Adam Beasley One time I accidentaly stabbed myself into leg with a knife. First there is sharp intensive pain. Then it doesn't pain so much for few minutes. And after it was treated it started to be painfull as fuck for few weeks.
So i had a question as far as how the sucking chest wound works, so from what i've always been taught is when the patent exhales it lets air come out? but would the lung shrinking down on the exhale create a suction on the wound that now trying to let air into the now more open cavity sense the lung is basically shrunken?
Shot to the head could mean anything, doesn't mean his brain got blown out the back of his skull. The head contains lots of veins and arteries, meaning that bleeding will be profuse. You want to minimize that bleeding. If you think the victim is dead, check for a pulse. No point working on someone who's dead as a door-nail. Cheers, Sean.
The plastic you used for the sucking chest wound looked really thin. I know this is an old video but people still view it. You want a thick plastic with at least 2.5-3 inches away from the entry hole on all sides because that amount of suction is so strong it can actually pull the plastic into the body. Make sure it is thick strong plastic and use anything from an MRE wrapper to thick ziploc bags. Make sure it is thick plastic covering the wound. Also tourniquets are used for arterial bleeding anything else is not needed for a tourniquet. Also remember the time you put the tourniquet on because it is not good to leave the tourniquet on for extended periods of time.
@Springr1911 I get that all the time. I usually tell my patient that " I am not old enough to drive so I have to ride in the back". I have always used "I have to work days because I cant drive after dark.
@fierfox121 You are 100% correct about treating for shock. I forgot to mention it during the video and we even talked about it after the video! Remember to lift the legs, over with a blanket and placed the patient on 02 if you can.
Great Video! Very informative! I love the part of the video where Skinnymedic says these are some of the items you might need for a gunshot wound, and there is a Glock laying on the table. : )
If you were to pull that knife out, that could have killed them. because there could be main arteries that are blocked by the knife. This could sace someones life.
Hey Sootch00, I just sent this to some Thai's. Shit's getting crazy down there. Don't be surprised if you see this video pop up with Thai subtitles. It's for a good cause.
if your patient is awake. let them.hold it...... i would not advise that. they may start shaking or freak out when they see it fucking sticking half way out there chest.
Hello I just wanted to give my input. :) my training so far is Wildness First Responder, and currently going through EMT-B. Great video guys! I'll show this to my group. I just wanted to suggest doing a video on holding CSPINE while performing this. Most likely in my cases I will be with a group. EVERYONE REMEMBER. BEFORE AIDING YOUR PATIENT, REMEMBER SCENE SAFETY! Your buddy has been shot. Maybe your friend has hurt himself but there is probably a gunman in the area. Don't make two victims...
This is a very helpful video and refreshes my memories of first aid while in the service. I was just wondering about those first aid items on the table at 1:15 of the video. What's the hand gun for.....a patient that won't cooperate! Just kidding!
In military environments, tourniquets are the go to. Also you can have a limb with a tourniquet applied, for something like 14 hours without risk of damage.
I am so tired of commercials to watch a video. Now UA-cam is removing the skip button that let's you get by watching something that you have no interest in and forcing everyone to watch the whole thing
Btw, a good series idea (though, def not "ad friendly"🙄)would be using real footage of ppl who've been injured, as examples, then highlight what bystanders are doing correctly/incorrectly; teaching viewers what to do in those nuanced situations. Once the chaos&confusion sets in, it's not always so straight-forward. I mean, hell...There's plenty of example footage just from the BLM riots, w/their ridiculous LARPing Antifa medics! Such as, one tying a tourney on a dude's bloodless leg scrape from a rubber bullet😂 or the more-serious footage of the 2 men who'd been shot (1 in head, 1 in chest)while running down that militia kid.
nice video. i see lots of plastic hardware that i made popular starting in 1977. before that no one used these buckles and they were only made by Fastex part of Illinois tool and die works. your bags look like 5.11 tactical gear a company that has copied many of my designs. 5.11 make some beautiful clothing.
