WEBVTT - Dealing With Gunshot Wounds 0:00:05.280 --> 0:00:09.119 It's like a bunch of different illustrations of dictators all done. 0:00:09.119 --> 0:00:12.119 It's like little anime chicks. So they're all hot, so 0:00:12.160 --> 0:00:15.960 like pol Pot's this like sexy girl and a throat 0:00:16.000 --> 0:00:18.760 of skulls. But Tito they made into a milf like 0:00:18.800 --> 0:00:20.840 she's got all of her kids around her. It's the 0:00:20.920 --> 0:00:23.400 only it's the only one with kids. Um. I don't 0:00:23.400 --> 0:00:25.280 know why they picked Tito for that, but it does 0:00:25.360 --> 0:00:27.560 kind of work. This Is It Could Happen Here a 0:00:27.640 --> 0:00:34.239 podcast about which anime war criminals are hottest and it's idiomine. Actually, 0:00:34.640 --> 0:00:37.920 the idiomine in that book is pretty pretty pretty smoking 0:00:40.040 --> 0:00:44.720 as a like wearing black lingerie on a throne of skulls. Okay, nice, 0:00:44.920 --> 0:00:47.800 just kissing you make it in No, no kissinger all 0:00:47.880 --> 0:00:52.760 all like like world leaders. Um I would I would 0:00:52.880 --> 0:00:54.960 argue that, but he does not make the book. No, 0:00:55.320 --> 0:00:58.720 It's sad tragic anyway. This Is It Could Happen Here 0:00:58.800 --> 0:01:03.080 podcast Things Falling Apart and other stuff. I'm here again 0:01:03.240 --> 0:01:07.240 with my buddy James. James. Hi, Hi, Hi one. Which 0:01:07.280 --> 0:01:11.080 dictator do you think would be hottest? They were like 0:01:11.200 --> 0:01:15.920 gender ben Yeah, yeah, I don't know. I'd have to 0:01:15.920 --> 0:01:18.600 go for like one of the old timey ones press, 0:01:18.600 --> 0:01:20.720 one of the one of the one of the one 0:01:20.720 --> 0:01:24.400 of the os. Yeah. I think Kauzar Nikki had nothing 0:01:24.440 --> 0:01:26.680 to do but like look hot and he was a 0:01:26.720 --> 0:01:29.160 big workout guy. Yeah, big workout, got nice to rip, 0:01:29.240 --> 0:01:31.880 nice nice outfits, tight trousers. I think I'd probably go 0:01:31.920 --> 0:01:34.759 with him. Yeah that that scans now which was hottest 0:01:34.880 --> 0:01:37.679 as they were? Like, which is the most fuckable war criminal? 0:01:38.920 --> 0:01:41.160 That's a tough one. I'd probably have to think about that, 0:01:43.040 --> 0:01:46.440 I know, not a coming to mind. Actually, oddly that 0:01:46.560 --> 0:01:51.200 Stalin pictures of fake Yeah, not not not nearly. Actually 0:01:51.240 --> 0:01:55.840 that's sexy. Um, Joseph the Stallion, I gotta go. I 0:01:55.840 --> 0:01:58.760 gotta go with Saddam Hussein. Yeah, that's true. He has 0:01:58.800 --> 0:02:02.280 a sort of full mustache and it's good that mustache. 0:02:02.320 --> 0:02:08.680 Fox James, we should probably talk about something that's not 0:02:08.720 --> 0:02:12.120 which dictators are most falcable UM. Today we're going to 0:02:12.240 --> 0:02:17.360 chat about he fat courses UH, and about emergency UM 0:02:17.440 --> 0:02:21.320 and particularly like combat medicine, which is a more relevant 0:02:21.400 --> 0:02:22.959 topic for a lot of people. In the wake of 0:02:23.000 --> 0:02:26.399 a couple there's a mass shooting at a protest in Portland. Uh, 0:02:26.440 --> 0:02:31.160 there's been a whole lot of threats made against LGBT people. Uh. 0:02:31.280 --> 0:02:33.560 Jack poss O Biak launched a T shirt that was 0:02:33.600 --> 0:02:36.000 basically threatening a mass shooting at Disney World. All