It is an easy flub-doubly so when your traumatic brain injury makes pronouncing words a chore. :) But yes, Meerkat is correct. I was also trying to avoid jargon because jargon doesn’t get the point or idea across the masses and frankly, is only ever used to impress oneself. The point, however, is get that TQ up into the armpit and keep twisting until the hose is off.
THANK YOU! Thank you for posting this. It is something I am passionate about and now MORE riders will get this valuable information. 10/10 would recommend.
I was thinking of you when this was playing. You had mentioned a few months ago about making a grab bag for sale just like this. I think what most of novices would want, so we do not order the wrong thing(s), is a one-stop-shopping bag. Kind of a here buy this...Part #abc123. @Robert Burnes. Great job on the video. I really like the idea of the Curaplex Stop The Bleed Basic Kit with CAT Tourniquet already or added into the kit.
Excellent video and information! I carry a FAK with me, but have not had training in over ten years (SCUBA Rescue course). Had one of my best friends crash on pavement on a ride this past Sunday; fortunately not seriously injured, but we did open my kit to treat abrasions and cuts. I had fallen earlier on the ride on a rocky dirt road, bruised ribs but not really hurt. This got me thinking it was time to refresh/retrain, and here is your video! When things settle down with C-19, I plan ot organize FA training for my fellow club members and riding friends. Had a co-worker in the late 70s that had been Air Commando/Pararescue...he had a lot of broken things too. Thank you for your service sir.
I was trying to avoid the use of the acronym FAK. LOL. I love it and it's, of course, totally correct. I just know how we, in the military, misused that term to death. LOL. I'm sorry to hear about the crashes, but thrilled you were carrying a FAK with you. As you know, crashes happen with no warning in most cases and depending on the level of training/experience, some of these crashes happen so fast. Having that kit....you're doing great. Get the other riders passionate about this kind of training and care. It will make a difference. It seems to be a common thing for us in the AFSOC field (injuries). He was serving during the birth of special operations and the lessons that man learned we still employ today. If you see him, "Any time. Any place. Anywhere," "These Things We Do That Others May Live," and "Till Valhalla." I loved serving as an Air Commando. My experiences, the training, the people. I will never again meet such men.
Great video. One minor nitpick. It's a trauma shears not a surgical scissors. Used for exposing the body by cutting off clothing. If jacket or pants need to be cut, go along the seams. In theory the clothing could be sewn back together.
That's an excellent point and you're right. That would be one of the most used items in a kit. I carry the bottle with the eye cup. How many of us have gone face to face with bee or wasp? I think I still have one or two in my helmet.
People can take basic first aid and buddy aid courses via American Red Cross, for example. Thank you for posting this video! We all need to be thinking about and preparing for accidents and injuries out on the trail to ourselves and others.
Last summer my riding buddy crashed hard and got an open wound with bone showing to his leg. He had always down talked first aid gear. I have some training in first aid and knew what to do. I was happy to see that I was able to act accordingly and we made it out of the situation with minor damage. It's not enough to have with you a purchased first aid kit! Know how to use it and practice! Worth all the effort when the unexpected happens.
That is good info in the video and the description. I get the feeling that one like is just not enough for this. The content of those vintage clips is still up to date. That is amazing. I realy liked that you metioned that the person should get care beyond addressing the injuries. That is often forgotten.
It's especially important for anyone who has blacked out. If a person has gone unconscious for any amount of time, it's a trip to the ER. Not the non-emergency clinics, but the ER. I'm a HUGE supporter of physical therapy as I believe that PT is what saved me from having any surgeries (For now). It also made me a stronger person (physically) and gave me a good foundation for fitness tailored to my needs and job in the military and, later, in law enforcement.
@@TheSilverback75, I was in a collision and was knocked out for an unknown length of time. Big blank. The EMTs didn't verify anything regarding timeline ("what's the last thing you remember", etc.) and let me get back into rush hour traffic on my bike. Failure on their part and could have killed me a half-mile down the road.
I added a tourniquet to my first aid kit a few years ago after attending a first aid course which included an excellent demonstration on how and when to use one. Thankfully I’ve never had to use it but as mentioned in the video, time is a critical factor in a major bleed and having access to the right tools is life saving. Great vid 👍👍👍
Very important info and a very overlooked matter for many of us. I need to prepare at least a minimal emergency kit to carry it always. Thanks for sharing all of this!
Great and much needed video. Riders should consider carrying the tourniquet (or a second TQ) on body because a TQ stashed in a pannier will likely be unavailable if the rider has been separated from the motorcycle and needs to stop significant blood loss... seconds count.
Can you give me some more details on the Israeli kit? I could google, but you know how that goes-I might end up WAY off the mark. (See "Cross-Checking." Well-don't....don't see that. But I was looking for Hockey lingo).
Thank you for making these videos. I'm CPR/First Aid trained but had to put it to use for the first time today in a scooter accident. Now, I'm learning more to keep my ride buddies and myself even safer.
Finally first aid information from somebody with actual experience! Way too many 'suggested' first aid kits out there with make believe tourniquets which are really nothing more than restricting bands. Like many of us with significant medical training he's probably carrying more than the average person needs to, but when you have the training it's handy to have the additional equipment. As a medic with two combat tours EVERYTHING in this video is spot on. When in doubt, go get some training like Wilderness First Responder (WFR) or even Wilderness EMT if you're really interested in medicine.
Outstanding and at the risk of sounding cheesy, thank you for your service, brother. With experience comes regret and regret fuels preparation. Those courses you mention are very good. There is some variant around the world and some of them are free of charge. Hope to see more veterans on adventure bikes.
Like Meerkat said a lot of medical kits have useless tourniquets, don't go cheap on your tourniquet. Buy one that has a good reputation and is proven to work. The key to proper tourniquet application is practice. Get the basic training on application and then practice until it becomes second nature. In a trauma situation, it's probably the most important piece of equipment in your trauma kit. Many people get too wrapped up in non life threatening injuries after an incident. A arm that bends the wrong way looks really bad but it's not life threatening (providing the bone didn't cut an artery). Stay calm and remember your priorities!
@@dtrex392 First hand. Lol. Either I’m a #@R@ rider or I need a better job that doesn’t involve people trying to blow me up. Or both. It might be both.
Great video Robert - thanks for putting it out there. The sad part is that most people don't even carry a basic FAK. The key is education and letting people know just how critical those first moments are. Even, as you mentioned, stubbing your toe could lead to disaster if the conditions are right, and the right conditions usually present themselves at the worst possible time! Thanks again for taking the time and effort to get this out.
I don't see mention of SAM splints, the thin, nearly weightless and easily packed aluminum sheets that can be moulded to fit any body part to serve as a fracture splint, from neck to forearm to ankle. I believe fractures are the most common moto-crash injuries, so you might consider adding them to the list.
