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hello, richard here today, i'm going to teach you how to apply the one handed windless tourniquet and the carry on your fire phase, one very important thing that you need to remember is always have your turning can place that you could easily assess it within a matter of seconds the first step to applying the tourniquet is to remove it from your j fac or your tourniquet pouch insert the injured limb through the loop of the self preparing band position the tourniquet above the bleeding site high in the extremity over the clothing or uniform ensure all the slack and the band is being pulled through the routing buckle before the band is fastened back on itself and the windless is twisted remember fastening the self adhering band back on itself all the way around the limb, but not over the winless rod clips twist the rod until bleeding has stopped completing the process within one minute walk the windless rod in place with the windless clip route the self adhering band around the rod in between the clips and secure with the windlass strap remember do not document tourniquet application time until tactical field care phase。 啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊!

so today's video is going to be both short and simultaneously very important i want to show you guys how to fold in stage a cat turnikit the right way and how to fold in stage attorney kit the wrong way so believe it or not how you fold and stage your tournicuts is a really big deal and it can be the difference between life or death in a patient you're applying this to or yourself so today i want to go through how to stage these how to fold these and then also what are some of the main mistakes i've seen people doing and why we want to avoid them so there are two main ways you can fold a tornic hit and both ones work fine kind of your preference and how you have to store these so the first way to fold a tourniquet and this is kind of the classic way that you'll see on north american rescues website is you have the tourniquet in front the winless up and down inside this bracket the time strip pulled off to the side and then in the back it can just open like that and you can put that around in extremity really fast so i'll show you how to do this really quick to fold this method if you take the turnikit and you've completely taken out the strap and everything all you have to do is you feed the red tip through the first buckle and you might have to play around with how big you make this initial loop but you know you just play with it and figure out what works for you and what size it needs to be so you pull it through the loop to a point and then you fold it back on itself as you do that and you have this loop here i'm gonna take this end and i'm gonna fold this under the turnikit about the length of this plastic portion to the buckle and i'm gonna fold this portion back on itself i'm gonna take the windlass put it in the bracket and make sure the time strips pulled back so then you have a nice little package here and when you're ready to deploy it it can come right off you can pull this red tab and tighten it around an extremity really fast and then tighten the windless so this is kind of the classic way to fold a tournicate and probably the most common i'd say now one of my friends who is a 68 whiskey for an infantry unit he taught me this method and this is how he was taught to fold cat tonica and there are some very specific reasons for it so right off the bat it looks pretty similar the front is staged identically but when you come to the back and you open it up you actually have two loops inside of there and this is barely attached to the tourniquet so to fold it in this method you pull everything out and then you're going to take this first loop and you're going to bring it up to that buckle and fold it back down on itself then you do the same thing and you take the back end and you fold it to the top of that buckle and fold it down and then you take the last section and you bring it up and you're going to take it through this buckle only slightly and fold it back over now this offers a couple of advantages to the first version i showed you for one this is already a lot bigger so if you need to put this around a really big leg you can open this up quite a lot more the second thing this allows you to have is you don't have much velcro attaching this so you can really quick pop this out take it off if you need to put it on a leg or just take it off and tighten it really fast the other advantage this gives you is while it's in that form factor if you have to put this tourniquet in a enclosed pocket either on the shoulder of your combat shirt or in a cargo pocket you can take this red tip and this can actually hang outside of your pocket so people around you know that you have a tonic on you obviously this is only going to be a benefit if you work around people that actually know bleeding control and how to apply a tourniquet such as military law enforcement so probably a little bit less so for civilian use because people aren't going to know what that means but if you have a unit and you've all decided that this is how you're going to store your tourniquets it will be advantageous to you now that i've shown you the right ways to stage turnikits i want to show you some of the big problems i've seen and talk about why these are issues so the first thing i see a lot of is people get a turnikit and they pull it tight to store it so they have a loop through here they pull it tight and then they just accordion fold the rest of the turnikit back on there you know at first glance this looks very similar to how it was staged earlier except that if you need to put this on you have nothing you have a very small opening to get in there and you've got this really long tail so putting this on your arm or your leg is gonna be a lot harder than if you could just open it and have it the correct width so this is the first mistake i see people make a lot the second most common mistake i see and i think a problem that's a pretty big deal is having the time strip of your tourniquet deployed over your winless this is a big problem because the first thing you lose when you're under stress and i guarantee you if you're applying a cat tourniquet you are under stress is your fine motor skills and trying to grab this tab right here and peel it off velcro with just your two fingers that is the definition of a fine motor skill so you've taken the tourniquette you've applied on the arm you've tightened it up as much as you can and now you're trying to move the windlass and you have to peel that back push it over tighten the wind endless and then redeploy it that's a pretty big time sink and it could be the difference between life or death and there's really no reason to store your turnikit like this i know people think it looks a lot cleaner on their belts, but really that doesn't matter just pull this time tab over fold it back on the tourniquet and that will just stay out of the way a lot of companies are making tourniquet holders that actually keep this velcro from tearing at your uniform there's little shirt savers on the side so you don't have to worry about this hard velcro destroying your uniform or rubbing against your skin that's pretty much all i've got for this video if you have any questions about anything i covered today, please leave them in the comments down below。

