BP cuff as turniquet
Posted 30 October 2006 - 10:16 PM
Posted 30 October 2006 - 10:28 PM
Posted 30 October 2006 - 11:49 PM
I was a little surprised that the doctor was unable to stop the bleeding to suture it (thought they surely had some magic bullet) until finally, on the advice of the medic working in the ER (not sure of his job description) they used a bp cuff as a tourniquet (placed on the brachial artery as if taking a blood pressure). They both claimed it was the first time they had used one, but explained, that if the need arose that the cuff was pretty much ideal.
I'm not sure if that helps as I'm unsure of their skill levels or options at their disposal that might have been used instead...but there you have it!
One a side note, I haven't heard of uncontrolled bleeding that didn't involve blood thinners (cardiac meds, alcohol, etc.). Any idea why this would happen in a young boy? (I wasn't there for phx, but when asked, the nurse said it was unrelated to the issue)
Have a great day all!
Posted 31 October 2006 - 12:44 AM
If you've got other things to do it can be a little difficult holding direct pressure in the back of a bouncing ambulance. This works well.
So, to answer your question, it could be appropriate for the situation.
Posted 31 October 2006 - 01:05 AM
Tourniquets are getting more attention lately with our combat experience in Iraq and Afghanistan, and it has forced us to re-examine the "taboo" of tourniquet use that we're taught in EMT school. There are a fair number of people who bleed to death in this country from extremities, even in the care of EMS, and that just doesn't need to be so. Tourniquets, appropriately applied for a short period of time (less than 2 hours), do not lead to massive acidosis, hyperkalemia, and cardiac arrest like we've been taught, and they save lives.
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