@@bywayz they are extremely common but not usually life threatening. It's better to worry about the life threatening injuries and let the arriving medics handle the non-life threatening. People often get wrapped up in trying to splint a fracture and miss a life threatening injury. Especially with all the gear we ride in someone could easily be filling their boot with blood and its missed because of the broken arm we're dealing with. As a first responder instructor we teach first responders to forget the obvious thing that's not life threatening until you've checked for the life threatening. This sounds like common sense but many times in scenarios first responders get caught in this trap and miss the important stuff. The less things to remember the better. If your only goal is to make sure the person lives its more likely you won't get distracted and miss something big! That's the KISS principle applied to basic first aid.
@@bywayz Agreed. The chances of using a tourniquet are pretty minimal, but you'll almost certainly need to manage a fracture at some point. C spine control, ABCD check and a rapid body survey should quickly uncover and life threatening injuries.
Excellent video great advice. One thing that I do is keep my first aid right up front in handlebar bag. If something happened to me I wouldn't want to have my first aid kit in a saddle bag under my bike.
Very informative, thanks for posting! I carry a pretty basic first aid kit in my saddlebags at all time. I may not be an expert on everything in there, but I can apply a TQ and some gauze in a pinch.
An excellent investment as an adventure or off-road rider - Advanced First Aid. I've had certification for Wilderness First Aid and fortunately (or unfortunately for others) it's been put to good use several times even in a few life-threatening situations. Carrying an advanced First Aid kit such as outlined in the video is essential if you're far enough away to be out of the range of immediate medical help. Great video!
Thank you. I am spoiled as I live here. COVID restrictions shut down most of the roads I know well, but we managed to find this one. It was coooooold, but beautiful. Perfect for shooting a nice video. We just had to share the area with some locals who were hauling on the blind turn road. Some of them were pushing 50 on a road that was really only safe at 25.
To everyone buying a tourniquet: there are many fake tourniquets out there, so make sure, you get yours from a safe source. And also keep in mind, to get a second one for Training. It's not done with buying and throwing it to your gear. Learn and train the correct use of the TQ (TH-cam is not enough!!).
i think the most important is knowledge of course, but having a kit YOU built. many people carry a full store-bought kit only to search tru it and they dont even know what is what. i get stung often and it makes the whole arm or leg swells up very big and stiff. i dont think i am allergic, but i had to ride the rest of the way with just one arm 2-3times. i think everybody should carry those allergic pills. personally i am not a trained expert so i just carry : -bandage +pads +tape -band-aid in all size and shape, including the big one -those stickers things used to bring the side of wound togeder -anti-histamine pills (allergic reaction) -little pliers to remove shards it saved me many times.
I like your thinking but none of the things you mentioned (except the benadryl pills) will save you. They make you more comfortable but will not help with anything life threatening. The tourniquet and blood clotting agents will save you. It would be good to get some training in the use of those two items and add them to your kit. Also, current CPR training is good to have in case a riding partner suffers a cardiac arrest. There is a big difference between a first aid kit and a trauma kit! Oh by the way, if you swell that much after being stung you are having an allergic reaction. You may want to see your doctor to get an epi-pen.
@@veiledallegory it wasnt like this when i was young, but now i keep getting swollen very big from sting. i always thought allergic people would die if they get stung? i will try to study this. actually if you got a stab, or cut wound that is leaking blood, with my kit you can close it a little and stop the bleeding from continuing. i happened many times to me when i was on the road, for example one time i was trying to fix my walking stick and made a deep cut into my arm because i slipped with my tool. with my first aid kit i fixed myself so i could last to the travel home. of course this is a video about big bleeding trauma. but even if you had all the equipment i would think most people out there woudnt be able to continue after breaking their leg or something similar. imagine being on the dessert of mongolia and breaking your hand while falling down on your motorcycle. 99% of people would try to press the emergency SOS button on their GPS thing and way for the helicopter. most would die before the help arrives. i will try to see a test video of somebody pressing the SOS button to see what is the response like.
i researched people pressing the famous SOS button, it looks like hit and miss experience in the US. i have yet to find somebody pressing the button in another country like india, pakistan....
Nice one. This is the one video I was afraid to look at but, the one that makes you conscious about potential consequences and what to consider. Thanks.
You nailed the point of these types of videos. It should spark interest. Ignite some level of inspiration. The more riders we have with some level of training, the better we are all for it.
This was a helpful overview. But please get training on tourniquet use. I wish this video had been more clear on when and when NOT to use a tourniquet. There are specific classes for proper tourniquet use. Improper use can damage circulation and tissue. You also need to get a good quality tourniquet, which usually runs around $30 or more. Take Basic First Aid and CPR training as well. Advanced certifications are also worth considering.
great video, and list. I have a cheap prepacked kit ive never broke the seal on i carry around. But, after seeing this video may open it up, see what i really have or dont have to make some adjustments.
It's a good idea to check the kits regularly, look for expiry dates, damage etc. Items inside a kit carried on a motorcycle can wear against themselves, tear packaging, and loosing sterility.
Be prepared to get a decent pair of scissors. Scissors in cheap kits often are subpar. The scissors should be able to cut through motorcycle gear. Also check the adhesives. They tend to loose adhesiveness with big changes of temperature.
Really didn’t remember learning about not placing a tourniquet on a double bone location in my combat lifesaver class. Makes sense though. While I’ve never personally had quikclot used on an injury of mine, might be worth mentioning that quikclot burns like mother fucker when applied. Useful to be aware of when applying it to yourself, unless you’re in so much shock that you don’t even notice it.
QC feels like a wasp sting x 10 when applied. I have used QT dozens of times on various states of consciousness and it will bring a soul back to life. There is a strong host reaction that does naturally number the shock of the burning. Also, the burning is short lived. Many years ago, QC was a powder that was poured into the wound. That one burned the most and had a nasty habit of getting blown around. QC is one of those amazing inventions that has,and will continue to, save thousands of lives. It is a must in any kit and now that the prices are this cheap, you cannot afford not to carry it.
@@TheSilverback75 great point about it being a powder before, probably more what I was thinking. But agreed, it’s a must to carry now. I’ve had it in my kit for almost 3 years now on the bike, in bandage form.
2:47 "Now's not the time to worry about sanitary conditions." That's certainly not the current training for emergency medical professionals in the civilian world. If I arrive on scene of an MVA, my gloves are on before I reach the victim. No time wasted, but obvious risks reduced. Those are trauma shears at 3:48, not "surgical scissors".
Thanks for the great content! Can you go a little more in depth about the change in thinking regarding the tornequit? Always heard that same "traditional wisdom" you mentioned about "losing the limb" if you use it, can you explain why that's changed?
