My name is Alv Rios and I am a paramedic with
Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over
making a pressure bandage for an injury such as a laceration or a deep cut. This is my
partner Jacob Barbor. He also works with me as a paramedic for Lansing Mercy Ambulance
and he is going to be doing this on behalf of Expert Village. What we want to do in this
situation is control the bleeding. We are going to start by taking a bandage or a dressing
and we are going to take our dressing and the first thing we are going to do if this
is our injury site is hold direct pressure and elevate the extremity. What we also want
to do is keep the direct pressure. It is more practical for me to tie something here to
hold the pressure for me rather that me use my resources to hold my hand here the whole
time. So what I want to do is use something that is clean. This is a bandage. What we
are going to do is put this on there to work as holding the pressure for me. It’s important
that when you are bandaging because you are going to be making this tight you want to
make sure that you work distal to proximal. Distal means the furthest from you. Proximal
means the closest. So you want to start at the wrist and as you work your way closer
in. The reason for this is because since you are going to be making this tight you don’t
want to push blood in the hand and trap it there. You would rather go the other way around
if possible. This is an adequate dressing right here and what I can do now is tuck it
in by cutting this. What I am going to show you also are some different ways that you
can help make this a little bit tighter cause usually the more pressure you have the better
chance you are going to stop the blood flow. You can do something which what we do is you
pull it out and you are just going to rotate the cloth. What this does is reinforce this.
It makes it a little bit stronger. You can pull harder. By doing that crossing motion
it makes it stronger and less flexible than this normal cloth. Again when you run out
of cloth you can just cut this and what you are going to do is just tuck it underneath
such as this eliminating this top part. If for some reason this ever becomes blood soaked
and the blood is coming through it to the point where it’s no longer controlling the
bleeding you want to make sure that you never take off the dressing but rather just put
new bandages over this one. But you never want to take off the original one once you
have it on.
wait, whats with 0:59, did they start the wrong way?
also, what is best to clean it with before you wrap? also what if something is stuck?
At 1:34 He states that it is a decent dressing.
Its technically a bandage. The dressing is the soft under part which is applied to the wound directly. The bandage is the part he is showing.
May be a bit picky, but hey he has a video for "expert Village" so should be right 100% all the way through.
All in all great video!
It destroys the blood clot and re-opens the wound.
Yeah! good training vid. Would like to see how to treat a patient with foreign object such as a metal or wood on an arm. Is it a good idea to just leave it in,? Want to see bandaging techniques for that scenario.
Ok, thanks. I forgot. I will make a point to sign up for classes on first aid and cpr. I want to be prepared when an emergency situation arises.
we had similar video in military for my medic course. in the video there was a guy with either a real wound or a really good special effects wound, it was pretty disgusting looking
If you were going to bandage a wound and the bandage is going to stay on for a long time, would you use the spiral technique or the figure 8 or even the reverse spiral?
keep pressure
preasure is applied dirrectly to wound if its on neck, patient is to be imediatly taken to hopsital
please use b.s.i first…please!!!
Thanks fellows!! That was informative!! Especially the distal to the proximal
In France we would immediatly lie the victim down while keeping the direct pressure with a glove.
Then we'll use a special stuff called an Emegency Haemostatic Cuchion (Coussin Hémostatique d'Urgence) to keep the pressure on the wound.
We avoid to put EHC for neck wounds, but it's possible.
@SexyYaba wtf lol
@superhero1 They aren't too young to be paramedics, depending on the state they are in. In my state they can go through the course starting at age 17, as long as they are 18 by the time they finish it. In some classes or programs the classes are held each day to accelerate the training. It also allows for a higher level of training and competence of the students.
@jgthrush absolutely right.
Dude! Scene Safety? BSI? Mayor Mistake in this video
Dude! Scene Safety? BSI? Call 911 and Report to me?
What the mother.. This is all wrong.
Scene is safe. First aid kit. Gloves. ask if you can help? ect…..
Thanks, i will never trust an EMT ever.
thumbs up if u search first aid cuz u play left 4 dead !!
NICE..NO GLOVES!!!
can i tape the dressing then wrap the bandage around it?
sorry to mention again but check circulatory, sensory, and movement of the hand before applying and after
Where are you Gloves???????
oops..Your gloves?
this is mostly right
nothing wrong
except
hes not under physological preassure
what if he is insane
wheres the tranqs
or the hammer
or mallet
or frying pan
you know what
nm
I thought that, good catch vtach
can you make a video of the basic first aid kit
What if an arrow goes through my knee?
i'll come through your computer screen and punch you
Dont hurt me 🙁
just dont make another arrow to the joke again they really piss me off
I used to get mad at arrow to the knee jokes like you, but then my sense of humor changed as I progressively aged (then i took an arrow to the knee
you have no idea how badly i want to kill you right now
rofl
I'll tell you my week spot, and what weapon works best.
my knee is the weakness, arrows work best
you are driving that joke into the ground
And you sir, need to lighten up
why dont we both act like real men and stop arguing
That seems like the best way so ok
ok
I have a few questions. I've read before that first you clean out a wound. Yet, I've also read you need to make sure the bleeding stops immediently.
How do you clean out a wound if there's nothing on hand to clean it out with?
How do you clean a wound if it's pouring blood?
Also, when you need something to hold the bandage to the wound the video said to use a bandage. What if you don't have a bandage? What can I use if I don't have anything like that to use? I'm just asking because I'd like to know in case there's ever a time when I don't have anything like a bandage [or any medical supplies] with me.
If you fall on a sharp piece of iron and it pass through your ribs should you pull it out or leave it until hep come
I would also mention that you need to check for a pulse, sensation and motor movement before and after you apply the bandage to make sure you didn't go too tight and create a tourniquet
cool!
Good video. Thanks for sharing!
The first thing you need to do when working with blood is put on those gloves but it was a good video that cannot be shown in my class because you have to tell people to make sure they have the gloves when working with blood or other fluids coming from another person!
I bet these boys suck each other's dicks after a couple of beers.
Why can't you take off/change the original bandage?
If your a professional you should know to wear gloves when working on someone. Yes it's only a demonstration but it's also to teach.
I have a few bad cuts on my left forearm(self inflicted, don't ask why) and I've used this method and it's pretty good🙌🏽👍🏽
MEDIC!
He forgot to mention if blood soaks through the first set of bandaging to apply more pressure for 5- 10 mins then apply a new bandage
Why do you never want to take off the original once you have it on?
BSI…Gloves…You need to protect yourself especially where blood is concern
Starting the it without using or showing or using an protective gloves a big failure.
No need to clean first before you wrap the wound???
The year that this video was uploaded is the birth of MCU Film. Nvm. I just want to share it to you guys.
When you take fall damage and you have to bandage up.