Pro First Aid

1
00:00:05,053 --> 00:00:09,037
Now when controlling an arterial bleed you're gonna notice that arterial is indicated more

2
00:00:09,037 --> 00:00:13,022
by like a pulsating, brighter red blood.

3
00:00:13,080 --> 00:00:15,076
that's harder to stop.

4
00:00:15,076 --> 00:00:20,038
If there's no bone fractures we're gonna use really good solid direct pressure.

5
00:00:20,086 --> 00:00:24,076
If it starts to leak through, you'll only add more bandage to the top of it,

6
00:00:24,076 --> 00:00:29,088
you never take away the bottom, because then it pulls the clots off and you start from scratch again.

7
00:00:30,097 --> 00:00:35,095
I still like to go with the elevation as long as there's no bone fracture, spinal cord involvement.

8
00:00:35,095 --> 00:00:40,086
That lets gravity work with us, not against us, but direct pressure normally

9
00:00:40,086 --> 00:00:43,013
even if its at heart level is usually pretty good.

10
00:00:43,013 --> 00:00:48,075
Once the bleeding is under control, the wrapping of the bandage works very similar.

11
00:00:48,075 --> 00:00:51,031
You're gonna keep that direct pressure down

12
00:00:51,031 --> 00:00:57,052
We're gonna start at the distal end, or the end of the arm and work towards the heart.

13
00:00:57,052 --> 00:01:01,098
That way, we're not going to trap blood down in the hand any more than we have to.

14
00:01:04,004 --> 00:01:08,053
When you get to the top where the wound is you can put a little twist to the tie,

15
00:01:08,053 --> 00:01:11,028
which helps apply a little more pressure.

16
00:01:11,028 --> 00:01:15,031
After you've got this tight enough, check for any leak-through bleeding,

17
00:01:15,031 --> 00:01:19,083
make sure you check for any capillary refill to make sure you're not having a tourniquet effect

18
00:01:19,083 --> 00:01:21,012
with a too tight of bandage.

19
00:01:21,012 --> 00:01:27,035
Elevate above the heart. Activate EMS. Watch for a reoccurrence of that arterial bleeding.

20
00:01:27,035 --> 00:01:32,040
If it does, add more bandage and more wrapping to create a pressure dressing,

21
00:01:32,040 --> 00:01:35,085
and then lets get this patient to the hospital.