Wow this is the best video I've ever seen on how to stop bleeding. I remember I went into hypovolemic shock back in a workplace accident a year ago. Not something you ever want to experience.
The best order to treat wounds is the MARCH mnemonic. Massive Hemorrhage Airway Respiration Circulation Hypothermia Stop the largest source of bleeding, make sure the wounded can breathe, make sure they are breathing correctly, check for other bleeding wounds and treat accordingly, and lastly but not less important make sure body temperature is normal. It's very important to check body temp. Stopping bleeding? Easy. Relieving the pressure in a tension pneumothorax? Easy. Bleeding, fractures, contusions, all easy. What isn't easy is what you cannot see. Just by losing blood volume the patient's temperature is dropping, so remove any wet clothing and put something dry and warm on them or put them somewhere hot. Ambient temperature is not gonna be enough, no matter if you're in Norway or Afghanistan. Keep. Them. Warm.
@Gearshoot we don't. We let the doctors do that. But in case that isn't an option. Then you search your medkit for a long, hollow needle and insert it on the site of the pressure buildup.
It depends on where the bleeding is. If the bleeding is on an extremity you can use a tourniquet, but you cannot use one in the areas mentioned in this video. I need to brush up on my first aid (hence why I’m watching this video lol) so I highly recommend looking up some resources on tourniquet use. The red cross has a mobile app that you can use to learn, I have found that its a trustworthy source of up to date information. Hope this helps!
Would packing is most useful at junctional areas like the shoulders. A tourniquet can be applied to the extremities while abdominal and chest injuries should get an occlusive dressing.
If the bleeding's on an arm or a leg yes, but only if nothing else can stop the bleeding. A tourniquet is extremely painful and risky and you have to get it off soon if you don't want to lose that limb.
@@enk335 Through military studies, tourniquets can be safely applied for up to 4 hours before irreversible injury. This is only an issue in extreme cases in very remote areas or wilderness trauma where transport to an advanced medical center can exceed that window. In any regard, you can release the tourniquet to allow transient perfusion and then apply the tourniquet again to reset the timer. Most cases are ~30-minute applications from scene to hospital arrival. For reference, a lot of orthopedic surgeries involve using tourniquets for a prolonged period of time. Like you said, pain is the major issue, but this takes a backseat to a life-threatening hemorrhage, especially if medics are on the scene/transporting and have medications they can administer. All wounds should be packed with direct pressure (1-2 fingers over bleeding source is actually better than a palm due to distribution of force over surface area) with extremity injuries having a tourniquet placed proximal (above) the wound. As an emergency physician, this is what I do in the trauma bay for treating my severe wounds, bleeding dialysis fistulas, etc while I identify the exact source of bleeding to suture or ligate.
@@enk335 From what we're taught, tourniquets are not as risky as once believed. They can stay on for quite a long time before losing the limb actually becomes a concern with modern medical technology. And yes, white they are excruciating, sometimes it's what you need to save a life. In my system they teach us to jump straight to the tourniquet with severe arterial bleeding on extremities because wasting time trying other techniques to stop it in a practical setting is going to burn more time and lose them more blood. Ideally they'll be at the hospital within the next 10-ish minutes anyways. Most I can see is 20-30 in rural settings out here, so time on the tourniquet (while it is still good to write) isn't going to be a concern.
This is only to stop the bleeding as much as possible before the paramedics come, the doctors in the Hospital can deal with the bullet later even if putting pressure on it may cause more pain or damage it can still be fixed later, your main priority is to make sure they don't bleed to death. Hope this helped (also I'm not a medical professional)
If you dont stop bleeding from a bullet wound they will die, so that is your number one priority. If you try to remove the bullet without the right tools and training you can make it worse. So your only option is to stop the bleeding, treat for shock, and get them professional help ASAP.
