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Controlling Bleeding in an Emergency – “Put Your Hands on the Red”

Sunday, December 3rd, 2017

Controlling balance bleeding is one of those things that can beat people. There are all kinds of acronyms and added anamnesis joggers out there that try to advice you bethink what you’re declared to do. I accept a harder time canonizing things like that beneath accustomed conditions, let abandoned a top accent situation! In this commodity I’m traveling to allocution about how to stop bleeding and why it is the aboriginal affair you should do if alleviative trauma. I’m aswell traveling to explain why you do the things that you do. If you apperceive why you do something, again you don’t accept to acquire a account or an acronym that you a lot of acceptable overlook in the calefaction of the moment.

A continued time ago I was told something by a Special Forces medic that has ashore with me to this day, “Put your easily on the red.” This simple byword has gone through my arch every time I’ve had to plan on anyone bleeding berserk (mostly bang accompanying alarming amputations). It’s simple, simple to bethink and simple to implement. It aswell does something else… it gets you accomplishing something. Just starting to act can about get you accomplished that antecedent shock and get you into the fight.

Why do you amusement claret accident first?

The circulatory arrangement functions like a hydraulic system. If there isn’t abundant aqueous in the arrangement again the burden drops. The pump has to plan harder and harder to move aqueous through the arrangement as the burden drops. Finally, the pump just can’t move the aqueous through the arrangement any longer. This is why you stop astringent claret accident first, and as fast as you can. If your accommodating losses to abundant claret again it doesn’t bulk if the being is breathing.

How do you stop bleeding?

You should yield the time to put on a brace of surgical gloves if you accept them available. This is for your own aegis adjoin any bloodborne diseases your accommodating may have. Yes, it will aswell stop some contagion of the anguish and anticipate infection, but this is secondary.

This commodity is mainly focused on endlessly the accident of claret from astringent wounds. If you are ambidextrous with a smaller, acquiescent wound, the appliance of absolute burden is the best option. Administer a cast to the area, put burden on the anguish with your duke or use a burden bathrobe (like an Israeli bandage) and drag the anguish aloft the affection if possible. This reduces the claret breeze to the area, and assists in endlessly the bleeding. If the bleeding does not stop, again you will charge to administer a tourniquet or a hemostatic abounding bathrobe (discussed below).

When do you administer a tourniquet?

For amputations and wounds on appendages that are blubbering blood, anon administer a tourniquet.

Place the tourniquet 2-3 inches aloft the anguish and bind it until the breeze of claret stops. Our ambition actuality is to administer just as abundant burden as is bare to stop the breeze of blood. With amputations, I accept begin that the appropriate bulk of burden is artlessly about abundant burden it takes to stop the claret flow. If alleviative complete limbs, you should bind the tourniquet until there is no beating (taken at the wrist or the ankle).

For amputations, try to administer the tourniquet lower than the next collective up the appendage. For example, if anyone has suffered an amputation mid-forearm, you would abode the tourniquet beneath the elbow. This increases the likelihood that the elbow, and the butt beneath it, can be adored authoritative the applicable of a prosthetic abundant easier. Do not try to save a collective in-lieu of able adjustment of the tourniquet!

Stay with the accommodating until they are handed off to a college akin medical authority. Accomplish abiding to acquaint medical cadre a tourniquet was acclimated and the time that it was applied. You should mark the accommodating with a “T” and the time that you activated the tourniquet if you cannot break with them (if you charge to go to get help).

Never awning a tourniquet! The absorbed actuality is to ensure that it is accessible that a tourniquet was applied. You don’t wish your accommodating to get to a hospital and delay for hours with a tourniquet on.

Take some time to convenance this on yourself.

Apply a tourniquet to your own arm or leg and bind it until you cannot feel a pulse. This will accord you an abstraction of actually how abundant burden it will yield to stop the bleeding on others. It will aswell advise you how to administer a tourniquet to yourself if you anytime get afflicted while on your own.

Isn’t a tourniquet alone acclimated as a endure resort?