combat application turnicket cat one handed application insert the injured limb through the loop in the band and position the cat two to three inches above the bleeding site directly to the skin pull the band tightly fasten it back onto itself all the way around the limb, but not over the rod clips the band should be tight enough that the tips of three fingers cannot slide between the band and the limb if the tips of three fingers slide under the band re tighten and resecure twist the rod until bleeding has stopped secure the rod inside a clip to lock it in place bleeding and distal pulse if bleeding is not controlled or distal pulse is present consider additional tightening or applying a second cat above and side by side to the first reassess route the band between the clips and over the rod secure rod and band with time strap if able record time of application on the time strap with the permanent marker included in the kit。

hello, my name is charles and i'm an act to do the army six day, whiskey combat medic i want to teach you how to properly apply a tourniquet the most common tourniquet and the one you'll be using for in this training is a combat application, tourniquet or cat tourniquet there are other types of tourniquets in the military system, but this is the type that you will find in your military first a kit before i go over the steps of turnika application i would like to explain how the turnike may come package and go over the parts of the turnikit first, let's remove the turnigate from the carrying pouch and open it turning here comes package in the quick launch configuration which is in a loop configuration and is good for one handed use or self application or applied on a casualty using both hands the turning get has a large band at rats or loops around the arm or leg the band passes through a routing buckle which allows the van to be pulled tight the van is self adhering with the velcro on one side to allow the stick to itself once the van has been pulled tight around the armor leg attached to the band is the windless rot, the windless clip and the windless safety strap the windless rot is turned to tighten the band around the arm or leg and is then placed in the windless clip and secured with the safety strap the windlass safety strap sometimes called the time strap because it is where you write the time application of the tourniquet now let's continue with this test for tourniquet application if the tourniqueux in the loop configuration slide the injure arm or leg through the loop of the van and then fasten it back onto itself as tightly as possible the band should be tight enough that you cannot slide three fingers on it it is critically important to make sure the band is as tight as possible by removing all of the slack from the band before tightening the windless rod also do not adhere the band past the windless clip if you are applying to turn to get to a leg wound it may be easier to wrap the band around the leg and through the buckle instead of trying to slide the loot band over the foot and up the leg make sure to position the turn to get above the bleeding site on the injured limb if you can visilize the bleeding site leave a two to three inches all on an interskin between a tourniquet and the wound and there's a lot of blood and the bleeding site is not visible place a tourniquet as high as possible on the arm or leg over the clothing for proper application the windless clip and windless rot should be situated on the outside of the body not inside the armpit or growing area since this will make it difficult to apply also do not place the turning kit over a knee or the elbow next twist the windless rod to tighten the band into the bleeding stop place the windless rod inside the windless clip to secure checkflow pulse in the arm on the outside of the cavalry's wrist an inch or so below the thumb pad or in the leg on the top of the foot or behind the ankle if the turnik is on properly and the blood flow has stopped the post should not be palpable the goal is to stop to bleeding within one minute can the time you start applying and turning it check to make sure that the bleeding has not started again and the post is still absent if the bleeding has resumed or the post is still present remove the windless rod from the clip tighten the rod into the bleeding and or the pulse is absent and reposition the rod back inside the clip secure the windless rod and the bend under the safety strap it is always important to secure the windless rod with the windless safety strap before moving the casuity the turnika application process should be completed within three minutes from start to finish right down the time of the turnkick application on the windlass safety strap and make sure to also document this on the dd 1380 tactical combat casuity care card if there's no other way to document the time of application you can simply write it on the patient's forehead when other providers arrive in for them of your findings and treatment and assist with evacuation as requested remember to continuously reassess tourniquet affectedness every two to five minutes and adjust or tighten as needed to control bleeding if the injury is not suited for a turnigate, such as an injury on the back chest abdomen roin or neck your only option will be to pack the wound and apply pressure or wrap with a pressure dressing if one is available if you place the turniket properly it will be very tight and stop the blood flow this will hurt so make sure to communicate with your casity letting them know what you are doing and that wild attorney kit is painful it will stop bleeding and save their life。

combat application turnigate cat storing the cat in the quick launch configuration take the band out of the buckle ensure the rod is not secured in the clip and all turns of the rod are removed stretch out the band twice horizontally like an archer to straighten it out pass the red tip through the slit in the buckle pull 8 inches of the band through fold it back and adhere the band to itself flattened the loop band place the buckle in the middle of the flattened band fold the cat in half placing the buckle at one end secure the rod inside a clip to lock it in place the cat is now ready to be used for future training these are some important points to remember never place a tourniquet over a joint such as a knee or elbow the tourniquet can be applied over clothing if the sight of the bleeding is not readily apparent place the tourniquet high and tight as proximal as possible on the injured limb never use the tourniquet over items in your clothing for larger limb to persons two tourniquets may be used, but must be applied side by side with the rods not interfering with each other once again the band should be tight enough that the tips of three fingers cannot slide under the band always call 911 for emergencies always follow device instructions for use always follow direction of healthcare professionals present always know the legal protections granted by applicable goods american laws prepare anyone anywhere to save a life。

