Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Page 3-388

Evaluate the CasualtyEvaluate the Casualty

Steps in a Primary SurveySteps in a Primary Survey

1.1. Mask and Treat a Chemical Agent CasualtyMask and Treat a Chemical Agent Casualty2.2. Check the Casualty for ResponsivenessCheck the Casualty for Responsiveness3.3. Check the Casualty’s AirwayCheck the Casualty’s Airway4.4. Check the Casualty’s BreathingCheck the Casualty’s Breathing5.5. Check the Casualty’s CirculationCheck the Casualty’s Circulation6.6. Check the Casualty for BleedingCheck the Casualty for Bleeding7.7. Treat for Chemical Agent Poisoning (if appropriate)Treat for Chemical Agent Poisoning (if appropriate)8.8. Check the Casualty for ShockCheck the Casualty for Shock

Evaluate the CasualtyEvaluate the Casualty

Steps in a Secondary SurveySteps in a Secondary Survey

1.1. Check the Casualty for FracturesCheck the Casualty for Fractures2.2. Check the Casualty for BurnsCheck the Casualty for Burns3.3. Check the Casualty for Closed Head InjuryCheck the Casualty for Closed Head Injury (concussion)(concussion)4.4. Check the Casualty for Check the Casualty for

Environmental InjuriesEnvironmental Injuries5.5. Check the Casualty for Check the Casualty for

Other Wounds/ FracturesOther Wounds/ Fractures6.6. Check the Casualty for Check the Casualty for

Combat Stress ReactionCombat Stress Reaction

Task: Apply a Field Dressing, elevation and manual pressure, a pressure dressing, and a Tourniquet, as needed, to a wound on a Casualty’s limb

Conditions: Given a simulated Casualtywith bleeding from a limb and needed Supplies

Standards: Score a GO on the Performance Checklist

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

All Bleeding stops eventually

Stop it before it runs out

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Dressing: Material placed directly over a wound

Bandage: Material used to Hold Dressing

Field Dressing: Carried by all Soldiers

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 1:

Expose the Wound

Use Caution with Burns or if in a Chemical Environment

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 2:

Apply & Secure a Field Dressing

Expose the WoundPrepare DressingOpen DressingApply to woundSecure dressingTie tails in Non-Slip Knot

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 3:

Apply Manual PressureDirect Pressure for 5 to 10 Minutes

Step # 4:

Elevate the Injured Limb Do this at the same time as Applying PressureDO NOT elevate a suspected Fracture

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Hold And WrapHold And Wrap

Step # 5:

Apply a Pressure DressingOnly on a wound of the Arm or LegPlaced on top of the field dressing

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Need a hand ???

How about a Tourniquet ?

Step # 6:

Determine if a Tourniquet is NeededOnly when all else Fails

Not on wounds to the Head, Neck, Chest

Not used on amputation of part of Hand or Foot

Is used on amputation of Upper Arm, Forearm, Thigh or Lower leg

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 7:

Gather Materials for Making a Tourniquet

Tourniquet Bands

Rigid Object

Securing Materials

Padding

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 8:

Select Tourniquet SiteUpper Arm

Thigh

Above the Joint, as Close to Joint as Possible

Not over a Fracture

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 9:

Apply a Tourniquet ONLY USED AS LAST RESORT

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Application Of TourniquetApplication Of Tourniquet(Tying of Half-Knot)(Tying of Half-Knot)

Application of TourniquetApplication of Tourniquet(Positioning Stick)(Positioning Stick)

Application Of TourniquetApplication Of Tourniquet(Full-Knot on Stick)(Full-Knot on Stick)

Secure StickSecure Stick

Step # 10:

Dress an Amputation

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Step # 11:

Mark the Casualty

•“T” and time of Tourniquet application• Do not cover tourniquet• Monitor Casualty and Treat for Shock

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

Find your Partner

Use the Performance Checklist on Page 4-20 & 4-21

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity

QUESTIONS ??

Perform First aid for Bleeding Perform First aid for Bleeding of an Extremityof an Extremity