Learn more about first aid and how to apply an Improvised tourniquet on our video online first responder advanced first aid course at www.probasicfirstaid.co.uk
@@Anonymous-df8it no…it’s because if these goofy kids only use these resources WHEN they need it, they shouldn’t have to see 2 ads about manscaped stuff.
A couple of additional tips when it comes to improvised materials for tourniquets. 1) never use a sweater as a tourniquet cloth, it's too soft and wont apply the pressure necessary 2) when using pieces of clothing to make a tourniquet, jeans are the most effective but also the hardest to apply properly 3) when using a tshirt/shirt/polo/etc as your material never rip it open but rather cut it open with scissors, a knife, etc otherwise the tourniquet might rip apart when applying torqued pressure 4) how to cut up a pair of jeans & a t-shirt: Jeans: cut the jeans in half so that you're left with 1 leg, then cut open that leg piece at the seems and twist the two ends of it to make a twirled up jeans leg piece T-shirt: cut off the entire belly area horizontally, all you need is the chest and arm pieces of the shirt. Once you've got that, cut the rest open down the middle so that you either open the chest or back piece straight down the middle. Then twist the two opposite ends by the arm pieces so that all the fabric is twisted up for more strength. 5) The video says not to use wires, shoelaces, etc and this is true. But if you have nothing else at your disposal it's better than nothing BUT... you can not torque it as tight as you normally would AND you have to make several loops around the limb before applying torque to increase the surface area of the applied pressure in order to cause less damage. AGAIN...ONLY USE WIRES/ROPES IF NOTHING ELSE IS AVAILABLE. 6) the video says to tell the victim that this might save their live if and when the victim gets uncomfortable. This is simply not done . NEVER...EVER talk to the victim about the possibility of death or how bad the injury is. The victim will be in a state of shock 95% of the time. But that doesn't mean they don't understand what you're saying to them. If they're in shock and then you start bringing up life or death arguments they are very likely to panic. If they're uncomfortable and start resisting you have to hold them down PHYSICALLY...not through words. It's hard to explain these tips in just text. If anything is unclear, let me know and i'll do my best to respond SOURCE: 5 years of experience in the search & rescue department of petrochemical factories & plants
@@coachwire8827 a pen would very likely break and even if you have a metal pen of some sorts it'll be too short and therefore incredibly challenging to twist it around enough to apply proper pressure. Ofcourse if nothing else is available to you it's better to try with a pen than not doing anything
@@alexanderzerka8477 leather belts simply lack the flexibility to twist up, and just pulling a belt will basically never get you the appropriate pressure to stop an arterial bleed
Thanks for that solid advice, I definitely learned some new tricks. One thing though, sometimes talking about life/death/injury is not avoidable as patients often bring it up themselves. Be direct but encouraging example: Pt says "am I going to die?" answer: "one day, but not today because we got this tq on and bleeding under control" then try to deflect to talking about their family and stuff. If they are getting combative and trying to take the tq off or asking you to take it off, being level with them about the situation and explaining the importance of that tq (including the fact its the only thing keeping them alive until they get to the ER) is a better option than physically restraining them. The last thing they need is to exert energy and move around (restraint should be a last resort).... just my two cents
Yeah there are better ways but it is better to stop the bloodflow like 70% as to stop it 20% from applying pressure. But yes Jeans are better and i would say there would always a cloth arround that is strong enough.
I kept a guy alive for 20 minutes waiting for ems to arrive the other day, he had a big laceration in his neck and now I’m watching all these videos at 2am in the off chance I ever have to do anything like that again lmao!
Another source recommended tieing two square knots, then putting the windlass (butter knife, etc...) between them. That might hold better, just for thought.
It’s kinda debated, but it’s better to apply it as fast as possible. If you have a tourniquet, you should stage it before applying it. When the medics arrive, they will do their job, and try to save that person. There aren’t really a lot of cases that I heard, in which the person lost the limb cause of the tourniquet. It’s usually cause of other factors. We’re trying to save the persons life at that moment. It’s similar to when you’re doing chest compressions. You might break some ribs, but you’re doing it to save the person’s life.
What I've read, about 2 hours. After that there is an increased risk of nerve damage. However, in a most likely scenario (some sort of accident at home or on a street) it would probsbly not take that long to get intoman emergency room. A hiking accident deep in the woods or some large disaster of course could prolong the arrival of help. But as the previous person said, tourniquets are used tomsave a life. Rapid bleeding kills in a few minutes, so nerve damage, IMO is worth the risk if the other option is someone dying of a wound. One hint, which someone might overlook, and even though this may sound obvious, it is something that should be remembered, so: tourniquets should **never** be applied to wounds in head or neck area. It would turn the tourniquet into a garrotte and possibly kill the victim. It would definitely lead to brain damage, at least. Tourniquets are for limb injuries only.
