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- เผยแพร่เมื่อ 9 ธ.ค. 2022
- Tourniquets have become a popular EDC item and are quite common among the 2A and preparedness communities. While these tourniquets have been proven to save lives, there might be a misconception about when you might need these.
This is the study mentioned in the video: journals.lww.com/jtrauma/Abst...
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Stay vigilant!
SIX ECHO
Website: sixechosystems.com
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*The information, including but not limited to, text, graphics, images and other material contained in this video is for informational purposes only. No material in this video is intended to be a substitute for professional medical training or advice. Always seek out proper certified medical training, never operate outside your scope of practice and follow your local guidelines and laws regarding medical care and treatment.
I just recently came across your channel on TH-cam. This is really great content and I can't figure out why you have so few views. In relation to this video; it seems like a lot of people only think of gun shot wounds. Having worked construction for 40 years and been first on scene for a few auto accidents I can assure people that there are other injuries requiring a TQ. Total aside I have used 3 fire extinguishers on traffic accidents. Have a good ABC 5# in your rig.
Thanks! Yes, TQs are used more on the civilian side for things like auto accidents than they are for GSWs.
I’ve professionally responded to car fires only to show up and find a prepared citizen put it out with a fire extinguisher. Keep up the good work!
I like my edc to be Texas House Bill 496 compliant to cover those more probable situations. Living in Alaska, I like to carry a TQ and additionals in a more comprehensive trauma kit in the truck for motorcycle/car accidents, chainsaw work, and hiking/hunting.
Don’t ditch the TQ. But make sure you have more than just a TQ. Sounds like you have it covered!
Great video man. I like how you acknowledged the importance of carrying TQs, however, you take it a step farther to address why TQs are not the sole solution. Keep making great content dude!
One of the big issues I see is people go straight to tourniquet without evaluating whether or not it’s actually required.
Well said. Thank you!
Makes sense that the military sees more serious wounds to extremities and civilian GUNSHOT fatalities are more likely to be head or torso. But I'm not sure that either set of data is completely valid for civilian EDC. The study you mentioned clearly found differences between military tactical casualties and civilian gunshot fatalities, but that misses the simple fact that most civilian fatalities aren't from gunshots. Nor does the data you mentioned distinguish between treatable and untreatable injuries. How many of those 130+ gunshot fatalities were untreatable (and should have been excluded from data about wound care)? How many of the NON-FATAL shooting victims were saved by a TQ?
I admit that I don't have DATA, but it seems almost certain that motor vehicle accidents and industrial accidents account for far more civilian casualties than gunshots. If we consider all civilian casualties and discard untreatable casualties (those killed "instantly"), I would bet that the number involving serious bleeding of an extremity is absolutely not the "zero" suggested by the study of civilian mass shooting fatalities.
Good points.
Great topic...great point...As a 30+ year Advanced Practice Paramedic having treated multiple GSW's every week, I can count on one hand the number of times I felt the need to apply a tourniquet for a life threatening bleed. Actually the most serious extremity bleeds where due to knife insults and industrial (work place) trauma. Believe it or not we only carried SWAT-T's on our trucks, transport units, and loadouts for SWAT-TAC Medic stuff. All of our medical directors felt that the restricting band concept used in operating rooms world wide sufficiently occludes extremity blood flow when required. That is exactly what a SWAT-T does. I have nothing at all against any of the manufactured tourniquets offered today (I also carry SOFT-W & SWAT-T on all of my kits today). Now I know SOFT guys or anyone who has been down range will tell you they must carry them and that they work all the time. Having also been down range I get the SPEC OPT mindset and how things are drilled into our muscle memory. My experience mirrors the message in this presentation. Keep the great content coming.
I too am in EMS, however just a lowly EMT. ;). Current evidence based medicine is leaning toward "elastic" type tq's. Just as you said, OR's use the "esmarch bandage" which is pretty much a SWAT. Poor CAT guys are going to get all bent out of shape over this....
Great video! Common sense that seems to have been lost in the younger generations.
Appreciate your content! Four substantial words at your video’s end…
Stay safe; stay vigilant! 🇺🇸
Yes, it has been put by the wayside. We have a robust healthcare system so we have forgotten how to take care of injuries ourself. Stay safe!
Well, they were covering 12 separate, but all CPMS cases with quite a lot of lead flying around, with every victim there getting 2.66 on average. There WERE injuries to extremities but the majority (and hence the severity) were to the head and body, so that counts the most. And when you have multiple, well, your chances aren't that high.
We don't have CPMS on a daily basis in the states, and not just US viewers are watching.
Point being: yep, the TQ alone may not necessary be enough!
139, in CPMS events is a relatively small amount of data.
TQ is invaluable tool and a life safer, granted you can apply one to an injury you're faced with. Have your packing gauze and pressure dressing and practice!
Thank you for video. We need need to know well rounded first aid.
I will check out the study. It will be interesting to see how many time a TQ was applied here in the states to save a life?
Please keep putting out good content. it really helps.