Absolutely. The change came in the science of the kit and our medical knowledge of how the human body works with that injury. According David R. Welling, MD,a Patricia L. McKay, MD,a Todd E. Rasmussen, MD,a,b and Norman M. Rich, MD, “A brief history of the tourniquet,” HISTORICAL VIGNETTES IN VASCULAR SURGERY, vol 55, num 1, 286, the TQ, as we will call it here for brevity, was really nothing more than a band of sorts and a stick. The US civil war solider would apply this above the wound and tighten the band, using the stick as leverage. This band was often too skinny and worked more like a string, cutting into the flesh as well as clamping down on the artery. (Ibid). This often led to severe damage to the limb and that led to amputation. Decades passed with little change to this technique and the adaptation of pressure dressing. That is, applying direct pressure over the wound to stop the bleeding. This was idea if the wound did not involve an artery. If the wound was in the thigh, the artery had a nasty habit of snapping up into the hip area or higher. This wasn’t always the case, but it happened. Pressure from the blood pumping out, movement from the patient, and from being moved cause the artery to move out of position. Direct pressure wasn’t enough and people were bleeding out. (Id at p 287). The TQ was improved with each war, finally evolving into the CAT style TQ we see in the video. The bands are wider, the training on location and recognizing the arterial wound is better, and the design of the CATG7 makes it very difficult to over-tighten to the point that you are cutting the limb off. (Id at p 289). To summarize, it is the modern design of the TQ that permits the patient to recover without the loss, or potential loss, of the limb due to the TQ poor design and/or poor application. I hope that answers the question. And thank you for asking!
I guess the CVS kit I’ve had in my bike is pretty inadequate. I took a look at the kit you listed. Are all the additional links things not included in the initial kit? If I got everything listed I’d need a pannier just for first aid. I’m going to buy the kit listed to replace mine but all the other stuff, is that needed?
You do not need all the things listed in his kit in the description above. You should have a tourniquet and blood clotting agent and probably some benadryl or epi-pen if you are allergic to stuff. Get some training and that will help you decide what to carry. Cover the life-threatening things and you can get by on the others. IMHO.
1) The tourniquet should be used as a last resort, you should try to stop the bleeding with direct pressure on the wound. If you can't get to a hospital in 6 hours of securing the tourniquet you do run the risk of losing the limb 2) NEVER remove a tourniquet, even if it's been on for more than 6 hours, the toxins secreted by the necrosed muscles will spread throughout your body and kill you in minutes
Hi, Richard! First-what a beautiful part of the world you are introducing people too. I’ve been in that area many times and it is like a fantasy novel come to life. Formal medical trading for the guides is a must. They need not be trained to the level of a paramedic, but they should have CPR/AED training, wound care, and rescue and recovery covered. These certifications are often provided by local hospitals or, in some cases, private businesses specializing in first responder care. In your area, the local hospitals handle almost all of the training. I always suggest training and equipping for the worst case scenario. As a retired lead special agent (Law Enforcement) and a former 911 (999) supervisor, and as a combat veteran, accidents with your clients will never happen on the best day, in the best conditions. Accidents will occur in the rain, in a cell dead spot, when every ambulance and police officer is too busy to respond. I encourage employers, like yourself, to give the guides the basics, but encourage higher, more advanced training. In many places in the US, we offer extra pay for those with higher training or education. If one person is saved as a result of your guides actions, that was worth every penny spent. Also, when customers see that extra certificates, it gives them a sense that your company isn’t a cheap, thrown together business, but a professional, respected tour company worth re visiting.
Several years ago I took a 3 day Wilderness First Aid class. It was excellent and really prepared me for many outdoor medical emergencies. Interestingly enough Epinephrine has perhaps saved more lives than most others all together. For allergic reactions. But stopping bleeding and knowing when and how to move a victim was at the top of the list. I need a refresher.
@@TheSilverback75 Thanks for your insight Robert. I am leaning towards a "first responder" level of training, I am trying to get that defined because there is no training like that available here in Azerbaijan so, I will need to fly them in.
@@richardgreer790 I think that would be a great idea (First responder). I can, if you want, do a little homework for you to find a trainer in your area. I think you’re just making your business and the wonderful experience just that much better. Please, let me know how I can help you.
CAN vs SHOULD, a TQ on double bones will generally work. However a TQ on a single bone will always work (as much as any TQ will). It also depends on arm vs leg, a TQ on a serious lower leg injury will nearly never fully stop bleeding, only slow it. Serious leg injuries will often require multiple TQ's due to the larger blood vessels involved and stronger muscle mass which must be compressed. High and tight is reliable and reduces the risk of an ineffective TQ.
@@MOTOTREK A quick PubMed search turned up: pubmed.ncbi.nlm.nih.gov/18376170/ This 2008 study in the Journal of Trauma and Acute Care Surgery shows 92% effectiveness for forearm (n = 13) and 100% for leg (which is discriminated from thigh, n = 32). pubmed.ncbi.nlm.nih.gov/18619170/ This 2007 article in the BMJ Military Health says "While the content of pre-deployment training is strictly controlled, unwanted and erroneous practice messages from external sources have reached deployed soldiers. An example is the message that a tourniquet must only be applied over a single bone (humerus or femur)." fphc.rcsed.ac.uk/media/2398/position-statement-on-the-application-of-tourniquets-july-2017.pdf Position statement on tourniquet application from the Royal College of Surgeons of Edinburgh: "Step 3: Placed as distally as possible above the wound; Including over the lower leg and the forearm, to preserve the maximum amount of salvageable tissue." I do agree that "high and tight" is easier to remember than "2-3 inches above the wound, and not on a joint", but the latter is just as effective, has less potential for damage, and, let's face it, isn't really that hard to remember. (Edit: formatting)
@@lindenwyatt1566 its not just as effective, that's the reason the TCCC course teaches as high as possible because the actual study done on traumatic injuries in Iraq and Afghanistan showed this application to be the most successful without the loss of limbs. The idea that anything below the tourniquet will be damaged or lost is old thinking and did not prove to be true in actual combat applications.
@@MeerkatADV you are correct. Some peoples responses remind me of something a guy told my dad once. He said, " science and education will beat superstition and ignorance every time!"
126. I was fortunate that almost all of my breaks were not shatters. Clean....ish....snaps, with bone fragment. There’s been a lot of soft tissue damage as well. You don’t get to walk clean away from injuries like these. Three traumatic brain injuries, which account for the word slips now and then, the fractures in my face are obvious, but I don’t shy from them. They are part of my story. My injuries give me insight, however, to the people I work with. Fellow veterans. I can certainly relate to the frustrations, small victories, and day to day issues. I’m grateful I’ve managed all of the injuries, thanks to the USAF medical folks, without surgery. It took years of hard work and I struggle every day, but I’m proud to say that I currently have overcome those breaks and trauma.
@@TheSilverback75 thats definitly something to be proud of, I have my left side all burn, arm, chest and leg, and I do my normal life, I dont hide it, accidents happen, the worst we can do is to let one moment dictate our intire life... have a good one my good Sir, and thanks for the very informative video. 🙂
@@fabiomontes7545 thank you! I’m sorry you suffered burns. Those just never seem to heal all the way. I hope you arent suffering. And you have a great attitude about your injury. Own it, brother. You’re a survivor!
This information he is showing comes from actual combat studies done in Iraq and Afghanistan. It was based on actual tourniquet applications and looked at which ones were successful at saving lives. The study found that application as high as possible was the most successful hence the guidelines. Remember, the military in combat applies exponentially more tourniquets than any civilian EMS does. The other reason for applying the tourniquet as high as possible is because it's easier to occlude a large artery than it is to occlude a bunch of smaller ones once it branches off. These guidelines are used in the Tactical Combat Casualty Care course. This course is taught throughout the US military to combat medics. If you look it up I'm sure you can find a link to the study, if you're interested. The guidelines for civilian EMS are different. However, if you're in a desolate area on a motorcycle trip, the extended time it takes EMS to arrive would warrant using the best techniques available in my opinion.