Several hours. Generally, any nerve damage caused by tourniquets are not permanent. In cases were a tourniquet is applied however, nerve damage is the last thing anyone is concerned about. People will take nerve damage over death 10/10.
Just to add onto the other replies, if you have something handy, write the time you applied the tourniquet somewhere on the patients body, and never ever remove the tourniquet. The ER docs will remove it, and having the time written where they can see it will be helpful.
This is late, but 2 hours is generally the limit. There haven't been any incidents of nerve damage within that range, but even then, I would much rather the person lose their arm or leg than die.
Yea I’m pretty sure but just make sure it’s higher up like if the wound is closer to their ankle then I would think you would put it below the kneecap and you’d want to raise the leg I do believe idk I’m just like reading ab this stuff rn
Military medical training: Yes, all limbs. Arms and legs, without being on joints. 10 centimeters above the injury, or 4 inches?, without hitting a joint. General rule is: 10 cm (4 inches) above the injury. Note what the time is when you put the tournique on. Never loosen it once you've applied it. If it's not working, try a second one above/below it or tighten it till it does. A secondary one can help the situation along considerably. If 10cm/4inches above is a joint, go higher. The issue is, after 6 hours the leg has died enough that it must be amputated, so we want to preserve as much of the leg as possible. Recently got a course in it, so I like to think it's fairly accurate.
Apply it in between the wound and the torso. So, if it’s a leg wound, you’re tying it somewhere between the wound and the groin. If it’s an arm wound, you’re tying it somewhere between the wound and the shoulder. In other words it will always be tied further up the arm or further up the leg from the wound.
A regular stick or a fallen branch will work just fine. All you need is a rod-like item. If you absolutely had to, you could use a series of pencils or pens. One pencil by itself will break, but a few used together would hold up. It might make tightening more awkward, but again, it's a last resort after all.
this is late but yes first thing to do is to stop the bleeding at all costs, if the scene is safe for you. Once their bleeding is secured, then move them to a more secure area. Source: Navy Corpsman
Well, you can't apply a tourniquet to the carotid artery in the neck, you'd just choke the person, which just creates another problem. The best course of action there, would be to apply pressure to the area with gauze(or any cloth at hand, preferably clean, but do what you have to do). Have someone else call 911 and ask for an ambulance, while you apply pressure and do your best to stop the bleeding. Whatever you do, of course, don't stop applying the pressure.
There are pressure points like taught in Stop the Bleed courses that might help. IIRC pressure on the pulsepoints on the jawline and temple can reduce bleeding from the mouth and scalp respectively. I'm no expert, but remember reading that somewhere.
I'm sorry, but did you actually mean millimeters when you said, "at least 5 centimeters thick"? What you are using in your example is nowhere close to two inches thick. It looks to be one-quarter-inch thick, one and one-half inches wide, and about two feet long. You wouldn't be able to tie something you've folded to that thickness in a square knot.
There is always someone who butchers a common word...full steam ahead, no one dares to correct. Tell us, where in the Blueberry Kingdom did you find the word "tor-ni-kay"? Please stop. It's not the same as the recognizable UK pronunciation of aluminum that you already botch. Do you have any videos on dislocated "jo-ints" or broken "bo-nehs"?
This may be one of those videos that SHOULD NOT have pre-roll ads
You hate the content?
@@Anonymous-df8it no…it’s because if these goofy kids only use these resources WHEN they need it, they shouldn’t have to see 2 ads about manscaped stuff.
@@motogeekcomp6045 Oh, ok! Maybe TH-cam can just pay them directly then?
@@Anonymous-df8it they should, yeah.
@@Anonymous-df8it all commercials should be banned as far as I'm concerned. Nevermind if TH-cam tanks because of it
A couple of additional tips when it comes to improvised materials for tourniquets.
1) never use a sweater as a tourniquet cloth, it's too soft and wont apply the pressure necessary
2) when using pieces of clothing to make a tourniquet, jeans are the most effective but also the hardest to apply properly
3) when using a tshirt/shirt/polo/etc as your material never rip it open but rather cut it open with scissors, a knife, etc otherwise the tourniquet might rip apart when applying torqued pressure
4) how to cut up a pair of jeans & a t-shirt:
Jeans: cut the jeans in half so that you're left with 1 leg, then cut open that leg piece at the seems and twist the two ends of it to make a twirled up jeans leg piece
T-shirt: cut off the entire belly area horizontally, all you need is the chest and arm pieces of the shirt. Once you've got that, cut the rest open down the middle so that you either open the chest or back piece straight down the middle. Then twist the two opposite ends by the arm pieces so that all the fabric is twisted up for more strength.