What would be the best way to learn how to treat/fix etc. These kinds of things during SHTF and there is no hospital? I know college and med school would be the first option, but say you couldn't afford to do this and you just want to know how to do these things? Like, diagnosing diseases/infections and treating them, basic surgeries, treating wounds, fixing broken bones etc. For the long term? I've heard medical textbooks is the best solution, would that be true?
Great video Sottch and Skiinny Medic. You guys should dosome updated instructional videos on stuff like this, perhaps GSW treatment under fire, and others, using stuff usually found in IFAKs or Blowout kits. Thumbs up!!.
I thought tourniquets were supposed to be placed at the base of the limb ¬ just directly above the wound? Plus, couldn't tying it too close to the wound pull or tear the skin?
So you forgot a number of primary issues. 1. Danger, identify your area, terain, surrounds. 2 identify a body sweep, bullets go in, it must come out, so identify those areas or they will blead out. 3 send for Help, identify all details of the situation and your process so that when handing your patient over will help with increase of life. Everything else was great. Nice work team.
The crab shell “quickclot” they issued us my first deployment was causing gang green. I don’t remember hearing about the burns, but that doesn’t surprise me either.
Not sure if my initial responce came through,but I'd leave the bullet in. like I said we were taught to stabilize the object,not remove it.This might be the bubble gum keeping a trickle from turning into a full blown gusher.An ER doc or surgeon has access to XRay and MRI,you dont.In the instance of a knife wound,depending on what damage its done,your pt might just be screwed.Direct pressure,tourniquete if pressure doesnt work,if your religious,pray.
In addition,I'm trained as a medic.Thats my little disclaimer :-) Not to take away from sootch00's channel,take a look at skinnymedics video on fish antibiotics.I've use these.You need to understand that this is an opening in your body,a new avenue for infection.My personal kit has broad spectrum antibiotics to stem an infection if we were to be far from a proper facility.These would be good to have.Do your research first,know what your using and why.Ultimately surgical steel heals.
any dried green leafy material has the chlorophyll in it and applied to any wound will help clot the blood. I once cut my leg with a chainsaw and I wrapped a 1/4 lb of pot (shake leaves) with a cloth around the gash and since I was in N Calif redwood forest at the time shake leaves were easily accessable and within 5 minutes that long cut stopped bleeding. and i never got stitches either. It healed up nicely.
No you dont. You never loosen a tourniquete after applied for any reason. The reason a tourniqutet is applied is because the bleeding won't stop with lesser measures like direct pressure and elevation. To undo the tourniquete could let it go again and make matters worse. Theres documentation supporting that limbs have been saved up to and after 16hrs in a tourniqute w/o any residual effects.
it is true and they actually do this in the military and in the hospitals.First they clear the pool of blood with a gauze, then they apply either the quick clot, H and H compressed gauze or other gauzes (normal roll gauze or compressed gauze will also suffice) and pack it inside the wound. Then you apply a bulky compressed dressing such as an Israely dressing or trauma dressing on top. You could also use 4x4 or surgical pad on top of wound and an elastic or ace bandage as the compressed dressing
I disagree with you. The tourniquet should be first used as a last result if everything else doesn't work. Second, usually the ems are at the scene within minutes. You could use one up to 3 hours without touching it before the patient will have to loose the limb but that wouldn't be the case if the medical services are there within min. Also, you want to release the tourniquet ever few hours if the medical aid is far away say in the woods camping.
CELOX, or quick clot is the primary method for stopping arterial bleeding when the injury is not treatable with a tourniquet such as a high femoral or brachial artery injury. For an arterial extremity wound the tourniquet should almost ALWAYS be used first, then a hemostatic agent. A tourniquet can mechanically stop flow through an artery just like in surgery, as opposed to CELOX where you are relying on a chemical reaction between the agent and the plasma to form clots.
Lots of people prefer tourniquets, but most of the time an arterial bleed can be controlled with direct pressure, gauze and CELOX. Sometime pinch the artery off with fingers or used a hemostat clamp. Femoral arteries are difficult because its usually in the inguinal area where you cant use a tourniquet anyway. Arteries "retract" when severed cleanly, so you have to locate them to clamp off. You are correct, if bleeding is uncontrolled with direct pressure/gauze/CELOX then go to the tourniquet.