sorts 0:02:36.000 --> 0:02:38.680 of fun ship has been happening. Yeah, it does seem 0:02:38.720 --> 0:02:42.440 like we're aspiringing towards the end of times. Yeah, it 0:02:42.600 --> 0:02:45.360 certainly seems if you want to be less, you know, 0:02:46.560 --> 0:02:49.480 apocalyptic than that. It certainly seems credible to say that 0:02:50.360 --> 0:02:52.920 there's a pretty good chance people there are people listening 0:02:52.960 --> 0:02:54.960 to this who have not been present at a shooting, 0:02:54.960 --> 0:02:56.720 who will be present at a shooting at some point 0:02:56.760 --> 0:02:58.800 in their lives. Yeah. And I think given that, it 0:02:58.800 --> 0:03:00.720 doesn't make sense to like, I'm joking about the end 0:03:00.720 --> 0:03:02.480 of times, right, Like we shouldn't panic and things. We 0:03:02.480 --> 0:03:04.280 should think about ways we can protect each other and 0:03:04.320 --> 0:03:06.639 keep each other safe. Yeah. So what is a he 0:03:06.760 --> 0:03:10.320 FAT course because you recently went through. Yeah, so he 0:03:10.440 --> 0:03:14.799 FAT is an acronym right Hostile Environment First Aid training. Um, 0:03:14.840 --> 0:03:16.960 it's a British thing. I think that's the syllabus I 0:03:16.960 --> 0:03:19.720 believe is standardized by the government in the UK. So 0:03:19.720 --> 0:03:21.280 most of the courses you'll find are in the UK 0:03:22.480 --> 0:03:26.280 clustered around Hereford for pretty obvious reasons, but that there 0:03:26.280 --> 0:03:27.880 are there are a couple in the United States, and 0:03:27.919 --> 0:03:31.160 there are some in other countries too, And it's for journalists, 0:03:31.400 --> 0:03:34.880 aid workers and geo staff and anyone else who's working 0:03:34.920 --> 0:03:37.120 in an environment that would be considered like high risk 0:03:37.200 --> 0:03:41.040 or hostile and out to your point, that includes most 0:03:41.080 --> 0:03:44.440 of the United States at the minute, right, Yeah, well, 0:03:44.440 --> 0:03:46.800 I mean we are in this funds place where literally 0:03:46.840 --> 0:03:52.280 any moment could turn into a situation with the intensity 0:03:52.480 --> 0:03:55.240 of of a low density war zone. Yeah, I mean, 0:03:55.280 --> 0:03:57.880 we have more weapons and than most war zones, and 0:03:58.560 --> 0:04:00.720 also people who think it's okay to kill other people 0:04:00.720 --> 0:04:03.720 because they like Mickey Mouse, and it does seem like it, 0:04:03.920 --> 0:04:05.680 like you said, it is more likely that we will 0:04:05.720 --> 0:04:10.640 see more shootings, even bombings and that kind of thing. 0:04:10.720 --> 0:04:13.360 Like we can't say for sure, but yeah, now you 0:04:13.360 --> 0:04:15.560 you have done some of the same kind of work 0:04:15.800 --> 0:04:17.880 that that I and some other colleagues of ours have done, 0:04:17.960 --> 0:04:21.520 you know, in in hostile environments, difficult places prior to 0:04:22.320 --> 0:04:26.080 going through this course. Obviously, when we're talking about like 0:04:26.400 --> 0:04:29.120 what sort of first aid skill should people have, the 0:04:29.160 --> 0:04:32.280 most basic stuff is like how to apply a tourniquet, 0:04:32.279 --> 0:04:34.400 which we'll talk about a bit more later, how to 0:04:35.040 --> 0:04:38.000 um if it's not because tourniquets are really only for extremities, 0:04:38.040 --> 0:04:40.320 you know, you can't really turniquet a gut wound or whatever, 0:04:40.360 --> 0:04:43.279 and so for that it's more like packing it but outside. 