
(Firstly get the training. Practice, experience and skills are more important than gear)
I keep pushing tourniquets for remote wilderness use, that’s because we are so far behind in this country when it comes to training. Always carry a tourniquet, pressure bandages and S rolled gauze for junction packing in order to stop serious bleeds..
I have worked around situations where crush injuries from heavy vehicles , car accidents and chainsaw accidents were common occurrences ,when people thought they were adequately trained and the right equipment and training was never prevalent at the time.
8 tips on applying a tourniquet
1. Tourniquets are placed at least 5cm above the wound
2. Never place a tourniquet on a joint
3. Ideally, the tourniquet should be placed directly on the skin if the situation/environment allows it.
4. You can place tourniquets on lower limbs (ie two bones)
5. If one tourniquet isn’t effective, place a second tourniquet flush against the first tourniquet, but with the windless offset, so you are able to tighten
6. Tourniquets should be horizontal to the limb
7. When applying a tourniquet to a male casualty’s upper thigh, ensure the genitals don’t get caught
8. Re-check effectiveness regularly and after every casualty move
by Tacmed Australia
Stop the Bleed full course
Junctional Wound Packing
Tourniquet Application
Staging a Tourniquet
Pressure Bandages
RATS Tourniquet
SWAT T
CAT and SOF T
(RTACC) Rescue Trauma and Casualty Care course by Tacmed Australia
TacMed Training (RTACC)
Course Content:
Safety
Scene Management
Enhanced kinematics and mechanism of injury
Catastrophic bleed management using stepwise approach – Wound Packing, Hemostatics, Tourniquets and Junctional Bleed Management
Airway assessment with enhanced management – adjuncts & supraglottic devices
Spinal assessment, management and immobilisation
Safe and effective Oxygen usage
Respiratory assessment and management
Recognition of Thorax trauma and complications
Abdominal assessment
Circulatory assessment, management, shock
Head injury & disability assessment
Effects of environment and exposure
Cardiac arrest – pit crew resuscitation
Paediatric BLS
Paediatric Anatomy, normal physiology & common medical emergencies
Care of common medical conditions i.e. stroke, diabetes
Care or medical emergencies
Thermal injury with ability to assess severity
Musculoskeletal injury with use of analgesia & fracture reduction
Drowning and immersion
Excitation delirium and overdose
Mass casualty management
Triage
Major civilian disasters
Bombs, blasts, blades and ballistics
CBRNE
Transfer of the critically ill patient
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