Valid point but I guess it depends on the institution that makes the guidelines, the American Heart Association has different standards as does St. John Ambulance and the Canadian Red Cross. I'm only familiar with the AHA standards as they are employed by British Columbia Ambulance Services. But I'm sure your right with the ARC standards I've heard that the indefinite use of a tourniquet has saved hundreds of lives in both Iraq and Afghanistan. But again it believe it differs by State/Province.
Protruding guts look and sound nasty, but in actually may not be as bad as you think, specially if they are not heavily lacerated and are exposed because, say for example you had a slashing abdominal wound. Eviscerated tissue can be treated with large bandage and kept covered. More troublesome, I think, would be a severely damaged limb, with an actively hemorrhaging artery such as the axillary, radial, femoral, popliteal, take your pick..
So, what do I do if I am shot right now, but I do not want to go to the hospital for very secretive reasons. I also do not have these tools or another person to help me. What can I do with pliers, scissors, a knife, a roll of towel and toilet paper. I also have some weaving string with a small needle and alcohols(one rubbing alcohol and one to drink). If I operate on myself will I die?
Hey man, thanks a lot for the video. I've just a question: for example, if someone's got shoted in the leg, and he's having the first stages of a hypovolemic shock, will it be good to put on a tourniquete? The hypovolemic shock is because the lack of blood/oxigen reaching to the parts of the body, and the tourniquete prevents that the blood passes.. Woundn't it make the hypovolemic shock got more dangerous? Thanks
@mikeissocool19 I'm sorry to tell you but you're incorrect. I don't know where you're getting your information from but not all bullets are or can be removed. Some must be left behind in order for the victim to survive, reason being. Because some bullets can be so deep that going after them can actually kill the person, where leaving it in will allow them to live. Even in the wild it is better to leave the bullet in until one can reach proper help.
Just start a campaign for students and teachers to carry quick clot and turnaquets in a fanny pack. Since they accept being targets they should at least be prepared to survive being shot.
I'm asking as research for a story. What if the one giving aid doesn't have gloves or any emergency kit supplies? I'm talking about a chest wound, and the person is in an old building under remodeling construction and is panicking over the injured party while the shooter is still posing a danger but not immediate threat. I'm sure most of that is irrelevant but still.
And as far as allowing blood to flow through the limb, if the tourniquet has been on for that amount of time, that limb would have "stagnant" blood in it, with a lot of toxin build up from the lack of blood flow from stopping it in the first place. Sending that back to the heart could cause further complications.
That's probably the dumbest thing I've ever heard. A jagged wound such as one from a gunshot is much harder to fix than a wound with definitive edges such as that of one caused by a knife. In other words, if a gunshot can be repaired, a stab wound with your fancy "m9 special forces bayonette" can also be repaired.
Company physician says he is not aware of an embolus problem with Celox. The older hemostatic agents had problems as well as heating burns, but I think Quikclot solved both. Great idea to use Kerlex to pack a chest wound. Monitor respiratory status. Once you've got the bleeding controlled remove some of it for lung expansion.
Actually, According to the American Red Cross (2010), it is now shown through use in the military theater, as well as major city EMS and First responder situations that they allow the use of a tourniquet for up to 4 hours. That is well over the expected response time for EMS or even in an unsafe scene scenario. Just FYI not trying to start anything... Check it out!
Love the video. Question: What about if a bullet goes through someone's abdomen, exiting the back, and lets say they fall face down. How do you proceed? It would seem that you would have to treat both the entry and the exit wounds, but I was paying attention when we were told that the victim should be moved as little as possible. Can you advise?
advice to people, don't do this stuff if on some random person if you arn't certified.... If i wasn't cert. I probably wouldnt even bother doing this stuff unless its my mom, dad, or sister cousin or close family member. Other than than that, screw that... cause you could get sued even with the good simaritin act.
somebody's probly out in the middle of the woods in georgia. and they got a stab wound. they just got a tiny little bar worth of fone service and theyre watching this video right now trying to figure out how the fuck theyre gonna keep from dying. ....good luck. dont forget to pause and rewind the parts ya dont understand. dont be fraid to use the turnakit.