0:04:43.400 --> 0:04:46.520 So I'm going to assume you had your more than 0:04:46.560 --> 0:04:48.719 your share of experience with that kind of stuff. What 0:04:48.800 --> 0:04:51.080 did you learn new going through this course? Like, what 0:04:51.120 --> 0:04:55.400 was the stuff that emphasized that's kind of beyond the basics? Yeah, so, um, 0:04:55.440 --> 0:04:57.680 the stuff I've done before has been some of that 0:04:57.680 --> 0:04:59.839 basic start the bleed stuff and then a fair amount 0:04:59.839 --> 0:05:03.160 of wilderness medicine stuff, so some of the improvised stretches 0:05:03.200 --> 0:05:06.800 and stuff I was familiar with. I enjoyed some of 0:05:06.839 --> 0:05:10.039 the releases they did, Like I'm not talking about like 0:05:10.120 --> 0:05:13.560 necessarily like a hand to hand combat or open hand combat, 0:05:13.600 --> 0:05:17.080 but like ways to release yourself in a non violent fashion. 0:05:17.120 --> 0:05:20.800 I thought that was very good. Ways to move through crowd. 0:05:21.200 --> 0:05:23.800 I found that very interesting. And we did a lot 0:05:23.839 --> 0:05:27.040 around how to move under fire, how to react around explosives, 0:05:27.040 --> 0:05:29.479 how to react around indirect fire, and most of that 0:05:29.520 --> 0:05:31.440 had already covered, and then some of the stuff around 0:05:31.880 --> 0:05:35.680 hostage situations, to include a simulated a hostage situation where 0:05:35.680 --> 0:05:39.360 you're blindfolded or hooded and sort of ask questions and 0:05:39.560 --> 0:05:42.680 poked with a blank firing weapon. As such, I think 0:05:42.680 --> 0:05:44.880 it's really good. You can't really have enough fix what 0:05:45.000 --> 0:05:47.520 you can have too much experience for that, but to 0:05:47.560 --> 0:05:50.120 simulate that and as realistic as setting as possible I 0:05:50.200 --> 0:05:53.160 found was super helpful. So I think, yeah, I think 0:05:53.160 --> 0:05:55.560 that was probably the most interesting thing for me now 0:05:55.600 --> 0:05:58.320 when it comes to what kind of training people can get, 0:05:58.320 --> 0:06:00.400 because the heath had courses a couple of thousand bucks, 0:06:00.400 --> 0:06:03.240 which is beyond I know. We have some colleagues listening, 0:06:03.320 --> 0:06:04.880 and I think it's a good thing for people who 0:06:04.960 --> 0:06:06.680 are going to do this kind of journalism to consider, 0:06:06.839 --> 0:06:08.760 or if you're in you know, an aid worker or 0:06:08.760 --> 0:06:10.760 someth someone who is going to be going into these 0:06:10.800 --> 0:06:14.920 situations for a living, that's but for a normal person listening, 0:06:15.160 --> 0:06:18.440 it's probably more than you're likely to want to get 0:06:18.720 --> 0:06:21.960 um or have the resources to get. So what what 0:06:22.080 --> 0:06:25.240 people because because especially in the wake of shooting is 0:06:25.240 --> 0:06:27.640 pretty much any time there's a mass shooting or violence 0:06:27.680 --> 0:06:30.360 at a protest, I will tweet about I FAX again 0:06:30.400 --> 0:06:33.120 and I FACT is an individual first aid kit. It's 0:06:33.160 --> 0:06:36.120 what like every soldier is supposed to have on their 0:06:36.160 --> 0:06:39.360 belt or on their plate carrier. And it generally consists 0:06:39.400 --> 0:06:41.360 of what are called and this is when people ask 0:06:41.440 --> 0:06:43.039 like what should I get to be ready for a 0:06:43.080 --> 0:06:47.560 shooting UM. Generally it consists of consists of two chest seals. 