5) The video says not to use wires, shoelaces, etc and this is true. But if you have nothing else at your disposal it's better than nothing BUT... you can not torque it as tight as you normally would AND you have to make several loops around the limb before applying torque to increase the surface area of the applied pressure in order to cause less damage.
AGAIN...ONLY USE WIRES/ROPES IF NOTHING ELSE IS AVAILABLE.
6) the video says to tell the victim that this might save their live if and when the victim gets uncomfortable. This is simply not done .
NEVER...EVER talk to the victim about the possibility of death or how bad the injury is. The victim will be in a state of shock 95% of the time. But that doesn't mean they don't understand what you're saying to them. If they're in shock and then you start bringing up life or death arguments they are very likely to panic. If they're uncomfortable and start resisting you have to hold them down PHYSICALLY...not through words.
It's hard to explain these tips in just text. If anything is unclear, let me know and i'll do my best to respond
SOURCE: 5 years of experience in the search & rescue department of petrochemical factories & plants
Instead of a knife, could I use a pen at hand? What do you recommend?
@@coachwire8827 a pen would very likely break and even if you have a metal pen of some sorts it'll be too short and therefore incredibly challenging to twist it around enough to apply proper pressure.
Ofcourse if nothing else is available to you it's better to try with a pen than not doing anything
@@alexanderzerka8477 leather belts simply lack the flexibility to twist up, and just pulling a belt will basically never get you the appropriate pressure to stop an arterial bleed
Thanks for that solid advice, I definitely learned some new tricks. One thing though, sometimes talking about life/death/injury is not avoidable as patients often bring it up themselves. Be direct but encouraging example: Pt says "am I going to die?" answer: "one day, but not today because we got this tq on and bleeding under control" then try to deflect to talking about their family and stuff. If they are getting combative and trying to take the tq off or asking you to take it off, being level with them about the situation and explaining the importance of that tq (including the fact its the only thing keeping them alive until they get to the ER) is a better option than physically restraining them. The last thing they need is to exert energy and move around (restraint should be a last resort).... just my two cents
Yeah there are better ways but it is better to stop the bloodflow like 70% as to stop it 20% from applying pressure. But yes Jeans are better and i would say there would always a cloth arround that is strong enough.
Very nice. I always thought of what to do in these situations, if I don’t have a tourniquet at hand. Very useful information.
Ah, the things I'll watch at 2am
1am for me😂
I kept a guy alive for 20 minutes waiting for ems to arrive the other day, he had a big laceration in his neck and now I’m watching all these videos at 2am in the off chance I ever have to do anything like that again lmao!
I'm clumsy with knots, so this was useful.
I try to build up emergency skills. Might come in handy some day.
Good on you! Same here.
Excellent refresher for my first aid ! 👍
Same
Thank you!
Greatly helpful
Thank you kindly
Great video, I'm trying to learn some emergency procedures so if I ever find myself in a situation where someone is injuried I will know what to do
watching this just in case i *die* 👍 :D
Same but I go to school in America so I gotta be prepared for... You know what
I'm here in case the world ends
@@spider-gay7442 the world doesn't end silly goose! Only the mortals living on it!
@@20yearsago88 your username scared the shit out of me lmao
Another source recommended tieing two square knots, then putting the windlass (butter knife, etc...) between them. That might hold better, just for thought.
tourniquet is nr1 on the list for donated things needed for ua defenders right now! Its expensive
For how long a tourniquet could last upon a woond to avoid any further internal injuries?
It’s kinda debated, but it’s better to apply it as fast as possible. If you have a tourniquet, you should stage it before applying it. When the medics arrive, they will do their job, and try to save that person. There aren’t really a lot of cases that I heard, in which the person lost the limb cause of the tourniquet. It’s usually cause of other factors. We’re trying to save the persons life at that moment. It’s similar to when you’re doing chest compressions. You might break some ribs, but you’re doing it to save the person’s life.
What I've read, about 2 hours. After that there is an increased risk of nerve damage. However, in a most likely scenario (some sort of accident at home or on a street) it would probsbly not take that long to get intoman emergency room. A hiking accident deep in the woods or some large disaster of course could prolong the arrival of help.
But as the previous person said, tourniquets are used tomsave a life. Rapid bleeding kills in a few minutes, so nerve damage, IMO is worth the risk if the other option is someone dying of a wound.
One hint, which someone might overlook, and even though this may sound obvious, it is something that should be remembered, so: tourniquets should **never** be applied to wounds in head or neck area. It would turn the tourniquet into a garrotte and possibly kill the victim. It would definitely lead to brain damage, at least.
