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.
A recent French article voiced a concern for overzealous pre-hospital tourniquet use; the data is not as supportive of their conclusions as the article makes it seem. 🕖 Reading Time, 9 minutes During the December 2024 Committee for Tactical Emergency …
UPDATE 2024: Since our original STAT “tourniquet” experience showing it was an ineffective device for hemorrhage control, there have been two peer-reviewed, published studies finding similar results. 🕖 Reading Time, 6 minutes Most recently, 84 volunteers with no prior tourniquet …
High-pressure water jet units deliver large volumes of water at very high pounds per square inch. Entry wounds can be small, but internal tissue damage extensive, similar to military rifles. BLUF: If the water jet is a bit further from …
Updated 18 January 2024 BLUF:* Isolated closed femur fractures are extremely rare, the internal thigh bleeding can be substantial, but tourniquet application in these closed injuries is not likely to help. 🕖 Reading Time, 4 minutes A closed femur fracture can …
…many different ways to manage these wounds, this is one technique using a Foley Catheter (designed for urine drainage) to tamponade bleeding. It is best studied in neck wounds. This…
🕖 Reading Time, 4 minutes This video of an attempted bank robbery in Brazil shows that some injuries are just too rapidly fatal to intervene on. Based on Vietnam data, fatal penetrating neck wounds result from about 1/3 transection of …