0:06:47.600 --> 0:06:50.919 These are called eclusive dressings. They're basically like kind of 0:06:50.960 --> 0:06:53.599 sheets of adhesive plastic. I would say that you like 0:06:53.680 --> 0:06:56.520 put over if you get shot in like the lungs, 0:06:56.920 --> 0:07:01.880 you your lungs kind of depressure rise UM, and that's bad. 0:07:02.240 --> 0:07:04.280 I'm not a I'm not a biology expert, but you're 0:07:04.279 --> 0:07:06.640 not supposed to have a whole three year lungs UM. 0:07:06.720 --> 0:07:08.919 And one of the things that you do to treat 0:07:09.000 --> 0:07:12.200 that immediately is you put this kind of addressing over it, 0:07:12.240 --> 0:07:16.240 which stops the lung from collapsing basically UM. So that's 0:07:16.240 --> 0:07:18.160 one thing you'll find it an IFAC. You'll also find 0:07:18.160 --> 0:07:20.720 what's called a combat tourniquet. There's a bunch of kinds 0:07:20.720 --> 0:07:24.280 of tourniquets. UM. I was doing a stop the bleed course. 0:07:24.360 --> 0:07:26.000 We'll talk more about that in a bit, but that's 0:07:26.000 --> 0:07:28.600 the thing everyone should do, like in terms of you know, 0:07:28.760 --> 0:07:31.000 he fat is kind of more advanced and for people 0:07:31.040 --> 0:07:35.320 who are going to professionally put themselves in shitty situations. Um, 0:07:35.520 --> 0:07:37.560 stop the bleed is for everybody. And one of the 0:07:37.640 --> 0:07:39.840 things I was having a chat with people who were 0:07:39.880 --> 0:07:42.440 teaching them, we were doing a little meeting, um, and 0:07:42.480 --> 0:07:44.280 one of the things that was brought up people always 0:07:44.320 --> 0:07:46.000 talk about, well, I wear a belt in case I 0:07:46.000 --> 0:07:47.720 need to make a tourniquet or this or that, and 0:07:48.440 --> 0:07:52.840 virtually never works, like close to zero percent success, right, Um, 0:07:52.880 --> 0:07:56.360 even when it's someone who's trained and experience providing tourniquets, 0:07:56.400 --> 0:07:59.760 like random ship does not make a good tourniquet. Tourniquets 0:07:59.800 --> 0:08:03.200 make good tourniquets. Yeah, they're more that easy to carry. 0:08:03.560 --> 0:08:07.440 They don't cheap, right, But on the same you shouldn't 0:08:07.520 --> 0:08:09.200 cheap out on them either, right, Like we've I know 0:08:09.200 --> 0:08:11.000 we've talked about this on Twitter, and I know, like 0:08:11.920 --> 0:08:14.680 Amazon sales m they also had a problem with selling 0:08:14.720 --> 0:08:19.040 fakes sort like North American Rescue I think it's called 0:08:19.080 --> 0:08:23.480 emergency rescue. I'll give you something. Yeah, North American Rescue 0:08:23.560 --> 0:08:28.360 is really good one of the so yeah, rescue essentials. 