Tourniquet Conversion

In this episode of the PFC Podcast, Dennis and Jamie discuss the importance of tourniquet conversion in the context of combat medicine. They explain the difference between tourniquet conversion and tourniquet replacement, emphasizing the need to control bleeding and save tissue. They discuss the timing of tourniquet conversion, highlighting the importance of resuscitation and patient stability. The conversation also covers the physiological effects of tourniquet conversion, including reperfusion injury and metabolic waste products. The hosts provide insights into the challenges and decision-making process involved in tourniquet conversion, as well as the use of calcium and bicarbonate to manage potential complications. They emphasize the need for medics to be prepared, assess the patient's condition, and make informed decisions based on the available resources and clinical guidelines.
Takeaways
Tourniquet conversion involves making positive efforts to control bleeding or determining that the tourniquet is no longer necessary.
Tourniquet replacement is done when there is a need for a better or more proximal tourniquet to control bleeding.
Tourniquet conversion should be considered after resuscitating the patient and ensuring they are warm and non-coagulopathic.
The timing of tourniquet conversion depends on the tactical situation and the patient's resuscitation status.
Calcium and bicarbonate can be used to manage potential complications during tourniquet conversion.
Medics should be prepared, assess the patient's condition, and make informed decisions based on available resources and clinical guidelines.
Thank you to Delta Development Team for in part, sponsoring this podcast.
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[@docgurney266]

Hey Dennis, thanks for the episode. Not sure if you have the information already but calcium chloride is much more bioavailable then gluconate. Chloride is 272mg per 10ml of elemental calcium while chloride is only 93mg per 10mls which is why it's usually a 1/3 ratio. Even though both are labeled 1g/10ml the Chloride has more bang for the buck.