The STOP THE BLEED course teaches individuals how to control life-threatening bleeding through the ABCs of bleeding control: A) Alert 911, B) Find the source of bleeding, and C) Apply pressure, packing, or a tourniquet to compress the wound and stop blood loss. Personal safety is the top priority, and help should only be provided if it can be done safely. Direct pressure, wound packing, or a tourniquet above the wound can help control bleeding until emergency responders arrive. The course aims to provide bystanders with skills that could save a life in an emergency situation.
Este documento trata sobre diferentes técnicas avanzadas de rescate en emergencias y desastres. Explica conceptos como la extricación vehicular, la cual es el proceso de brindar atención médica inicial y retirar a una persona lesionada de un vehículo de manera segura. También describe el rescate vehicular, el cual involucra maniobras para acceder, liberar y extraer a un accidentado de un auto. Además, introduce el sistema de comando de incidentes, el cual fue desarrollado para mejorar la coordinación en respuestas a emerg
The document discusses the risks of falls from heights in an industrial context and the evolution of fall protection devices. It provides statistics on industrial falls between 2015-2020 that resulted in over 200,000 injuries and 648 fatalities. The key risks are suspension trauma, which can occur when a worker is suspended motionless in a full body harness for over 10 minutes. This causes blood to pool in the lower extremities due to lack of muscle movement, which can lead to loss of consciousness or even death if the person is not rescued promptly. The document outlines the physiological effects of suspension trauma and how modern fall protection devices are designed to mitigate these risks. It emphasizes the importance of rescue plans and responding to any suspended worker within 6 minutes to prevent
1) The document provides guidance on how to control bleeding through the ABCs method - Alerting emergency services, finding and identifying life-threatening bleeding, and compressing the wound to stop bleeding through direct pressure or a tourniquet.
2) It emphasizes the importance of immediate response to bleeding and teaches ways to recognize and stop life-threatening bleeding before professional help arrives.
3) The focus is on ensuring the responder's safety, calling for help, identifying where the victim is bleeding from, and applying direct pressure or using a tourniquet to stop bleeding from an arm or leg until emergency services take over treatment.
Este documento presenta los principios fundamentales del rescate vehicular, incluyendo asegurar el área, estabilizar el vehículo, acceder a la víctima, forzar y sacar puertas, abrir un tercer acceso, y el uso de herramientas manuales. El objetivo es lograr el rescate de manera coordinada y segura en menos de 60 segundos. Se ofrece una presentación completa de 81 diapositivas sobre el tema en el sitio web mencionado.
The document is a training course on how to stop bleeding from injuries. It teaches the ABCs of bleeding control: A) Alert emergency services, B) Find the source of bleeding, and C) Apply pressure, packing, or a tourniquet to compress the wound and stop blood loss. Personal safety is the top priority, and treatment involves directly pressing on wounds or using gauze and approved tourniquets until emergency help arrives. The goal is to save lives by empowering more people with the skills to stop life-threatening bleeding in emergency situations.
The document describes the parts of overhead cranes. It discusses the various types of cranes including bridge cranes, gantry cranes, jib cranes, and monorail cranes. It then describes the key parts of cranes which include the hoisting mechanisms such as hoist drums, wire rope, hooks, and load blocks. It also discusses the overhead parts like the trolley, bridge, runway beam, and pendant controller. Additionally, it covers safety parts like brakes, power supply, and load rating plates as well as bumpers and stops. Diagrams are provided to illustrate the various crane parts.
This document provides guidance on safely moving and lifting patients for first responders. It advises waiting for professional help in most cases but sometimes a victim needs to be moved to protect them from danger or provide care. Proper body mechanics should be used to minimize risk of back injury, including planning the lift, maintaining good posture, and communicating with partners. Techniques for the recovery position, log rolling, vehicle extrication, emergency drags, and carries are described while keeping the head and spine stabilized and in line. Rapid movement is discouraged to avoid aggravating potential spinal injuries.
This document outlines the key lessons and safety procedures for confined space rescue. It discusses (1) identifying various confined space types and associated hazards, (2) understanding the dangers of confined space rescue and necessary safety precautions, and (3) the 6 methods for executing confined space rescues and ensuring rescuer safety.
Este documento trata sobre diferentes técnicas avanzadas de rescate en emergencias y desastres. Explica conceptos como la extricación vehicular, la cual es el proceso de brindar atención médica inicial y retirar a una persona lesionada de un vehículo de manera segura. También describe el rescate vehicular, el cual involucra maniobras para acceder, liberar y extraer a un accidentado de un auto. Además, introduce el sistema de comando de incidentes, el cual fue desarrollado para mejorar la coordinación en respuestas a emerg
The document discusses the risks of falls from heights in an industrial context and the evolution of fall protection devices. It provides statistics on industrial falls between 2015-2020 that resulted in over 200,000 injuries and 648 fatalities. The key risks are suspension trauma, which can occur when a worker is suspended motionless in a full body harness for over 10 minutes. This causes blood to pool in the lower extremities due to lack of muscle movement, which can lead to loss of consciousness or even death if the person is not rescued promptly. The document outlines the physiological effects of suspension trauma and how modern fall protection devices are designed to mitigate these risks. It emphasizes the importance of rescue plans and responding to any suspended worker within 6 minutes to prevent
1) The document provides guidance on how to control bleeding through the ABCs method - Alerting emergency services, finding and identifying life-threatening bleeding, and compressing the wound to stop bleeding through direct pressure or a tourniquet.
2) It emphasizes the importance of immediate response to bleeding and teaches ways to recognize and stop life-threatening bleeding before professional help arrives.
3) The focus is on ensuring the responder's safety, calling for help, identifying where the victim is bleeding from, and applying direct pressure or using a tourniquet to stop bleeding from an arm or leg until emergency services take over treatment.
