Stop the Bleed Tourniquet Training

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68 comments

    1. I know right ! This could be so very useful to learn way more ahead in life and also use this whenever this kind thing happens which is very important but nowadays school sucks and doesn’t learn anything useful but hey it is what it is ..

  1. Question, there are certain places in the world where waiting for an ambulance is not practical, with a tourniquette is it safe to move them?

  2. Yes, this is AWESOME! Thank you… I’m forwarding to my Mom, made her a first aid / trauma kit for her range bag today and she is not familiar with the CAT.

  3. Hold up hold up, missing all or part of a limb is a sign of life-threatening bleeding? Well shit, now we know.

    1. lol. You stop when the bleeding stops, otherwise you’re causing more damage and it’s not any more effective.

    1. If it’s a shallow cut probably not unless like @sas647 said you have diabetes or something like that. Or if a virus or bacteria enters your body through the cut, then yes, depending on the virus or bacteria.

  4. Very well done. I like your ABC’S. I would have liked to see more importance placed on tightening the tq and wound packing.

  5. Not saying that you are wrong and it won’t save a life, but I disagree with putting a TQ above a joint. The CoTCCC, Red Cross, and tons of EMTs state that you need to put the TQ as low as you can in order to save as much of the limb as possible, the CoTCCC states that you need to put the TQ proximal to the wound (about 2-3 inches above the wound), if you don’t know where the bleeding is however, CoTCCC states to put the TQ “high and tight,” but you do not have to place it above a joint if you don’t have to (NEVER place on a joint though). Additionally, CoTCCC and Red Cross teaches to tighten TQ until the bleeding stops, which might be as tight as you can get it, but you want to be very careful that you don’t break your TQ because you tightened it too tight, cause then it wouldn’t be a very fun day after that.

    1. Wesland Kid with TQ placement, it also depends on your skill level and the environment you are in. If you have trained with a TQ once or twice, then you might not be able quickly isolate arterial bleeding and place 2” above it, so High and Tight would be best for them. Also, if you are 10-20 minutes away from a hospital (even farther than that), then High and Tight could rarely hurt unless there is some wound up high. Sure, placing on a two-bone compartment is always better, but as long as you stop the bleeding then that’s really all you have to worry about. And yeah, it would S U C K if you overtightened and the windlass or buckle snapped, that would be a bad day.

    2. I agree I think you can over tighten the tourniquet and I think The high and tight use of a tourniquetis is for combat situations where you don’t have time to remove clothing to locate what could be multiple wounds throughout the leg or arm. By putting the tourniquet high and tight you could be covering multiple wound situations to an extremity

  6. I hear wifi smart watches are bad for health not alot of studies btlut I wouldn’t trust it or airpods. Just my two cents thanks for the video !

    1. I don’t know where you’ve heard that, but there is no evidence that the radiation produced from any kind of Bluetooth device can put your health at risk.

  7. “Just has to be snug,” is an insufficient explanation. That initial tightness must be TIGHT, almost as tight as you think you can get it. I would’ve liked to see more importance stressed on this fact. Also, your wound packing technique was sloppy at best. I’d really like to see a more well done video – get official training people, this 6 minute video isn’t a be-all end-all solution.

  8. I hate to play stump the chump, but some of that information was incorrect. Tourniquet comes after pressure and packing, not before packing. The reason for this is, if you already have a tourniquet on there is no need to pack or provide additional pressure, because the tourniquet is already cutting off circulation, therefore bleeding has stopped. Also, when it comes to tourniquets, you tighten the windless until the bleeding has stopped, not just until you feel that it is tight enough. Bottom line up front, pain is less important than saving someone’s life.

    1. That’s because she obviously likes to be choked. Look at that red mark around her neck. She’s a freak 👌😎

  9. I can see the “tighten until you can’t tighten any more” leading to some potential problems. Why not “tighten until the bleeding stops”?

    1. Sometimes a tourniquet is unable to fully stop the bleeding, only slow it. If that’s the case, you either use a second tourniquet in addition to the first, or pack the wound and apply pressure to try to finish stopping the bleeding.

    2. @Leonard Greenpaw Would like to see some sourcing of this ‘4 hour’ benchmark you have there, and the prior training/knowledge you have. Joe Schmo (myself included to an extent) on the internet giving stop the bleed advice is a slippery slope, however, you are right about the pulse bit – checking for pulse is something that should be done at each stage of initial assessment, during and after care.

    3. With a major bleed that requires a tourniquet, if circulation is not completely cut off, the body will respond by increasing blood pressure to resume circulation. This can make an improperly tightened tourniquet result in worsening bleeds.
      Write the time on the tourniquet, very important, as the patient has 4 hours until those potential problems result in a likely amputation. But amputation is preferable over loss of life due to blood loss
      Emt’s specifically recommend that you should not be able to feel a pulse

  10. Aren’t you supposed to loosen the tourniquet a small bit for a second once every 50 seconds or so, so it doesn’t damage the arteries or something?

    1. Once you have applied the Tourniquet for life saving purposes, no one except a doctor should mess with it except for adding a second TQ in dire circumstances, which includes taking the TQ off. Or loosening it

    2. The US Army used to do intermittent brief loosening of the tourniquet. They no longer do it because there was so much blood loss with each loosening that some of the soldiers were bleeding to death under treatment. There are other countries with similar findings and this loosening protocol is being more and more considered more detrimental to the patient than the risk of having the tourniquet on.

    3. @Frostbitten correct I should have phrased it better. Its 4 hours where medical complications become more expected

    4. Leonard Greenpaw FALSE. 0-2 hours nothing occurs. 2-8 hours temporary nerve and tissue damage occurs. 8+ hours permanent nerve and tissue damage is likely. There are no known cases where a modern tourniquet has caused an amputation to occur simply for using one.

    5. You have 4 hours until amputation becomes recommended.
      You will be facing greater risk of blood loss of you try loosening the tourniquet

  11. A: Alert 911
    B: Bleeding identification
    C: Compress wound
    Typing out the comment so maybe it’ll help me retain the information and I won’t forget what to do if I ever encounter this situation.

  12. Seriously with this incorrect instruction ? Large bulky cover it up bandage is a no go. Still going with absorption is wrong. So if I have a junction AP Bleed or an arterial Bleed you want me to call 9-1-1 in lieu of applying the Tourniquet first ? Medics will get there just in time to see a dead patient. “ You guys should do what I say because a surgeon taught it to me “

    1. You have a point, but there will often be a second person who can be told to call 911. If that is so, the person treating needs to delegate a specific person and tell them “call 911 NOW”. But you are right…the tourniquet is top priority when you have arterial spurting. You can also dial 911 if you have your phone right with you, set the phone down preferably on speaker. You can talk while you treat.

    2. Sounds like this is directed towards the ‘lay rescuer/bystander’ as opposed to someone trained and experienced in First Aid or professional responder. The call 911 first thing is probably more to spell it out to lay rescuers/bystanders and get Paramedics rolling, kinda standard in F/A training. I catch your drift and see where your coming from though…

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