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First Aidness 17 years 3 months ago #21140

Whilst the chance of coming across one, or coming across a situation where one may be needed are slim to non-existent, I was wondering about the current applications of a Tourniquet. Whilst the London Ambulance Service (and presumably all of the other ambulance services in the UK) think they are the spawn of Satan, The British Army seem not to be able to move for so many being used. Whilst the situations between the LAS and the Army are usually different, ( I say usually, because of more and more firearms being available in Britain) is there an overall opinion to the use of them?


Instead of starting another thread, I thought that I would also ask what peoples perception of correct CPR is: i.e. compressions to breaths?

I just ask because I was interested, and to see what people think.

GS

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Re:First Aidness 17 years 3 months ago #21149

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The new guide lines on cpr (from memory) is 30 compressions to two breaths, but the breaths are optional, if you think they may have an infection, look dirty are covered in diesel etc just do the compressions as by doing these will deflate the lungs exhaling the stale air and then onced released will suck in some air.

Torneqets are bad news as they stop the blood flow getting to areas past the wound so the organs, muscles etc that need blood to survive will also become oxygen deprived. I believe the Army still use them to slow the blood flow down in extreme situations but its not good practise these days in the Civilian world.

It could be worth getting on a Rescue Emergency Care Course as it is by far the best course I have been on by far.

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Re:First Aidness 17 years 3 months ago #21159

Touniquets are out so Im lead to believe. This was because the application of one damaged the living cells and flesh around the wound. However, the current LAS, Police, Fire Service and Hospital proceadures state that if one needs to be applied or already is applied, then do it.

Direct pressure is always the best technique, and if someone has a whole or partial amputation, then pressure to the neares pulse sight is best. If you have time to remember all this then good for you. Otherwise (From experience) you have around 45 seconds from the moment of the accident to death.

I have been currently taught that CPR is 2 breaths, 15 compressions and so on.

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Re:First Aidness 17 years 3 months ago #21163

A tourniquet would I only use if I really had to. Lets say someone ripped off an arterie in their thigh. If it's bleeding a lot I would first make a tourniquet to stop the bleeding. Then I would stuff the wound full of bandages, really hard, before I would open the tourniquet again. I would only do this to buy me some time to stuff the wound properly. As Minto said, you bleed to death pretty quick. But this is only if the bleeding a lot . For minor bleedings I would apply direct pressure. It hurts, but it helps :)

As for compressions to breaths I've been taught 30 compressions to 2 breaths. Thats the guidelines from the Norwegian Council of Resuscitation, and also what we use in the hospital/ambulance where I work. Search up on the internet what your country's for guidelines. :)

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Re:First Aidness 17 years 3 months ago #21164

One more thing; The reason why the British Army still uses the tourniquet is to buy time. You can not always treat a bleeding pasient while in the middle of a shooting. Then you're own risk of getting shot is too high. So they apply the tourniquet while they are getting the pasient out of range, before they treat the wound. All of your tissue in your feet/arms can withstand the lack of oxygen for a short while before the tissue dies. But I would never use the tourniquet for a long while.

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