Este documento presenta los principios fundamentales del rescate vehicular, incluyendo asegurar el área, estabilizar el vehículo, acceder a la víctima, forzar y sacar puertas, abrir un tercer acceso, y el uso de herramientas manuales. El objetivo es lograr el rescate de manera coordinada y segura en menos de 60 segundos. Se ofrece una presentación completa de 81 diapositivas sobre el tema en el sitio web mencionado.
The document is a training course on how to stop bleeding from injuries. It teaches the ABCs of bleeding control: A) Alert emergency services, B) Find the source of bleeding, and C) Apply pressure, packing, or a tourniquet to compress the wound and stop blood loss. Personal safety is the top priority, and treatment involves directly pressing on wounds or using gauze and approved tourniquets until emergency help arrives. The goal is to save lives by empowering more people with the skills to stop life-threatening bleeding in emergency situations.
The document describes the parts of overhead cranes. It discusses the various types of cranes including bridge cranes, gantry cranes, jib cranes, and monorail cranes. It then describes the key parts of cranes which include the hoisting mechanisms such as hoist drums, wire rope, hooks, and load blocks. It also discusses the overhead parts like the trolley, bridge, runway beam, and pendant controller. Additionally, it covers safety parts like brakes, power supply, and load rating plates as well as bumpers and stops. Diagrams are provided to illustrate the various crane parts.
This document provides guidance on safely moving and lifting patients for first responders. It advises waiting for professional help in most cases but sometimes a victim needs to be moved to protect them from danger or provide care. Proper body mechanics should be used to minimize risk of back injury, including planning the lift, maintaining good posture, and communicating with partners. Techniques for the recovery position, log rolling, vehicle extrication, emergency drags, and carries are described while keeping the head and spine stabilized and in line. Rapid movement is discouraged to avoid aggravating potential spinal injuries.
This document outlines the key lessons and safety procedures for confined space rescue. It discusses (1) identifying various confined space types and associated hazards, (2) understanding the dangers of confined space rescue and necessary safety precautions, and (3) the 6 methods for executing confined space rescues and ensuring rescuer safety.
Session on haemostatic resuscitation from Copenhagen Critical Care Symposium 2021
Panel debate led by Jonathan White
Panellists
- The blood banker - Jakob Stensballe
- The surgeon - Emma Possfelt-Møller
- The interventional radiologist - Mikkel Taudorf
- The surgeon captain - Kate Prior
This document discusses polytrauma, which is defined as injury to multiple body systems leading to physiological changes. Polytrauma involves at least two major injuries like two major system injuries and one limb injury, or one major system injury and two limb injuries. The epidemiology, pathophysiology, and management of polytrauma patients is described. Management follows the ATLS protocol of treating life-threatening injuries first through primary and secondary surveys, with a focus on airway, breathing, circulation, disability, and exposure during the primary survey and resuscitation.
Management of polytraumatized patients focuses on organizing trauma teams and systems. The trauma team is assigned specific tasks to simultaneously address life-threatening injuries. A trauma system includes protocols like ATLS for managing multi-injured patients. ATLS emphasizes treating lethal injuries first through a primary survey addressing airway, breathing, circulation, disability and exposure. Secondary surveys then discover all other injuries to develop a definitive management plan. Proper triage also sorts patients by priority to maximize survival of the most severely injured.
The document outlines guidelines for basic life support, including:
- Defining CPR concepts and identifying the adult chain of survival as early access, early CPR, rapid defibrillation, effective advanced life support, and integrated post-cardiac arrest care.
- Detailing the CAB approach to assessing danger, response, circulation, airway, and breathing in emergencies.
- Providing techniques for adult one-rescuer and two-rescuer CPR, managing airway obstructions, and positioning unconscious victims.
El documento proporciona instrucciones sobre cómo controlar el sangrado de una herida. Explica que detener el sangrado incontrolado es crucial para salvar vidas. Resume los tres pasos clave: 1) llamar a emergencias; 2) encontrar la fuente de sangrado; y 3) aplicar presión a la herida usando una prenda limpia, torniquete o empaquetando la herida con gasas. El objetivo es enseñar técnicas básicas para detener sangrado y aumentar la supervivencia de víctimas de trauma.
Dr. Fathi Neana is the Chief of Orthopaedics at Dr. Fakhry & Dr. A. Al-Garzaie Hospital. The document discusses orthopaedic challenges in ancient Egypt and provides an overview of polytrauma management, including damage control orthopaedics, factors affecting mortality, and the management of multiply injured patients through initial stabilization, resuscitation, and definitive total care. It also summarizes the epidemiology and causes of trauma mortality.
The document provides safety guidelines for operating a Stryker ambulance cot. It summarizes the cot specifications, manufacturer warnings, proper techniques for loading and unloading a cot from an ambulance with one or two operators, and safe practices for moving a cot with a patient. Key safety points include using restraint straps, not leaving patients unattended, engaging safety locks, and always having two operators for loading/unloading a cot with a patient.
This document outlines methods for confined space rescue. It defines a confined space as having limited entry/exit and not being designed for continuous occupancy. Types of rescue include self-rescue, non-entry rescue using equipment, and entry rescue. Hazards include hazardous atmospheres, falls, and flooding. Methods described include forward drag, cross-chest carry, collar/leg pulls, and using a blanket. Safety precautions are to use proper equipment, follow procedures, call for backup, and ensure ventilation. The goal is to rescue victims from confined spaces safely.
El documento describe las etapas del proceso de extricación o rescate de una persona atrapada en un vehículo accidentado. Inicia con la llegada al lugar del accidente e identificación de riesgos, continúa con lograr acceso hasta la víctima de forma segura, brindar atención médica y liberar al paciente del vehículo sin empeorar sus lesiones, para finalmente inmovilizarlo y trasladarlo a un lugar seguro. Se enfatiza realizar cada etapa de forma planeada y priorizando siempre la seguridad del rescatista y
ZT Safety Systems produces the ZT Safety Harness the safest work at height fall safety harness
If you fall from height while wearing a
conventional safety harness, 100 per cent of the falling force will be directed to your groin area.