Great video, taking a class yourself is very important. One should never assume that a simple video is enough to prepare them for a first aid emergency. Check your local Red Cross chapter or even take a CERT class to prepare. I view concealed carry and first aid on similar level of preparedness for the world.
A first, nice vid sootch. I'm a first respondant,I know the first minutes following a injuries are specially importante, and decision have to be made. Dont play whit others life if you don't know what to do. But i think is good for the people to know anyway, so thanks for the vid, be aware and be responsable...
Sootch, good video, but are you familiar with cayenne pepper for stopping bleeding? When I slashed my hand open a number of years ago, my mother dumped some cayenne pepper in it (doesn't hurt near as much as you'd think), and it clotted almost instantly. I always keep some with me when hunting. It sounds like it works similarly to the "quick clot".
I have a question for anyone who knows: so on some other videos, they say you should insert the gauze into the wound and then apply pressure with lots of gauze on top. But this guy here doesn't do that. Which one is best? I just feel like if you're spending a minute or so stuffing a wound with gauze and it doesn't have intense pressure while you're doing it, then it's just gonna be bleeding out all over the place while you're trying to get the gauze in there. But i honestly have no experience so I'm just curious
It doesn't mean it's bad. As a normal individual, I'd rather know the basic idea of what to do, this was effective, and still is effective. Even if there is a better way, these techniques have saved many people's lives, and is better to know then having no idea what to do.
Thank God you posted this video, I was just stabbed 77 times by my ex wife and needed help. Luckly I live next to Wallmart so I just limped over there and got what I needed. Yeah I could have used ObamaCare and get medical treatment, but F**k him. Thankx sootch00!!!
Glad there is a video for this. I treated myself after I got hit with a 9mm. This vid is literally a life saver.
Man, out of curiosity, how much does that hurt? Glad this video helped you.
Adam Beasley One time I accidentaly stabbed myself into leg with a knife. First there is sharp intensive pain. Then it doesn't pain so much for few minutes. And after it was treated it started to be painfull as fuck for few weeks.
i got shot in the head my a sniper, i treated myself thx to this vid
How did you get shot?
Shiekhspeare 😂😂😂😂😂😂😂😂😂😂
Should stress to look for exit wound and keeping the patient warm.
Seeing this ten, almost eleven years later. Damn how things have changed. I forgot how little there was back then. lol
Thanks guys, great information.
So i had a question as far as how the sucking chest wound works, so from what i've always been taught is when the patent exhales it lets air come out? but would the lung shrinking down on the exhale create a suction on the wound that now trying to let air into the now more open cavity sense the lung is basically shrunken?
Shot to the head could mean anything, doesn't mean his brain got blown out the back of his skull. The head contains lots of veins and arteries, meaning that bleeding will be profuse. You want to minimize that bleeding. If you think the victim is dead, check for a pulse. No point working on someone who's dead as a door-nail.
Cheers,
Sean.
Woah ! was that a flip phone? lol,I still carry one
Very helpful
Thank you so much for letting me be a part of this project! The bloopers are the best!
You neglected to mention that you can have a turnaquite on for 1 hour without causing damage to the limb
He didn't check for or cover an exit wound on the gunshot wound to the chest.
Hey
The plastic you used for the sucking chest wound looked really thin. I know this is an old video but people still view it. You want a thick plastic with at least 2.5-3 inches away from the entry hole on all sides because that amount of suction is so strong it can actually pull the plastic into the body. Make sure it is thick strong plastic and use anything from an MRE wrapper to thick ziploc bags. Make sure it is thick plastic covering the wound. Also tourniquets are used for arterial bleeding anything else is not needed for a tourniquet. Also remember the time you put the tourniquet on because it is not good to leave the tourniquet on for extended periods of time.
You use what you have. Really simple. Knowing how to make improvised equipment is a necessity.
skinny medic; lol
Jo Prime so what ? at least he got the skill to save some life .
Jo Prime ?