0:08:28.400 --> 0:08:30.640 So what a combat tourniquet is, because there's different. Some 0:08:30.680 --> 0:08:33.880 tourniquets are just like a plastic band almost almost like 0:08:33.920 --> 0:08:35.640 if you go to a gym, those things that people 0:08:35.760 --> 0:08:38.199 like wrap around their legs to do squats or something 0:08:38.280 --> 0:08:40.720 or lifts. It's kind of like it looks a little 0:08:40.760 --> 0:08:44.240 like that. Um and those Yeah, obviously like those can work, 0:08:44.320 --> 0:08:47.600 but they're not nearly a combat tourniquet is. Basically it's 0:08:47.640 --> 0:08:52.960 a little um like kind of nyloni fabric belt thing 0:08:53.200 --> 0:08:56.720 that you strap around and you tighten it um and 0:08:56.840 --> 0:08:59.120 velcrow it tight and then there's something called a windless, 0:08:59.160 --> 0:09:02.240 which is basically a metal or plastic stick that you 0:09:02.320 --> 0:09:06.240 then twist around. Uh, and that twisting action when you 0:09:06.280 --> 0:09:08.000 twist it, that's going to tighten it and that's going 0:09:08.040 --> 0:09:11.080 to stop the artery from bleeding. Um. And then you 0:09:11.160 --> 0:09:13.160 lock it into place. There's a little place to lock it. 0:09:13.200 --> 0:09:16.120 And so when you get a cheap tourniquet, it generally 0:09:16.160 --> 0:09:18.640 means the windlass is made out of something flimsy or 0:09:18.679 --> 0:09:21.200 the fabric at hearing the windlass to the belt thing 0:09:21.640 --> 0:09:24.720 is not very good and it will break when being tightened. Yeah, 0:09:24.760 --> 0:09:26.000 and you don't want what you don't want to do 0:09:26.040 --> 0:09:28.680 is not have enough pressure, have sort of weird pressure, 0:09:28.720 --> 0:09:30.880 because what you're going to do tomorrow, I'm not that 0:09:30.960 --> 0:09:33.839 kind of doctor. Right, is you can cut off the 0:09:33.960 --> 0:09:36.160 venus return and not the arterial flow, and that's what 0:09:36.280 --> 0:09:38.320 you can give yourself compartments in direct right. I just 0:09:38.320 --> 0:09:40.600 wanted to backtrack quickly, and we're talking about how expensive 0:09:40.640 --> 0:09:43.199 he facts are. If people are listening and they are 0:09:43.280 --> 0:09:46.640 in that kind of line of work. The International Women's 0:09:46.679 --> 0:09:49.520 Media Foundation is doing free he FAT courses for women, 0:09:49.600 --> 0:09:52.760 gender nonconforming, non binary people, and I gotta I got 0:09:52.840 --> 0:09:55.040 a grant from the Rory Peck Trust to go and 0:09:55.080 --> 0:09:58.280 do mind so for journalists. Both those are really only 0:09:58.320 --> 0:10:02.840 for journalists, and media really encourage people to apply. Yeah, UM, 0:10:02.920 --> 0:10:06.200 and that's that's great information because if you can, even 0:10:06.240 --> 0:10:08.960 if like your journalism has been sort of like citizen 0:10:09.040 --> 0:10:11.760 journalism where you're showing up at a protest and you know, 0:10:11.800 --> 0:10:15.160 taking pictures or whatever, UM, give it a shot. Like 0:10:15.280 --> 0:10:17.360 if you like, the more people who have this kind 0:10:17.400 --> 0:10:22.080 of training, UM, as a general rule, the better. UM. 0:10:22.120 --> 0:10:24.480 When it comes to stop the bleed, courses are generally 0:10:24.480 --> 0:10:26.640 going to be much more available. Some of them are 0:10:27.480 --> 0:10:29.640 operated as charities and we'll give out an I fac 0:10:29.760 --> 0:10:30.959 or something at the end. Some of them have a 0:10:31.000 --> 0:10:32.880 nominal fee. It kind of depends on where you are. 0:10:33.240 --> 0:10:35.360 I've seen both. Portland has a lot of stop the 0:10:35.360 --> 0:10:38.400 bleed courses, which is why when we had our most 0:10:38.480 --> 0:10:42.000 recent mass shooting at a protest um more people didn't 0:10:42.000 --> 0:10:46.120 die because folks had equipment and we're ready. Um, you're 0:10:46.160 --> 