I have a lot of time on tourniquets, both in training and in real life. I’ve had the chance to use a lot of different systems for controlling bleeding and here are my top picks for The Top 5 Best Tourniquets.
If you aren’t new to the emergency trauma scene, some of these TQs are no brainers, but number 5 is my favorite, and might surprise you.
If you’ve seen an action movie, you know well how vehicles explode at the very slightest provocation. In reality, car manufacturers try very hard to come up with designs to ensure this doesn’t happen. It’s bad business to produce vehicles the blow up.
I’m sure its possible, given the right conditions, but you shouldn’t be attempting to drag a casualty from a car because you’re worried its gonna blow.
It’s impossible to be prepared at all times. We’re likely to be caught off guard and without important gear when an emergency happens. This is why training skills is so important.
Skills are weightless and with us all the time if an edge is honed every now and then. Skills sharpen or dull depending on how often they are used. Gear is great, but you also need to know what to do if you don’t have any, or, you use up everything you have.
This will be a multiple article discussion about what to do in the event you don’t have any gear with you. All you have is your mind, a bad situation, and an injured person in danger.
This is first because blood loss is the injury that will kill your casualty the quickest, but the simplest to prevent. If you’ve been following the Mountain Man Medical YouTube channel or reading any of the articles on this web site, then you already know a tourniquet (TQ) is the first choice for treating life-threatening wounds to arms and legs.
TQs are easy to use and fast to apply with very little training, and are clearly the optimal choice. But what if you don’t have one… or there are more casualties and/or wounds then you have tourniquets for?
Let me start off this article by acknowledging my biased opinion.
I run a blog and YouTube channel dedicated to emergency trauma management for a website that sells trauma kits, so it would seem I have a vested interest in supporting medical kits over firearms when it comes to personal protection.
That said, I feel my opinion is justified because the points I have are good ones and might change your mind on which you should buy first.
The hardest part about emergency trauma care is managing the chaos that tends to invade every situation. Basic first aid is surprisingly simple, but the nature of it being an emergency rachets up the stress and quickly makes those simple things surprisingly difficult.
So, since the hard part of emergencies is really just about managing high levels of stress, how can we be more effective first responders?
Professionals are no different then you, they just have better methods of managing the stress. Let’s look at some of the ways to prevent being overwhelmed when everything and everyone around you seems to be falling apart.
History was made by Staff Sergeant Charles Bowen and Sergeant Ty Able one long night in Afghanistan when they utilized a brand-new procedure developed by the Army to keep our nations warriors in the fight.
The Ranger O Low Titer (or ROLO as the troops know it), uses a live donor to supply combat medics with a fresh supply of blood on the battlefield.
Bowen and Able were conducting operations with their unit, Bravo Company, 1st Battalion, 75th Ranger Regiment, in the Wardak province of Afghanistan in the summer of 2019.
Work for the medics began after the Rangers were attempting to dislodge a barricaded shooter. Three soldiers were injured by an explosion and the two units of blood every Ranger medic carries was quickly used up treating the casualties.
Having a commercial, purpose-made tourniquet ready to go in an emergency is essential for keeping someone alive. Trying to build your own on the spot takes time you don’t have and won’t be nearly as effective as something like the CAT.
And no, your belt is not an acceptable substitute of a quality tourniquet. I run into people all the time that say they would just use their belt to control a life-threatening bleed because they haven’t stopped to think about how it might actually be done.
If you’re just jumping into this article, go check out the last article I wrote explaining the degrees of burns and some of the risk factors associated with them. This way, you’ll better understand what I’m talking about in this next in the series about how to treat this type of emergency.
I'll start this off with saying burns are nothing to screw around with. Not only can they be very dangerous, but burns are very painful.
In my circle of friends and family I am the community medic and I get calls asking about one thing or another. Whenever I get questions about burns, I always recommend the victim gets seen at a hospital.
This ensures they are treated for their injury and keep it from getting worse, but perhaps more motivating is that the burn victim will be able to get some relief from the pain.
Burns are extremely painful. Even a mild sunburn is uncomfortable, so any injury causing a serious burn is likely to be excruciating. Go to the hospital so the victims pain is managed to acceptable levels.
How to Treat a Burn
Put out the Fire
One of the risks of treating a burn is becoming a burn victim yourself by not making sure the fire is out before touching the casualty. Scene Safety is a very important aspect to emergency medicine. Don’t become another victim in your attempt to take care of the casualty.