Throughout history, the battlefield has been the key to civilian medical advancement – think about vaccines, antibiotics, and emergency services, to name but a few. In recent years trauma treatment has dramatically improved with a few simple changes that are unfortunately relevant in the civilian world. In 2018 alone, there were 323 mass shootings in the US – defined as four or more people being shot in the same place at the same time. Last year there were more school shootings than ever before and for the first time in American history. The public school system is on file to do more lockdown exercises than fire exercises.
I am writing about fighting and civilian casualties because of my background.I was five years old long Part of the Ranger Regiment's 75th Army (19459021) (19459022) Light Infantry Special Forces is considered the Army's first direct assault action: Personally, I am dissatisfied with what our Afghan interpreter told us that the locals called us: " The green-eyed men who come at night "refers to the glow of our night-vision goggles of my five years in active service were two full throttle battalion surgeons in the 75th Ranger regiment.
What made me work as a surgeon with the Rangers? The relentless standards. Elsewhere in the special operations, the soldiers are between "operators", the bad ass that comes out of the water when recruiting commercials, and "support", for which different training requirements apply. Not in the Rangers. Every soldier must meet the minimum standards of physical, craft, and airborne aviation, regardless of rank and function. Upon arrival, my unit went out for 18 months without a doctor because doctors undergo the same selection process as other ranger leaders and ke-failing.
These standards are the reason why Rangers are so good at saving lives on the battlefield. I am now an emergency medical officer, giving a speech to the emergency physicians of a respected major trauma center and sharing an unwelcome truth: If I were shot outside the hospital I would rather have a team of non-medical faculty. The Rangers take care of me as a group of ER doctors. The reason? Rangers are being drilled to be fast and efficient. I have clear reminders of repetitions of the training, which were repeated well past midnight, including the assessment, treatment and evacuation of victims by means of night-time amidst lightning grenades, machine-gun fire and rotor flushing from nearby helicopters.
Between October 2001 and March 2010, the Ranger Regiment of the 75 Ranger 419 maintained upright victims of battlefields Over 8,000 combat missions in Afghanistan and Iraq Despite the greater overall severity of the injuries, the Rangers achieved significantly better results than the other divisions of the Department of Defense. This means that the life of the ranger could not be saved by a change in the precursor hospital medical care Statistics have been so impressive that they have shifted the entire paradigm of US military trauma care.
Tactical Combat Casualty Care or TCCC is the basis of this shift, with time being the number one trauma, and TCCC's focus on extending the Responsibility for primary care beyond the few medical staff, and it worsened de saved a multitude of lives. Complete training requires a multi-day intensive course, but simple scene safety and the following three points are absolutely sufficient to save a fellow human being if you are unlucky enough to have the option.
1) Stay on the safe side
This is by far the most important principle. Let me emphasize once again: Do not add the problem. Until the threat is neutralized, you have to keep your guard and do everything you can to avoid being shot yourself. Not only for yourself: if you become a victim and try to do something great, you also emphasize the available medical resources and reduce the likelihood that others will be treated on time.
2) Stop the bleeding
Limb wounds are the leading cause of preventable battle death. Limb haemorrhages are stopped by using a tourniquet that is painfully tight and applied as far as possible to the extremity far above the actual wound. Bullets can track strange courses. Remember J.F.K .. The initial tourniquet should be applied quickly, over the clothing and as close as possible to the trunk to keep the blood close to vital organs. There are plenty of effective products, but the CAT tourniquet is the best known and costs about $ 20 on Amazon. I have a few in my vehicle. A belt or whatever you can tie is a secondary option, but must be tight as really tight. Do not worry about killing the leg with a tourniquet. Hours can surely pass before any real damage occurs.
Manage Shots in Boundaries You can not get a tourniquet, but it is possible to use compressions like bars – Focus on pressure is the most effective, a fingertip from which the bleeding comes is far better than a big bandages that are slowly drenched with large amounts of blood I'm with my hand on my neck The patient has gone to the operating room unsterile to prevent further loss of blood through a slit in the neck.
Shots in the chest (torso and abdomen) require a surgeon's period. It is best to put them in as quickly as possible Hospital If many people are injured, can The rescue service is overwhelmed and g Driving a private vehicle is absolutely appropriate and often lifesaving. With penetrating traumas, shots, and stitches, you do not have to worry about preventing spinal injuries, but just bring them to a vehicle.
2) Treat a Sucking the chest wound.
A penetrating injury to the ribcage or upper abdomen requires a simple plastic cover to prevent a rapidly fatal complication called tension Pneumothorax: Here, with each breath, air is drawn in through the wound and trapped in the chest cavity, progressively increasing intrathoracic pressure and breaking down the lungs and large veins The dressing can be simple, a candy wrapper, zip pocket, etc., which is held over the wound or glued to duck.
3) Provide warmth
Keep the victim warm Ideally, with a blanket but coats, the shirt from the back or whatever else you have, will work, and blood loss and injury will decrease even in very warm environments me the body temperature. This causes what the textbook calls the coagulopathy of the trauma. Basically, your body's natural process to stop bleeding depends on enzymatic reactions that are slowed or stopped by cold. So you can dramatically reduce blood loss by keeping the person warm and allowing your body to do its part.
The simple steps in this article are absolutely sufficient to save a life without further medical education. If you want to go one step further, Citizen Aid has reduced the military education system for civilian care of victims. Focusing on the initial lifesaving minutes before professional help arrives, they offer a free "What to shoot" app, trauma sets and a 14-hour online training with a matching 1: 1 incentive to train a teacher.
Action is the first step to the hero. Not so long ago, in a state-of-the-art, fully-equipped emergency cabin emergency room, it was not possible for me to bring a healthy man back to his leg in the early 20s with a simple shot. He was bleeding in the middle of the day in a busy street full of good people. Literally only a person who gets on his feet and takes action by either putting a tourniquet on his thigh or simply pressing a shirt with his thumb firmly into the injury would have saved his life. Take action, my friends.
Jedidiah Ballard, D.O., is an ambulance and former Army Rangers Battalion Surgeon.