1. Perform First aid for Bleeding of an Extremity
Page 3-388

2. 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

3. 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

4. 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

5. Perform First aid for Bleeding of an Extremity
All Bleeding stops eventually
Stop it before it runs out

7. 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

8. Perform First aid for Bleeding of an Extremity
Step # 1:
Expose the Wound
Use Caution with Burns
or if in a Chemical Environment

9. 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

10. 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

11. Hold And Wrap

12. 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

13. Need a hand ???
How about a Tourniquet ?

14. 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

15. Perform First aid for Bleeding of an Extremity
Step # 7:
Gather Materials for Making a Tourniquet
Tourniquet Bands
Rigid Object
Securing Materials
Padding

16. 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

17. Perform First aid for Bleeding of an Extremity
Step # 9:
Apply a Tourniquet
ONLY USED AS LAST RESORT

18. Application Of Tourniquet (Tying of Half-Knot)

19. Application of Tourniquet (Positioning Stick)

20. Application Of Tourniquet (Full-Knot on Stick)

21. Secure Stick

22. Perform First aid for Bleeding of an Extremity
Step # 10:
Dress an Amputation

23. 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

24. Perform First aid for Bleeding of an Extremity
Find your Partner
Use the Performance Checklist on Page 4-20 & 4-21

25. Perform First aid for Bleeding of an Extremity
QUESTIONS ??