Professional Documents
Culture Documents
Lesson Five
MSTC, FT LEWIS WA
Overview
Review methods of controlling bleeding in a
tactical environment
Extremity Hemorrhage
Control
Extremity Hemorrhage continues to
be the leading cause of preventable
death on the battlefield.
Extremity Hemorrhage
Control
Over 2500
deaths
occurred in
Vietnam
secondary to
hemorrhage
from
extremity
wounds.
These
casualties
had no other
injuries.
Blood
Hemorrhage or bleeding:
External Bleeding
Incision
Laceration
Abrasion
Puncture wounds
Amputation
Laceration
Puncture Wound
Amputation
Abrasion
Incision
Internal Bleeding
Sources of Bleeding
Arterial
Rapid, profuse and pulsating
Bright red in color
Venous
Steady flow
Dark red or maroon in color
Capillary
Slow and oozing
Often clots spontaneously
Arterial Bleed
Internal Signs of
Hemorrhage
Soft
tissue bruising
Abdominal
tenderness
Hemoptysis
Hematemesis
Melena
(bloody stools)
Treatment
Do
Do
Treatment
Bleeding normally can
be controlled by:
Emergency
Dressing
First-aid,
Trauma
Manual
pressure and
elevation
Tourniquet
Emergency Trauma
Dressing
All
May
Not
Emergency Trauma
Dressing
Tourniquet
The need for immediate
access to a tourniquet
in such situations
makes it clear that all
soldiers on combat
missions should have a
suitable tourniquet
readily available in a
standard location in
their battle gear and be
trained to use it.
As the tactical situation permits and more time
and safety is available, consider loosening the
tourniquet ( DO NOT REMOVE ), and using direct
pressure and/or a pressure dressing to control the
Tourniquet Removal
REMEMBER: If unable
to control bleeding
except with a
tourniquet, it is better
to sacrifice a limb than
to lose a life to
excessive bleeding.
Combat Application
Tourniquet
Tourniquet of
Controls Bleeding
choice
Lightweig
Easy to
ht
use
The recommended means to control
bleeding in a tactical environment.
Combat Application
Tourniquet
Step 1
Place the
wounded
extremity
through the loop
of the Selfadhering Band
Step 2
Place
tourniqu
et above
the
Step 3
Step 4
Adhere Selfadhering Band
completely
around the limb
until the clip is
reached.
Step 5
Twist the
Windlass Rod
until the
bleeding has
stopped.
Step 6
Lock the Rod in
place with the
Windlass Clip
Step 7
Step 8
Grasp the
Windlass
Strap, pull it
tight, and
adhere it to
the velcro on
the Windlass
Clip.
Combat Application
Tourniquet
The CAT Tourniquet is now ready for
transport.
Combat Application
Tourniquet
NOTE:
The friction adaptor
buckle is not
necessary for
proper C.A.T.
application to an
arm. It MUST be
used with two
hands when
applying to a leg.
Combat Application
Tourniquet
To use, wrap
the Selfadhering Band
through the
friction
adaptor
buckle.
This prevents
the Selfadhering Band
from loosening
during
transport.
Tourniquet
Forceful,
arterial bleeding
(amputation) may require early
use of a tourniquet.
DO
Apply an Improvised
Tourniquet
Use
Cravats,
Apply a Tourniquet
Never
cover a tourniquet
'T"
In
Tourniquet Removal
When
If
If
Tourniquets
Tourniquet Removal
Once
Direct
pressure-pressure dressing
HemCon
Chitosan Bandage
Tourniquet Removal
If
Remember:
It
Amputation
Apply pressure dressing to cover end of the
stump.
dressing.
Preservation of
Amputation Parts
Seal amputated part in a plastic bag or cravat
Place in a cool container, do not freeze
Never place amputated part in water
Never place amputated part directly on ice
Never use dry ice to cool an amputated part
Dressing an Amputation
Place
Secure
Prevents
Protects
contamination
Ace Wrap/Kerlix
Pack
Secure
Circumferential tape
Cut 10 down center of Ace Wrap and tie
Check
QuickClot
HemCon Chitosan
Dressing
Chitosan Hemostatic
Dressing
Chitosan Hemostatic
Dressing
Chitosan Hemostatic
Dressing
Chitosan Hemostatic
Dressing
Place
Chitosan Hemostatic
Dressing
If
Apply
a battle dressing/bandage to
secure hemostatic dressing in place
Hemostatic
Iraqi National;
No Bleeding;
Survived
Questions????