A friend I have known since junior high and I were recently discussing tourniquets and hemorrhage control. While not an unusual discussion topic among my friends, Robert Meyer Burnett does not work in EMS or emergency medicine. Nor is he …
Massive hemorrhage is the leading cause of preventable death from injuries.
How much blood loss is too much?
In December 1970, the US military published data on 7,800 soldier and Marine casualties from the conflict in Vietnam. In that data, specifically 10% of combat fatalities were from extremity hemorrhage. This dataset would later form the first TCCC guidelines in 1996. With the widespread adoption of tourniquets by the US. Military in the early 21st Century, death from massive extremity hemorrhage is now unusual in combat. This improvement has lead to greater awareness of massive hemorrhage from “junctional areas” like the neck, axilla/armpit, and groin, areas not amenable to circumferential tourniquet placement. To be facile at controlling massive hemorrhage, wound packing is a needed but often neglected skill set.