Just finished a Army CLS class, Heres the opening video. What would you do?

[Vodin]

I passed over everyone's reply to mention these 2 things. 1st thing I would say is in no way am I saying those providing aid where wrong or could have done it better.

The 2 issues I saw
1 the lead aid provider had one of his hands with no glove. I have always been taught protect yourself first. (Minor yes but I believe it is a valid position with an unknown victim.)
2 he did not elevate the neck to provide a better clear of the airway. (He was breathing yest but there had to be bodily fluids draining into his esophagus..
My final analysis of the situation is a simple one no mater what improper, incorrect or devastating impact it had on the victim. The victim was transferred alive to a better trained group of individuals.
This only comes from one with minor instruction from CERT training.

[Vodin]

May I use this link on another site? I will respect your wishes Stormfeather.

[ElevenBravo]

Id have to watch again, but IIRC they never actually got the IV started.. which is not great... The moment they could have stuck him would have been the best chance to get a vein, *before* he goes hypo and/or shock and the veins are impossible to find (for field medics anyway...).

Airway... It may have not been perfect, but it was working... From what I see, short of an EOA I dont see anything working, and he was too conscious to be a candidate.. he would have fought it.

TK on the leg was a good call, Im thinking the TK going on the arm was for the intended IV.

I cant believe that dude was sitting up at one point! Jesus!

EB

- - - Updated - - -

Actually... my bad, he needed an intubation to keep the airway clear.... EOA would not have done it unless they got a blind intubation by a stroke of luck.

[Sniper-T]

wow. just wow.

Done right?

Primary:
ABC

1. Airway? He wasn't breathing the greatest but he was breathing - move on.
2. Bleeding - stop the bleeding (tourneys on arm/leg (bandage arm)) (still breathing? move on)
3. Circulation - IV to replace missing blood. Still breathing? major bleeding still stopped? - move on.

Secondary:
1. check and stop additional bleeding - a bunch of small bleeders can be as life threatening as one big one.
2. immobilize - get onto stretcher to facilitate evacuation, and to prevent additional damage.


Done wrong?

- He clearly breathed easier while in a more vertical position, they could have propped the stretcher up to elevate the head to make it easier.
- Granted the head was a mess, but they should have bandaged/wrapped the wounds at the very least to keep the dust/dirt out. I know they had to allow the blood to flow out, or it would have backed up inside and drowned him, but they should have been able to staunch it somewhat.
- good eye on the right side lung issues Stormy - they should have elevated the left side of the stretcher to ensure that the good lung was higher than the bad.
- I don't know if it would be considered 'wrong' per se, but given the damage to his face, they should have intubated him. Had he stopped breathing, as it was (at any time prior to reaching a hospital operating room) they would have been in a mad panic to do it while his brain quickly died. Why not a 'wrong'? they may not have had the equipment or expertise to do so. Personally, I would have been more inclined to do a tracheotomy, or at the very least placed a scalpel (wrapped) and a tube on his chest, ready to go. (for either option)

That is all for now...

[Brownwater Riverrat 13]

Well all I can tell ya is when I watched it the first time it was interrupted by MIL.... was using the speakers then tried to finish watching it. Then said screw it and sat down and went full screen with the head phones and the volume turned all the way up. I could hear almost everything but I could get a better effect and it was a one shot deal. All I can say is......I guess maybe I assessed myself at the same time. It was a bit of a rush for the 'ol SAR dude.. Personally I think they did a hellofa job patchin his ass up and getting his ass out!

[realist]

Stormfeather thanks for the post. Yesterday my daughter started an intensive EMT course I sent the link to her and told her to pass it around to see what their assessments of it would be so I might be a little. There is an active shooter segment of the course and I asked her to get the input of her instructors. She said she wasn't sure if he knew about it, I told her I wanted my money back if he didn't.

This situation would be nice to have suction to get some of the crap and blood out of the airway. Many times the decision to sit up will be left to the patient and it is usually correct. The problem with the Sked is you really can't prop them up because if has not sturcture. These guys did a hell of a job, calm and efficient.

[Brownwater Riverrat 13]

Go back to me being the "First Responder" on the thread. "31 views, no replies" some people just go blank. That's why I went "full effect" took a little trip so to speak. Full effect was just what "I" needed for a little kick in the pants and gee, what are the odds a couple of days later, a huge mass casualty of over 100 dropped on your doorstep all GSWs. Sucking chest wounds arterial s from hell, gut shots, bleeders, SHOCK, SHOCK, SHOCK...that's what ya get in a gun fight. Granted it wasn't really but just an example, take you and your band of merry men and women get into a "skirmish", think about all the holes you're going to have to assess and fix in the aftermath. GREAT TRAINING let's keep it up!

OK, back on track before I derail but that is what this is all about is it not? As I said earlier, I'm going to base this all off of a one time running off my little "trip". All I could think of was airway. Stormy said "nasal" from my perspective I couldn't tell I could hear him breathing, from what I saw, I couldn't the condition of his mouth other than his teeth were blown out,. What's gone down the pipe? The nasal is only good for so far down,"I" just couldn't tell. So they might the right call obviously. My "old" training was "if they were breathing, fine, if there was rasping, then we got a problem, if there is none(breathing), then we check it for an obstruction and we got clear it and get some air in there." A lot of that training came and comes from "in your face" experience. Every casualty is different and yet the same.............they suck. OK, got a little trng. I need to conduct myself, out!

[helomech]

I had nothing to say about this, because I was never taught that level of first aid. If he had to rely on me, he probably would not have done so well.

[bacpacker]

I'm with Helo. Other than pressure or a TQ on the bleeds, I wouldn't know where to start.

I have been following this thread trying to pick up any little nugget I can. But since I had zero to add I've just been reading posts. But without support, both material and transport, and somewhere with doctors I don't see how anyone would make it very long in a similar situation.

[Sniper-T]

Don't condemn the masses too quickly BWRR...

I was one of the 31... actually I was at least eight or ten of the 31. I clicked on the thread several times at work over a couple days, but could not watch a video there (firewall). I tried from home as well, but my internet sucks at best, and the video failed to play multiple times. After your post I went into work early and watched it on my laptop, when no one else was there. It took a while, but once I could actually watch it, I was all over it like a band-aid on a spurting artery!