That's is technically true that the TQ CAN be placed over two bones. However, if ever given the choice of one bone or two, pick the one (I took the courses in the UK while stationed at Mildenhall and they are great!). Your chances of stopping the bleeding are significantly higher. My training is never apply the TQ over two because we do not know the status of the bones/organic material below the skin in that area. Those two bone sections, avoiding jargon, may splinter, blocking your ability to effectively stop the bleeding. The TQ may also cause additional pain-something we must avoid. However, if you feel comfortable with the application of a TQ over those areas and are confident that you can stop the bleeding, by all means. If I'm pouring blood like a garden hose, I'm not arguing. Do what you need to do! That's how I've survived this long having TQ's applied, quick clot stuffed into wounds, a drill inserted into my bones along with an IV.....hurts thinking about it. ( I am an attorney by profession now so my language leans to the conservative side).
I am ex military and also a UK registered paramedic for over 20 years. I currently work for a private security company out in Iraq. The advice given here for the use of tourniquets is for operational military applications during a contact. In a civilian setting the use of tourniquets has been reassed. Unless there is a complete amputation of a limb there should be a stepped response with the tourniquet being the last option if bleeding is not arrested. The stepped response should be direct pressure to the wound or applicable pressure point such as brachial or femoral + pressure dressing and then if bleeding continues the tourniquets. Also the location of the tourniquet has changed and should first be tried 2 - 4 inches above the injury, if this is unsuccessful then move to the top of the limb. The reason for the difference between military SOP and civilian is in a civilian environment you have a greater time period in safety to treat the injury where as in the military when under attack you have no time and are in a dangerous location with risk of further injury. Also placement of the tourniquet is different as on the civilian setting you have the extra steps mentioned above and there is less chance of nerve and tissue damage to the whole limb. I hope this helps folks.
I have been carrying a trauma kit for decades. (Yes, I rotate out expiring items). I also carry splints in my kit. Modern splints take up as much room as an ace bandage. Carry a first aid instruction booklet, both hard copy and electronic. My kit is in a hard locked panier and is marked like yours. I also ride with the key in the lock, on a lanyard. I can remove the key when parked for security. If the key snaps off, you can still get the panier open with a knife or flat tip screwdriver or just the rest of the key, still on the lanyard. A trauma kit is one of those items everyone should have (few do) and you should know how to use it. But, if you don't know how to use it, carry one anyway. Someone else might know how, while you are waiting to take that class. Carry electronic hazard/accident scene flares/beacons. Thank you, MOTOTREK, for having this vlog. If it saves one life.
Whoa, whoa, whoa. That’s my baby you’re talking about. :) Also- it is too late. My Ducati addiction started in 1989 and continues through today. They are freaks on the streets and monsters off road. Jeez I’m bad at rhyming.
First aid courses are reasonably priced and a fraction of what you'd spend on upgrading your bike. Most guys don't bat an eyelash at dropping seven bills on an XD4 but cringe at two weekends and $200 on a first aid course that could save your, or another rider's life.
@@sunnyvalejedi In most European countries first aid course is mandatory with exam at the end and first step of getting any kind of driving licence....
A lot of Red Cross offices across the US offer free CPR and AED courses. Some offer free first responder courses as well. This is subject to change based on your location and current availability of personnel to teach. COVID has been a game changer in 2020.
Starting off with a tourniquet? Really? What are the chances an ADV rider will experience an accident involving an arterial bleed? There are several rules to applying a tourniquet, and the technique should be reserved for the most dire situations, and by someone with training. Maybe start with securing the cervical spine instead of a technique that will unlikely never be needed by the average rider. The average person would be better off bringing gauze and tensor than field medic blood clotting powder. Gloves take a few seconds to put on, protect you and the patient. Carry them and use them. SAM splints are cheap, light, compact and easy to use, and can assist in supporting all limb bones other than a femur. Transporting a patient over rough roads with a broken radius using a splint and a triangular bandage will assist in preventing shock and further injury. Using a splint on a commimuted fracture will only help and not hurt. The best tools in the world are useless to someone who's never taken a woodworking course. Take a course.
What's a "Bronchial artery" ?
He meant brachial artery, easy flub when you aren't used to talking on camera.
It is an easy flub-doubly so when your traumatic brain injury makes pronouncing words a chore. :) But yes, Meerkat is correct. I was also trying to avoid jargon because jargon doesn’t get the point or idea across the masses and frankly, is only ever used to impress oneself. The point, however, is get that TQ up into the armpit and keep twisting until the hose is off.
I've updated the subtitles with the correction.
@@MOTOTREK I mean, bronchial arteries are a thing, you just wouldn't want to try and put a tourniquet on them!
@@MeerkatADV if you can get to them the tourniquet probably won't help!
THANK YOU! Thank you for posting this. It is something I am passionate about and now MORE riders will get this valuable information. 10/10 would recommend.
I was thinking of you when this was playing. You had mentioned a few months ago about making a grab bag for sale just like this. I think what most of novices would want, so we do not order the wrong thing(s), is a one-stop-shopping bag. Kind of a here buy this...Part #abc123.
@Robert Burnes. Great job on the video.
I really like the idea of the Curaplex Stop The Bleed Basic Kit with CAT Tourniquet already or added into the kit.
Brings back all the training I'd all but forgotten...
That’s great!
Excellent video and information! I carry a FAK with me, but have not had training in over ten years (SCUBA Rescue course). Had one of my best friends crash on pavement on a ride this past Sunday; fortunately not seriously injured, but we did open my kit to treat abrasions and cuts. I had fallen earlier on the ride on a rocky dirt road, bruised ribs but not really hurt. This got me thinking it was time to refresh/retrain, and here is your video! When things settle down with C-19, I plan ot organize FA training for my fellow club members and riding friends.
Had a co-worker in the late 70s that had been Air Commando/Pararescue...he had a lot of broken things too. Thank you for your service sir.
I was trying to avoid the use of the acronym FAK. LOL. I love it and it's, of course, totally correct. I just know how we, in the military, misused that term to death. LOL. I'm sorry to hear about the crashes, but thrilled you were carrying a FAK with you. As you know, crashes happen with no warning in most cases and depending on the level of training/experience, some of these crashes happen so fast. Having that kit....you're doing great. Get the other riders passionate about this kind of training and care. It will make a difference. It seems to be a common thing for us in the AFSOC field (injuries). He was serving during the birth of special operations and the lessons that man learned we still employ today. If you see him, "Any time. Any place. Anywhere," "These Things We Do That Others May Live," and "Till Valhalla." I loved serving as an Air Commando. My experiences, the training, the people. I will never again meet such men.
Great video. One minor nitpick. It's a trauma shears not a surgical scissors. Used for exposing the body by cutting off clothing. If jacket or pants need to be cut, go along the seams. In theory the clothing could be sewn back together.
The item most used from my kit, and constantly replenished is sterile eye wash. Thankfully I've not needed the tourniquet!
