Forums / Strategies, Tactics & Training / Treating wounds, pt 7 Control bleeding (Treating specific wounds)

6 years 14 weeks ago, 11:58 AM

runawaygun762

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Some injuries require more specific measures and don't allow for some types of dressings. I'll cover these here. If I forget one, or don't cover an injury type you'd like to know about, post and I'll try to help.

Head injuries. Open injuries are treated with standard dressings. Do not apply a pressure dressing to a head wound. Obviously, a tourniquet around the neck to stop bleeding should only be applied if the casualty is a liberal. If there is brain matter exposed, do not attempt to push it back in. If there is protruding brain matter, use a moistened dressing to lightly cover the wound. Do not attempt to fluch the wound or remove any debris or foreign matter. I know, brains in the skull of a liberal is foreign matter, but leave it alone.

Abdominal injuries. Position the casualty on his back with knees up, like a situp position. This will relieve pressure on the casualty's abdomen. If there are any organs on the ground, place them on top of the casualty's abdomen using the cleanest material available. Do not attempt to wash debris off the organs. Abdominal wounds can be very large, so ensure you have a big enough piece of material to completely cover it. Use the same steps to dress the wound as you use with a regular dressing, but tie the securing material just tight enough to keep the dressing from slipping around.

Penetrating chest wound. This is also called a sucking chest wound because of the sound it can make when the casualty tries to breathe. For this injury, you will apply an occlusive dressing. To make an occlusive dressing, you will need plastic (celophane, plastic wrap, anything airtight and flexible) that is large enough to extend at least two inches around the wound on all sides, and good tape. Medical tape, duct tape, 100 mph tape all work best. Electrical tape and scotch tape suck. After exposing the wound, place the plastic material over the wound when the casualty exhales. If the casualty is conscious, have him exhale as forcefully as he can. Tape three sides of the dressing, leaving the bottom edge untaped. This will allow air to be exhaled from the chest wound, and the dressing will seal against the chest during the inhale. Place the casualty on his side with the injured side down to keep blood from flowing into the good side. If the casualty is more comfortable sitting up, that's fine too.

Eyeball injuries. If an eyeball is damaged, cover both eyes. A casualty will look around with his good eye and this will cause the injured eye to move around under the dressing.

As for actually applying dressings to the head or face, this is something that you need to practice at home to be able to apply a dressing and tie it without the dressing falling off. Practice dressing wounds in different parts of the head.

"I have always been a soldier. I have known no other life. The calling of arms, I have followed from boyhood. I have never sought another." From The Virtues of War, by Steven Pressfield.
6 years 14 weeks ago, 12:31 PM

greg az

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This is great, and different than what we had been taught which was to cover them in total.. I can see why it would be better to exhale thru the wound and in doing so allow blood and or foreign objects to drain from the chest cavity.. Excellent stuff.

a man has to hold his word, hold his beliefs, and hold a good sight picture.
6 years 14 weeks ago, 12:39 PM

runawaygun762

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I have ACS dressings

Asherman Chest Seals, which have a one-way valve in the center and a big adhesive surface so it's much easier to just slap one on.

"I have always been a soldier. I have known no other life. The calling of arms, I have followed from boyhood. I have never sought another." From The Virtues of War, by Steven Pressfield.

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