Casualty Care - Bowers July 20th

[cmailliard]

Casualty Care
Bowers Tactical
Sunday, July 20th 2014
0800-1200
$80


History of Tactical Combat Casualty Care (TCCC)
Human Factors
Tourniquets
Hemostatic Agents
Wound Packing
Chest Seals
Airway Adjuncts
Hands on Skills

The Casualty Care course will look at the current Tactical Combat Casualty Care Guidelines and show you how the same skills can be applied in the civilian setting. We will show real world examples of the need for the knowledge and proper tools to deal with severe trauma. Finally we will look at the leading causes of preventable combat death and how the same injuries and injury patterns can occur anywhere.

Bring your First Aid Kit or Trauma Kit. We will practice all the necessary skills and have many of the major medical supplies so you can practice with what you have in your kit. If you do not have a kit you will get to practice with everything and with our experience gain a better understanding of what you should buy. We will not use your supplies but we want to make sure you are using the same products you have in your kit for familiarity purposes.

Register at Bowers (http://www.bowerstactical.com/store/). Payment will be done day of class at Bowers.

[cofi]

I'm in

[cmailliard]

I received a PM from a member who has taken this class in the past year, here is what he said:

Ran into EMT's at a 5k this weekend and mentioned TCCC and TQ's. They were extremely concerned and quick to point out that TQ's are only used as a last resort, like an amputation, as it would risk limb loss and issue damage, that direct pressure or use of a pressure point is easier and far more effective.

You have your training work cut out for you :)

There are so many problems with this from the training and operations side of EMS that it is scary.

What does this mean for you? Look at it like you would personal defense. You carry a gun to protect yourself and family because of time. Learn and equip yourself for medicine because those coming to help may not be up to speed with what is needed to keep you alive. I find this very disturbing and thought the stupidity had been weeded out of EMS when it comes to TQ's.

Stay Safe!

[Musashi]

Two more in

[Mick-Boy]

I received a PM from a member who has taken this class in the past year, here is what he said:

Ran into EMT's at a 5k this weekend and mentioned TCCC and TQ's. They were extremely concerned and quick to point out that TQ's are only used as a last resort, like an amputation, as it would risk limb loss and issue damage, that direct pressure or use of a pressure point is easier and far more effective.

You have your training work cut out for you :)

There are so many problems with this from the training and operations side of EMS that it is scary.

What does this mean for you? Look at it like you would personal defense. You carry a gun to protect yourself and family because of time. Learn and equip yourself for medicine because those coming to help may not be up to speed with what is needed to keep you alive. I find this very disturbing and thought the stupidity had been weeded out of EMS when it comes to TQ's.

Stay Safe!

ATLS vs. TCCC. One was designed for car accidents, one was designed for battlefield trauma.

I've been hearing that TQ nonsense ever since I took my EMT-B in 2000. The bottom line is, the usual tricks that you learned in your red cross first aid course (direct pressure, pressure points, elevation) will probably work on most injuries.... but are you going to have time to find out?

The purpose of throwing a TQ on any limb that is showing high pressure or high volume bleeding is that it allows you to move on to other injuries or go back to scanning/processing threats.

Civilian thought process vs. combat thought process. You can get away with a lot when you're going to get the casualty to a trauma center in 15 minutes.

[RonMexico]

ATLS vs. TCCC. One was designed for car accidents, one was designed for battlefield trauma.

I've been hearing that TQ nonsense ever since I took my EMT-B in 2000. The bottom line is, the usual tricks that you learned in your red cross first aid course (direct pressure, pressure points, elevation) will probably work on most injuries.... but are you going to have time to find out?

The purpose of throwing a TQ on any limb that is showing high pressure or high volume bleeding is that it allows you to move on to other injuries or go back to scanning/processing threats.

Civilian thought process vs. combat thought process. You can get away with a lot when you're going to get the casualty to a trauma center in 15 minutes.

Here a cool demo you can try. Insert an IV with no lock. Let it gush/squirt and have someone or yourself put a TQ on it. Even after breaking a plastic TC the metal TQ didn't stop the blessing 100%, yes 98ish but blood flow is still coming out the wound. Mick is right, the mindset is different and I am not advocating TQ for every bleed but if someone thinks it's serious it's better to be safe than sorry.

[cmailliard]

Problem is that Elevation and Pressure Points have been removed from the PHTLS (TCCC is baked into PHTLS) course and National Registry Skills Exam. Both now say Direct Pressure and then apply a TQ. It has been this way for at least 4 years. Surely these responders have done a trauma refresher in the last four years and should be brought up to speed. If this is still what EMS providers are being taught then someone in those agencies is failing on continuing education.

[275RLTW]

Ahhh...the ongoing NAEMT vs TCCC.

[Mick-Boy]

Here a cool demo you can try. Insert an IV with no lock. Let it gush/squirt and have someone or yourself put a TQ on it. Even after breaking a plastic TC the metal TQ didn't stop the blessing 100%, yes 98ish but blood flow is still coming out the wound. Mick is right, the mindset is different and I am not advocating TQ for every bleed but if someone thinks it's serious it's better to be safe than sorry.

I'm not sure I'm tracking on your demo, can you expand a bit?

[cmailliard]

Here are few pics from a class we did on Sunday. Still have spots open for class in July.

Wound Packing with Simulated Blood and Gauze
45905

Wound Packing with Simulated Blood and Gauze
45907

Applying a Pressure Dressing (OLAES)
45909

Sometimes all you need is a Band-Aid
45911

[cmailliard]

Bump Up - Still some spots open.

[cmailliard]

Last chance for a Casualty Care classes for a while. My schedule is getting tight with my new job so I may be cutting back a bit. Give Mike a Bowers a call or email if you wish to attend.

[Musashi]

Thanks to Chris for an excellent class and Bowers for hosting. I learned quite a bit and realize that I need to spend a bit more time on my medical knowledge.
Looking forward to the next one!