Devildoc
Verified Military
It can be washed out with saline irrigation.
Tampons in Bullet Holes (Again)
- Thread starter Marauder06
- Start date
It can be washed out with saline irrigation.
Just had old dude that popped a varicose vein resulting in the bedroom and bathroom with scene akin to an ISIS massacre.
In fact, cops walked in prior to us, took TQs out and asked pt if wife tried to murder him.
I felt as if a tampon would have alleviated this issue...
In fact, cops walked in prior to us, took TQs out and asked pt if wife tried to murder him.
I felt as if a tampon would have alleviated this issue...
I remember a bandage like 20 years ago that looked like a tampon, but was called a "bullet plug"? It wasn't issued to me, I think a contractor buddy showed it to me while we were working on a few Iraqis that got spaghettid by a vbied.
I am not sure what brand or if the name is right. But it was the same concept as a tampon, but I believe it was clotting agent impregnated gauze.
I am not sure what brand or if the name is right. But it was the same concept as a tampon, but I believe it was clotting agent impregnated gauze.
Devildoc
Verified Military
I think you're talking about XStat. I recall them but they really never took off. It is CoTCCC-approved but I never saw them used or fielded.
TLDR20
Verified SOF
- Joined
- Jan 7, 2009
- Messages
- 6,460
There was a device that had a syringe type applicator with hemostatic gauze pieces that we looked at in like 2005-2008ish. I remember having hands on it a few times.
Very loosely like a tampon, but not really. It was also a trash product. The problem is that it does not apply pressure, and if you have hemostasis with direct pressure you have to let it go to apply the xstat. Then the pieces go all over the fucking place.
I've seen the xsat, never used it. The one I am talking about was in a gray/green package and was actually shaped like a large bullet almost the size of shotgun shell. I only seen it that one time, and homie was the one who showed it to me. I never used it, just watched him use it. I have never seen it again. Tried some online googlefu with no luck. It might have been some UK kit, not that it matters much. The few bleeds that I worked on were mainly TQ's followed with packing with gauze and pressure bandaging. Dealt with a nasty stomach wound once, that was a shit show until the medic got involved. Not really a bad bleed, but more a trying to keep the guts from coming out anymore then they had. Got yelled at for using an MRE bag, as I was taught to do...but whatever, I'm not a medic...
I'm not gonna lie. If I were your Army medic, I wouldn't have given a fuck if it were an MRE bag vs some fancy bandage. In the grand scheme of things, if your sausages were out instead of in, you got bigger issues than proper bandaging/dressings. Our chest seals were petroleum gauze foil packaging.
Then again, as a 90s era Army medic at Bragg, we still had the Nam Era M5 bags, Nam Era dressings, TQs were bad and IVs were the way Joe the grunt judged if you were a good doc. Lol
Devildoc
Verified Military
Those canvas M5 bags were dope. I'd love to find one.
I got a good shot of morphine for the magic carpet ride to 95th Evac. Every time I talk to Doc I ask him if he’s got any leftovers.
Mmmm, morphine. If I ever became a junkie, that would be the drug.
Devildoc
Verified Military
I want one like a crack whore needs her fix. I seen em floating around on ebay.
Not a tampon thing but this is an awesome thing.
Devildoc
Verified Military
First of all, very cool. It'll eventually go outside SOF.
Second, they implemented it in 2014, so it's been out a good while.
I'm aware on the second part, just never really dug into it before.
I know EMS is starting to see it, here in PA it's being discussed, not sure if it will make it in urban/suburban settings where we are trauma center dense.
Devildoc
Verified Military
NC has around 20 counties doing low-titer O-neg blood admin "My" system is planning it, but it is very expensive.
People used the whole trauma-center-is-only-N-miles-away argument, my response is, "great, that'll make the pin-in feel so much better." Also, NO, Dallas, DC, many urban areas have implemented low-titer O-neg blood. The ONLY negative is the expense.
ROLO takes it so much further, though, in sourcing the blood directly from teammates and people you (the medic) have cleared to give at the POI. Not sure civilian EMS will EVER assume that much risk, though I could see TEMS doing it.
I definitely agree regarding the pin in. I also see the money thing. I would love to see it here, and I'd be willing to wager that a massive GI bleed could also do well for this.
Problem in some settings is paramedic buy in. We all know some lazy medics that we'd love to see leave the system that would push back on this because they do the bare minimum. I see this doing QA for our Township level department.
Devildoc
Verified Military
Some protocols are pretty liberal and allow this, so are very restrictive for trauma only. Me, I'm like dude, bleeding is bleeding...
TLDR20
Verified SOF
- Joined
- Jan 7, 2009
- Messages
- 6,460
Yeah. In all cases the best fix is bright lights and cold steel. As long as these protocols do not inhibit transfer time, I am all about it. The argument of distance is great and I agree, that one unit in transport could be the difference.
In other news, my hospital doesn’t even have whole blood.
Devildoc
Verified Military
We have not had it very long, and I think the only reason the hospital bought into it was because it's ATLS 'best practice.' I have been shocked at how many hospitals don't have it, though.
There is only so much you can do to affect a positive outcome in the field for trauma and I just don't understand the intransigence of some people who want to limit the very few tools in the toolbox. There are several drugs in the drug box the medic will almost never give, yet "protocol" demand they stay in the drug box, even if they have to be recycled every 'n' years because they expire. The illogic is boggling.