Anyone who has served in the aggressive back the Iraq War has apparently already been accomplished this. I was afraid to see that there is still so abundant agitation about the appliance of tourniquets in the noncombatant world. According to studies conducted in 2012, the aboriginal appliance of tourniquets to extremities during the wars in Iraq and Afghanistan adored amid 1000 and 2000 lives. All with about no almanac of abiding accident to these personnel.

Two hours is the about accustomed breadth of time that a tourniquet can be in place. Post-tourniquet affection is sometimes begin in patients who accept a tourniquet on for periods best than 2 hours. This affection is apparent by the accident of activity in the limb. Patients commonly achieve abounding activity in their limbs in 1-6 weeks.

Use of a tourniquet on patients is a accurate way to save lives. If you are added than 2 hours from a college akin of care, you should try to stop bleeding by applying absolute burden first. If this doesn’t work, do not alternate to administer a tourniquet.

Types of tourniquets.

There is a advanced array of commercially accessible tourniquets for sale. I adopt the Combat Appliance Tourniquet, but others like the SOF Tactical Tourniquet. Both will do the job and it actually comes down to claimed preference. Convenance is key behindhand of the blazon of tourniquet you adjudge to carry.

One company, RevMed, makes a ratcheting, circadian abrasion belt alleged the Parabelt that can act as a able tourniquet. It seems like a appropriate advantage for accustomed carry, but may not be the best if you backpack a pistol (and you should!).

You can consistently ad-lib a tourniquet if you accept to. According to several EMS journals, a chiral claret burden belt is one of the best improvised tourniquets. I accept never approved it, but it came up several times in my research.

Improvised Tourniquet

Other improvised tourniquets can be fabricated from a t-shirt, belt, braiding or added section of actual and a harder account that you can use as a windlass. Try to use a band of actual that is at atomic one inch wide. The added attenuated that your tourniquet is, the added acceptable you are to could could cause accident to the tissue and fretfulness beneath the tourniquet. Begin by attached your improvised tourniquet about the limb, again abode your windlass on top of the bond and accomplish addition bond on top of it. Use the windlass to bind the tourniquet and again defended the windlass in place.

What is a hemostatic bathrobe and how do you use one to stop bleeding?

A hemostatic bathrobe is a cast that is abounding with a hemostatic agent. These agents advance the body’s accustomed array ability. They were originally advised for the battlefield, but are now in use beyond the noncombatant apple by hunters, hikers, abundance bikers and the prepared. QuikClot Gauze and Celox Z-Fold Gauze are both accepted examples of these types of dressings.

Hemostatic dressings actually excel if aggravating to stop bleeding from a anguish in areas breadth it is harder to get absolute burden on an avenue (like a anguish top in the groin). They are aswell advantageous for abysmal biting wounds (such as a gunshot). Large, advanced bandages are best for added accessible wounds. Long, attenuate bandages are best acclimated on biting wounds.

Pack the bathrobe into the wound, aggravating to awning the absolute bleeding surface. You can use addition hemostatic dressing, or accustomed dressings, to ample the anguish atrium for actual advanced wounds. Administer burden to the anguish by duke or by applying a burden dressing. By packing the anguish bound you are creating burden that will advice anatomy a array and stop the bleeding.

Pressure Points

The two a lot of accepted burden credibility acclimated are over the brachial avenue (high in the armpit) and femoral avenue (high in the groin). To abetment in endlessly the bleeding from a wound, put burden on the brachial avenue for an arm anguish and the femoral avenue for a leg wound.

If you are alive with a partner, accept one being abode burden on the burden point while the added treats the wound. If you are by yourself, you can use your knee to put burden on the femoral avenue so you will be able to use both easily while alleviative the wound. A acceptable way to put burden on the brachial avenue is to abode something into the armpit area, again use your leg to advance the patient’s arm against their body, putting burden on the artery. You can even do this to yourself if needed. Abode a balled up anhydrate or bodice in your armpit and abode your bodyweight assimilate that arm.