But the ZT range of harnesses feature a revolutionary design which eliminates groin straps, distributing the force to the whole body, leaving you at far less risk of discomfort. ZT equals Zero Trauma.
Sounds too good to be true?
See the harnesses in action, and all the technical information you need at our website: www.ztsafetysystems.com
Presentation OSHA ( Occupational Safety and Health Administration )/ Keselama...Caroline Ugan
The document discusses first aid, including defining it as initial care provided until medical treatment is accessed, outlining common first aid kit contents like bandages and antiseptic, and describing procedures for treating common injuries and emergencies like bleeding, burns, shock, and poisoning. Guidelines are provided for performing CPR, with emphasis on giving chest compressions and rescue breathing in repeated cycles until emergency responders arrive.
This document provides information on first aid, including the aims, skills, qualities of good first aiders, guidelines, and procedures for conditions like cardiopulmonary resuscitation, bleeding, choking, shock, soft tissue injuries, burns, fractures, and more. The key points covered are the ABCs of first aid, assessing safety, providing necessary emergency care, and knowing when to seek additional medical help.
This document provides an overview of rope rescue set-up and anchoring principles for the Newport Fire Department. It discusses important considerations for selecting strong anchors, including structural steel, reinforced concrete, heavy machinery, and natural anchors. Examples of poor anchor choices are also given. The document reviews techniques for setting up self-equalizing anchor systems and picket systems using multiple stakes. It provides step-by-step instructions for constructing an anchor plate for connecting rope to the anchor point and establishing a lowering system using a rack, load release, prussik knots, and munter or haul systems to raise and lower victims.
Carleton Rescue Equipment Ltd. (CRE) is a company established in 1937 that provides safety and rescue equipment to trained professionals. CRE offers a wide range of equipment for high angle rope rescue, including ropes, pulleys, ascenders, descenders, belay devices, carabiners, harnesses, and full rope rescue systems. CRE also provides training for high angle rope rescue techniques that use this specialized equipment to safely extract victims from hazardous heights.
Ringkasan dokumen:
TCCC (Tactical Combat Casualty Care) adalah serangkaian tindakan darurat yang dilakukan untuk menolong korban tempur agar terhindar dari kematian dan mencegah jatuhnya korban lain. TCCC meliputi 3 fase yaitu pertolongan saat kontak, pertolongan lapangan taktis, dan evakuasi taktis."
This document provides an overview of the Approach to Trauma- Advanced Trauma Life Support (ATLS) program. It discusses the history and concepts of ATLS, which was created in 1976 to standardize trauma care. The document outlines the ABCDE approach to the primary and secondary trauma surveys, which are designed to rapidly identify and treat life-threatening injuries. It covers steps for airway management, breathing and ventilation support, circulation stabilization, disability assessment, and full patient exposure and monitoring. Adjunct procedures like IV access, imaging, and fluid resuscitation are also reviewed.
AED Awareness Training Slides for Safety and Health personnel. This slide provide surface understanding on the human anatomy, functions of AED (defibtech) and its Preventive Maintenance (PM).
The document is a training course on how to stop bleeding from injuries. It teaches the ABCs of bleeding control: A is for Alert by calling 911, B is for finding Bleeding by locating wounds, and C is for Compressing bleeding through direct pressure, wound packing, or using a tourniquet. Personal safety is emphasized, and appropriate ways to apply pressure, pack wounds, and use tourniquets are demonstrated for arms, legs, neck, and other body parts in adults and children. Questions about special situations are addressed. The overall goal is to recognize life-threatening bleeding and take steps to stop it until emergency help arrives.
This document provides information on hemorrhage control techniques for use in tactical environments. It discusses the leading causes of preventable death on the battlefield being hemorrhage and the importance of hemorrhage control to save lives. New hemostatic agents are available to help with hemorrhage control, such as chitosan bandages and QuikClot powder. Proper use of tourniquets, such as the Combat Application Tourniquet, and direct pressure are emphasized as primary methods for controlling hemorrhage from external wounds, while internal signs of hemorrhage are also reviewed.
Session on haemostatic resuscitation from Copenhagen Critical Care Symposium 2021
Panel debate led by Jonathan White
Panellists
- The blood banker - Jakob Stensballe
- The surgeon - Emma Possfelt-Møller
- The interventional radiologist - Mikkel Taudorf
- The surgeon captain - Kate Prior
This document discusses polytrauma, which is defined as injury to multiple body systems leading to physiological changes. Polytrauma involves at least two major injuries like two major system injuries and one limb injury, or one major system injury and two limb injuries. The epidemiology, pathophysiology, and management of polytrauma patients is described. Management follows the ATLS protocol of treating life-threatening injuries first through primary and secondary surveys, with a focus on airway, breathing, circulation, disability, and exposure during the primary survey and resuscitation.
Management of polytraumatized patients focuses on organizing trauma teams and systems. The trauma team is assigned specific tasks to simultaneously address life-threatening injuries. A trauma system includes protocols like ATLS for managing multi-injured patients. ATLS emphasizes treating lethal injuries first through a primary survey addressing airway, breathing, circulation, disability and exposure. Secondary surveys then discover all other injuries to develop a definitive management plan. Proper triage also sorts patients by priority to maximize survival of the most severely injured.
The document outlines guidelines for basic life support, including:
- Defining CPR concepts and identifying the adult chain of survival as early access, early CPR, rapid defibrillation, effective advanced life support, and integrated post-cardiac arrest care.
- Detailing the CAB approach to assessing danger, response, circulation, airway, and breathing in emergencies.
- Providing techniques for adult one-rescuer and two-rescuer CPR, managing airway obstructions, and positioning unconscious victims.