Bullets shouldn't make a difference however if it's arterial bleeding (bright red spurting blood) then you'd want to use a tourniquet instead. It's possible to stop with packing but much harder. If it's a chest wound you want to use an occlusive dressing instead and if it's an area you can't tourniquet packing+pressure is your best bet. Bullets to limbs will almost always have an entrance and exit wound and bullets to the torso will likely have an entrance and exit wound unless they hit bone. If they did hit bone like ribs watch out for bone fragments and if they hit the spine be careful as the victim could be paralyzed. Avoid moving them if possible. If you can identify spinal fluid take extra care but stopping the bleeding is still your #1 priority.
Also make sure they do not go into shock. Talk to them to make sure they're still thinking straight. Screaming swear words and complaining about how much it hurts is normal, dazing off isn't. Give CPR if needed and when dealing with wounds on a limb make sure you elevate the limb above the heart to reduce blood flow. Never go in after the bullet, most doctors will not even bother and just let the body heal around it.
Pretty good stuff, I just realized that Mario updated his favorite way to tackle ED and it's crazy! Although what he previously talked about was pretty decent, it was difficult to follow, I just go'ogled the latest by Mario Volpstein, it's so much simpler and potent now!
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Wow this is the best video I've ever seen on how to stop bleeding. I remember I went into hypovolemic shock back in a workplace accident a year ago. Not something you ever want to experience.
Imaging how many lives could be saved if this was taught in all schools
O.
Not much as in USA there are often deaths from shootings - in schools..
First aid, CPR and stop the bleed should be mandatory as part of any school curriculum. Make people assets to their communities.
It is
You try teaching that to a 12 year old.
Pov: you're the first to fall asleep at the boys sleep over (rookie mistake)
This is brilliant and potentially/likely helps save lives. Thank you
Great information - most appreciated for your sharing of your knowledge.
why use the water bottle?
Great video!!!!
But could the pressure cause any remaining sharp objects to cut more?
The best order to treat wounds is the MARCH mnemonic.
Massive Hemorrhage
Airway
Respiration
Circulation
Hypothermia
Stop the largest source of bleeding, make sure the wounded can breathe, make sure they are breathing correctly, check for other bleeding wounds and treat accordingly, and lastly but not less important make sure body temperature is normal.
It's very important to check body temp. Stopping bleeding? Easy. Relieving the pressure in a tension pneumothorax? Easy. Bleeding, fractures, contusions, all easy.
What isn't easy is what you cannot see. Just by losing blood volume the patient's temperature is dropping, so remove any wet clothing and put something dry and warm on them or put them somewhere hot. Ambient temperature is not gonna be enough, no matter if you're in Norway or Afghanistan. Keep. Them. Warm.
@@VoidShrgnhow the hell do you relieve pressure in a tension pneumothorax
@Gearshoot we don't. We let the doctors do that. But in case that isn't an option. Then you search your medkit for a long, hollow needle and insert it on the site of the pressure buildup.
@@VoidShrgn I see, thank you
At any point should you be making a tourniquet or does it maybe depend on the level of bleeding
It depends on where the bleeding is. If the bleeding is on an extremity you can use a tourniquet, but you cannot use one in the areas mentioned in this video. I need to brush up on my first aid (hence why I’m watching this video lol) so I highly recommend looking up some resources on tourniquet use. The red cross has a mobile app that you can use to learn, I have found that its a trustworthy source of up to date information. Hope this helps!
Would packing is most useful at junctional areas like the shoulders. A tourniquet can be applied to the extremities while abdominal and chest injuries should get an occlusive dressing.
If the bleeding's on an arm or a leg yes, but only if nothing else can stop the bleeding. A tourniquet is extremely painful and risky and you have to get it off soon if you don't want to lose that limb.
