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Created with Fabric.js 1.4.5 Many believe that use of a tourniquet will result in limb loss, FALSE As shown here two tourniquets are used to stop hemorrhaging on thelower left extremity The Tourniquet when applied properly stops hemorrhaging,by applying pressure to the artery against the long bone.This effectively cuts off circulationto the extremity. Studies have shown a tourniquet may be left on for up to 2 hours with out doing excessive damageto the surroundingtissue or extremity. Otherstudies have shown that tourniquets have been left on longer with out loss of limb (Monrita 218) Photo: Samantha Hubbard Photo: Samantha Hubbard The fear of tourniquets lies in the days of the civil war. Evacuations were not available, and tourniquets would be left on for days. This caused infection which sometimes lead to amputation. This was over 200 years ago. (Risk)(Monrita 208) . Civilian Emergency Medical Personnel follow 5 Steps when dealing with hemorrhaging of an extremity. Each step is done in order, if one fails, the EMT moves to the next. 1. Apply direct pressure to the wound 2. Elevate the extremity above the heart 3. Apply a pressure dressing to the wound 4. Apply pressure to pressure point stopping blood flow to the area 5. If all above fails, apply tourniquet(Bailey) These five steps can take up time and resources.If hemorrhaging is not stopped the patientwill go into shock, and die. A tourniquetcan be applied in under 30 seconds. (Bailey) Photo: Charles Krupa, Photo: Photo: Google Images Tourniquets are used as the first line of care in combat, under theTactical Combat Causality Care guidelines TCCC for hemorrhaging. Civilians first line of care is direct pressure on wound to stop the bleeding, taking up time and resources. Tourniquetsare used as a last resort. (Risk)(Bailey) Photo: Google Images Pre-Hospital Tourniquets Save Lives and Limbs Despite popular belief Tourniquets are used to prevent hemorrhaging, (excessive bleeding) from an extremity (arm and/or leg) Picture: Extreme Hemorrhaging Left Leg The image to the right is of the BostonBombing. After this tragic event,law enforcement officials across the nation are carrying and being trained on tourniquetsand how to use them. (Kevin) History of tourniquets dates backbefore the roman empire. (Monrita 204) Medical Sargent, Sargent Fist Class Charles Bailey. A previous paramedic in Los Vegas, states"Civilian emergency medical personnelare extremely lacking in up-to date trauma training, compared to theMilitary. I myself, knowingwhat I know now, there are lives Icould have saved, but instead, was not able to due to outdatedprotocols" (Bailey 2015).
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