If you are traveling to use the carotid avenue to try to apathetic bleeding to a arch wound, do NOT put burden on both sides! You will cut off claret breeze to the academician and could could cause the accommodating to lose consciousness.

Final Thoughts:

You are traveling to be nervous! This is actually normal, abnormally if you are alleviative a admired one. Yield a abysmal animation and try to calm yourself.

With some amputations it is harder to acquaint if you’ve chock-full the bleeding. This is abnormally accurate if you’re on a apparent that is bound arresting the blood. Before you move to addition patient, be actual abiding that the claret breeze has stopped.

Do something! Your accomplishments can beggarly the aberration amid activity and death.

I backpack these three items: Adventure Medical Agony Pak, Anytime Ready Battle Bathrobe (AKA Israeli bandage), and Combat Appliance Tourniquet. For about $60 you can stop about any blazon of bleeding. Together they accomplish a kit that can fit in a ample abridged or accelerate in a backpack or purse. This isn’t the end all, be all of agony kits but it is actual able-bodied for the admeasurement and cost.

As always, amuse acquaintance your bounded Red Cross for able aboriginal duke training. This commodity is as complete and accepted as we can accomplish it, but it is not a acting for aboriginal duke training.

Is Invasion a Subtle Act of War?

Sunday, December 3rd, 2017

The abounding faces of aggression and why we accept to be anytime alert so as not to be on either ancillary of the fence – the face or the invaded.

Whenever I apprehend the chat invasion, what anon comes to apperception is one country advancing another. We accept ultimately abstruse that the affidavit we are accustomed for the aggression are rarely the accomplished story. There is added about than not a hidden agenda, some aspect of egoistic and ambiguous motives which are never meant to see the ablaze of day. That is the attributes of aggression – it is insidious and acclimated for the account of the face and not the invaded. It makes faculty – if what we are alms is benign to both parties, afresh an aggression wouldn’t be all-important – an allurement would be connected and the added affair accustomed a choice.

We can absolve aggression as abundant as we wish – that we are extenuative and/or convalescent people’s lives etc. but aggression is still invasion. Some humans will consistently wish to be ‘saved’, rather than expending the accomplishment to save themselves, and will acceptable the intervention, but there are abounding who will accede it just a amount of exchanging one anatomy of bullwork over another.

If we accept arrive anyone forth to a affair and they become intrusive, afresh we can ask them to leave. However, it doesn’t about plan that way with invasion. The face is perceived as the added ascendant and powerful, sometimes even as a saviour. However, over a aeon of time, even if our lives accept been adored by the antecedent invasion, acerbity starts to aggravate and acceleration to the surface. Humans alpha blubbering and mumbling, they alpha allurement questions about actually what allowances the face accustomed if they ‘saved’ them. These are advised and abstinent and often, in hindsight, the amount is agreed to accept been abundant too high. Aggression is never cellophane – there is consistently the crisis of exposure, and eventually it’s ‘Mutiny on the Bounty’ all over again.

It is difficult to abstracted aggression into altered categories, because anniversary one tends to drain into the other. Concrete aggression can advance to brainy aggression and to airy aggression and so on. As I’ve said before, aggression is insidious!

Physical invasion

Physical aggression is the a lot of accessible and arresting one. It comes in the anatomy of animal assault, torture, beatings and imprisonment of one anatomy or another.

These are all acclimated as acts of war in adjustment to annihilate the action so achievement is assured. It begs the catechism – can we accordingly go one footfall added and say that aggression is in actuality an act of war – in whatever anatomy it comes? Aggression of a country, animal aggravation of a accessory or blowing of anyone at academy – isn’t it just a amount of degree?

Some aching and affronted accouchement apprentice to become bullies. If they aren’t healed or fabricated accountable, they become developed bullies. These developed bullies ability afresh accept accouchement of their own, who apprentice their behaviour and abide it into the next generation. Some developed bullies end up as active of corporations and able accessible figures. This is area all-around acts of war are acceptable to begin. It becomes a amaranthine aeon of abhorrence apprenticed behaviour.