El documento proporciona instrucciones sobre cómo controlar el sangrado de una herida. Explica que detener el sangrado incontrolado es crucial para salvar vidas. Resume los tres pasos clave: 1) llamar a emergencias; 2) encontrar la fuente de sangrado; y 3) aplicar presión a la herida usando una prenda limpia, torniquete o empaquetando la herida con gasas. El objetivo es enseñar técnicas básicas para detener sangrado y aumentar la supervivencia de víctimas de trauma.
Dr. Fathi Neana is the Chief of Orthopaedics at Dr. Fakhry & Dr. A. Al-Garzaie Hospital. The document discusses orthopaedic challenges in ancient Egypt and provides an overview of polytrauma management, including damage control orthopaedics, factors affecting mortality, and the management of multiply injured patients through initial stabilization, resuscitation, and definitive total care. It also summarizes the epidemiology and causes of trauma mortality.
The document provides safety guidelines for operating a Stryker ambulance cot. It summarizes the cot specifications, manufacturer warnings, proper techniques for loading and unloading a cot from an ambulance with one or two operators, and safe practices for moving a cot with a patient. Key safety points include using restraint straps, not leaving patients unattended, engaging safety locks, and always having two operators for loading/unloading a cot with a patient.
This document outlines methods for confined space rescue. It defines a confined space as having limited entry/exit and not being designed for continuous occupancy. Types of rescue include self-rescue, non-entry rescue using equipment, and entry rescue. Hazards include hazardous atmospheres, falls, and flooding. Methods described include forward drag, cross-chest carry, collar/leg pulls, and using a blanket. Safety precautions are to use proper equipment, follow procedures, call for backup, and ensure ventilation. The goal is to rescue victims from confined spaces safely.
El documento describe las etapas del proceso de extricación o rescate de una persona atrapada en un vehículo accidentado. Inicia con la llegada al lugar del accidente e identificación de riesgos, continúa con lograr acceso hasta la víctima de forma segura, brindar atención médica y liberar al paciente del vehículo sin empeorar sus lesiones, para finalmente inmovilizarlo y trasladarlo a un lugar seguro. Se enfatiza realizar cada etapa de forma planeada y priorizando siempre la seguridad del rescatista y
ZT Safety Systems produces the ZT Safety Harness the safest work at height fall safety harness
If you fall from height while wearing a
conventional safety harness, 100 per cent of the falling force will be directed to your groin area.
But the ZT range of harnesses feature a revolutionary design which eliminates groin straps, distributing the force to the whole body, leaving you at far less risk of discomfort. ZT equals Zero Trauma.
Sounds too good to be true?
See the harnesses in action, and all the technical information you need at our website: www.ztsafetysystems.com
Presentation OSHA ( Occupational Safety and Health Administration )/ Keselama...Caroline Ugan
The document discusses first aid, including defining it as initial care provided until medical treatment is accessed, outlining common first aid kit contents like bandages and antiseptic, and describing procedures for treating common injuries and emergencies like bleeding, burns, shock, and poisoning. Guidelines are provided for performing CPR, with emphasis on giving chest compressions and rescue breathing in repeated cycles until emergency responders arrive.
This document provides information on first aid, including the aims, skills, qualities of good first aiders, guidelines, and procedures for conditions like cardiopulmonary resuscitation, bleeding, choking, shock, soft tissue injuries, burns, fractures, and more. The key points covered are the ABCs of first aid, assessing safety, providing necessary emergency care, and knowing when to seek additional medical help.
This document provides an overview of rope rescue set-up and anchoring principles for the Newport Fire Department. It discusses important considerations for selecting strong anchors, including structural steel, reinforced concrete, heavy machinery, and natural anchors. Examples of poor anchor choices are also given. The document reviews techniques for setting up self-equalizing anchor systems and picket systems using multiple stakes. It provides step-by-step instructions for constructing an anchor plate for connecting rope to the anchor point and establishing a lowering system using a rack, load release, prussik knots, and munter or haul systems to raise and lower victims.
Carleton Rescue Equipment Ltd. (CRE) is a company established in 1937 that provides safety and rescue equipment to trained professionals. CRE offers a wide range of equipment for high angle rope rescue, including ropes, pulleys, ascenders, descenders, belay devices, carabiners, harnesses, and full rope rescue systems. CRE also provides training for high angle rope rescue techniques that use this specialized equipment to safely extract victims from hazardous heights.
Ringkasan dokumen:
TCCC (Tactical Combat Casualty Care) adalah serangkaian tindakan darurat yang dilakukan untuk menolong korban tempur agar terhindar dari kematian dan mencegah jatuhnya korban lain. TCCC meliputi 3 fase yaitu pertolongan saat kontak, pertolongan lapangan taktis, dan evakuasi taktis."
This document provides an overview of the Approach to Trauma- Advanced Trauma Life Support (ATLS) program. It discusses the history and concepts of ATLS, which was created in 1976 to standardize trauma care. The document outlines the ABCDE approach to the primary and secondary trauma surveys, which are designed to rapidly identify and treat life-threatening injuries. It covers steps for airway management, breathing and ventilation support, circulation stabilization, disability assessment, and full patient exposure and monitoring. Adjunct procedures like IV access, imaging, and fluid resuscitation are also reviewed.
AED Awareness Training Slides for Safety and Health personnel. This slide provide surface understanding on the human anatomy, functions of AED (defibtech) and its Preventive Maintenance (PM).
The document is a training course on how to stop bleeding from injuries. It teaches the ABCs of bleeding control: A is for Alert by calling 911, B is for finding Bleeding by locating wounds, and C is for Compressing bleeding through direct pressure, wound packing, or using a tourniquet. Personal safety is emphasized, and appropriate ways to apply pressure, pack wounds, and use tourniquets are demonstrated for arms, legs, neck, and other body parts in adults and children. Questions about special situations are addressed. The overall goal is to recognize life-threatening bleeding and take steps to stop it until emergency help arrives.
