Originally Posted by
Ira B
Thanks for posting.
My training is with the US Coast Guard and about 10 years out of date.
I am sure you would agree that a tourniquet is last in line after direct pressure, arterial pressure point elevating the wound ect.
I'm guessing you've been out for 10 years then. Unfortunately the military has had a lot of "learning opportunities" since then. What you've stated is not incorrect and it will work assuming you know what you are doing (no different than anything else). It's my opinion that a lot of the changes are the result of people who didn't apply the older methods properly. For the average soldier it's been dumbed down, and I can appreciate that. However, the major parts of what you stated aren't what I have been taught in at least 4 years.
Same: elevating wounds is still a good idea.
Major differences: application of direct pressure and pressure points... I couldn't even tell you the details of pressure points. Obviously if it is a relatively minor wound you might escape w/o a tourniquet. The old method required an evaluation of the bleeding after 2 (I believe) steps were taken before applying a tourniquet and even then people were apprehensive about tourniquets due to the false belief that it would likely mean an amputation ...and people died as a result. Also under the old method, lets assume a tourniquet is required, during the first two steps the patient is still bleeding/dying. So if tourniquets do not automatically require amputations (you literally have hours) why even mess with the first to steps? Therefore we typically don't. You get jacked up around me and you are getting a tourniquet until someone that knows more can give you competent care. Part of the application process involves writing a "T" on the patients forehead and the time it was applied next to it. CAT's can be applied one handed to yourself if need be too. Also, since we aren't worried about amputation we don't sweat placing the tourniquet 2" above the wound. Now it goes as high as practical, one less detail I guess.
You might also be interested in knowing that IV fluids are no longer part of a CLS kit. I guess there effectiveness was questionable in the early stages of treatment and they were found to detract lesser trained people from performing higher priority care. Did I mention they dumbed everything down, lol?
I'd also like to add something that has already been mentioned... Protecting yourself, please have gloves too. A mask would be nice but not likely on a bicycle. We don't have them in military field kits but we also go through a crap load of regular health screenings so I feel relatively safe against anything serious.