@@enk335 Through military studies, tourniquets can be safely applied for up to 4 hours before irreversible injury. This is only an issue in extreme cases in very remote areas or wilderness trauma where transport to an advanced medical center can exceed that window. In any regard, you can release the tourniquet to allow transient perfusion and then apply the tourniquet again to reset the timer. Most cases are ~30-minute applications from scene to hospital arrival. For reference, a lot of orthopedic surgeries involve using tourniquets for a prolonged period of time. Like you said, pain is the major issue, but this takes a backseat to a life-threatening hemorrhage, especially if medics are on the scene/transporting and have medications they can administer. All wounds should be packed with direct pressure (1-2 fingers over bleeding source is actually better than a palm due to distribution of force over surface area) with extremity injuries having a tourniquet placed proximal (above) the wound. As an emergency physician, this is what I do in the trauma bay for treating my severe wounds, bleeding dialysis fistulas, etc while I identify the exact source of bleeding to suture or ligate.
@@enk335 From what we're taught, tourniquets are not as risky as once believed. They can stay on for quite a long time before losing the limb actually becomes a concern with modern medical technology. And yes, white they are excruciating, sometimes it's what you need to save a life.
In my system they teach us to jump straight to the tourniquet with severe arterial bleeding on extremities because wasting time trying other techniques to stop it in a practical setting is going to burn more time and lose them more blood.
Ideally they'll be at the hospital within the next 10-ish minutes anyways. Most I can see is 20-30 in rural settings out here, so time on the tourniquet (while it is still good to write) isn't going to be a concern.
I feel faint just from watching this.
Absolutely pathetic. This is what a diet of Netflix, chicken tenders, suburbia, and hypno sissy porn does to a people.
how many times or how long do you have to change the packing gauze dressing?
This is meant as a first aid response not a long term solution.
Only add never remove.
You never remove a dressing in an emergency situation. Removing can destroy the clotting process and cause the wound to start bleeding again.
Anyone (who is not a paramedic) actually had to help somebody but you had first aid on hand?
He said you could use any rag like a tie or handkerchief if you didn’t have gauze, and instead of a pressure wrap just use a shirt or something
No. I wouldn't ever help a stranger though. Let them fend for themselves. Society has never given me any quarter, nor will i give any to society.
@@whiteyfisk9769 then you’re just the same as society
@@whiteyfisk9769you're part of the problem.
what if it's a bullet in there? would this make it worse?
This is only to stop the bleeding as much as possible before the paramedics come, the doctors in the Hospital can deal with the bullet later even if putting pressure on it may cause more pain or damage it can still be fixed later, your main priority is to make sure they don't bleed to death.
Hope this helped (also I'm not a medical professional)
If you dont stop bleeding from a bullet wound they will die, so that is your number one priority. If you try to remove the bullet without the right tools and training you can make it worse. So your only option is to stop the bleeding, treat for shock, and get them professional help ASAP.
Bullets shouldn't make a difference however if it's arterial bleeding (bright red spurting blood) then you'd want to use a tourniquet instead. It's possible to stop with packing but much harder. If it's a chest wound you want to use an occlusive dressing instead and if it's an area you can't tourniquet packing+pressure is your best bet. Bullets to limbs will almost always have an entrance and exit wound and bullets to the torso will likely have an entrance and exit wound unless they hit bone. If they did hit bone like ribs watch out for bone fragments and if they hit the spine be careful as the victim could be paralyzed. Avoid moving them if possible. If you can identify spinal fluid take extra care but stopping the bleeding is still your #1 priority.
Also make sure they do not go into shock. Talk to them to make sure they're still thinking straight. Screaming swear words and complaining about how much it hurts is normal, dazing off isn't. Give CPR if needed and when dealing with wounds on a limb make sure you elevate the limb above the heart to reduce blood flow. Never go in after the bullet, most doctors will not even bother and just let the body heal around it.
@@gabbot141 does wouund packing require anesthesia if available?
Thank you
Anyone here ever have to pack their own wound?
Many thanks UK
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للاسف ما حد استثمر في ترجمتها للعربي.
Good
Pretty good stuff, I just realized that Mario updated his favorite way to tackle ED and it's crazy! Although what he previously talked about was pretty decent, it was difficult to follow, I just go'ogled the latest by Mario Volpstein, it's so much simpler and potent now!