This document provides information on hemorrhage control techniques for use in tactical environments. It discusses the leading causes of preventable death on the battlefield being hemorrhage and the importance of hemorrhage control to save lives. New hemostatic agents are available to help with hemorrhage control, such as chitosan bandages and QuikClot powder. Proper use of tourniquets, such as the Combat Application Tourniquet, and direct pressure are emphasized as primary methods for controlling hemorrhage from external wounds, while internal signs of hemorrhage are also reviewed.
The document discusses the initial assessment and management of trauma patients. It outlines the ABCDE approach to prioritize airway, breathing, circulation, disability, and exposure. Specific interventions are described for addressing life-threatening injuries associated with each category. The goal is to rapidly identify and treat issues that pose the greatest risk to life, such as airway obstruction, tension pneumothorax, and hemorrhagic shock from blood loss.
The document provides guidelines for the management of venous leg ulcers. It recommends serial wound measurement and documentation, wound biopsy for atypical ulcers, arterial testing for all patients, and venous duplex ultrasound. It suggests laboratory evaluation for recurrent thrombosis. The document provides guidelines for wound cleaning, debridement, dressings, adjunct therapies, compression therapy, and treatment of underlying venous disease to aid healing and prevent recurrence.
The document provides instructions for using a Combat Application Tourniquet (C-AT). It states that tourniquets should be used for major hemorrhaging that cannot be controlled through other means. The tourniquet must be placed above the injury site and, once applied, should not be removed. The C-AT has a self-adhering band that is wrapped around the limb and a windlass rod that is twisted to tighten the band until bleeding stops. A windlass strap is then used to lock the rod in place.
Measuring for Lower Extremity Compression GarmentsOSUCCC - James
The document discusses how to measure for lower extremity compression garments. It outlines the objectives which are to understand how to determine the appropriate compression stocking for a patient, know the differences between circular and flat knit garments, learn the bony landmarks for custom garment measurements, measure asymmetrical limbs, and practice measuring. It then explains how and why compression stockings work, contraindications, and differences between circular and flat knit stockings. The key measurement points are defined and techniques for accurate measuring are provided.
The document summarizes guidelines from the 2009 Canadian Cardiovascular Society Consensus Conference for the management of adults with congenital heart disease. It discusses recommendations for interventions or follow up for various lesions including atrial and ventricular septal defects, atrioventricular septal defects, patent ductus arteriosus, left ventricular outflow tract obstructions, Ebstein's anomaly and Marfan syndrome. The recommendations are based on the presence of symptoms, hemodynamic parameters and degree of pulmonary hypertension. Surgical repair is indicated for complex lesions and those not amenable to percutaneous closure, and should be performed by congenital heart surgeons.
1) The document discusses various surgical procedures for treating aortic root pathologies. It describes the anatomy of the aortic root and various conditions that can affect it like aneurysms and dissections.
2) Surgical techniques discussed include different types of composite graft replacements, valve sparing procedures, and re-do operations. Specific procedures mentioned are the Bentall procedure and the Ross procedure.
3) Factors that determine whether the aortic valve should be replaced or repaired are discussed. Guidelines for intervention based on aortic root size are also provided.
This document discusses bandaging wounds, including different types of dressings and bandages. It describes how to apply various bandages, such as roller bandages using spiral or figure-eight methods, and cravat bandages to the head, arm, leg, or hand. Proper bandaging helps control bleeding, prevents infection, absorbs drainage, protects the wound, and provides support. Signs of a bandage being too tight are also outlined.
This document provides an overview of cardiac surgery, including:
1. A brief history of key developments in cardiac surgery from 1896 to 1964.
2. The main purposes of cardiac surgery such as revascularization and valve repair/replacement.
3. Surgical approaches like open-heart, off-pump, and minimally invasive techniques.
4. Types of procedures including CABG, valve repair/replacement, and potential complications and nursing management in the postoperative phase.
The document provides instructions for using the Pelvic C-Clamp, which is used for emergency stabilization of unstable pelvic ring injuries. It describes:
1) Preparing the patient and positioning them supine to allow fluoroscopic monitoring, as well as preparing the Pelvic C-Clamp for use.
2) Identifying the insertion point for the cannulated nails on the ilium above the sacroiliac joints using palpation or fluoroscopy.
3) Inserting a Kirschner wire through the guide handle on the uninjured side for accurate nail placement.
4) Sliding the Pelvic C-Clamp over the Kirschner wire and inserting the second nail
The one-day Damage Control Symposium in Dubai discussed current strategies for damage control resuscitation, following the ATLS ABCDE approach. Key topics included prioritizing airway management over GCS criteria, using permissive hypotension and haemostatic resuscitation to control bleeding, and techniques for lung and neuroprotection to prevent further injury in trauma patients. Experienced clinicians shared practical considerations for implementing these strategies during pre-hospital care and in the emergency department.
The document provides guidelines for Tactical Combat Casualty Care (TCCC). It outlines recommendations for medical personnel in the prehospital combat and operational environment. Recent changes in the 2021 guidelines include recommendations for junctional and airway devices, analgesia, and treatment of abdominal evisceration. The guidelines provide a basic management plan for care under fire/threat and for tactical field care. It covers steps for hemorrhage control, airway management, respiration/breathing, circulation, and fluid resuscitation. Red text indicates new guidelines and blue text indicates relocated text within the guidelines.
This document discusses tips and tricks for stenting procedures. The key points covered are:
1) Lesion preparation through predilation is important for optimal stent deployment.
2) Stent strategy should consider possible scenarios like bifurcations to plan accordingly.
3) The goal is to do what is best for the patient by weighing risks of restenosis and stent thrombosis between drug-eluting and bare-metal stents.