SKINNY MEDIC SKINNY MEDIC
@Springr1911 I get that all the time. I usually tell my patient that " I am not old enough to drive so I have to ride in the back". I have always used "I have to work days because I cant drive after dark.
@fierfox121 You are 100% correct about treating for shock. I forgot to mention it during the video and we even talked about it after the video! Remember to lift the legs, over with a blanket and placed the patient on 02 if you can.
You need a gun to take care of a gun shot wound?????????????
No but you would need a gun if they shooter was still near by. You should be prepared for ANYTHING. Precautions like this can save a life.
John agreed
Well I'm not a historian or anything but most gunshot wounds....just guessing here.....probably happen in combat zones, no?
I like the glock in the first aid kit.
An HK USP would make a better first aid implement.
Heal by one hand shoot enemy by other hand.
Great Video! Very informative! I love the part of the video where Skinnymedic says these are some of the items you might need for a gunshot wound, and there is a Glock laying on the table. : )
make more videos like this
If you were to pull that knife out, that could have killed them. because there could be main arteries that are blocked by the knife. This could sace someones life.
Hey Sootch00,
I just sent this to some Thai's. Shit's getting crazy down there. Don't be surprised if you see this video pop up with Thai subtitles. It's for a good cause.
if your patient is awake. let them.hold it...... i would not advise that. they may start shaking or freak out when they see it fucking sticking half way out there chest.
I love my tourniquets tight around my neck to cease the pain. Really helpful video.
"The Glock is for cover or return fire..." LOL!
Great video guys, thanks and keep up the good work!
-- Semper Fi
Hello I just wanted to give my input. :) my training so far is Wildness First Responder, and currently going through EMT-B. Great video guys! I'll show this to my group. I just wanted to suggest doing a video on holding CSPINE while performing this. Most likely in my cases I will be with a group. EVERYONE REMEMBER. BEFORE AIDING YOUR PATIENT, REMEMBER SCENE SAFETY! Your buddy has been shot. Maybe your friend has hurt himself but there is probably a gunman in the area. Don't make two victims...
Gentleman great job. Loved the vid. Thank you.
This is a very helpful video and refreshes my memories of first aid while in the service. I was just wondering about those first aid items on the table at 1:15 of the video. What's the hand gun for.....a patient that won't cooperate! Just kidding!
Lol XD or if they keep being sassy XD
+Marc Del I thought it was for just in case you wouldn't be able to save them. (like a horse with a broken leg).. JK
+CR Buck sassy?
Marc Del I was wondering the same thing... maybe it's so you can shoot back at the shooter
mercy killing?
this video could help a lot of people thx for uploading it
Great video guys.
In military environments, tourniquets are the go to. Also you can have a limb with a tourniquet applied, for something like 14 hours without risk of damage.
@mikeissocool19 Sounds like an easy way to loose a lawsuit
God rose Jesus from the dead 3 days after his crucifixion. Proving his love for us regardless of what we have done he still has hope so should u. ✝️❤️
Loosen the turnaquit every 10min for about 2min for blood flow so that you won't have to amputate
Great vid
Yes! Finaly a good vid about this. Many thanks Scootch! Great quality vids also lately, keep em going!
I have wondered about this. Very informative! Thanks for making this video with the help of people outside your expertise.
Excellent. Never take an instructor of 'Dangerous Things' seriously unless they have studied First Aid also. Nice one Sootch.
excellent, straightforward tips. Thanks so much!
✭✭✭✭✭ Demonstration!
Thanks for this life-saving information!
Skinny from the med? 💀
Thanks for making and uploading this, guys. If you save only a single life it will have been more than worth it!
That was a great informative video! Thanks for the share!
Great video, thank you for sharing!
I am so tired of commercials to watch a video. Now UA-cam is removing the skip button that let's you get by watching something that you have no interest in and forcing everyone to watch the whole thing
UA-cam red
Great video Sootch. Definitely useful information for any person to have because you never know when you may need it.
