Stabbed | How to Help & What to Do | Bitesize First Aid

Stabbed | How to Help & What to Do | Bitesize First Aid


– Catastrophic bleeding and how to use an improvised tourniquet. If somebody has a catastrophic bleed, they can bleed out very quickly. In fact, they can bleed out and lose a catastrophic amount of blood in less than three minutes. Hence it is really important that you’re able to help them quickly. Now if they are bleeding, first of all, check it’s
safe for you to approach. If the perpetrator’s still
around, if you’re in any danger, stay well back and get the
emergency services on the way. So alert them to what’s happened. If it’s safe for you to approach, if there is a knife in the
wound or anything in the wound, please don’t remove it. You would initially apply direct
pressure around the wound, which you can do with rolled-up
bandages, if you have them, a pair of socks, whatever. You just build up around there and then you bandage
around without pushing the knife any further into the wound. But please don’t remove it ’cause you could make things worse. Okay. Now if it is a wound to a leg or an arm, so to a limb, and you cannot stop the
bleeding with direct pressure and you’ve given it a
lot of direct pressure, then you need to make a decision that a tourniquet is likely
to be your best option. Now most wounds can be
stopped with direct pressure so make sure you’ve given it a good go. And please wear gloves if you
are dealing with bleeding, if at all possible. So protect yourself. So if you can’t stop the
bleeding by direct pressure, your second line
treatment is a tourniquet. Now this is a proper
manufactured tourniquet, but I just wanted to show you
what you’re trying to achieve. So with the manufactured one, you put it through the buckle here. You pull it back like that so you put it on so it’s
tight onto the limb. And then this is your windlass. So this is what you
are using to tighten up and cut off the whole of the blood supply to the lower part of the leg. You put a tourniquet
on just above the wound and once you’ve made the decision to put that tourniquet on, you are not going to remove it, and nobody is going to remove it until it’s removed by
a doctor in hospital. That’s really important because when you make the decision and you’ve cut off the blood supply, actually releasing the
tourniquet can release toxins. So it’s done in a controlled
environment in hospital. So you put this on as
tight as you possibly can. If you haven’t put it on tight enough, it can actually increase the bleeding. So you put that on with
a proper tourniquet. You tuck that in. And then you tuck this over the top and you write the time on it. So that is your tourniquet applied. And as I said before, you’re
not going to remove it. It will be agony applying
a tourniquet to someone, so ensure that they know it’s
going to hurt like anything. But explain why it is necessary. Okay. You wouldn’t put a tourniquet on a joint. So if the wound is on a joint, you put the tourniquet
just above the joint. Right, so if I take this off, I can show you what is suitable to use if you haven’t got one of these ’cause most of us haven’t. So you could use a tie, providing it is wide enough. So you want something that’s roughly about an inch and a half to two
inches wide to go round. So if you are using a tie, then use the widest
part that you can of it. You can use a scarf. So a nice tough, cotton scarf is ideal. You’ve got lots of length in there. And you would put, you could use something like a spoon that you would tie in as your windlass. You tie that on like that. And you would twist. So you tie that on and
that is your windlass that you use to twist to get that as tight as you can possibly can. And then you tie that off. Or you could use, if you have a perfectly
ordinary first aid kit, you could use a triangular bandage that you fold up so that it
is roughly an inch and a half to roughly two inches is ideal. Slide, and then you put that on, again, just above the wound. Tie that round. And in your first aid kit, you’re likely to have a
pair of tough cut scissors. So use those, they’re great. And you tie that off like this. And you wind it up. Now same thing goes. You put it on as tight
as you possibly can. You tie it off so I would be threading this through and tying it off so that that is no way
that is going to come off. Tie it on tightly, tie it round. Make sure you note the
time very prominently there and that you keep a
separate note of the time so that when you’re handing
over to the paramedics, they know that this
person has a tourniquet on and when it was applied. Make sure you keep an
eye on their breathing. And once you’ve controlled the bleeding, if they’re unconscious and not breathing, you need to commence CPR immediately.

2 Comments

  1. ParadymShift says:

    A lot of times I cry tears of appreciation and love when I watch your videos because I can see and feel myself in those situations and it feels so precious to know what to do 💓🙏 I can't thank you enough. I'm making a big playlist of your videos to share with everyone and study! Life is precious! Let's learn how to protect it!! <3 How we missed that in our education is BEYOND ME!

  2. montagna, emergenza e survival says:

    Great video! But honestly I don't like very much the phrase "a tourniquet is a last resort" that's an old school mentality now evidence showed that is the best way to control exanguinating extremity bleeding, as you said normally you start with direct pressure but if you see that there is a catastrophic bleeding and you have a commercial cotccc recommended tq you can put in on immediately, or if the situation is desperate (scene not completely safe, low visibility not sure where the wound is) you go high and tight over the cloathing and let the next level of care evaluate. Improvised tourniquet aren't recommended because a lot of research show that in most cases they are ineffective (if you know how to make them they can even work but it take a lot of material and time that most likely you don't have available) if you don't have a commercial tq you wound pack and hold pressure and if you are a lot trained based on the situation (maybe you can't hold the pressure for example an MCI event) you can try to improvise

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