Paging EMSLaw, question :P

[TransportJockey]

I got to thinking earlier when I was at the gun range and someone managed to shoot themselves in the foot, literally. They carried some quik-clot themselves and used it, but I was wondering how it looks for an EMT to use it since most of us are limited to BLS scope when helping off duty, and most EMT-B scopes don't have that in it.

This is mainly for if I suddenly lose my senses and actually agree to help someone when I'm off duty. My kit in the truck that I carry with me when offroad and shooting has a package of quik-clot plus some other basic bleeding control items. Mainly for me if I get hurt offroad.

 

[Scout]

It's sold in sport shops with a sport label, so i'm going to assume it moves into first aid supplies.

Usual caviet of state law, company blah blah blah

 

[mycrofft]

Remember about Quickclot or whatever

It has to be debrided from the wound.
If direct pressure and a dressing (NOT a combine dressing like most ABD's or Kotex are) will do it, you will make the MD happier.

 

[TransportJockey]

It has to be debrided from the wound.
If direct pressure and a dressing (NOT a combine dressing like most ABD's or Kotex are) will do it, you will make the MD happier.

This is one of the little bags of the granules that is just placed whole on the wound. I'm assuming that's easier to clean out than the loose granules?

And I'm hoping never to need this, since I know how to use cravats and 4x4s to stop almost everything

 

[usafmedic45]

This is one of the little bags of the granules that is just placed whole on the wound. I'm assuming that's easier to clean out than the loose granules?

They don't work nearly as well as advertised. Honestly packing a large wound with gauze sponges and wrapping it with roll gauze will get you far further down the road of hemorrhage control faster and with less effort. If that doesn't work, it's time for a tourniquet.

 

[EMSLaw]

I would say it's better to avoid it - it's one of those "tacticool" sorts of things that doesn't really provide much in the way of benefit.

Since the protocol these days is direct pressure and then tournequet, why wouldn't you just do that?

 

[JPINFV]

How would using any OTC treatment be against BLS scope short of the only reason you're providing care is because people are looking at you as an EMT and not a relative/friend/etc? After all, just because you're an EMT doesn't mean you can't give an NSAID to a friend now...

 

[TransportJockey]

How would using any OTC treatment be against BLS scope short of the only reason you're providing care is because people are looking at you as an EMT and not a relative/friend/etc? After all, just because you're an EMT doesn't mean you can't give an NSAID to a friend now...

Welcome to the rules I'm used to in NM. If you are helping and people know you're EMT trained, you're limited to BLS scope specifically.

 

[TransportJockey]

I would say it's better to avoid it - it's one of those "tacticool" sorts of things that doesn't really provide much in the way of benefit.

Since the protocol these days is direct pressure and then tournequet, why wouldn't you just do that?

Meh, I have it since it was in a batch of first aid stuff my parents got for me to keep in my truck for long offroad/shooting/hunting trips. Especially since I go alone

 

[usafmedic45]

Meh, I have it since it was in a batch of first aid stuff my parents got for me to keep in my truck for long offroad/shooting/hunting trips. Especially since I go alone

Then you're much better off with one of the tactical tourniquets then. They can be applied one handed and have almost 100% efficacy.

 

[JPINFV]

Welcome to the rules I'm used to in NM. If you are helping and people know you're EMT trained, you're limited to BLS scope specifically.

My problem is that's like saying you can't hand a friend a Tylenol because he knows where you work.

[edit: and, yes, I know you're not arguing with me]

 

[TransportJockey]

Then you're much better off with one of the tactical tourniquets then. They can be applied one handed and have almost 100% efficacy.

That's something I've never used before... and not something I'd thought much about buying. I guess I figured since I had cravats and know how to tie a windlass knot (plus have shears and a penlight in the kit) I'd be ok if god-forbid I ever manage to shoot myself in the leg

 

[usafmedic45]

I guess I figured since I had cravats and know how to tie a windlass knot (plus have shears and a penlight in the kit) I'd be ok if god-forbid I ever manage to shoot myself in the leg

You might want to look at the literature on that. Chances are decent you wouldn't be able to. Not to mention what happens if you hurt an arm instead of a leg? When you're bleeding out, it's not the time to be flying by the seat of your pants.

 

[TransportJockey]

You might want to look at the literature on that. Chances are decent you wouldn't be able to. Not to mention what happens if you hurt an arm instead of a leg? When you're bleeding out, it's not the time to be flying by the seat of your pants.

True. Like I said, I'd not thought about it very much up until this point.


EDIT: And that makes 1500 posts