0:10:48.720 you should expect to spend about thirty bucks generally on 0:10:48.760 --> 0:10:53.640 a combat tourniquet um, sometimes twenty, but like the good 0:10:53.640 --> 0:10:56.720 ones are all about thirty. Um. I would shoot for 0:10:56.840 --> 0:10:59.960 something with a metal windless that's generally assign Again, there's 0:11:00.080 --> 0:11:04.720 like Rescue Essentials and a couple of other brands that 0:11:04.720 --> 0:11:09.360 are reliable. But it's called a Tactical Committee on Combat Care, 0:11:09.480 --> 0:11:11.320 which is the government finding thing it so like if 0:11:11.360 --> 0:11:13.080 you let them do the research so you don't have to. 0:11:13.440 --> 0:11:17.680 They provide a list of cornic tornic case torn cats. 0:11:17.720 --> 0:11:19.920 The one that most people have is that could cat 0:11:20.000 --> 0:11:23.679 right combat application tornic. If you get that, even if 0:11:23.720 --> 0:11:26.760 it's not the best one or the smallest lights or whatever, 0:11:26.760 --> 0:11:28.320 every that's the one most people train with. They know 0:11:28.320 --> 0:11:30.960 how to use and I think you've said this before, like, 0:11:31.040 --> 0:11:32.560 even if you don't know how to use it, if 0:11:32.559 --> 0:11:34.240 you are in a situation where it's needed and you 0:11:34.320 --> 0:11:36.360 just say I have this, have a tornic that someone 0:11:36.440 --> 0:11:39.000 might take it and use it. So Yeah, and it's 0:11:39.080 --> 0:11:42.600 it's like, it's okay if you panic, as long as 0:11:42.640 --> 0:11:44.720 you get that into the hands of somebody who can 0:11:44.800 --> 0:11:46.920 use it. But it's also important if you're going to 0:11:47.040 --> 0:11:48.640 carry it to train with it. I heard when I 0:11:48.640 --> 0:11:51.200 posted about this recently, someone said that they and their 0:11:51.240 --> 0:11:53.960 friends have a game where when they're like hanging out, 0:11:54.400 --> 0:11:57.199 somebody will toss a tourniquet at someone else and say, like, 0:11:57.960 --> 0:12:00.760 you know, right arm or something like that, right arm 0:12:00.800 --> 0:12:03.200 above elbow or something like that, and they'll have to 0:12:03.240 --> 0:12:05.400 apply the tourniquet and get it on as quickly as 0:12:05.440 --> 0:12:08.080 they can in that place, which is a good game. 0:12:08.120 --> 0:12:11.920 You're not going to like in twenty or thirty seconds. 0:12:12.040 --> 0:12:15.240 Like you know, you don't have to like injure yourself 0:12:15.280 --> 0:12:16.960 doing it, but you can you can get it on 0:12:17.040 --> 0:12:19.080 and get familiar with the motions and build like a 0:12:19.120 --> 0:12:21.360 competence with it. Yeah, work out when you're going to 0:12:21.480 --> 0:12:22.920 last through the limb and when you're gonna take it 0:12:22.920 --> 0:12:24.560 off and go all the way around. But I think 0:12:24.600 --> 0:12:27.280 standardizing one thing certainly among you and your affinity group 0:12:27.360 --> 0:12:31.160 or your friends is probably a good move. Yeah. Yeah, 0:12:31.400 --> 0:12:33.199 And it's it's one of those things the kind of 0:12:33.320 --> 0:12:38.360 injuries that tourniquets are most needed for our like arterial 0:12:38.400 --> 0:12:41.199 bleeding um, which is the kind of thing that if 0:12:41.200 --> 0:12:45.599 you don't get a tourniquet on that you're dead um 0:12:45.720 --> 0:12:49.000 very quickly, Like people will bleed out in seconds, sometimes 