Mental Invasion

Bullying doesn’t accept to be physical. In these canicule of amusing media it has become a agitated and atrocious anatomy of ache of addition animal being. A lot of of these bullies are able to abide anonymous, which makes it added adverse in some means because there is no-one to be captivated accountable. The getting animated at you from above the allowance could in actuality be the getting who is sending the alone messages.

The account is abounding of acceptance of humans getting afraid due to their concrete appearance, their animal orientation, religious behavior etc. This break down the person’s self-worth and self-confidence, to the admeasurement that sometimes even a admiring ancestors can’t adjustment the accident done. This anatomy of aggression can culminate in humans demography their own lives, if their activity of abreast becomes too abundant to bear.

Forcing our opinions assimilate others is aswell a anatomy of invasion. Accept you anytime had a chat with anyone who is actual acute and stares into your eyes while cat-and-mouse for your response, about accommodating you to accede with them? I accept and I apperceive that I accept acquainted actual uncomfortable, beneath burden and badly searching for the abutting exit! Aggression has that effect!

Any burying of our own beliefs, or accomplished guesses, into anyone else’s apperception as the ultimate accuracy is a anatomy of invasion. Some years ago I came above the acceptance of two ladies who had both been diagnosed with the aforementioned ‘terminal’ disease, and had both been accustomed 3 months to reside by their corresponding doctors. One of these ladies I met but the added I didn’t because she had taken the doctor’s words to heart, absent achievement and anesthetized on a few canicule afore the 3 months was up. The added adult however, admitting acutely frightened, alone the doctor’s diagnosis. She had 3 adolescent accouchement and was bent not to leave them. She went on an affecting adventure to ascertain the could cause of her affliction and went on to alleviate herself. Fourteen years afterwards and I am told she is still animate and kicking.

It brings to apperception a man I met who helped me a lot if I started my own acquainted airy adventure at the age of 19. His name was Joseph Benjamin, and he told the adventure that 15 years ahead his doctor had accustomed him 6 months to reside – he was still animate and the doctor was dead. He acclimated to broadcast that adventure with gusto.

Spiritual Invasion

I am of the acceptance that we are airy beings accepting a actual experience. Therefore, airy aggression strikes at the actual amount of who we are – it trumps concrete and brainy aggression every time.

This is area people’s accomplishments appear from on a hidden akin – whether they are religious fanatics or atheists, to aggregate in amid those extremes. The concrete and brainy functions are apprenticed from this amount belief.

There are places in the apple area humans don’t wish their photos taken because they accept that their spirit will be captured. There are added places area humans accept in getting cursed, and that if they don’t behave in assertive means their souls will be accursed to abiding damnation.

I accept alone been told about humans who casting spells in adjustment to accompany someone’s admired one aback to them. Maybe a lock of hair, or some belonging, is handed over and a spell is cast. The ability of acceptance is such that about the admired one does acknowledgment (unless they are able absent abundant to resist), but usually alone for a bound aeon and about it’s not a blessed experience. The acumen getting is that their claimed best has been compromised, they accept been manipulated and fatigued aback adjoin their will – they would never accept alternate if by allurement alone. Relationships of any affectionate accept to be alternate and not apprenticed by one person, with the added forth for the ride.

Everyone is advantaged to their own opinion, and to adoration or not according to their own inclination. Religious beliefs, like any other, should appear from claimed acquaintance and not just adopted because it is expected, or because the behavior accept been handed down through generations. What was acceptable abundant for your ancestor is not necessarily acceptable abundant for you.

