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View Full Version : Field Treatment of Gunshot Wounds



izzyscout21
11-24-2011, 09:45 PM
http://www.youtube.com/watch?v=55PuzGAh6VQ&feature=player_embedded

Evolver
11-25-2011, 12:09 AM
Good stuff here!

izzyscout21
11-25-2011, 03:11 AM
I'll try to keep them coming. I stumble across some real jewels sometimes.

I figure that most of us wont have access to a doctor when the SHTF. Knowing some basic (and more advanced) dirty medicine is IMHO a critical skill.

izzyscout21
11-28-2011, 08:12 PM
From firstaid.com



Gunshot wounds are unpredictable puncture wounds that cause major tissue damage. Three factors work together to determine the severity of a gunshot wound.

Location of the injury
Size of the projectile
Speed of the projectile

Changing the speed of the bullet makes the most difference to the amount of damage done by the round. Basically, bigger guns make bigger holes. These tips will help in the case of a gunshot wound.


Time Required: 10 minutes from injury to ambulance transport
Here's How:

Stay Safe. If you are not the victim, practice universal precautions (http://firstaid.about.com/od/ppe/qt/06_universal.htm) and wear personal protective equipment (http://firstaid.about.com/od/ppe/qt/06_ppe.htm) if available. Any situation that involves a gun is potentially dangerous, and rescuers are no help to a victim if they get hurt.
Call 911 (http://firstaid.about.com/od/callingforhelp/ht/06_Good911.htm) as soon as it is clear a gun is involved. Surviving a gunshot wound depends greatly on how quickly a victim gets to a hospital. Ideally, a gunshot wound victim should be on the way to a hospital in an ambulance within 10 minutes of being shot.
Do not move the victim unless his or her safety is in jeopardy.
Follow basic first aid (http://firstaid.about.com/od/cpr/ss/abcs.htm). If the victim is unconscious (http://firstaid.about.com/od/glossary/g/10_unconscious-defined.htm) but breathing, keep the airway open and clear. If the victim is not breathing, begin CPR (http://firstaid.about.com/od/cpr/ht/06_cpr.htm).
Control any bleeding (http://firstaid.about.com/od/bleedingcontrol/ss/bleedingsteps.htm).
Seal gunshot wounds to the chest with some type of plastic to keep air from being sucked into the wound. This helps prevent the development of a collapsed lung. If the victim begins complaining of worsening shortness of breath, remove the seal.
Let conscious victims sit or lie in a position most comfortable for them.
Unconscious victims should be placed in the recovery position (http://adam.about.net/encyclopedia/100211.htm).
Do not elevate legs to treat for shock (http://firstaid.about.com/od/bleedingcontrol/ht/shock.htm) if the gunshot wound is above the waist (unless the gunshot wound is in the arm). Gunshot wounds to the abdomen and chest will bleed more quickly once the legs are elevated, making it harder for the victim to breathe.
Do not give the victim anything to eat or drink, including water.
Tips:
Gunshot wounds are puncture wounds (http://firstaid.about.com/od/softtissueinjuries/ht/07_puncture.htm) and are typically treated the same. Don't expect to be able to tell the difference between entrance and exit gunshot wounds. There's no reliable way to tell and it doesn't matter.
Bullets are unpredictable, and can bounce around the inside of a victim. A gunshot wound on one side of the body that lines up with a gunshot wound on the other side of the body may or may not be connected by a straight line. Various dynamics affect the path a round may follow.
The tissue damage (overall injury) caused by a projectile is determined by multiplying the mass (weight) of the round by the velocity of the round squared. Since the speed of the round is squared in this equation, doubling the speed quadruples the energy and the damage.
Handguns produce significantly slower velocity projectiles than rifles, and therefore typically cause less severe injuries. That's not to say that handguns are not dangerous, just that rifles cause bigger holes.

izzyscout21
11-28-2011, 08:49 PM
http://www.tacticalmedicalpacks.com/files/Combat_Tactics_Trauma_article.pdf

Sniper-T
11-29-2011, 12:05 AM
Awesome info there Izzy.... keep em coming!

We all know the devestating effect of burns... and I\m not talking the roach sear on your lip... anything along these lines in your repetoir?

realist
12-07-2011, 03:00 AM
I just read this one and it has excellent information. One thing that the video stated was that you will be changing dressings several times a day. I am one of those guys who have a lot of first aid supplies on hand. The term First Aid is for treatment of injured people while awaiting for the ambulance to arrive. So lets just call it medical supplies. Think of it just a simple 4x4 gauze you would use at least two or three per dressing. Then you make the change three to four times a day, that is 12 4x4s. Having had just a simple wound that took 6 weeks to close you are now looking at around 500 4x4 just for one simple wound. If it is a through and through wound then you double it. I have severely underestimated the amount of supplies that I want to have on hand. I bring this up so that all of you who are seriously stockpiling medical supplies should evaluate what you have.

On a side note I have found that 4x4s are not all alike. The ones that I got from my wound nurse were three times as thick as the Johnson and Johnson. There was a review that one person did that complained about the J&J being real thin and made in China. I checked they are made in China. So I am looking at purchasing Kendall or something else. Whatever brand I buy it will be in quantity.

Sniper-T
12-07-2011, 11:55 AM
http://www.tacticalmedicalpacks.com/files/Combat_Tactics_Trauma_article.pdf

Link is dead... try this:

http://www.tacticalmedicalpacks.com/SiteResource/Site_109081/Customize/Image/Combat_Tactics_Trauma_article.pdf

realist
12-08-2011, 01:27 AM
Thanks Sniper it is a good article.