This document provides guidance on managing hypovolemic shock and fluid resuscitation for combat medics. It discusses the importance of proper airway management and ventilation techniques. It recommends starting an IV with saline lock for casualties with significant injuries, or encouraging oral fluids for those without. The document reviews using a saline lock kit and performing intraosseous access, particularly a sternal IO. It discusses fluid types, flow rates, administering blood, and problems to watch for. The focus is on choosing the right equipment and fluids and effectively applying ventilation and IV techniques in tactical environments.
This document provides an overview of the annual Spill Prevention Control and Countermeasure (SPCC) training at UW-Stevens Point. It outlines the objectives of understanding why the university has an SPCC plan, sources of potential oil spills, how to prevent and respond to spills. It notes that any employees handling oils must receive annual training. The SPCC plan describes over 50,000 gallons of oil stored in 100 locations across campus and outlines inspection, response and reporting procedures to prevent spills from impacting local waterways. The training emphasizes the importance of being prepared to respond to spills and contacting the proper authorities immediately in the event a spill occurs.
Similar to lay-public-stop-the-bleed-presentation-ppt.pptx (20)
O documento discute as definições de urgência e emergência médica e fornece exemplos de situações que requerem atendimento de urgência ou emergência. Urgência é uma ocorrência imprevista que requer assistência médica imediata, enquanto emergência implica risco iminente de morte e tratamento imediato. Situações como fraturas, crises de asma e dor abdominal moderada geralmente requerem urgência, enquanto cortes profundos, queimaduras graves e parada cardíaca requerem emergência.
O documento discute os principais aspectos da neonatologia, incluindo o desenvolvimento físico normal dos recém-nascidos, os cuidados necessários para eles e as principais condições médicas que podem afetá-los.
O documento discute as patologias do aparelho respiratório e digestivo, incluindo bronquite, pneumonia, úlcera péptica, constipação e câncer de estômago. A bronquite é uma inflamação dos brônquios que pode ser aguda ou crônica, enquanto a pneumonia é uma infecção do parênquima pulmonar. A úlcera péptica é uma lesão na parede do estômago ou duodeno causada por excesso de ácido gástrico.
O documento discute o estresse e o burnout, definindo-os como processos distintos. O estresse é temporário e leva o corpo a se adaptar, enquanto o burnout é um estado crônico de estresse excessivo no trabalho que causa exaustão física e mental. O burnout atinge principalmente profissionais de cuidado como professores e médicos que lidam diretamente com pessoas.
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Test bank calculating drug dosages a patient safe approach to nursing and mat...rightmanforbloodline
Test bank calculating drug dosages a patient safe approach to nursing and math 2nd edition by castillo werner mccullough
Test bank calculating drug dosages a patient safe approach to nursing and math 2nd edition by castillo werner mccullough
Test bank calculating drug dosages a patient safe approach to nursing and math 2nd edition by castillo werner mccullough
Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
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Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
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Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
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Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
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Prepared by Prof. Blessy Thomas MSc Nursing, FNCON, SPN. The tonsils are two small glands that sit on either side of the throat.
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Tonsils act as filters, trapping germs that could otherwise enter the airways and cause infection.
They also make antibodies to fight infection.
But sometimes, they get overwhelmed by bacteria or viruses.
This can make them swollen and inflamed.
Tonsillitis is an infection of the tonsils, two masses of tissue at the back of the throat.
Tonsillitis is inflammation of the tonsils, two oval-shaped pads of tissue at the back of the throat — one tonsil on each side.
Tonsillitis is common, especially in children.
It can happen once in a while or come back again and again in a short period.Nursing management of Tonsillitis is important.
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2. The American
College of Surgeons
Committee on
Trauma
The Committee
on Tactical
Combat
Casualty Care
The National
Association of
Emergency Medical
Technicians
The American
College of
Emergency
Physicians
3. Some of the images shown
during this presentation may be
disturbing to some people.
Stop the Bleed Course v. 2.0 Introduction | A-Alert | B-Bleeding | C-Compression |
4. Why Do I Need This Training?
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
The #1 cause of preventable
death
after injury is bleeding.
5. Where Can I Use This Training?
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
7. Personal Safety
Introduction | A-Alert | B-Bleeding | C-Compression |
YOUR safety is YOUR first priority
• If you are injured, you cannot help others
• Help others only when it’s safe to do so
• If the situation changes or becomes
unsafe:
✓ Stop
✓ Move to safety
✓ If you can, take the victim with you
Stop the Bleed Course v. 2.0
8. Personal Safety
Introduction | A-Alert | B-Bleeding | C-Compression |
YOUR safety is YOUR first priority
• Wear gloves if you can
• If you get blood on you, be sure to clean any
part of your body that the blood has touched
• Tell a health care provider that you got blood
on you, and follow his or her direction
Stop the Bleed Course v. 2.0
9. ABCs of Bleeding Control
A Alert 911
B Bleeding
C Compress
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
10. ABCs of Bleeding Control
A Alert 911
B Bleeding
C Compress
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
11. ABCs of Bleeding Control
A Alert 911
• Call 911
• Know your location
• Follow instructions provided by
911 operator
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
12. ABCs of Bleeding Control
A Alert 911
B Bleeding
C Compress
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
13. ABCs of Bleeding Control
B Bleeding
• Find source of bleeding
• Look for:
✓ Continuous bleeding
✓ Large-volume bleeding
✓ Pooling of blood
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
14. ABCs of Bleeding Control
B Bleeding
• There may be multiple places the
victim is bleeding
• Clothing may also hide
life-threatening bleeding
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
