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Stop The Bleed

In this episode, our co-hosts discuss a recent article from columnist Jonathan Lee about the use of TXA in the prehospital environment
Focusing on swift triage, being good at the basics and having a plan for exfiltrating the wounded are essential steps to immediate lifesaving measures
EMS training in bleeding control must incorporate mass casualty incident plans and drills as well as the need to prioritize patient triage by injury severity, transport priority and the type of treatment – layperson or medical professional – that is required.
Mass. Emergency Management agency report highlights triage and treatment actions of medical personnel in minutes after the 2013 terrorist attack
MONOC is first EMS agency in state to administer TXA to patients with confirmed or suspected severe hemorrhage
Colo. dispatcher receives call from the victim that had been lured to the attacker’s home with a Craigslist ad for baby clothing
The cut from the license plate, thrown at the man, was severe enough to require paramedics
Tranexamic acid has been used in trauma centers for years, and the drug is making its way into the prehospital setting
Workshop, funded by a grant to expand pediatric medical education, used pig lungs, hearts, and tracheas for hands-on training
Calif. medics check woman who declines additional treatment; needle was stuck in her hand
20-year-old man suffered 16-inch wound to his thigh; now recovering after surgery
Tri-State Ambulance and Milwaukee County EMS administer TXA to patients with severe bleeding
2006 active shooter incident “ended almost as soon as it began” and reminder active shooter could happen anywhere
2-year-old and twin infants underwent surgery for life threatening injuries from “horrible event”
Bedford-Stuyvesant volunteer EMT stabbed by an EMT he had helped train
Proactive strategy to deliver care at point of injury by being on scene and training with law enforcement
Bystander with military training used his belt as a tourniquet on a man’s severed leg; department policy is to leave tourniquets in place
She had two broken legs and a severed femoral artery from a compound fracture; he applied a tourniquet and treated her for shock until medics arrived
He died from a rare injury of vertebral artery dissection, which resulted in severe bleeding on his brain; there are only 100 documented cases
After falling and slashing her head, the injured grandmother crawled out to her driveway screaming for help
With hands-free pressure applied to the wound, medics expect faster control of other critical patient needs
They applied a makeshift tourniquet to the woman’s remaining arm before paramedics arrived
The training includes how to clear airways and detect and stop bleeding; gunshot woulds and vehicle strikes are the top causes of death for police officers in the U.S.
EMS providers to enter the warm zone with law enforcement to reach victims in need of lifesaving treatments
Taking the form of a syringe, XStat rapidly deploys a series of small sponge-like discs into the open wound
A growing number of departments have started issuing them and training officers, and it’s made a difference, police say
Knowing the type of amputation, ways to quickly control bleeding, and proper body part preservation can lead to an increase in survival rates