In a pinch, duct tape and any airtight wrapper will seal the wound. Since the major blood vessels are located on the inside of the body and protected by bone and muscle, wounds to the outer parts of the body can be dealt with last, usually with a simple pressure dressing/bandage. If the victim cannot breathe, they will expire in roughly four minutes. After inserting a nose hose, make sure to look inside the victim’s mouth for any obvious obstructions but take care not to place your fingers inside the victim’s mouth, as the victim can seize and bite down without warning. Of course, there will also be soft tissue damage, resulting from energy transfer (there’s … This tourniquet saves lives. Disclosure: These links are affiliate links. • Space Blanket Sorry, your blog cannot share posts by email. You can find most of these components on Amazon or other websites. Plain wound packing gauze is very inexpensive. To prevent this, after the victim is screened using the M.A.R.C.H. Tactical Combat Casualty Care – “Tee Triple See” (TCCC) is the medical training that U.S. troops are currently taught to save lives on the battlefield. If you render aid, someone else may have to direct the rescue or you may have to do both. The U.S. Army 75th Ranger Regiment trained all its troops and doctors in TCCC. Design by Kansas City Web Design. Tactical first aid kit contains emergency medical supplies to treat a gunshot wound including a chest seal, decompression needle and a CAT tourniquet. Post was not sent - check your email addresses! The first thing I reached for when I arrived was my trauma kit. Of these injuries, there are several components in gunshot trauma kits that can increase the odds of survival until definitive care is reached. It directly addresses the life-threatening issues a person will face when treating a gunshot wound. Let me say this, at this point: This article is not about treating the gunshot wound, it is about having the proper equipment to treat the wound. Two more components in my personal GSW kit include a nasopharyngeal airway and chest decompression needle. We do carry Aluminum oxygen cylinders, oxygen regulators, O2 regulators and tanks  Air regulators, Oxygen flowmeters, Oxygen adapters, Oxygen bags, Oxygen wall outlets, air compressors, medical gas diss outlets. In designing my kit, I thought of all the common injuries and medical conditions I might encounter where medical assistance might be delayed. Ambulance equipment including : ambulance cots, scoops stretchers, stair chairs, emergency stretchers, flat pole stretcher, soft disposable stretchers for emergency and rescue. • Scissor The American College of Surgeons Committee on Trauma recently updated the Stop the Bleed class slides to reflect their recommendation that a tourniquet be applied if wound packing and pressure dressings fail to control bleeding. The expanding walls of the temporary cavity can cause severe damage. One: Body or Wound Positioning:  Attempt to elevate the bleeding injury above the heart. To treat a gunshot wound it is beneficial to understand what damage bullets do to human tissue. Hemostatic agents such as Celox, QuikClot, and Hemcon can be combined with wound packing and are designed to promote rapid blood coagulation in traumatic arterial wounds. Specifically, what first aid is useful to treat these types of wounds? These components include: Tourniquet 2 chest seals Wound packing gauze Pressure dressing Trauma shears 1-2 pairs of nitrile or vinyl disposable gloves QuikClot or Celox Hemostatic gauze (optional) Nasal airway with lubricant (If trained) Chest Spike or Decompression needle (Only if trained) Tourniquets. • Gloves If placed too low on the limb near the wound, the pressure generated on the blood vessel will not be great enough to stop the bleeding. In a gunshot trauma kit, for the sake of keeping the contents to a minimum, I use the North American Rescue Mini Responder 4-inch Emergency Trauma Dressing (ETD). The acronym of M.A.R.C.H.(E.) • Head/Hypothermia Control the Scene:  Get consent from the victim if they are conscious. Severe Blood Loss. There may be little you can do for the victim, but it is important to relay any information regarding signs of head injury to medical personnel. After the M.A.R.C.H. Do not remove the pressure to reassess! Even if the dressing soaks through with blood, leave it in place. Manual aspirators, suction pumps,  portable aspirators, On- board units, Emergency medical aspirators, Surgical aspirators, Mobile suction units. A CAT-7 tourniquet is one of several recommended by the Committee for Tactical Combat Casualty Care. There may be other injuries, while not life threatening in minutes, that are still very important. Click here to get IMMEDIATE ACCESS to a digital PDF of this target pack. There’s always a negative pressure, or vacuum, keeping the lungs gliding along the chest wall with normal breathing. • Surgical tape The second factor in avoiding litigation is to avoid “wanton disregard for the health and safety of the victim.”  Use common sense and avoid any questionable actions such as using a dirty shop rag to bandage a wound. Nasal airways shouldn’t be used in cases where there’s facial trauma, as it could potentially push broken bone fragments into the brain. Commentdocument.getElementById("comment").setAttribute( "id", "a466c554dac9cf06da712ac733dabfcc" );document.getElementById("j03aa7b5ca").setAttribute( "id", "comment" ); Save my name, email, and website in this browser for the next time I comment. In this category you will find all type of equipment and supplies for oxygen delivery, respiratory and resuscitation. All Rights Reserved. Chest seals are used whenever there’s a penetrating wound to the chest. Two key elements of “Good Samaritan” law that dictate what you can do when rendering first aid. Approach:  Slowly approach the victim. Tourniquet courtesy of INDAM, Wikimedia.org Both are effective, but the NAR commercial chest seals offer an advantage as far as convenience and how quickly they can be deployed. However, it is relatively easy and inexpensive to build your own Individual First Aid Kit (IFAK). Specifically, is the victim conscious or unconscious? For example, drag, wheelbarrow, two-person carry, assisted walking, to name a few. The following information is also useful for anyone who is one scene in the aftermath of an active shooter attack. This air bubble puts pressure on the lungs and heart, a condition that can be fatal if left untreated. Alternatively, you can upgrade to gauze treated with a hemostatic agent that promotes faster clotting, such as QuikClot or Celox. Do you move the victim or aid in place? Not all first aid kits have the necessary equipment to support the TCCC system. Education is offered for military, EMS/First Responders, and Law Enforcement. This means do not remove direct pressure, bandages, or tourniquets – but you can add to them. Conclusion If no radial pulse is present, it is an indicator the body is using blood to maintain vital functions and is no longer pushing blood to the less essential outer extremities. • Airway A typical IFAK should contain the following items: Hemostatic agents foster a much more robust and durable clot, which is helpful when the victim is moved. However, it cannot be overstated that these items require training and can actually do more harm than good in untrained hands. Compression bandage courtesy of Sgt Cesar Leon/DVIDS Five: Tourniquet Application:  The tourniquet is an essential tool and its application is the preferred method for treating potentially lethal massive hemorrhaging from compressible extremities: arms and legs. Your email address will not be published. TCCC incorporates procedures proven to save lives and reduce the number of preventable deaths on the battlefield. Render Aid:  Before rendering aid, don your protective equipment (gloves, safety goggles, etc.). The manufacturer of QuikClot offers online and live training for their products. The Gunshot Trauma Kit is designed to treat Life Threatening Traumatic Emergencies such as gunshot wounds which could become fatal prior to the arrival of EMS or transport to a Medical Facility. Bandages courtesy of franky242 at FreeDigitalPhotos.net There is compression, stretching, and shearing of the displaced tissue. The Gunshot Wound Kit is like a medical version of a fire extinguisher. Hypothermia/Head Injury What Do They Have in Common?