15. ABCs of Bleeding Control
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
B Bleeding
• Arms and legs
• Neck, armpits,
and groin
• Body
16. ABCs of Bleeding Control
A Alert 911
B Bleeding
C Compress - Pressure
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
17. C Compress - Pressure
• Apply direct pressure to wound
• Focus on the location of the bleeding
• Use just enough gauze or cloth to
cover injury
• If pressure stops the bleeding, keep
pressure on wound until help arrives
Introduction | A-Alert | B-Bleeding | C-Compression |
ABCs of Bleeding Control
Stop the Bleed Course v. 2.0
18. ABCs of Bleeding Control
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
19. ABCs of Bleeding Control
C Compress - Packing
• For large wounds, superficial
pressure is not effective
• If bleeding is from a deep
wound, pack gauze tightly
into the wound until it stops
the bleeding; hold pressure
until help arrives
Introduction | A-Alert | B-Bleeding | C-
Compression |
Stop the Bleed Course v. 2.0
20. ABCs of Bleeding Control
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
21. ABCs of Bleeding Control
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
C Compress -
Packing
• Arms and legs
• Neck, armpits,
and groin
• Body
22. C Compress - T
ourniquet
• Apply 2 to 3 inches above wound
• Do not place over the elbow or knee
• Tighten tourniquet until bleeding stops
• Do NOT remove the tourniquet
Introduction | A-Alert | B-Bleeding | C-Compression |
ABCs of Bleeding Control
Stop the Bleed Course v. 2.0
23. C Compress - Tourniquet
• Can apply to others or on yourself
• Can be applied over clothes
• Tourniquets HURT
• A second tourniquet may be required to stop
the bleeding
Introduction | A-Alert | B-Bleeding | C-Compression |
ABCs of Bleeding Control
Stop the Bleed Course v. 2.0
24. ABCs of Bleeding Control
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
25. ABCs of Bleeding Control
Introduction | A-Alert | B-Bleeding | C-Compression |
Stop the Bleed Course v. 2.0
CAT
RMT
TX3
SAM-XT
TMT
CAT
SOFT-TT
26. CoTCCC Recommended STB Tourniquets
Recommended Non-Pneumatic Limb Tourniquets
• Combat Application Tourniquet Gen 6 (CAT-6)
• Combat Application Tourniquet Gen 7 (CAT-7)
• Ratcheting Medical Tourniquet (RMT) Tactical
• SAM Extremity Tourniquet (SAM-XT)
• SOF Tactical Tourniquet–Wide (SOFTT-Wide)
• Tactical Mechanical Tourniquet (TMT)
• TX2 Tourniquet (TX2)
• TX3 Tourniquet (TX3)
Stop the Bleed Course v. 2.0 Introduction | A-Alert | B-Bleeding | C-Compression |
28. Bleeding control in children
• In all but the extremely young child, the same
tourniquet used for adults can be used in children.
• For the infant or very small child (tourniquet too
big), direct pressure on the wound as described
previously will work in virtually all cases.
• For large, deep wounds, wound packing can be
performed in children just as in adults using the same
technique as described previously.
Stop the Bleed Course v. 2.0 Introduction | A-Alert | B-Bleeding | C-Compression |
29. FAQs
• Impaled objects?
• Improvised tourniquets?
• Loss of arm or leg?
• Pain?
• Other questions?
Stop the Bleed Course v. 2.0 Introduction | A-Alert | B-Bleeding | C-Compression |
30. Summary
✓Personal safety
A Alert 911
B Find bleeding
C Compress with
pressure and/or packing
C Compress with a
tourniquet
✓ Wait for help to arrive
Stop the Bleed Course v. 2.0 Introduction | A-Alert | B-Bleeding | C-Compression |
32. The only thing more tragic than a death…
is a death that could have been prevented.
Stop the Bleed Course v. 2.0
Editor's Notes
Note to instructor: This presentation includes the slide set you will need in order to deliver the didactic portion of the Stop the Bleed Basic course as well as instructor notes to assist you with the delivery of this material.
Consider downloading and printing these slides as a handout for course participants.
This educational program represents the joint effort of many organizations.
It represents the current “best practice” recommendations for how to manage life-threatening bleeding.
Stop the Bleed®
This course was designed to teach you how to recognize and control life-threatening hemorrhage. We cannot do that without clinical photographs that are relevant to the course content. Some of these photographs are graphic in nature and may be disturbing to some individuals.
The lay-public course does not have graphic clinical photos, but this slide allows you to speak to bleeding emergencies can be graphic and the immediate responder will see a lot of blood. Managing their expectations regarding a bleeding emergency can be discussed.
Ask class why they are taking the course.
Bleeding is the most common cause of preventable death after injury and must be stopped as soon as possible.
Ask class, where might these new skills be called upon.
Many injury mechanisms can result in serious bleeding.
Stress that while mass shootings currently receives a lot of attention, serious bleeding is more likely to result from everyday injuries such as those that may occur at home, at work or while on the road.
The techniques being taught in this course apply to bleeding regardless of the cause.
Consider using one or two examples where they may encounter life-threatening bleeding such as during a sporting event or around broken glass at home.
The focus of this program is the immediate response to bleeding.
Everyone should know how to recognize life-threatening bleeding.
Everyone should be able to take the appropriate steps to control bleeding until help arrives.
If you do not feel comfortable with controlling bleeding, you can still help by calling 911 and assisting others who are controlling bleeding.
Your personal safety is an important consideration. If you become injured as well, you won’t be able to help anyone and you will become a victim, the situation you find yourself in becomes more complicated. If the scene in not safe for whatever reason, you should remove yourself (and the victim, if possible) from danger and try to find a safe location. Once you reach safety, you can focus on bleeding control.
Stress the importance of personal protective equipment and avoiding contact with blood and body fluids.
While the risk of transmission is extremely low, it is not zero.
Avoid direct contact with blood or body fluids on your skin, eyes, or mouth
Wear gloves whenever possible
Wash hands after any contact even if no visible blood
The 911 dispatcher will guide you through the conversation. What happened?
When did it occur?
Where are you?
Number and status of victims?
Ongoing threats to your safety?
Note* (Can be explained to the participant if necessary) When you make a 911 call on a mobile phone, you are sending signals through the air. The tower that picks up your phone's signal may be near or not. That's not enough information for the dispatcher to find you.