Tourniquets are for limb injuries only.
Several hours. Generally, any nerve damage caused by tourniquets are not permanent. In cases were a tourniquet is applied however, nerve damage is the last thing anyone is concerned about. People will take nerve damage over death 10/10.
Just to add onto the other replies, if you have something handy, write the time you applied the tourniquet somewhere on the patients body, and never ever remove the tourniquet. The ER docs will remove it, and having the time written where they can see it will be helpful.
This is late, but 2 hours is generally the limit. There haven't been any incidents of nerve damage within that range, but even then, I would much rather the person lose their arm or leg than die.
Can we apply improvised tourniquet on lower extremities (legs) as well???
Yea I’m pretty sure but just make sure it’s higher up like if the wound is closer to their ankle then I would think you would put it below the kneecap and you’d want to raise the leg I do believe idk I’m just like reading ab this stuff rn
Military medical training: Yes, all limbs. Arms and legs, without being on joints. 10 centimeters above the injury, or 4 inches?, without hitting a joint.
General rule is:
10 cm (4 inches) above the injury.
Note what the time is when you put the tournique on.
Never loosen it once you've applied it. If it's not working, try a second one above/below it or tighten it till it does. A secondary one can help the situation along considerably.
If 10cm/4inches above is a joint, go higher. The issue is, after 6 hours the leg has died enough that it must be amputated, so we want to preserve as much of the leg as possible.
Recently got a course in it, so I like to think it's fairly accurate.
@@christiankongsted5084 Yep. Also, if the bleed hasn't stopped, try packing the wound (if it's deep enough to do so).
I didn't quite get the part of where to apply it. Is it directly on the wound or around it?
Apply it in between the wound and the torso. So, if it’s a leg wound, you’re tying it somewhere between the wound and the groin. If it’s an arm wound, you’re tying it somewhere between the wound and the shoulder. In other words it will always be tied further up the arm or further up the leg from the wound.
Great demo! If I was out and about, not sure what I could use as the butter knife though?!
A regular stick or a fallen branch will work just fine. All you need is a rod-like item. If you absolutely had to, you could use a series of pencils or pens. One pencil by itself will break, but a few used together would hold up. It might make tightening more awkward, but again, it's a last resort after all.
Adding to others' comments to use a pen, you could carry what's called a tac-pen. They're metal, functional, and carry in a pocket well.
In an absolute emergency, a jacket or hoodie work, and can you carry someone with such an injury if it would be unsafe for them to be in the place?
this is late but yes first thing to do is to stop the bleeding at all costs, if the scene is safe for you. Once their bleeding is secured, then move them to a more secure area. Source: Navy Corpsman
i love this. but wondering what can be done for the carotid artery...
Well, you can't apply a tourniquet to the carotid artery in the neck, you'd just choke the person, which just creates another problem. The best course of action there, would be to apply pressure to the area with gauze(or any cloth at hand, preferably clean, but do what you have to do). Have someone else call 911 and ask for an ambulance, while you apply pressure and do your best to stop the bleeding. Whatever you do, of course, don't stop applying the pressure.
There are pressure points like taught in Stop the Bleed courses that might help. IIRC pressure on the pulsepoints on the jawline and temple can reduce bleeding from the mouth and scalp respectively. I'm no expert, but remember reading that somewhere.
Should it always be applied on the limb above the wound?
Yes, it should always be applied above the wound on the injured extremity.
2 inches above wound. But not on the elbow . Go above the elbow if you have too
How many inches ?
@@Chauhanlix should be 2-4 inches, though when in doubt, high and tight
ocitten gelenler +1
Do you put the tourniquet over the wound or above
Above
@@josephdowey1302 thanks
Always 2-4 inches (5-10 cm) above the wound
Just british v UK pronunciation. I guess you pronounce it:
Turn-i-kut
I'm sorry, but did you actually mean millimeters when you said, "at least 5 centimeters thick"?
What you are using in your example is nowhere close to two inches thick. It looks to be one-quarter-inch thick, one and one-half inches wide, and about two feet long.
You wouldn't be able to tie something you've folded to that thickness in a square knot.
i think he meant wide not thick as in actual thickness of the material
@@briannafields2235 I thought the same, until I looked at the example he was using. It isn't close two 5 cm in any dimension.
This is a horrible demonstration and the person would bleed out if this were a real person
There is always someone who butchers a common word...full steam ahead, no one dares to correct. Tell us, where in the Blueberry Kingdom did you find the word "tor-ni-kay"? Please stop. It's not the same as the recognizable UK pronunciation of aluminum that you already botch. Do you have any videos on dislocated "jo-ints" or broken "bo-nehs"?