0:12:49.040 --> 0:12:52.640 from like a femoral Yah, you've seen an arterial bleed, 0:12:52.679 --> 0:12:55.240 and I'm sure that I know I have. I'm sure 0:12:55.280 --> 0:12:57.600 you have. You know that that person has an arterial 0:12:57.640 --> 0:13:00.199 bleat I that is a pressurized gushing of blood. It's 0:13:00.240 --> 0:13:03.440 like bright the blood arterial bleeding. It comes out in spurts, 0:13:03.440 --> 0:13:05.280 and it is like bright. It is not it does 0:13:05.280 --> 0:13:07.280 not look like when you cut your finger the blood 0:13:07.280 --> 0:13:09.320 tends to unless you're really cutting the ship out of 0:13:09.320 --> 0:13:12.160 that figure. Yeah. Yeah, you. And one of the things 0:13:12.160 --> 0:13:13.440 we did at this course, which is called at You 0:13:13.520 --> 0:13:15.679 is they had like a simulated arterial bleeds and the 0:13:15.720 --> 0:13:17.760 person was wearing it like a camelback, and then they 0:13:17.760 --> 0:13:20.480 had like a hose pipe and it was just gushing 0:13:20.520 --> 0:13:22.440 out and then you could actually sinch down on it 0:13:22.559 --> 0:13:35.000 right with the strap and that actually stopped. Now, I 0:13:35.040 --> 0:13:37.400 mean when it comes to like more advanced bleeding care, 0:13:37.440 --> 0:13:40.120 because there's some wounds where number one, if it's like, 0:13:40.480 --> 0:13:43.199 for example, too high up in your like crotch or something, 0:13:43.320 --> 0:13:45.199 you know, you're not necessarily going to be able to 0:13:45.240 --> 0:13:48.640 get a cat up there. Sometimes people will literally hold 0:13:49.080 --> 0:13:51.200 the artery closed like that is a thing that and 0:13:51.280 --> 0:13:55.320 that is more advanced certainly, um, but it is. It 0:13:55.400 --> 0:13:57.720 is also like the physics of this are very basic. 0:13:57.760 --> 0:13:59.640 If you can figure out where blood is coming from 0:13:59.640 --> 0:14:01.760 and close is that blood will stop coming out, right, Like, 0:14:01.800 --> 0:14:05.040 that's the principle of all immediate wound care for that 0:14:05.120 --> 0:14:07.679 kind of thing. Yeah, there's an acronym that you use, 0:14:07.800 --> 0:14:12.720 right Dr March, which we can go over and danger right. So, 0:14:13.280 --> 0:14:14.760 and I think this is the thing that often gets 0:14:14.800 --> 0:14:18.280 forgotten actually, especially if you're doing like somebody's start to bleed, 0:14:18.280 --> 0:14:20.560 which is focused on first aid rather than specifically in 0:14:20.640 --> 0:14:24.080 kind of combat care. But if you get hurt, not 0:14:24.160 --> 0:14:26.280 only are you useless of that person, not only are 0:14:26.320 --> 0:14:28.840 you hurt If someone comes to help, Now they have 0:14:28.880 --> 0:14:30.720 to think about which person they're going to help. Right, 0:14:30.880 --> 0:14:32.760 is how much harder to carry two people than one person? 0:14:32.800 --> 0:14:37.920 So don't do that? Uh? And then response right, so Robert, 0:14:38.160 --> 0:14:40.480 I see you've been shot. Doesn't look great? You okay? 0:14:41.440 --> 0:14:47.400 And then massive bleed, airway respiration, check head to toe 0:14:47.480 --> 0:14:50.520 and then hypothermia and you know one of the things 0:14:50.600 --> 0:14:53.160 that is so like a combat turner kit, you just 0:14:53.200 --> 0:14:55.640 generally you can keep it in like a kit. It's 0:14:55.680 --> 0:14:57.640 also fine to keep it loose in your pocket. You 0:14:57.680 --> 0:15:00.920 are not worried about sterility when you are applying a tourniquet. 