“Improvised” Tactical Medicine
The word “improvised” gets thrown around in the field/tactical medical industry more than I want to acknowledge. Yes, in the field and in a clinical setting, we healthcare professionals do on occasion have to improvise a little in order to make things work regarding patient care and treatment. When I was a combat medic, improvisation was not only encouraged, but we also were tested on it several times throughout our training at Ft. Sam Houston. One thing we learned as new medics in the Army was that if we can’t get more than three uses out of one object/item/device/piece of equipment, we didn’t carry it. A handful of tongue depressors were not used just for looking down someone’s throat. They were also finger splints, a windlass for a tourniquet, puppets for keeping kids occupied during transport, and you could even use them to help organize your M5 Aid Bag. A bomb tech once showed me a cool trick using a tongue depressor broken in half to make part of a trip fuse. My point is that sometimes we may have to use a little ingenuity to save a life or two. But that doesn’t mean we should be trying to re-invent the wheel!
But for the record — blood-letting was a good idea back in the day too. Just because something worked once doesn’t mean it will work again. We’ve got over 12 years of “well, that didn’t work — let’s try something else” to learn from. The technology that has developed far superior products now available to healthcare providers and the layperson alike is unprecedented today.
In regard to choosing a product that controls major bleeding, plenty of bandages have evolved from the old few rolls of Kurlex gauze and a six-inch ACE wrap, to what is now considered an actual “pressure bandage/dressing.” Companies like Tactical Medical Solutions, QuikClot, Celox, H&H, SAM Medical and others have produced some of the most advanced, effective, and efficient bandages and dressings for the treatment of penetrating traumatic injuries in the field and tactical medical industry. Yet for some reason, people still feel the need to treat patients like they are living in some bad Mad Max remake. The pressure dressings designed by the companies I just mentioned are specifically designed for moderate to severe arterial bleeding and packaged for austere environments.
A tampon is designed to be inserted into the vagina of a female human being in order to absorb menstrual fluids, which are discharged over the course of a few days. The discharged fluid is made up of about 40-50% actual blood, and then several other types of tissues, such as uterus lining, broken-down unfertilized eggs, some hormones, and maybe even small amounts of vaginal secretions. This fluid is not pressurized like arterial blood is throughout the body. Nor are these menstrual fluids needed to sustain life to other organs of the human body, for example the brain.
Now let’s talk about the type of bleeding one might come across from a single gunshot wound. Arterial blood is made up of oxygen-rich pressurized blood that transports minerals, vitamins, nutrients, and all sorts of other good stuff the body and its organs need in order to function. The brain requires several of these things in order to keep the rest of the body alive. This is why we assess and treat injuries in the order of Circulation, Airway, Breathing (CAB). But that’s another article for another time. The point is that we have to control the bleeding first, in order to ensure blood circulation. That way the brain can continue working and keep the rest of the body going — which is what we’re after here.
Modern-day pressure dressings are in fact designed to treat penetrating traumatic injuries related to austere or combat environments. They are designed from the ground up to control moderate to severe bleeding, including pressurized arterial bleeding. Pressure dressings like the Olaes from Tactical Medical Solutions are packaged for field-like environments. Most manufacturers use gamma irradiation to sterilize their pressure dressings. Yes, we fight for life now and treat infection later. But consider that in order to properly control bleeding from some injuries, you may have to pack a wound with that bandage in the field
If cost is a concern, it shouldn’t be. You can buy two Olaes bandages for under $15, and two Israeli bandages for under $10. These aren’t going to break anyone’s bank account. They do come with expiration dates, but some last up to four years. For maximum shelf life, store the bandages in a med kit where the outer wrapping won’t be compromised.
Do yourself and your loved ones a favor: buy a real pressure dressing and take a class on how to use it effectively and efficiently. If you’re going to be carrying one or the other as part of your EDC kit, don’t plan to improvise … plan to win!