哎,其实我突然发现一个亮点啊,其实杰瑞的这个是太子职业带的一个绑法,其实这个是一个特别好的一个小细节,很多人呢会把这个太子职业带的这个时间的这个贴纸啊, 把它粘到这边来,其实这个方法呢是相对错误的,这是不方便我们进行紧急止血时使用的一个操作,因为我们戴着手套的时候很难才进行这种细节化的扣这个边边的这种操作,然后会耽误我们的时间,你看看,如果你要面临大出血的时候, 时间就是生命,你用这种去操作的话呢,非常影响你的时间,对吧?而且,呃,这个一会呢我们给大家展示一下,因为可能他是用橡皮筋绑的这种抽完了可能这个橡皮筋 可能就废废掉了。我们一会用另外一个东西来给大家展示一下这个开的止血带的一个使用,我的前面板上是有一个止血带的, 没看到,还真是没有看见,哎,对吧?他在哦,你给他绑到下面了,对,为什么放在这呢?其实, 呃,你要明白一个职业带的一个使用规则,就是快速取拿,并且呢,其实如果我在我穿着背心状态下,我无论我的右手还是左手都可以快速的把它抽取出来, 并且呢,刚才也是跟今儿一样,我们两个的这个职业带都是同样的一个叠法,把这个 时间的这个贴纸放到了这边,为什么呢?我们可以看一下他的一个正确的一个叠法,如果我们在使用的时候,我一拉开 他就是一个环状的,我可以更快速的套到我的胳膊上进行一个止血带的一个操作,你看我一拉一拉一缠, 然后开始进行我的这个搅屎棍的一个操作,对吧?然后完搅完,完成固定,把这个这里面 一干,写上时间,完全单手的操作,对对对,他一悬崖式,对,但如果很多小伙伴呢,很多小伙伴的一个职业带的操作是这个样子的,来我们复原一下, 很多人是把这个抽出来的,然后呢进行这样的叠取,哎,看起来,然后这么一拉也看起来也很正经, 他们两个区别在哪呢?我啊,我这个胳膊中弹了,首先呢我要把它打开,哎呀,这个我得找先给他穿进去,哎,然后我再我再给他拉拉紧, 这假如我已经拉紧了啊,然后我我要操作的时候,突然发现我这个棒棒被这个挡住了,然后我戴着手套,我在这扣,哎呀 扣的很费劲,你看我这个时候已经,我已经我已经流了好多血了,浪费了,比较浪费了好多的时间,对,所以非常不建议大家 那么去操,虽然这个职业蛋大家在下场的活动中一般不会用得到,除非你真的就是遇到了特别锋利的东西,嘎到了你 主动卖,嗯,所以说也在这为各位小伙伴进行一个科普啊,这个职业带的正确的一个叠法,我们可以看一下这个东西呢, 我们把这个带红色标的这个穿过这个环,然后在这我的习惯啊,把它留的长一点,因为因为如果要是真的重担的话,不一定是胳膊还是腿啊,留更富裕的空间的话,其实我可以套套到我的腿上进行一个操作,很快速啊,就是兼容性很高, 所以说然后我们根据整个职业带的一个形状,然后去进行一个这样的折叠,然后把这个棒棒放在这,对,这你一拉就开,然后一拉就是一个环状,就马上就可以使用, 所以说这也是一个小小的一个知识的科普吧。然后就算我们下场的话也不要让被人说,哎,这个人就是一个业余,纯为了造型,哈哈哈,你要知道这个是一个为了使用的,对。


给大家介绍一个实用的小玩意,就是这个悬崖式止血带,在用 cat 时提前把袋子穿成大圈收纳方便快速靠近四肢,也避免因为紧张而穿不进。扣捆扎位置要在伤口上端五到八厘米处的静心端,这样才能有效的止流,特别是对动脉烫好后快速收紧,袋子要收到三根手指并排伸不进去的程度, 如果还不能有效止流,就继续拧悬崖蚌,还要观察流量,不能像喷泉似的,也不能彻底不流。最后固定好悬崖蚌的位置,在这写下捆扎时间,一般讲压四十五分钟就要松十到十五分钟,还要注意手脚。