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Bleeding Control: Arterial Bleeding


Now when controlling an arterial bleed you’re gonna notice that arterial is indicated more by like a pulsating, brighter red blood. that’s harder to stop. If there’s no bone fractures we’re gonna use really good solid direct pressure. If it starts to leak through, you’ll only add more bandage to the top of it, you never take away the bottom, because then it pulls the clots off and you start from scratch again. I still like to go with the elevation as long as there’s no bone fracture, spinal cord involvement. That lets gravity work with us, not against us, but direct pressure normally even if its at heart level is usually pretty good. Once the bleeding is under control, the wrapping of the bandage works very similar. You’re gonna keep that direct pressure down We’re gonna start at the distal end, or the end of the arm and work towards the heart. That way, we’re not going to trap blood down in the hand any more than we have to. When you get to the top where the wound is you can put a little twist to the tie, which helps apply a little more pressure. After you’ve got this tight enough, check for any leak-through bleeding, make sure you check for any capillary refill to make sure you’re not having a tourniquet effect with a too tight of bandage. Elevate above the heart. Activate EMS. Watch for a reoccurrence of that arterial bleeding. If it does, add more bandage and more wrapping to create a pressure dressing, and then lets get this patient to the hospital.

28 thoughts on “Bleeding Control: Arterial Bleeding

  1. These methods are completely outdated and ineffective!!! I am a USAF Pararescueman with 3 combat deployments. Please refer to Tactical Combat Casualty Care (TCCC) and learn about the CAT Tourniquet. The last decade of war has shown the efficacy of tourniquet use (94%) and saves lives every day. Civilian EMS is lagging way behind.

  2. @TJthepianoplayer That's a vein not an artery. But since you asked. Cover with an occlusive dressing, using bandages wrap in a figure eight from under the armpit opposite the injury and place yourself in a left lateral recumbent Trendelenburg position to trap any air bubbles that may have entered your circulatory system and keep them from being pumped through your heart. Go to the hospital as quick as you can. 🙂

  3. Indeed we are (I am in EMS). Had a relative serve in both Iraq and Afghan as combat Medic. Can't believe the stuff he was able to do…VERY advanced. When he came back he was still an 'intermediate' in civilian side. Total crock.

  4. uuhh my ulnar artery was cut at the left wrist and i had 2 wait 6hrs for a hand specialist so the blood keeps drizzlin when iu cut off circulation but when open wow no horror movie comes close to it wish i had it on vido for those emos

  5. Yup, I second this. Just went through a TCCC/CLS course, and tourniquets are the most effective way to control a massive bleed on an extremity. Obviously, applying direct pressure TO THE ARTERY, NOT THE WOUND IN GENERAL is good to do while you are getting the tourniquet ready. If you can have your patient do this themselves, it will free up your hands. If you can't put a tourniquet on it (armpit, groin, neck, etc.) then you have to use direct pressure to bleed, maintaining pressure for 3-5 min

  6. I think the only reason people say not to use a tourniquet is simply because if you don't know what your doing you could end up causing much more damage than necessary. Obviously a trained professional cam easily do tha to stop it bleeding but your everyday joe might not be able to 🙂

  7. "Trained in First Aid, whoopee" Battlefield tested and countless lives saved by tourniquets in Afghanistan/Iraq. Look up the medical studies on soldiers that died in Vietnam alone that were preventable from a simple TQ. A TQ can be in place for several hours and still save the limb. Get your facts straight Sarah!

  8. tourniquets are last resort if bleeding doesnt stop. They say its not safe to use because you can lose limb. you can if tourniquet is too thin, it will rip and shred the skin tissue.tourniquet has be 2 to 3 inches wide.

  9. If you have cut your artery, or have another massive bleeding, tourniquets are definitaly the way to go. It's called life of limb, You shouldn't use a tourniquet unless you have too. But if you don't stop the bleeding, the person is most likely going to bleed to death. So if you stop the bleeding, but have to amputate your arm or leg, or whatever, because of the tourniquet, but are still alive, you should shut the fuck up and be happy that someone used a tourniquet on you. This comes from a someone who has had to use it in a real situation.

  10. I went through basic military medical training, and they taught us tourniquets are the most important thing. Arterial bleeding will just keep spurting out until the person dies, unless you stop it with tourniquet. The key is to look for spurting blood, not more passive bleeding, such as come from veins.

  11. Would you believe that transport companies here in NYC of all places doesn't even carry tourniquets Inside Of Their Ambulances? I am an E.M.T myself and I am getting back into school to become a Paramedic. Honestly, it is absurd that if I encountered lets say, a child walking on the I95 missing both arms after suffering a horrific car accident and I don't even have 2 tourniquets to stop his/her bleeding with. I will be forced to improvise with cloths and pen that were probably stolen from the hospital racks. Since my company is far too worried about number vehicles (ambulances) that are 1089 or 1098 and sharp looking E.M.Ts and Paramedics that will give you their best fake smile and a proper time of day greeting. Needless to say this patient will potentially get a massive infection from this passed around and unclean cloth. If it happens to be an obese patient then I will have to rotate my pen even further to bypass the accumulated fat and squeeze the branchial Artery shut causing it to STOP THE BLEEDING. It's already a disgrace that we literally don't have a fixed lunch break (I thought it was illegal to make someone work over four hours straight without a break?) I guess it's just another BS Law that apparently no has to follow or at least nothing happens if these LAWS are broken. I do not blame my dispatchers for not allowing us to have a bite to eat, but who ever starts this train reaction has to be taught a lesson in humanity. We are HUMAN. We need a break so that we may consume sustenance. KEY word "sustenance". Not to mention these F…ing broken down pieces of garbage and bacteria that my superior calls ambulance are fallen apart literally. They tell you that "If you crash and it is your fault you are fired" and yet the ambulance that was giving to you to complete your shift (which means that if a patient is going from Mt Vernon, NY to Albany, NY you will drive that patient to their destination with that very ambulance) is the very same one that you put out of order yesterday because the wheel aliment was and it is so bad that turning the driving wheel clockwise a full turn is what it take to keeps the ambulance driving straight. Not to mention that my old boss wanted us to disinfect all parts inside and check outside of the ambulance in 10 minutes. I am sure you've all guessed that we are not provided with the wipes that necessary to accomplish not just mine, but our duties. Don't even get me started on the condition of the tires (worn out), mirror (broken or non existing), windshield (cracked and scratched so much that these new coming E.M.Ts will crash on their first day if force to work at night), AC/Heat (A/C is hot in the summer and the Heat is cold in the winter). I myself never felt ill during my 10 excellent months of hands on EMS, but I can go as far as to say this… Many of my colleges have passed out/collapsed while driving or even administering CPR by himself during their shift and serving under their oath. The story is a short one: An E.M.T and fellow Paramedic arrived at the scene after pleading with their dispatcher for a break so that they may consumed some sustenance. They had been working for hours and just had finished a stair chair job. But of course they were told the same line as always "After this one I'll give you guys a meal break" little did they know it would be a patient in full blown cardiac arrest. They do what we do best and boom they're on their to the nearest hospital when the person that was driving feels their shoulder being tapped. So the E.M.T turns back to check who was tapping her on the shoulder only to hear the patient say:" I think your partner just passed out back here" and he was passed out from doing CPR and lack of food.
    Thank you for bringing that up. Yes the proper application of a tourniquet is a fundamental skill to have.

  12. Hmmmm I was always taught tourniquet for arterial bleed when I was in the military and now in the civilian sector…

  13. What do u have no gauze and you have hemostat clamps can u do a vein litigation or at least clamp off the vein

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