DWK Fraser, CD, BA, PCP @DWKF
Views are my own, and do not represent my employers in any way.
After almost a decade and a half of continuous warfare, after achieving the best trauma outcomes in the history of medicine, after the formation of both the Committee for Tactical Emergency Casualty Care and the Committee on Tactical Combat Casualty Care, even when the most recent best practices are available free online, we still can’t come up with a coherent extremity hemorrhage control strategy!
Ladies and gentlemen, the evidence is there, most of the tools are there, and the techniques are well developed; There is no longer any excuse for any patient in prehospital care to die from exsanguinating extremity hemorrhage.
Know how to use a tourniquet! Put them on your ambulances, on your belt, in your pockets. Have a primary, an alternate, a contingency, and know how to make a emergency tourniquet one.