Perform First aid for Bleeding of an Extremity Page 3-388
Steps in a Primary Survey Evaluate the Casualty Steps in a Primary Survey Mask and Treat a Chemical Agent Casualty Check the Casualty for Responsiveness Check the Casualty’s Airway Check the Casualty’s Breathing Check the Casualty’s Circulation Check the Casualty for Bleeding Treat for Chemical Agent Poisoning (if appropriate) Check the Casualty for Shock
Steps in a Secondary Survey Evaluate the Casualty Steps in a Secondary Survey Check the Casualty for Fractures Check the Casualty for Burns Check the Casualty for Closed Head Injury (concussion) Check the Casualty for Environmental Injuries Other Wounds/ Fractures Combat Stress Reaction
Perform First aid for Bleeding of an Extremity Task: Apply a Field Dressing, elevation and manual pressure, a pressure dressing, and a Tourniquet, as needed, to a wound on a Casualty’s limb Conditions: Given a simulated Casualty with bleeding from a limb and needed Supplies Standards: Score a GO on the Performance Checklist
Perform First aid for Bleeding of an Extremity All Bleeding stops eventually Stop it before it runs out
Perform First aid for Bleeding of an Extremity Dressing: Material placed directly over a wound Bandage: Material used to Hold Dressing Field Dressing: Carried by all Soldiers
Perform First aid for Bleeding of an Extremity Step # 1: Expose the Wound Use Caution with Burns or if in a Chemical Environment
Perform First aid for Bleeding of an Extremity Step # 2: Apply & Secure a Field Dressing Expose the Wound Prepare Dressing Open Dressing Apply to wound Secure dressing Tie tails in Non-Slip Knot
Perform First aid for Bleeding of an Extremity Step # 3: Apply Manual Pressure Direct Pressure for 5 to 10 Minutes Step # 4: Elevate the Injured Limb Do this at the same time as Applying Pressure DO NOT elevate a suspected Fracture
Hold And Wrap
Perform First aid for Bleeding of an Extremity Step # 5: Apply a Pressure Dressing Only on a wound of the Arm or Leg Placed on top of the field dressing
Need a hand ??? How about a Tourniquet ?
Perform First aid for Bleeding of an Extremity Step # 6: Determine if a Tourniquet is Needed Only when all else Fails Not on wounds to the Head, Neck, Chest Not used on amputation of part of Hand or Foot Is used on amputation of Upper Arm, Forearm, Thigh or Lower leg
Perform First aid for Bleeding of an Extremity Step # 7: Gather Materials for Making a Tourniquet Tourniquet Bands Rigid Object Securing Materials Padding
Perform First aid for Bleeding of an Extremity Step # 8: Select Tourniquet Site Upper Arm Thigh Above the Joint, as Close to Joint as Possible Not over a Fracture
Perform First aid for Bleeding of an Extremity Step # 9: Apply a Tourniquet ONLY USED AS LAST RESORT
Application Of Tourniquet (Tying of Half-Knot)
Application of Tourniquet (Positioning Stick)
Application Of Tourniquet (Full-Knot on Stick)
Secure Stick
Perform First aid for Bleeding of an Extremity Step # 10: Dress an Amputation
Perform First aid for Bleeding of an Extremity Step # 11: Mark the Casualty “T” and time of Tourniquet application Do not cover tourniquet Monitor Casualty and Treat for Shock
Perform First aid for Bleeding of an Extremity Find your Partner Use the Performance Checklist on Page 4-20 & 4-21
Perform First aid for Bleeding of an Extremity QUESTIONS ??