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Science & Technology
The problem of applying a tourniquet
2024-10-12
Direct Translation via Google Translate. Edited.

Commentary by Russian military journalist Boris Rozhin. Link to the Telegram channel is in Russian.

[ColonelCassad] Just the other day I came across information on the Internet that the governor of the Belgorod region advertises a website where they "train" people in first aid. This is not an isolated case, more and more often, against the backdrop of a special military operation, organizations have begun to appear that are trying to win grants (targeted cash subsidies) for "training" citizens. What is the main problem? Naturally, the intention is good on the one hand, but on the other - the devil is in the details.

Almost every training portal tells us how to apply a tourniquet and everywhere, without exception, mistakes are noticeable that, unfortunately, will cost the life of the victim, and will cause psychological trauma to the rescuer in the future. Just a week ago I wrote that the most common mistake is the opinion that a person has the knowledge and skills to provide assistance.

A similar situation is observed on the part of employers. All employee training comes down to simply signing in logs on safety precautions, etc. And now in more detail.

The video posted on the First Aid portal requires the rescuer to apply a tourniquet as close to the wound as possible. But what if the victim (especially in Belgorod) received multiple injuries? This is more difficult. Let's imagine that a shell exploded next to the victim and caused him multiple wounds. The victim is on his back and a blood stain is spreading under his clothes. Can you determine the type of bleeding? Can you determine where exactly the blood is flowing from?

It is for this reason that tactical medicine teaches people to apply a tourniquet as high and as tightly as possible. In our classes, we constantly show photographs of fatal outcomes when the tourniquet was applied as close to the wound as possible, and above the tourniquet there are small wounds, severed arteries, and then death.

It turns out that, unfortunately, many are still trying to teach people using old methods. Where there is no finger pressure and no direct pressure on the wound, there is just a tourniquet, and then a call to the ambulance. Next week I will try to tell you how fast a victim of a traumatic limb amputation or other injuries can "flow out" and what is the advantage of finger pressure.

Let's go back to the above-mentioned site, but what if a person has a severed artery in his arm and leg? or in both legs and an arm? Is it difficult? Just apply a tourniquet?

Dear friends, I urge you to study and study for real. For the good!

Project "Tactical Medicine Courses" (https://t.me/tacticalmedicinecourses )

I can only support the author, over the years of the SVO I have seen a lot of photos and videos with different types of injuries to our and Ukrainian soldiers (if anyone is interested in such things, watch the "Khilera" channel, but this is not for the faint of heart), often the cause of death is an incorrectly applied tourniquet. One friend died this way in 2023, the tourniquet was applied incorrectly and it "flowed out".

In general, it is necessary to study tactical medicine in a real way. Honor and respect to military doctors who save lives. In terms of the quality of military medicine, this is the most effective war of the last decades, the percentage of rescues is very high.
Posted by:badanov

#14  Need one for each limb and as close to the torso as possible and need to be tight enough to make the victim cry out in pain if conscious. If blood is still seeping it isn't tight enough.
For areas you can't do that, you have to pack and put pressure so they can last long enough to get to the surgeon
Posted by: DarthVader   2024-10-12 20:04  

#13  use 2 in that case...

That makes sense because you have the both left and right carotids.
Posted by: SteveS   2024-10-12 19:01  

#12  ^ They'll still vote Democrat...forever
Posted by: Frank G   2024-10-12 18:00  

#11  #10 - use 2 in that case....
Posted by: Bangkok Billy   2024-10-12 16:18  

#10  As high up on the arms and legs as possible....

OK, but what about spurting head wounds? That should go on the neck, right?
Posted by: SteveS   2024-10-12 16:00  

#9  Noted, with thanks.
Posted by: trailing wife   2024-10-12 15:15  

#8  As high up on the arms and legs as possible. Up in the arm pit and the groin crease.
Posted by: Bangkok Billy   2024-10-12 15:10  

#7   There are only 4 places to put a TQ.

What are they, Bangkok Billy? I assume upstream of the wound, and probably not around the neck, but clearly there’s more to it than that.
Posted by: trailing wife   2024-10-12 14:46  

#6  #2 - not a dig on you - but that's what the article is talking about. Wrong spot for TQ.
Posted by: Bangkok Billy   2024-10-12 14:39  

#5  I've gotten alot of my medical stuff from Chinook medical, they are mostly an EMT supplier.
Posted by: Silentbrick   2024-10-12 12:36  

#4  I'm admittedly a bit leery of off brand tourniquets.
Posted by: Silentbrick   2024-10-12 12:33  

#3  Thanks for the gouge at #1 and #2. Excellent info.
Posted by: Besoeker   2024-10-12 09:29  

#2  Amazon

One in each pouch pocket.
Weather SAR, traffic, mass political events...
Posted by: Skidmark   2024-10-12 07:59  

#1  There are only 4 places to put a TQ. Standard was self-application 1-handed in 30 seconds blindfolded. When your life - or your buddy's - is on the line, one tends to practice. Carry 2 every day - 1 for me and 1 for thee. Those 2 plus an Israeli, a chest seal, and hemostat gauze.

Murphy's 7th Law of Combat - Professionals are predictable, it's the amateurs that are dangerous.
Posted by: Bangkok Billy   2024-10-12 06:34  

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