You must know your location and if you are using a cell phone, the call back number.
If the situation and your battery power allows, you, or someone, should stay on the line.
Life threatening bleeding is large volume bleeding that is continuous, large volume, pulsatile, like a sprinkler, or is enough to pool in clothing or on the ground. The faster we can control the bleeding the better the patient will do.
Even if you find one source of bleeding, there may be others.
“The principles being taught in this course apply to external bleeding. This can occur from the extremities (blue) and from the junctional areas (green) which consist of the neck, armpits and groin. Junctional bleeding can be severe as large caliber blood vessels run through these areas. The third location where there can be bleeding is the body (red). This internal bleeding into the body cannot be controlled in the field and requires rapid transportation to a hospital or trauma center.”
Pressure will stop the majority of bleeding.
Start with pressure, use a small amount of gauze or material, just enough to cover the wound. Excess gauze or material makes pressure ineffective. If gauze is unavailable, use any clean material.
Apply pressure directly to the bleeding site.
The application of pressure may require a significant amount of force. Apply enough force to stop the bleeding and continue applying this pressure until help arrives.
THERE IS NO SOUND TO THIS VIDEO – THE INSTRUCTOR SHOULD EXPLAIN THE STEPS THE IMMEDIATE RESPONDERS IS TAKING.
The demonstration in the video is moving at a slower pace as to show the process. Remind the participant that fast action must be accomplished to control bleeding.
In the next series of three slides you will see how to apply pressure to a bleeding wound.
Here you see the application of pin point pressure directly onto the site of bleeding. This is an effective method of controlling bleeding.
If bleeding is from a cavity, superficial pressure may not work and you may need to pack the wound deeply and tightly. Be careful as there may be sharp objects or fragments of bone within the cavity. Once the bleeding stops, do not check the wound, simply hold pressure until help arrives.
THERE IS NO SOUND TO THIS VIDEO – THE INSTRUCTOR SHOULD EXPLAIN THE STEPS THE IMMEDIATE RESPONDER IS TAKING.
The demonstration in the video is moving at a slower pace as to show the process. Remind the participant that fast action must be accomplished to control bleeding.
Tourniquets should be considered for extremity bleeding that does not stop with pressure or packing, or, the situation does not allow you to maintain pressure on the wound.
Questions usually are asked about amputations and should you immediately use a tourniquet.
The tourniquet should be applied 2-3 inches above the wound. Avoid placing a tourniquet onto a bony prominence or joint.
A tourniquet can be applied over light clothing however, remove any bulky clothing such as a jacket. if being placed over a pocket, ensure the pocket is emptied first otherwise the tourniquet will not be effective.
Continue tightening until the bleeding stops. Two tourniquets may be required to achieve hemorrhage control. It is a painful procedure, and severe pain should be expected. Do not remove the tourniquet until help arrives.
THERE IS NO SOUND TO THIS VIDEO – THE INSTRUCTOR SHOULD EXPLAIN THE STEPS THE IMMEDIATE RESPONDER IS TAKING.
The demonstration in the video is moving at a slower pace as to show the process. Remind the participant that fast action must be accomplished to control bleeding.
Several tourniquet models are commercially available. The Committee on Tactical Combat Casualty Care also known as CoTCCC or TCCC is the resource the Committee on Trauma Stop the Bleed Program utilizes for direction regarding equipment.
This slide depicts tourniquets that are approved and listed on the TCCC’s adjunct formulary, however not every version of the approved tourniquet is shown. The next slide, Slide 26, provides a by name list of tourniquets approved through TCCC.
Instructors should discuss the mechanisms of the types of tourniquets and differentiate between windlass rod types and ratcheting types. In addition, the instructor should advise participants they may see any of these tourniquets in the field and should familiarize themselves with the tourniquet and how it works.
It is important to stress that improvised tourniquets are difficult to make and to apply correctly, and may in fact increase the bleeding by compressing the venous structures. Their utility has not been scientifically proven and therefore caution should be used when considering their use.
Techniques to control bleeding in the child are very similar to what has been presented for adults.
As long as they can be properly applied, the same tourniquet can be used in an adult or a child.
If the child is too small for the tourniquet to be applied properly, direct pressure on the bleeding wound will almost always work to control the bleeding.
Wound packing is the same in both adults and children.
These are common concerns. Take the time to review these carefully with your students.
Impaled objects should be left in place and not removed. The immediate responder could apply a tourniquet above the object. Professional medical personnel, Fire and EMS, are trained to treat impaled objects.
Improvised tourniquets – notes from slide 25 should be reiterated
Loss of arm or leg is referring to the fear that a tourniquet could result in the victim losing their arm or leg if the immediate responder places a tourniquet on the victim. Reassure them that placing a tourniquet on a victim will save their life and far outweighs the loss of an extremity. There are studies available regarding length of time of tourniquet placement.
Victims will experience pain with direct pressure, wound packing, and tourniquet application. It is important to manage their expectations regarding all three techniques for controlling bleeding.
Other questions can and will be asked, please note questions and send to unique questions or questions that you cannot answer to STB staff to provide a response for you and for future course updates.
These are the basic principles that should govern your response.
Use this framework throughout the class.
First, make sure the scene is safe. You must ensure your own safety before trying to help someone else.
Next, get help. Call or have someone call 911 for assistance. Make every effort to assure help is on the way as you proceed to the next step.
Look for any bleeding.
Once you have located a source, control of the bleeding will involve the application of direct pressure, the packing of an deep wound , application of a tourniquet, or a combination of all of these techniques.
The goals of this program were to recognize life-threatening bleeding and to take the appropriate steps to control bleeding until help arrives.
With this training, you can save lives.
Lastly….
Encourage participants to visit stopthebleed.org. This site is maintained by the American College of Surgeons and is updated frequently with new information regarding this important topic.
Kits are available at the Bleeding Control Website.