I’m impressed, I must say. Seldom do I encounter a blog that’s both equally educative and amusing, and without a doubt, you
have hit the nail on the head. The issue is something which not
enough folks are speaking intelligently about. I’m very happy I found this
in my hunt forr something concerning this.
I think one of the hardest transitions between what really works to save lives, proven in the combat environment, to transfer into the civilian environment is the legal issues. In combat, service men and women are equally trained and know the risks and if something that saved their life was applied and they suffered necrosis of the tissues as a result, they don’t sue. They are grateful to be alive. In the civilian world ignorance is bliss and even though you saved someones life, if they have a disfigurement or disability because of it you are going to be sued. Malpractice is a lawyers whipped cream. I’m saddened that we can’t save lives because too many people have lawsuit in the back of their minds.
Cypress Creek EMS and ESD 48 Fire Department in Harris County/Houston, Texas are now carrying WHOLE BLOOD in the field 24/7/365. We are partners in the same program with the Gulf Coast Regional Blood Center. In addition, the CCEMS Tactical Medic Team has been teaching bleeding control (B-Con) to police, firefighters, and EMS personnel for many years and is now the only such team in the nation that carries whole blood during missions and training exercises. We’ve also trained hundreds of school nurses and school personnel. This year, we began training the public under the national Stop The Bleed Program. This is the best article I’ve seen on the importance of B-Con training and transfusing Whole Blood in the Field. It explains exactly why we are doing what we are doing. Bravo. We are sharing this via our social media.
as with quick clot that you used to poor into the wound and caused even more problems , like getting it out . How would you clean all these tiny sponges out and what type of damage may they cause while in the wound?
It is actually a misnomer to call them “tiny sponges”. Before they encounter a wet substance they are a large pellet (bigger than an 800mg ibuprofen). When they encounter that wet substance they expand a fairly significant amount which is what stops the bleeding. They are also marked with a radiopaque “x” so it is easy to identify if there are any left in the wound when they are being removed in the operating room. This website has great pictures that illustrate the actual size: https://newatlas.com/xstat-combat-injury-treatment-injectable-sponges/30710/#gallery
Many innovations are working their way from the battlefield to the streets. RevMedx in Oregon worked with the Army to invent a syringe that is placed into the gunshot wound which injects tiny expanding sponges that quickly stop bleeding. They also sell a tourniquet that is worn as a daily wear belt which allows everyone to be prepared at a moments notice when bad things happen.
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