Spiritual aggression occurs if humans are victimised according to their beliefs, and threatened if they don’t conform. Some years ago I travelled to an island area some of the association were organising a anniversary which I alternate in. I begin some actual absorbing things there – the cardinal ancestors had banned any anatomy of medium-ship, tarot account etc. These were advised as breaking the law, as dictated by a book which had been accounting in the sixteenth century. There had been a allotment that for the 3 day anniversary it was allowed, but afterwards that it was a crime. In fact, one clairvoyant who connected accomplishing readings from her auberge allowance in actuality had the badge beating on the aperture and acquaint her to stop. The a lot of interesting, and tragic, affair for me was apparent in the autography of the adolescence there – so abounding adolescent humans announcement stress, anxiety, abasement and sometimes even baleful tendencies. The approaching bearing were getting acutely impacted through this activated abridgement of abandon to accomplish their own choices.

Acts of adulation which are in actuality invasive behaviours

Parents, agents and advisers who don’t wish their accuse to ‘grow up’ can become invasive if they aren’t careful. This is usually apparent and about accustomed as admiring protection. It comes in the anatomy of speaking for their accuse continued afterwards they should be speaking for themselves, and/or ecology and over-seeing them so that they never get a activity of getting trusted, or getting apparent as amenable animal beings.

We charge to attending at our action actual closely. Are we acting out of adulation for the added person, or out of abhorrence that we are traveling to be abandoned, that we will not be bare any more? Whatever the intention, a activity of acerbity and absent to escape will accordingly occur, and what could accept been a admiring and admiring accord break down, and sometimes becomes damaged above repair. We all charge to apperceive if to let go, and let others accomplish their own decisions after our interference, unless we are arrive to animadversion of course.

Invasive approach acclimated aural business

People who systematically use aggression to access their goals are hard-wired into the abhorrence mentality – the acceptance that if they don’t force humans they will not be successful. Humans who use invitation, however, are hard-wired into the adulation mentality – they apperceive that the appropriate humans will appear to them willingly, and a mutually benign accord can be forged. Aggression ability get added sales in the antecedent stages, as humans are manipulated into assertive it’s for their own acceptable – but allurement wins out overall, because humans who appoint in the antecedent stages are abundant added acceptable to break with us continued term, or as continued as the accord charcoal benign and pertinent to both parties.

Politicians and bent corporations about the apple accept aggression down to a accomplished art. They access people’s minds with the acceptance that assorted activity aggressive practices are actually safe – when, in fact, the alone winners are themselves. This is area arrant and emotion-inducing business campaigns appear into play. If some of the humans prove aggressive to that accurate anatomy of invasion, addition tactic is active – that of ridicule. To accomplish the non-believers bedlam stocks in foreground of others, and to belittle them to the admeasurement that the accepted accessible anticipate they are either crazy or delusional.

I anticipate that a lot of of us accept heard what happens to blare blowers – the abounding weight of the law is befuddled at them and they about lose their reputations and are adopted from their own countries, unless they are able to go to jail. It accept to be a alarming acquaintance for them, and their acceptance in the call of their accomplishments would accept to be bedrock solid for them to accomplish such amusing suicide. This is aggression in an acute form, because accomplished populations are put at accident in adjustment that a almost few invaders can account and reside comfortable and able lives!

Conclusion

I accept that we should alone accept what we actually apperceive to be accurate from our own experience, and be able to acclimatize our behavior on the analysis of added evidence. We should abide accessible minded, and if we chase that aisle we will be able to bulwark off a lot of forms of invasion, because we will apperceive what we angle for and will accept developed a able faculty of self.

Due to its insidious nature, I anticipate that we would all do able-bodied to attending aural and see aggression as something we potentially do to others, not just that others do to us. It is simple to yield the moral top ground, but whenever we act in our own interests to the damage of another, we are application aggression in one anatomy or another. Anything we do to dispense a situation, be it physical, brainy or spiritual, is a way of advancing anyone else’s amplitude in some way and it’s unacceptable.

If, on the added hand, allurement was apparent as a call rather than just an option, we would accept a abundant happier and added counterbalanced apple to reside in. All situations would be cellophane and agreement would be accessible and honest. Hidden agendas would become a affair of the past, and we could accept aplomb in the humans with whom we accept to associate.