That's an excellent point and you're right. That would be one of the most used items in a kit. I carry the bottle with the eye cup. How many of us have gone face to face with bee or wasp? I think I still have one or two in my helmet.
A wilderness first aid class is still on my list of needs.
By far the best equipment in a first aid situation is your brain.
People can take basic first aid and buddy aid courses via American Red Cross, for example. Thank you for posting this video! We all need to be thinking about and preparing for accidents and injuries out on the trail to ourselves and others.
Last summer my riding buddy crashed hard and got an open wound with bone showing to his leg. He had always down talked first aid gear. I have some training in first aid and knew what to do. I was happy to see that I was able to act accordingly and we made it out of the situation with minor damage. It's not enough to have with you a purchased first aid kit! Know how to use it and practice! Worth all the effort when the unexpected happens.
Agreed. Knowledge, practise and a little equipment goa long way!
So sorry to hear about your friend, but glad to know how you managed. I hope he’s changed his mind about the importance of medical gear.
That is good info in the video and the description. I get the feeling that one like is just not enough for this. The content of those vintage clips is still up to date. That is amazing.
I realy liked that you metioned that the person should get care beyond addressing the injuries. That is often forgotten.
It's especially important for anyone who has blacked out. If a person has gone unconscious for any amount of time, it's a trip to the ER. Not the non-emergency clinics, but the ER. I'm a HUGE supporter of physical therapy as I believe that PT is what saved me from having any surgeries (For now). It also made me a stronger person (physically) and gave me a good foundation for fitness tailored to my needs and job in the military and, later, in law enforcement.
@@TheSilverback75, I was in a collision and was knocked out for an unknown length of time. Big blank. The EMTs didn't verify anything regarding timeline ("what's the last thing you remember", etc.) and let me get back into rush hour traffic on my bike. Failure on their part and could have killed me a half-mile down the road.
Biker Down training is very popular now in the UK 🇬🇧
That is the course I took while stationed at Mildenhall. I liked it so much, I took follow on courses out on by other riders.
I added a tourniquet to my first aid kit a few years ago after attending a first aid course which included an excellent demonstration on how and when to use one. Thankfully I’ve never had to use it but as mentioned in the video, time is a critical factor in a major bleed and having access to the right tools is life saving.
Great vid 👍👍👍
Very important info and a very overlooked matter for many of us. I need to prepare at least a minimal emergency kit to carry it always. Thanks for sharing all of this!
Great and much needed video. Riders should consider carrying the tourniquet (or a second TQ) on body because a TQ stashed in a pannier will likely be unavailable if the rider has been separated from the motorcycle and needs to stop significant blood loss... seconds count.
Great tip, James!
Nice. I've added a couple of israeli field dressings to my trauma kit, to go along with the tourniquet and the quickclot dressings.
Can you give me some more details on the Israeli kit? I could google, but you know how that goes-I might end up WAY off the mark. (See "Cross-Checking." Well-don't....don't see that. But I was looking for Hockey lingo).
@@TheSilverback75 th-cam.com/video/S2_EU1T-o-g/w-d-xo.html I think he means these.
Thank you for making these videos. I'm CPR/First Aid trained but had to put it to use for the first time today in a scooter accident. Now, I'm learning more to keep my ride buddies and myself even safer.
You're welcome, Sarah!
Finally first aid information from somebody with actual experience! Way too many 'suggested' first aid kits out there with make believe tourniquets which are really nothing more than restricting bands. Like many of us with significant medical training he's probably carrying more than the average person needs to, but when you have the training it's handy to have the additional equipment. As a medic with two combat tours EVERYTHING in this video is spot on. When in doubt, go get some training like Wilderness First Responder (WFR) or even Wilderness EMT if you're really interested in medicine.
Outstanding and at the risk of sounding cheesy, thank you for your service, brother. With experience comes regret and regret fuels preparation. Those courses you mention are very good. There is some variant around the world and some of them are free of charge. Hope to see more veterans on adventure bikes.
Like Meerkat said a lot of medical kits have useless tourniquets, don't go cheap on your tourniquet. Buy one that has a good reputation and is proven to work. The key to proper tourniquet application is practice. Get the basic training on application and then practice until it becomes second nature. In a trauma situation, it's probably the most important piece of equipment in your trauma kit. Many people get too wrapped up in non life threatening injuries after an incident. A arm that bends the wrong way looks really bad but it's not life threatening (providing the bone didn't cut an artery). Stay calm and remember your priorities!
“Actual experience” Meerkat ADV says. 126 broken bones to his credit! 😳
@@dtrex392 hey, experience is experience lol
@@dtrex392 First hand. Lol. Either I’m a #@R@ rider or I need a better job that doesn’t involve people trying to blow me up. Or both. It might be both.
Great video Robert - thanks for putting it out there. The sad part is that most people don't even carry a basic FAK. The key is education and letting people know just how critical those first moments are. Even, as you mentioned, stubbing your toe could lead to disaster if the conditions are right, and the right conditions usually present themselves at the worst possible time! Thanks again for taking the time and effort to get this out.
Great information I need to get some training.
I don't see mention of SAM splints, the thin, nearly weightless and easily packed aluminum sheets that can be moulded to fit any body part to serve as a fracture splint, from neck to forearm to ankle. I believe fractures are the most common moto-crash injuries, so you might consider adding them to the list.
@@bywayz they are extremely common but not usually life threatening. It's better to worry about the life threatening injuries and let the arriving medics handle the non-life threatening. People often get wrapped up in trying to splint a fracture and miss a life threatening injury. Especially with all the gear we ride in someone could easily be filling their boot with blood and its missed because of the broken arm we're dealing with.
As a first responder instructor we teach first responders to forget the obvious thing that's not life threatening until you've checked for the life threatening. This sounds like common sense but many times in scenarios first responders get caught in this trap and miss the important stuff. The less things to remember the better. If your only goal is to make sure the person lives its more likely you won't get distracted and miss something big! That's the KISS principle applied to basic first aid.
@@bywayz Agreed. The chances of using a tourniquet are pretty minimal, but you'll almost certainly need to manage a fracture at some point. C spine control, ABCD check and a rapid body survey should quickly uncover and life threatening injuries.
Got lost with acronyms abcd airway, breathing, circulation, not sure about d?
KISS is that about the rock group or is that another acronym?
@@Roly679 KISS Keep It Simple Stupid
Excellent video great advice. One thing that I do is keep my first aid right up front in handlebar bag. If something happened to me I wouldn't want to have my first aid kit in a saddle bag under my bike.
A very good reminder indeed!
Very informative, thanks for posting!
I carry a pretty basic first aid kit in my saddlebags at all time. I may not be an expert on everything in there, but I can apply a TQ and some gauze in a pinch.
An excellent investment as an adventure or off-road rider - Advanced First Aid. I've had certification for Wilderness First Aid and fortunately (or unfortunately for others) it's been put to good use several times even in a few life-threatening situations. Carrying an advanced First Aid kit such as outlined in the video is essential if you're far enough away to be out of the range of immediate medical help. Great video!
Cheers!