This is some good shit. Please keep it coming
I've had a number of discussions over this topic over the years. Dr Kevin Menes has one of the best takes on it that I've heard- it's almost all about rapid transport or as he puts it " Homie- Drop-off". This reinforces what we learned before GWOT in the " Toronto Trauma Study " which pitted Advanced Stay and Play vs Basic Load and Go. Hit your low hanging fruit- big extremity bleeds, positioning for airway management, hypothermia( look up the survival rate for hypothermic head injuries!!!!!) and MOVE! Preferably all at the same time.Of course , empowering non-ems to do that is controversial. Chest seals are something else a lot are questioning, but that's ongoing. Dr Menes has done a couple of great articles in EP Monthly if you're interested.
Empowering non-EMS becomes a liability for whoever is empowering. But prepared civilians should figure out if it’s going to take longer to wait for an ambulance or drive to the ER. We’ve seen civilian transport quite often in mass casualty scenarios like Aurora, CO and Las Vegas, NV. And it still happens quite often in rural areas where an ambulance is not close.
@@SixEcho exactly, it's not adequately covered in Good Samaritan laws and becomes a legal flip of the coin.
@@SixEcho
I'm not a fan of Transports by civilian in my german area.
The nearest hospital is in many cases not the best hospital. Many hospitals are intern centred or covers only visceral surgery.
In that cases 10 minutesmore to a trained trauma centre can be better for patient outcome.
As an EMS provider I know what the capability of the hospitals in my area are and how to make an announcement there.
But the average civilian doesn't know that...
So I see a huge danger of choosing ' the wrong' hospital.
@@manuelschmidt1081 that's certainly true and fair in many cities, out here in the hinterlands of America..... We have places in my county that are 45min from any ambulance and two hours from a trauma center .We use the helicopters A LOT, but those resources are easily overwhelmed. We're also see some degree of systems failure with prolonged response times ,forced retriage at emergency, and diversions. "Nearby" Memphis TN(closest LV1) was seeing response time average 40 minutes before 2020!!! Smaller local hospitals here generally do a form of DCR ( Damage Control Resuscitation) then have to look for availability at an appropriate hospital ( up to 4 hrs by ground away).
Great video
Thank you!
I’ve been in EMS 19 years. I’ve done nearly everything in this job there is to do. Not once have I needed a tourniquet. Rarely have I seen them used. I don’t carry one in my GHB or my BOB. In the unlikely scenario where I’d need one, it can be made very quickly with a strip of clothing or webbing and a stick. Quick Clot, on the other hand, has a much higher chance of being useful. Good video and glad to be a new subscriber. Already shared two webbing videos with a colleague.
It’s interesting though with the rise of tourniquets that can be self applied the interest in them is certain occupations like Forestry workers and arborists has grown a lot, I carry a tourniquet, pressure bandage and wound packing gauze as a security officers because the risk with the greatest potential for serious harm is a knife or edged weapon attack, it’s an actual low risk of happening but it has the highest potential consequences of death if it does.
I can’t help but think this is a bit clickbaity, dude.
I love that you are viewing it from “what is your situation” and including the variables that differ from civilian and military, but you are leaving out MASSIVE other variable.
You are much more likely to need a TQ for an accident of any sort rather than you are to get shot in any part of your body. When taken on a whole, the message of this video is good and accurate, but ignoring the fact that the second greatest cause of accidental death (now just behind ODs due to fentanyl) is bleeding out is not good.
Yes you should also know how to wound pack, yes you should also carry it, yes you should know other stuff, but if you are limited to one medical item, the TQ is both the most likely to be needed and hardest to improvise. You can stuff a wound with clothing immensely easier and more effectively than you can improvise a TQ. For civilians, injury through accident is much more likely than combat, and you are more likely to crush/cut/chop a limb than your torso.
Cheers, and please continue to educate, brother. 🤙
Yup totally agree with what you are saying. I’m mainly addressing the people that only carry and train with a tourniquet and have no idea how to open an airway, use the recovery position, do proper chest compressions, etc.
And yes, you are more likely to need a tourniquet in a vehicle accident and you are more likely the render aid in a vehicle accident than a gun shot situation. So I highly recommend having and carrying a tourniquet. But don’t stop at that. Keep learning and training past this one tool.
Thanks for the feedback. Stay safe!
Great video. I've been thinking about this for a few weeks now, how tourniquets probably aren't used as often as people think. I mean how many people are getting shot in the arms/legs and bleeding out from them? Doesnt seem like many, when people are only shooting at the torso. I think I'll be more than happy with just one tourniqet when I edc (along with all the other stuff)
You are much more likely to need a TQ for an accident of any sort rather than you are to get shot in any part of your body. When taken on a whole, the message of this video is good, but ignoring the fact that the greatest cause of accidental death (now just behind ODs due to fentanyl) is bleeding out is not good.
Yes you should also know how to wound pack, yes you should also carry it, yes you should know other stuff, but if you are limited to one medical item, the TQ is both the most likely to be needed and hardest to improvise.
@@BenfromFlux I'd disagree on the "hardest to improvise" part but I dont know much about "improvised medical". Appreciate the input.
An effective tourniquet is quite hard to improvise. You need something fairly wide but pliable enough to twist with a windless. Then you need a sturdy windlass and a way to secure it. But keep in mind as soon as you twist the tourniquet you decrease the width in that area. So it can be quite difficult to get effective occlusions with that. Im still a fan of carrying a tourniquet, but make sure you are training past JUST a tourniquet.
@@SixEcho I see. Thanks!
In order of priority for me I carry:
1. Quick Clot Packing Gauze
2. TQ
3. Chest Seal