loss helps estimate the likelihood of shock Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 5 minutes Having a sense of how much blood a trauma patient “spilled” on the ground …