Question

For your moderate and major bleed, your first full packaging is completed after your initial assessment, you then transport the patient into the ambulance and notice the first full packaging does not control the bleed. What is your protocol?

Answer 1

If the first full packaging does not control the bleed, the protocol would be to apply direct pressure to the bleeding site and maintain manual stabilization of the injuries. If direct pressure does not control the bleed, other measures like using a tourniquet or hemostatic agents may be necessary.

Step-by-step explanation:

In the given scenario, if the first full packaging does not control the bleed, the protocol would be to apply direct pressure to the bleeding site with a gloved hand or sterile dressing while maintaining manual stabilization of the patient's injuries. If direct pressure does not control the bleed, other hemostatic measures can be employed, such as using a tourniquet or applying hemostatic agents.

For moderate and major bleeds, using a tourniquet may be necessary. A tourniquet is a device that is tightly wrapped around the affected limb to cut off blood flow, which helps control severe bleeding. It is important to apply the tourniquet high and tight above the bleeding site and as close to the body as possible. The tourniquet should be left in place until professional medical help arrives to assess and manage the patient's condition.

If a tourniquet is not available or cannot be used, hemostatic agents can be used in conjunction with direct pressure. Hemostatic agents, such as gauze impregnated with clotting agents, help promote blood clotting and control bleeding. These agents can be applied to the bleeding site and held in place with direct pressure until the bleed is controlled.