So helpful video.👍
Thank you so much for this.
Happy and Healthy New Year.
You're riding in a beautiful area, but very remote. I rode Carmel Valley Ranch Rd last month. This was great information. Thank you.
Thank you. I am spoiled as I live here. COVID restrictions shut down most of the roads I know well, but we managed to find this one. It was coooooold, but beautiful. Perfect for shooting a nice video. We just had to share the area with some locals who were hauling on the blind turn road. Some of them were pushing 50 on a road that was really only safe at 25.
To everyone buying a tourniquet: there are many fake tourniquets out there, so make sure, you get yours from a safe source. And also keep in mind, to get a second one for Training. It's not done with buying and throwing it to your gear. Learn and train the correct use of the TQ (TH-cam is not enough!!).
North American Rescue makes good gear including the CAT-T tourniquet. I'm not affiliated but am a happy customer.
@laus Where do you recommend getting tourniquet training? ty Wes for mentioning North American Rescue.
Great video. Thank you very much for sharing your knowledge and experience.
i think the most important is knowledge of course, but having a kit YOU built.
many people carry a full store-bought kit only to search tru it and they dont even know what is what. i get stung often and it makes the whole arm or leg swells up very big and stiff. i dont think i am allergic, but i had to ride the rest of the way with just one arm 2-3times. i think everybody should carry those allergic pills.
personally i am not a trained expert so i just carry :
-bandage +pads +tape
-band-aid in all size and shape, including the big one
-those stickers things used to bring the side of wound togeder
-anti-histamine pills (allergic reaction)
-little pliers to remove shards
it saved me many times.
I like your thinking but none of the things you mentioned (except the benadryl pills) will save you. They make you more comfortable but will not help with anything life threatening. The tourniquet and blood clotting agents will save you. It would be good to get some training in the use of those two items and add them to your kit. Also, current CPR training is good to have in case a riding partner suffers a cardiac arrest. There is a big difference between a first aid kit and a trauma kit! Oh by the way, if you swell that much after being stung you are having an allergic reaction. You may want to see your doctor to get an epi-pen.
@@veiledallegory it wasnt like this when i was young, but now i keep getting swollen very big from sting. i always thought allergic people would die if they get stung? i will try to study this.
actually if you got a stab, or cut wound that is leaking blood, with my kit you can close it a little and stop the bleeding from continuing. i happened many times to me when i was on the road, for example one time i was trying to fix my walking stick and made a deep cut into my arm because i slipped with my tool. with my first aid kit i fixed myself so i could last to the travel home.
of course this is a video about big bleeding trauma. but even if you had all the equipment i would think most people out there woudnt be able to continue after breaking their leg or something similar. imagine being on the dessert of mongolia and breaking your hand while falling down on your motorcycle. 99% of people would try to press the emergency SOS button on their GPS thing and way for the helicopter. most would die before the help arrives.
i will try to see a test video of somebody pressing the SOS button to see what is the response like.
i researched people pressing the famous SOS button, it looks like hit and miss experience in the US. i have yet to find somebody pressing the button in another country like india, pakistan....
Great vid, something i actually never thought of but I am now!! Very handy 1st aid kit, with labelled pockets. tks guys
Nice one. This is the one video I was afraid to look at but, the one that makes you conscious about potential consequences and what to consider. Thanks.
You nailed the point of these types of videos. It should spark interest. Ignite some level of inspiration. The more riders we have with some level of training, the better we are all for it.
wow, finally a good video on rider down safety and first aid. well done!
This was a helpful overview. But please get training on tourniquet use. I wish this video had been more clear on when and when NOT to use a tourniquet. There are specific classes for proper tourniquet use. Improper use can damage circulation and tissue. You also need to get a good quality tourniquet, which usually runs around $30 or more. Take Basic First Aid and CPR training as well. Advanced certifications are also worth considering.
I couldn't agree more. There are so many skills that are more important than a little used and fairly advanced technique.
great video, and list. I have a cheap prepacked kit ive never broke the seal on i carry around. But, after seeing this video may open it up, see what i really have or dont have to make some adjustments.
It's a good idea to check the kits regularly, look for expiry dates, damage etc. Items inside a kit carried on a motorcycle can wear against themselves, tear packaging, and loosing sterility.
Be prepared to get a decent pair of scissors. Scissors in cheap kits often are subpar. The scissors should be able to cut through motorcycle gear. Also check the adhesives. They tend to loose adhesiveness with big changes of temperature.
Thank you very much Sir.
Helpful and practical video! Thanks for sharing.
merry christmas 🥳 and happy new year ok
Really good video and thank you so much for sharing what you keep in your kit and with links!
Nicely done as always.
Valuable info. Thank you.
You're welcome!
Really didn’t remember learning about not placing a tourniquet on a double bone location in my combat lifesaver class. Makes sense though.
While I’ve never personally had quikclot used on an injury of mine, might be worth mentioning that quikclot burns like mother fucker when applied. Useful to be aware of when applying it to yourself, unless you’re in so much shock that you don’t even notice it.
QC feels like a wasp sting x 10 when applied. I have used QT dozens of times on various states of consciousness and it will bring a soul back to life. There is a strong host reaction that does naturally number the shock of the burning. Also, the burning is short lived. Many years ago, QC was a powder that was poured into the wound. That one burned the most and had a nasty habit of getting blown around. QC is one of those amazing inventions that has,and will continue to, save thousands of lives. It is a must in any kit and now that the prices are this cheap, you cannot afford not to carry it.
@@TheSilverback75 great point about it being a powder before, probably more what I was thinking. But agreed, it’s a must to carry now. I’ve had it in my kit for almost 3 years now on the bike, in bandage form.
Great & practical information. Thanks!
You're welcome!
What tires were on the Duke...your a brave man.
Happy New year
Great video. - thanks!
2:47 "Now's not the time to worry about sanitary conditions." That's certainly not the current training for emergency medical professionals in the civilian world. If I arrive on scene of an MVA, my gloves are on before I reach the victim. No time wasted, but obvious risks reduced. Those are trauma shears at 3:48, not "surgical scissors".
I have a first aid kit in my car... but my bike's empty... I should get one
I would add a burrito blanket. I'm sure you're aware that bleeding leads to shock and hypothermia. We used them a lot in Afghanistan
This is a great video!!!! Highly recommended. I feel like there arnt many first aid videos pertaining to motorcycles this hits it
Thx, George.
thank you so much for this video!!!
You're so welcome!
Thanks for the great content! Can you go a little more in depth about the change in thinking regarding the tornequit? Always heard that same "traditional wisdom" you mentioned about "losing the limb" if you use it, can you explain why that's changed?