@ConditionRedDawn just sprinkle it on till it stops, its been used for years for cuts. Seems to scar less as well
i forgot to bring gloves so I used my two week old sock .. i'm in heaven right now
I have a question about the plastice. Why would you do that instead of applying pressure?
tremendously informative!!!!!!
great information, sootch00! I've been waiting for a video like this. Thanks so much, man. Great ending, dude :))
This video is helpful for the hood
just shut up
+CommentingWalrus thank you sir
@@dylanpalmer9527 YES SIR!
Informative thanks!!
This was a great vid!
Btw, a good series idea (though, def not "ad friendly"🙄)would be using real footage of ppl who've been injured, as examples, then highlight what bystanders are doing correctly/incorrectly; teaching viewers what to do in those nuanced situations. Once the chaos&confusion sets in, it's not always so straight-forward.
I mean, hell...There's plenty of example footage just from the BLM riots, w/their ridiculous LARPing Antifa medics! Such as, one tying a tourney on a dude's bloodless leg scrape from a rubber bullet😂 or the more-serious footage of the 2 men who'd been shot (1 in head, 1 in chest)while running down that militia kid.
Nice! thank you for sharing your knowledge!
@lloydieworld cayenne works great for small cuts
This would help for an emergency where people are being shot by some psycho
Awesome tips, thanks guys!
Good stuff, Sootch and Skinny !
Imagine Being Shot And Searched This Up While Your Bleeding Out Of A Gun Shot Watching The Video
nice video. i see lots of plastic hardware that i made popular starting in 1977. before that no one used these buckles and they were only made by Fastex part of Illinois tool and die works. your bags look like 5.11 tactical gear a company that has copied many of my designs. 5.11 make some beautiful clothing.
@tronclay hmm- i guess that means 85% of people don't know how to shoot for squat
couldn't hit the broad side of a barn from 10 paces =P
What would be the best way to learn how to treat/fix etc. These kinds of things during SHTF and there is no hospital? I know college and med school would be the first option, but say you couldn't afford to do this and you just want to know how to do these things? Like, diagnosing diseases/infections and treating them, basic surgeries, treating wounds, fixing broken bones etc. For the long term? I've heard medical textbooks is the best solution, would that be true?
Great video Sottch and Skiinny Medic. You guys should dosome updated instructional videos on stuff like this, perhaps GSW treatment under fire, and others, using stuff usually found in IFAKs or Blowout kits. Thumbs up!!.
I thought tourniquets were supposed to be placed at the base of the limb ¬ just directly above the wound? Plus, couldn't tying it too close to the wound pull or tear the skin?
So you forgot a number of primary issues. 1. Danger, identify your area, terain, surrounds. 2 identify a body sweep, bullets go in, it must come out, so identify those areas or they will blead out. 3 send for Help, identify all details of the situation and your process so that when handing your patient over will help with increase of life. Everything else was great. Nice work team.
The crab shell “quickclot” they issued us my first deployment was causing gang green. I don’t remember hearing about the burns, but that doesn’t surprise me either.
It works for SEAL's!
An unskippable 30 second ad for how to stop something where every second matters...
After that, get in touch with the police and get your wife locked up for 10 years for 'assault with deadly weapon'.
Not sure if my initial responce came through,but I'd leave the bullet in. like I said we were taught to stabilize the object,not remove it.This might be the bubble gum keeping a trickle from turning into a full blown gusher.An ER doc or surgeon has access to XRay and MRI,you dont.In the instance of a knife wound,depending on what damage its done,your pt might just be screwed.Direct pressure,tourniquete if pressure doesnt work,if your religious,pray.
In addition,I'm trained as a medic.Thats my little disclaimer :-) Not to take away from sootch00's channel,take a look at skinnymedics video on fish antibiotics.I've use these.You need to understand that this is an opening in your body,a new avenue for infection.My personal kit has broad spectrum antibiotics to stem an infection if we were to be far from a proper facility.These would be good to have.Do your research first,know what your using and why.Ultimately surgical steel heals.
any dried green leafy material has the chlorophyll in it and applied to any wound will help clot the blood. I once cut my leg with a chainsaw and I wrapped a 1/4 lb of pot (shake leaves) with a cloth around the gash and since I was in N Calif redwood forest at the time shake leaves were easily accessable and within 5 minutes that long cut stopped bleeding. and i never got stitches either. It healed up nicely.
