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Main Content

Life saved by the rapid application of Arterial Tourniquets. This soldier survived these horrific injuries because of the timely application of arterial tourniquets by those around him at the point of injury. With the concerning increase in the use of Improvised Explosive Devices by terrorists on the streets of our first-world cities it's due time for police, law enforcement and other first responders to embrace military techniques of massive haemorrhage control and make sure they're familiar with TQ use.

Key Points

• Life saved by rapid application of arterial tourniquets.
• Emphasis on military techniques for massive haemorrhage control.

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Video monitoring with voice communication for high risk patients. These are used in lieu of 1:1 sitters in appropriate situations at my facility. This was the first time using in peds. Are any of you using this? What are your thoughts?

20-30s y/o male (language barrier) shot once (through and through) in the left leg/knee. Unknown caliber. Arterial hemorrhage on scene. Pressure dressing and first tourniquet did not adequately control hemorrhage. Second tourniquet applied. Vitals stabilized after fluid resuscitation. Pt ended up losing lower leg due to failed grafts. Popliteal injury. Vascular and ortho surgeons in house with a 7-minute transport time. Shout out to PD for recognizing arterial bleed and providing first tourniquet upon our arrival on scene.

please answer the following questions: 1. What is the probable MOI? (Mechanism of injury). 2. When the patient FIRST arrives to the ER, what do you do? Should you assess the arm first, or do something else? 3. The first officer on the scene applied a tourniquet, how important is it to know the exact time the tourniquet was applied? 4. What types of imaging would you order? Why?