Скачать с ютуб EMSNation Ep. #84 Tips for BLS Management of Massive Hemorrhage в хорошем качестве

EMSNation Ep. #84 Tips for BLS Management of Massive Hemorrhage

Visit our website for more podcast episodes on Evidence Based Medicine: http://emsnation.org/ GENERAL: This video highlights the lifesaving skills that BLS Providers perform, and tips on how to make these important procedures more effective. In addition to giving suggestions, this video serves to spark discussion between providers encouraging them to come up with their own helpful tips. This allows BLS providers to enhance not only their procedural skills, but their critical thinking skills as well. 0:24 Tips for BLS Management of Massive Hemorrhage 1:12 Introduction to Challenging Scenarios of Tourniquet application 1:55 Determining a pediatric extremity injury, less than 5-6 inches in circumference 2:35 Pediatric Tourniquet application using a cravat 4:35 Toddler in shock vitals (SBP) 5:15 Using gauze to secure the tourniquet 5:55 Importance of timestamp/awareness upon tourniquet application 6:20 Step by step still-frame review of cravat tourniquet application 7:21 Determining a large circumference injury, larger than 36 inches 8:15 Putting 2 tourniquets together for larger circumference 8:20 Windlass on the outside on both tourniquets when setting up 9:20 Additional challenges for extremities requiring 2 tourniquets 10:04 Rubber pressure bandage that can be used as a tourniquet as well 10:45 Rubber bandage application on upper extremity 11:50 Additional tips for wrap and tuck securing 13:42 When first responders become patients introduction 14:24 Self-deployment of a tourniquet demo 15:35 Self-deployment of a tourniquet on an upper extremity 16:25 Tips for securing the windlass 16:45 Self-deployment of a tourniquet on a lower extremity- windlass side first 17:32 Importance of potentially needing a second tourniquet on a lower extremity 18:15 Importance of removing excess clothing or pocket items upon application 19:00 Simulating a life-threatening hemorrhage with direct pressure and tourniquet application 20:00 Additional pressure dressing to the wound after tourniquet application 21:10 Application of a second tourniquet, always pulling towards yourself 22:02 Assessing distal pulses and noting the time of application 22:15 Elastic pressure bandage and traditional roller gauze pressure bandage application 24:02 Securing the pressure bandage by tying a knot over the wound 24:45 Simulating wound packing in a junctional hemorrhage 25:32 Tips for maintaining direct pressure while packing a wound 26:05 Once done, apply direct pressure for 3 minutes, or 10 minutes with traditional gauze without delaying transport 26:25 Application of a pressure bandage over the site of wound packing demonstration 27:53 Discussion of other junctional wounds throughout the body, especially in hidden areas 28:20 Do not pack thoracic or abdominal wounds with hemostatic agents 28:50 Using a modified malleable aluminum splint to allow for tourniquet application in a junctional hemorrhage demonstration 30:25 Securing the tourniquet windlass directly over the junctional wound 31:00 Overview of commercial tourniquet use 31:45 Overview of wound packing 32:38 Conclusion Subscribe to iTunes: https://itunes.apple.com/us/podcast/e... Like us on Facebook:   / prehospitalnation   Follow us on Twitter:   / ems_nation