Absolutely. The change came in the science of the kit and our medical knowledge of how the human body works with that injury. According David R. Welling, MD,a Patricia L. McKay, MD,a Todd E. Rasmussen, MD,a,b and Norman M. Rich, MD, “A brief history of the tourniquet,” HISTORICAL VIGNETTES IN VASCULAR SURGERY, vol 55, num 1, 286, the TQ, as we will call it here for brevity, was really nothing more than a band of sorts and a stick. The US civil war solider would apply this above the wound and tighten the band, using the stick as leverage. This band was often too skinny and worked more like a string, cutting into the flesh as well as clamping down on the artery. (Ibid). This often led to severe damage to the limb and that led to amputation. Decades passed with little change to this technique and the adaptation of pressure dressing. That is, applying direct pressure over the wound to stop the bleeding. This was idea if the wound did not involve an artery. If the wound was in the thigh, the artery had a nasty habit of snapping up into the hip area or higher. This wasn’t always the case, but it happened. Pressure from the blood pumping out, movement from the patient, and from being moved cause the artery to move out of position. Direct pressure wasn’t enough and people were bleeding out. (Id at p 287). The TQ was improved with each war, finally evolving into the CAT style TQ we see in the video. The bands are wider, the training on location and recognizing the arterial wound is better, and the design of the CATG7 makes it very difficult to over-tighten to the point that you are cutting the limb off. (Id at p 289). To summarize, it is the modern design of the TQ that permits the patient to recover without the loss, or potential loss, of the limb due to the TQ poor design and/or poor application. I hope that answers the question. And thank you for asking!
Great video! Will you add a sharpie to write down the time you applied the torniquete? I personally don’t ride with one.
Great video. The first aid kit shown is no longer available. Can you recommend a similar one?
very helpful.... thank you.
Awesome subject matter, great presentation!
I guess the CVS kit I’ve had in my bike is pretty inadequate. I took a look at the kit you listed. Are all the additional links things not included in the initial kit? If I got everything listed I’d need a pannier just for first aid. I’m going to buy the kit listed to replace mine but all the other stuff, is that needed?
The additional items listed include extra stuff Robert carries. Some of those things are included in the kit.
You do not need all the things listed in his kit in the description above. You should have a tourniquet and blood clotting agent and probably some benadryl or epi-pen if you are allergic to stuff. Get some training and that will help you decide what to carry. Cover the life-threatening things and you can get by on the others. IMHO.
Question- I can’t find that pouch you have, in your links - the one with multiple pockets and labelled up. Can you post a link? Thanks
1) The tourniquet should be used as a last resort, you should try to stop the bleeding with direct pressure on the wound. If you can't get to a hospital in 6 hours of securing the tourniquet you do run the risk of losing the limb
2) NEVER remove a tourniquet, even if it's been on for more than 6 hours, the toxins secreted by the necrosed muscles will spread throughout your body and kill you in minutes
Hey there...great info!! I carry Voile straps on my bike for various things. Do you think one would be adequate to deploy a tourniquet?
Thank you Robert, very well done, any thoughts for formal training? I need my tour guides trained. Rich Azeri Adventure Motorcycle Tours
Hi, Richard! First-what a beautiful part of the world you are introducing people too. I’ve been in that area many times and it is like a fantasy novel come to life. Formal medical trading for the guides is a must. They need not be trained to the level of a paramedic, but they should have CPR/AED training, wound care, and rescue and recovery covered. These certifications are often provided by local hospitals or, in some cases, private businesses specializing in first responder care. In your area, the local hospitals handle almost all of the training. I always suggest training and equipping for the worst case scenario. As a retired lead special agent (Law Enforcement) and a former 911 (999) supervisor, and as a combat veteran, accidents with your clients will never happen on the best day, in the best conditions. Accidents will occur in the rain, in a cell dead spot, when every ambulance and police officer is too busy to respond. I encourage employers, like yourself, to give the guides the basics, but encourage higher, more advanced training. In many places in the US, we offer extra pay for those with higher training or education. If one person is saved as a result of your guides actions, that was worth every penny spent. Also, when customers see that extra certificates, it gives them a sense that your company isn’t a cheap, thrown together business, but a professional, respected tour company worth re visiting.
Several years ago I took a 3 day Wilderness First Aid class. It was excellent and really prepared me for many outdoor medical emergencies. Interestingly enough Epinephrine has perhaps saved more lives than most others all together. For allergic reactions. But stopping bleeding and knowing when and how to move a victim was at the top of the list. I need a refresher.
@@TheSilverback75 Thanks for your insight Robert. I am leaning towards a "first responder" level of training, I am trying to get that defined because there is no training like that available here in Azerbaijan so, I will need to fly them in.
@@richardgreer790 I think that would be a great idea (First responder). I can, if you want, do a little homework for you to find a trainer in your area. I think you’re just making your business and the wonderful experience just that much better. Please, let me know how I can help you.
@@TheSilverback75 Robert, yes please and thank you for your offer. I appreciate your time and effort.
You can put TQ on double bones, there were studies done, no issues found it works.
Got a link to those studies?
CAN vs SHOULD, a TQ on double bones will generally work. However a TQ on a single bone will always work (as much as any TQ will). It also depends on arm vs leg, a TQ on a serious lower leg injury will nearly never fully stop bleeding, only slow it. Serious leg injuries will often require multiple TQ's due to the larger blood vessels involved and stronger muscle mass which must be compressed. High and tight is reliable and reduces the risk of an ineffective TQ.
@@MOTOTREK A quick PubMed search turned up:
pubmed.ncbi.nlm.nih.gov/18376170/ This 2008 study in the Journal of Trauma and Acute Care Surgery shows 92% effectiveness for forearm (n = 13) and 100% for leg (which is discriminated from thigh, n = 32).
pubmed.ncbi.nlm.nih.gov/18619170/ This 2007 article in the BMJ Military Health says "While the content of pre-deployment training is strictly
controlled, unwanted and erroneous practice messages from external sources have reached deployed soldiers. An example is the message that a tourniquet must only be applied over a single bone (humerus or femur)."
fphc.rcsed.ac.uk/media/2398/position-statement-on-the-application-of-tourniquets-july-2017.pdf Position statement on tourniquet application from the Royal College of Surgeons of Edinburgh: "Step 3: Placed as distally as possible above the wound; Including over the lower leg and the forearm, to preserve the maximum amount of salvageable tissue."
I do agree that "high and tight" is easier to remember than "2-3 inches above the wound, and not on a joint", but the latter is just as effective, has less potential for damage, and, let's face it, isn't really that hard to remember.
(Edit: formatting)
@@lindenwyatt1566 its not just as effective, that's the reason the TCCC course teaches as high as possible because the actual study done on traumatic injuries in Iraq and Afghanistan showed this application to be the most successful without the loss of limbs. The idea that anything below the tourniquet will be damaged or lost is old thinking and did not prove to be true in actual combat applications.
@@MeerkatADV you are correct. Some peoples responses remind me of something a guy told my dad once. He said, " science and education will beat superstition and ignorance every time!"
One of the most important videos I've seen since I started riding. Thanks!
My good sir did you said 126 broken bones?! 😳😳
126. I was fortunate that almost all of my breaks were not shatters. Clean....ish....snaps, with bone fragment. There’s been a lot of soft tissue damage as well. You don’t get to walk clean away from injuries like these. Three traumatic brain injuries, which account for the word slips now and then, the fractures in my face are obvious, but I don’t shy from them. They are part of my story. My injuries give me insight, however, to the people I work with. Fellow veterans. I can certainly relate to the frustrations, small victories, and day to day issues. I’m grateful I’ve managed all of the injuries, thanks to the USAF medical folks, without surgery. It took years of hard work and I struggle every day, but I’m proud to say that I currently have overcome those breaks and trauma.