No you dont. You never loosen a tourniquete after applied for any reason. The reason a tourniqutet is applied is because the bleeding won't stop with lesser measures like direct pressure and elevation. To undo the tourniquete could let it go again and make matters worse. Theres documentation supporting that limbs have been saved up to and after 16hrs in a tourniqute w/o any residual effects.
it is true and they actually do this in the military and in the hospitals.First they clear the pool of blood with a gauze, then they apply either the quick clot, H and H compressed gauze or other gauzes (normal roll gauze or compressed gauze will also suffice) and pack it inside the wound. Then you apply a bulky compressed dressing such as an Israely dressing or trauma dressing on top. You could also use 4x4 or surgical pad on top of wound and an elastic or ace bandage as the compressed dressing
I disagree with you. The tourniquet should be first used as a last result if everything else doesn't work. Second, usually the ems are at the scene within minutes. You could use one up to 3 hours without touching it before the patient will have to loose the limb but that wouldn't be the case if the medical services are there within min. Also, you want to release the tourniquet ever few hours if the medical aid is far away say in the woods camping.
CELOX, or quick clot is the primary method for stopping arterial bleeding when the injury is not treatable with a tourniquet such as a high femoral or brachial artery injury. For an arterial extremity wound the tourniquet should almost ALWAYS be used first, then a hemostatic agent. A tourniquet can mechanically stop flow through an artery just like in surgery, as opposed to CELOX where you are relying on a chemical reaction between the agent and the plasma to form clots.
Lots of people prefer tourniquets, but most of the time an arterial bleed can be controlled with direct pressure, gauze and CELOX. Sometime pinch the artery off with fingers or used a hemostat clamp. Femoral arteries are difficult because its usually in the inguinal area where you cant use a tourniquet anyway. Arteries "retract" when severed cleanly, so you have to locate them to clamp off. You are correct, if bleeding is uncontrolled with direct pressure/gauze/CELOX then go to the tourniquet.
Valid point but I guess it depends on the institution that makes the guidelines, the American Heart Association has different standards as does St. John Ambulance and the Canadian Red Cross. I'm only familiar with the AHA standards as they are employed by British Columbia Ambulance Services. But I'm sure your right with the ARC standards I've heard that the indefinite use of a tourniquet has saved hundreds of lives in both Iraq and Afghanistan. But again it believe it differs by State/Province.
Protruding guts look and sound nasty, but in actually may not be as bad as you think, specially if they are not heavily lacerated and are exposed because, say for example you had a slashing abdominal wound. Eviscerated tissue can be treated with large bandage and kept covered. More troublesome, I think, would be a severely damaged limb, with an actively hemorrhaging artery such as the axillary, radial, femoral, popliteal, take your pick..
So, what do I do if I am shot right now, but I do not want to go to the hospital for very secretive reasons. I also do not have these tools or another person to help me. What can I do with pliers, scissors, a knife, a roll of towel and toilet paper. I also have some weaving string with a small needle and alcohols(one rubbing alcohol and one to drink). If I operate on myself will I die?
Hey man, thanks a lot for the video. I've just a question: for example, if someone's got shoted in the leg, and he's having the first stages of a hypovolemic shock, will it be good to put on a tourniquete? The hypovolemic shock is because the lack of blood/oxigen reaching to the parts of the body, and the tourniquete prevents that the blood passes.. Woundn't it make the hypovolemic shock got more dangerous? Thanks
@mikeissocool19
I'm sorry to tell you but you're incorrect. I don't know where you're getting your information from but not all bullets are or can be removed. Some must be left behind in order for the victim to survive, reason being. Because some bullets can be so deep that going after them can actually kill the person, where leaving it in will allow them to live. Even in the wild it is better to leave the bullet in until one can reach proper help.
Skinny Medic reminds me of the medic from Hacksaw Ridge. From the way he talks to the sound of his voice to his body frame.
Awesome great info.
