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Severe Hemorrhage Control

Published byDina Stephens Modified over 6 years ago

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Presentation on theme: "Severe Hemorrhage Control"— Presentation transcript:

1 Severe Hemorrhage Control
Application of the SOF® TACTICAL TOURNIQUET - WIDE

2 Medical Director Approval
Before using tourniquets, all services must have: Patient care guideline (protocol) signed by the medical director Training, approved by the medical director, on the use of tourniquets State EMS Unit approval of the protocol and training

3 Objectives Discuss the indications, contraindications and considerations in the use of a tourniquet for hemorrhage control Identify the steps required to control major hemorrhage with a Tactical Medical Solutions SOF® TACTICAL TOURNIQUET - WIDE Review documentation and communication requirements of the procedure

4 Indications Severe bleeding of an extremity that is not controlled with direct pressure Severe bleeding of an extremity when resources to provide direct pressure are limited MCI, tactical situation, difficult extrication Don’t wait! Application of a tourniquet before the patient goes into shock has been shown to improve outcomes in military studies

5 Contraindications There are no true contraindications to the use of a tourniquet when used to control life-threatening hemorrhage when direct pressure has failed or is not practical

6 Considerations Tourniquet application will likely be painful
Tourniquet application has been associated with tissue damage but this is generally minor and often temporary Tourniquets are typically safe for up to two hours. A tourniquet should never be removed without medical control consultation.

7 The SOF® TACTICAL TOURNIQUET - WIDE
Constricting Band Triangle Ring Quick-Release Buckle Loose End Windlass

8 Procedure Remove clothing and expose wound
Do not remove previously applied direct pressure

9 Procedure Disconnect the quick release buckle

10 Procedure Route the band around the injured extremity
Place the band 2 – 3 inches above the wound Do not place it over a joint

11 Procedure Reconnect the quick release buckle
Remove the slack by pulling the loose end of the band

12 Procedure Turn the windlass to tighten the tourniquet
Tighten until major blood flow stops Slight seeping may still be present

13 Procedure Lock the windlass in place by slipping the triangle ring over the end of the windlass Triangle ring End of windlass

14 Procedure Note time of application Keep tourniquet visible
Do not cover with blankets Ongoing re-assessment for return of active bleeding Tighten windlass, then Apply 2nd tourniquet if bleeding remains active

15 Notify all caregivers involved in the care of the patient that a tourniquet has been placed
news.legalexaminer.com ALS Ground Intercept ALS Air Intercept Emergency Room Report

16 Documentation Indication for tourniquet Time of placement
Severity of bleeding Failure of direct pressure Time of placement Tourniquet location Change in patient condition Provider performing skill Complications Communication to hospital about tourniquet

17 Complications Consider placing a second tourniquet above the first one if severe bleeding continues Generally, tourniquet application is safe for up to 2 hours Contact medical control before loosening or removing a tourniquet

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