Search found 4 matches

by nyj
Wed Feb 05, 2014 11:14 pm
Forum: Gun and/or Self-Defense Related Political Issues
Topic: New way to treat wounds caused by a bullet!
Replies: 40
Views: 7872

Re: New way to treat wounds caused by a bullet!

I'd really like to see some more info. on it. I can see how it may work better than hemostatic agents in certain wounds.
by nyj
Wed Feb 05, 2014 9:06 pm
Forum: Gun and/or Self-Defense Related Political Issues
Topic: New way to treat wounds caused by a bullet!
Replies: 40
Views: 7872

Re: New way to treat wounds caused by a bullet!

JP171 wrote:
nyj wrote:
JP171 wrote:
nyj wrote:
JP171 wrote:In the field we always carried tampons and maxi pads, and tea bags, great stuff. Chew worked in a pinch too. Tourniquets went out in the dark ages as the limb they are used on will be amputated, we also have really kewl stuff made from shrimp shells that stops bleeding in most all cases. for arterial bleeds that we can ID as such, a tampon, then a maxi pad then wrap aggressively to stop the bleeding NEVER use a tourniquet unless you don't like the guy. Tobacco is used as a last resort and sparingly as too much can cause secondary effects in a hemo compromised individual, clotting agents of any type are NEVER used in thoracic injuries as they WILL cause big problems. As far as taking the soldiers weapon yes we do, and often tie them down or use other soldiers to sit on them, no I don't want to get shot stabbed or hit and yes I have been there done that on all accounts. oh and YES I am a practicing Paramedic and CLS/Corpsman
The bad rep that tourniquets got are long in the past. TQ's are the main go-to-tool in any uncontrollable extremity hemorrhage. They can be left on for a surprisingly long time. And with all do respect, if you are a currently certified paramedic, you should know that this is a national registry standard.

NR is over rated and yes I do know and I know the results after being a paramedic for over 30 years, yep I know how it works. the standard has so many limitations on it its not funny and not worth thinking about within most metro areas as it causes too much damage, Dr. Paul Pepe refused the use of them in the 1990's because the cause more damage then benefit, Dr. Mark Blanchette refuses to allow them any where near his EMS system, should I go on? the NREMT is an abortion that needs to go away. Also Dr. Mark Rigo refuses to allow them on any of the 3 Houston area EMS systems he is medical director for nor will Dr. Jerry Wassertein. hmmm yep that says something to me, and I knew all of them before they became Doctors except Dr Blanchette
I completely respect your experience, but you just said "1990's." You know that things change every year in medicine. The definitive answer is that TQ's in pre-hospital care is the standard of care. We simply do not have patients long enough for prolonged application to be an issue.

ummm gee did you miss the part about being currently licensed and practicing?
What does that have to do with a doctor not using them in the 90's?

And while you may dislike NR (who doesn't?), there is an infinite amount of research that goes into the things they implement as national standards.
by nyj
Wed Feb 05, 2014 8:54 pm
Forum: Gun and/or Self-Defense Related Political Issues
Topic: New way to treat wounds caused by a bullet!
Replies: 40
Views: 7872

Re: New way to treat wounds caused by a bullet!

JP171 wrote:
nyj wrote:
JP171 wrote:In the field we always carried tampons and maxi pads, and tea bags, great stuff. Chew worked in a pinch too. Tourniquets went out in the dark ages as the limb they are used on will be amputated, we also have really kewl stuff made from shrimp shells that stops bleeding in most all cases. for arterial bleeds that we can ID as such, a tampon, then a maxi pad then wrap aggressively to stop the bleeding NEVER use a tourniquet unless you don't like the guy. Tobacco is used as a last resort and sparingly as too much can cause secondary effects in a hemo compromised individual, clotting agents of any type are NEVER used in thoracic injuries as they WILL cause big problems. As far as taking the soldiers weapon yes we do, and often tie them down or use other soldiers to sit on them, no I don't want to get shot stabbed or hit and yes I have been there done that on all accounts. oh and YES I am a practicing Paramedic and CLS/Corpsman
The bad rep that tourniquets got are long in the past. TQ's are the main go-to-tool in any uncontrollable extremity hemorrhage. They can be left on for a surprisingly long time. And with all do respect, if you are a currently certified paramedic, you should know that this is a national registry standard.

NR is over rated and yes I do know and I know the results after being a paramedic for over 30 years, yep I know how it works. the standard has so many limitations on it its not funny and not worth thinking about within most metro areas as it causes too much damage, Dr. Paul Pepe refused the use of them in the 1990's because the cause more damage then benefit, Dr. Mark Blanchette refuses to allow them any where near his EMS system, should I go on? the NREMT is an abortion that needs to go away. Also Dr. Mark Rigo refuses to allow them on any of the 3 Houston area EMS systems he is medical director for nor will Dr. Jerry Wassertein. hmmm yep that says something to me, and I knew all of them before they became Doctors except Dr Blanchette
I completely respect your experience, but you just said "1990's." You know that things change every year in medicine. The definitive answer is that TQ's in pre-hospital care is the standard of care. We simply do not have patients long enough for prolonged application to be an issue.
by nyj
Wed Feb 05, 2014 8:06 pm
Forum: Gun and/or Self-Defense Related Political Issues
Topic: New way to treat wounds caused by a bullet!
Replies: 40
Views: 7872

Re: New way to treat wounds caused by a bullet!

JP171 wrote:In the field we always carried tampons and maxi pads, and tea bags, great stuff. Chew worked in a pinch too. Tourniquets went out in the dark ages as the limb they are used on will be amputated, we also have really kewl stuff made from shrimp shells that stops bleeding in most all cases. for arterial bleeds that we can ID as such, a tampon, then a maxi pad then wrap aggressively to stop the bleeding NEVER use a tourniquet unless you don't like the guy. Tobacco is used as a last resort and sparingly as too much can cause secondary effects in a hemo compromised individual, clotting agents of any type are NEVER used in thoracic injuries as they WILL cause big problems. As far as taking the soldiers weapon yes we do, and often tie them down or use other soldiers to sit on them, no I don't want to get shot stabbed or hit and yes I have been there done that on all accounts. oh and YES I am a practicing Paramedic and CLS/Corpsman
The bad rep that tourniquets got are long in the past. TQ's are the main go-to-tool in any uncontrollable extremity hemorrhage. They can be left on for a surprisingly long time. And with all do respect, if you are a currently certified paramedic, you should know that this is a national registry standard.

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