@@TheSilverback75 thats definitly something to be proud of, I have my left side all burn, arm, chest and leg, and I do my normal life, I dont hide it, accidents happen, the worst we can do is to let one moment dictate our intire life... have a good one my good Sir, and thanks for the very informative video. 🙂
@@fabiomontes7545 thank you! I’m sorry you suffered burns. Those just never seem to heal all the way. I hope you arent suffering. And you have a great attitude about your injury. Own it, brother. You’re a survivor!
@@TheSilverback75 3 TBIs? Holy crap dude, that’s brutal. Really glad you’re making your way back from those. Take care.
Great video
Excellent! Thanks.
excellent video, thank you!
15 thumbs down, hmmmmm must not ever ride a bike! Great info thanks!
Thanks 👍
Brilliant
Realy interesting.
Thanks
Your information is not the same as in the UK. The tourniquet can be used on two bones (UK guidelines) 2017
This information he is showing comes from actual combat studies done in Iraq and Afghanistan. It was based on actual tourniquet applications and looked at which ones were successful at saving lives. The study found that application as high as possible was the most successful hence the guidelines. Remember, the military in combat applies exponentially more tourniquets than any civilian EMS does. The other reason for applying the tourniquet as high as possible is because it's easier to occlude a large artery than it is to occlude a bunch of smaller ones once it branches off.
These guidelines are used in the Tactical Combat Casualty Care course. This course is taught throughout the US military to combat medics. If you look it up I'm sure you can find a link to the study, if you're interested. The guidelines for civilian EMS are different. However, if you're in a desolate area on a motorcycle trip, the extended time it takes EMS to arrive would warrant using the best techniques available in my opinion.
That's is technically true that the TQ CAN be placed over two bones. However, if ever given the choice of one bone or two, pick the one (I took the courses in the UK while stationed at Mildenhall and they are great!). Your chances of stopping the bleeding are significantly higher. My training is never apply the TQ over two because we do not know the status of the bones/organic material below the skin in that area. Those two bone sections, avoiding jargon, may splinter, blocking your ability to effectively stop the bleeding. The TQ may also cause additional pain-something we must avoid. However, if you feel comfortable with the application of a TQ over those areas and are confident that you can stop the bleeding, by all means. If I'm pouring blood like a garden hose, I'm not arguing. Do what you need to do! That's how I've survived this long having TQ's applied, quick clot stuffed into wounds, a drill inserted into my bones along with an IV.....hurts thinking about it. ( I am an attorney by profession now so my language leans to the conservative side).
I am ex military and also a UK registered paramedic for over 20 years. I currently work for a private security company out in Iraq. The advice given here for the use of tourniquets is for operational military applications during a contact. In a civilian setting the use of tourniquets has been reassed. Unless there is a complete amputation of a limb there should be a stepped response with the tourniquet being the last option if bleeding is not arrested. The stepped response should be direct pressure to the wound or applicable pressure point such as brachial or femoral + pressure dressing and then if bleeding continues the tourniquets. Also the location of the tourniquet has changed and should first be tried 2 - 4 inches above the injury, if this is unsuccessful then move to the top of the limb. The reason for the difference between military SOP and civilian is in a civilian environment you have a greater time period in safety to treat the injury where as in the military when under attack you have no time and are in a dangerous location with risk of further injury. Also placement of the tourniquet is different as on the civilian setting you have the extra steps mentioned above and there is less chance of nerve and tissue damage to the whole limb. I hope this helps folks.
@@BikeRiderReviews excellent information! Thank you for adding to the “toolbox” of techniques. I know I’ll be adding it to my information. Cheers!
@@veiledallegory thank you for the detailed information. I truly appreciate the additional information!
I have been carrying a trauma kit for decades. (Yes, I rotate out expiring items).
I also carry splints in my kit. Modern splints take up as much room as an ace bandage.
Carry a first aid instruction booklet, both hard copy and electronic.
My kit is in a hard locked panier and is marked like yours.
I also ride with the key in the lock, on a lanyard. I can remove the key when parked for security. If the key snaps off, you can still get the panier open with a knife or flat tip screwdriver or just the rest of the key, still on the lanyard.
A trauma kit is one of those items everyone should have (few do) and you should know how to use it. But, if you don't know how to use it, carry one anyway. Someone else might know how, while you are waiting to take that class.
Carry electronic hazard/accident scene flares/beacons.
Thank you, MOTOTREK, for having this vlog. If it saves one life.
Great tips. Thanks!
Get yourself a good kit, don't go cheap, stay away from kit's from Wish!
dont buy a store-bought kit. buy yourself a nice pouch and buy the things individually.
@@Francois_Dupont That said, there are several excellent premade kits available out there to get people started.
С Новым годом!
Happy new year!
Спасибо!😁
;)
:) Robert ok, ty.
Most important, get rid of that Ducati before it’s too late.
😆
Whoa, whoa, whoa. That’s my baby you’re talking about. :) Also- it is too late. My Ducati addiction started in 1989 and continues through today. They are freaks on the streets and monsters off road. Jeez I’m bad at rhyming.
First view, like and comment
Only thing I don't agree with is not using gloves. Too many blood borne illnesses to start diving into a stranger without gloves.
Free fist aid courses ???- yeah may be in 60 -ties. Today first aid courses are business, made mandatory and for $$$$....
You're right. Anybody know if there are free classes in Canada and Europe?
First aid courses are reasonably priced and a fraction of what you'd spend on upgrading your bike. Most guys don't bat an eyelash at dropping seven bills on an XD4 but cringe at two weekends and $200 on a first aid course that could save your, or another rider's life.
@@sunnyvalejedi In most European countries first aid course is mandatory with exam at the end and first step of getting any kind of driving licence....
@@istra70 That's a great idea!
A lot of Red Cross offices across the US offer free CPR and AED courses. Some offer free first responder courses as well. This is subject to change based on your location and current availability of personnel to teach. COVID has been a game changer in 2020.
I just leave this here: th-cam.com/video/yiXhoFGFxyo/w-d-xo.html
Starting off with a tourniquet? Really? What are the chances an ADV rider will experience an accident involving an arterial bleed? There are several rules to applying a tourniquet, and the technique should be reserved for the most dire situations, and by someone with training. Maybe start with securing the cervical spine instead of a technique that will unlikely never be needed by the average rider.
The average person would be better off bringing gauze and tensor than field medic blood clotting powder.
Gloves take a few seconds to put on, protect you and the patient. Carry them and use them.
SAM splints are cheap, light, compact and easy to use, and can assist in supporting all limb bones other than a femur. Transporting a patient over rough roads with a broken radius using a splint and a triangular bandage will assist in preventing shock and further injury. Using a splint on a commimuted fracture will only help and not hurt.
The best tools in the world are useless to someone who's never taken a woodworking course. Take a course.
Excellent information. Thank you for sharing.
Спасибо! Давайте на русском!😁
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