Just start a campaign for students and teachers to carry quick clot and turnaquets in a fanny pack. Since they accept being targets they should at least be prepared to survive being shot.
I'm asking as research for a story.
What if the one giving aid doesn't have gloves or any emergency kit supplies? I'm talking about a chest wound, and the person is in an old building under remodeling construction and is panicking over the injured party while the shooter is still posing a danger but not immediate threat.
I'm sure most of that is irrelevant but still.
And as far as allowing blood to flow through the limb, if the tourniquet has been on for that amount of time, that limb would have "stagnant" blood in it, with a lot of toxin build up from the lack of blood flow from stopping it in the first place. Sending that back to the heart could cause further complications.
That's probably the dumbest thing I've ever heard. A jagged wound such as one from a gunshot is much harder to fix than a wound with definitive edges such as that of one caused by a knife. In other words, if a gunshot can be repaired, a stab wound with your fancy "m9 special forces bayonette" can also be repaired.
Company physician says he is not aware of an embolus problem with Celox. The older hemostatic agents had problems as well as heating burns, but I think Quikclot solved both. Great idea to use Kerlex to pack a chest wound. Monitor respiratory status. Once you've got the bleeding controlled remove some of it for lung expansion.
Actually, According to the American Red Cross (2010), it is now shown through use in the military theater, as well as major city EMS and First responder situations that they allow the use of a tourniquet for up to 4 hours. That is well over the expected response time for EMS or even in an unsafe scene scenario. Just FYI not trying to start anything... Check it out!
Love the video. Question: What about if a bullet goes through someone's abdomen, exiting the back, and lets say they fall face down. How do you proceed? It would seem that you would have to treat both the entry and the exit wounds, but I was paying attention when we were told that the victim should be moved as little as possible. Can you advise?
advice to people, don't do this stuff if on some random person if you arn't certified.... If i wasn't cert. I probably wouldnt even bother doing this stuff unless its my mom, dad, or sister cousin or close family member. Other than than that, screw that... cause you could get sued even with the good simaritin act.
somebody's probly out in the middle of the woods in georgia. and they got a stab wound. they just got a tiny little bar worth of fone service and theyre watching this video right now trying to figure out how the fuck theyre gonna keep from dying. ....good luck. dont forget to pause and rewind the parts ya dont understand. dont be fraid to use the turnakit.
Great video, taking a class yourself is very important. One should never assume that a simple video is enough to prepare them for a first aid emergency. Check your local Red Cross chapter or even take a CERT class to prepare. I view concealed carry and first aid on similar level of preparedness for the world.
A first, nice vid sootch. I'm a first respondant,I know the first minutes following a injuries are specially importante, and decision have to be made. Dont play whit others life if you don't know what to do. But i think is good for the people to know anyway, so thanks for the vid, be aware and be responsable...
Sootch, good video, but are you familiar with cayenne pepper for stopping bleeding? When I slashed my hand open a number of years ago, my mother dumped some cayenne pepper in it (doesn't hurt near as much as you'd think), and it clotted almost instantly. I always keep some with me when hunting. It sounds like it works similarly to the "quick clot".
For the chest wound do you apply gauze over the plastic or how do you stop the bleeding after you apply the plastic?
I have a question for anyone who knows: so on some other videos, they say you should insert the gauze into the wound and then apply pressure with lots of gauze on top. But this guy here doesn't do that. Which one is best? I just feel like if you're spending a minute or so stuffing a wound with gauze and it doesn't have intense pressure while you're doing it, then it's just gonna be bleeding out all over the place while you're trying to get the gauze in there. But i honestly have no experience so I'm just curious
It doesn't mean it's bad. As a normal individual, I'd rather know the basic idea of what to do, this was effective, and still is effective. Even if there is a better way, these techniques have saved many people's lives, and is better to know then having no idea what to do.
Thanks guys great job
Thank God you posted this video, I was just stabbed 77 times by my ex wife and needed help. Luckly I live next to Wallmart so I just limped over there and got what I needed. Yeah I could have used ObamaCare and get medical treatment, but F**k him. Thankx sootch00!!!