Biloxi, Mississippi (Ammoland) The victim had been stabilized, a tourniquet was applied to his left leg to stem a massive hemorrhage from the partial amputation that occurred during a motorcycle crash.
The first responder on the scene had used a military-style first aid kit to treat the man’s wounds and prevent any more blood loss. That was the good news.
Due to the remoteness of the area, the nearest ambulance crew were volunteer firefighters and EMT’s. The 9-1-1 dispatcher had advised that help would be on the way, estimated time of arrival was twenty to thirty minutes. Although he was no longer bleeding, the victim of the crash had lost a great deal of blood and was starting to go into shock; hypovolemic shock.
Victims of traumatic injuries often survive the initial incident but then succumb to death due to massive hemorrhage and shock. Many who survive at the scene and are transported to an ER will still die due to complications developed from irreversible hemorrhagic shock. Irreversible shock occurs when the internal organs fail and cannot be revived. It is accepted that a loss of 40 percent of the total blood volume is lethal due to the affects of irreversible shock on the organs.
The Missing Piece of the TCCC Puzzle
In Tactical Combat Casualty Care (TCCC), troops are trained to perform self-aid and buddy-aid in the event of a traumatic injury. The primary purpose of the training is to give every trooper the knowledge and then the gear to stop-gap a life-threatening injury while they are awaiting the arrival of medical professionals and specialized equipment.
Without a doubt, the TCCC program can be declared a success as innumerable victims of trauma have been saved where they would likely have perished a decade or so prior. TCCC graduates are taught to stop massive bleeding, maintain an open airway, prevent death from a tension pneumothorax and properly bandage and cover open wounds and holes in the chest cavity. All this can be done with a basic kit that any trooper can carry in their pack or on their load-bearing gear.
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