0:15:00.960 --> 0:15:02.960 It does not matter if you get shipped in the 0:15:03.000 --> 0:15:05.360 wound like because they will note they'll be dead in 0:15:05.360 --> 0:15:09.600 a minute if you don't get the tourniquet on um anyway, right, yeah, yeah, 0:15:09.640 --> 0:15:14.280 you're not putting it in or whatever like it. So yeah, 0:15:14.320 --> 0:15:16.240 so that's that's one kind. And that's again you're talking 0:15:16.280 --> 0:15:18.240 about extremities, right. You can't put a tourniquet on the 0:15:18.360 --> 0:15:21.760 neck because that would kill the person. Um. You would 0:15:21.800 --> 0:15:23.920 use an inclusive a lot of times on the neck, 0:15:24.040 --> 0:15:26.800 especially if like the airway gets Again, this is stuff 0:15:26.800 --> 0:15:28.360 that you would you would get in to stop the 0:15:28.360 --> 0:15:30.680 bleed course, and I recommend people for that. So we're 0:15:30.720 --> 0:15:34.000 not going to go over treatment outside of like these basics, 0:15:34.040 --> 0:15:37.560 but we'll talk about like you should have an inclusive dressings. 0:15:37.720 --> 0:15:40.320 Two is what most effects come with. People I know 0:15:40.400 --> 0:15:43.440 who have responded to shootings say you want more like 0:15:43.600 --> 0:15:46.760 four because they are a lot wind up getting used. Yeah, 0:15:46.840 --> 0:15:48.960 I think about I think those spectly chest seals and 0:15:49.040 --> 0:15:50.720 something that I've been told by people with a lot 0:15:50.720 --> 0:15:53.000 more experience than me. It's like when you're dealing with 0:15:53.040 --> 0:15:56.920 a military setting, most people have their chest covered with plates, right, 0:15:56.920 --> 0:15:59.160 and plate carries, and a civilian setting most people want 0:15:59.280 --> 0:16:02.080 so gonna see a lot more of these like a 0:16:02.160 --> 0:16:06.440 sucking chest wounds or penetration of the thoracic cavity. So yeah, 0:16:06.440 --> 0:16:08.480 and in that setting, and they are very small, right, 0:16:08.480 --> 0:16:10.000 you can put them into back pocket of your skin 0:16:10.000 --> 0:16:12.800 e geet to, no one would notice. So another kind 0:16:12.840 --> 0:16:14.760 of thing that you'll find in an I fact that's 0:16:14.840 --> 0:16:18.080 useful is combat gauze. So there's two types of gauze 0:16:18.120 --> 0:16:20.680 that you'll get in kits. One is just gauze, which 0:16:20.720 --> 0:16:23.720 you know what gauzes um most wounds if they are 0:16:23.760 --> 0:16:27.240 not life threatening packing with gauze and wrapping is perfectly 0:16:27.280 --> 0:16:32.120 sufficient at least for immediate care. But combat gauze is 0:16:32.160 --> 0:16:34.920 impregnated with a thing called cell locks, which is our 0:16:35.040 --> 0:16:37.560 little granules. You can actually get them, just as the powder. 0:16:37.600 --> 0:16:39.760 You shouldn't because it's it's not going to be useful 0:16:39.800 --> 0:16:42.280 to you as a random person. UM. You should get 0:16:42.320 --> 0:16:44.880 it in gauze, like impregnated into gauze. But it's made 0:16:44.920 --> 0:16:49.160 from ground up crustacean shells and it basically makes blood 0:16:49.200 --> 0:16:54.840 clot very quickly. UM survivability of arterial wounds in combat, 0:16:54.960 --> 0:16:58.240 which was extremely low before cellos jumped to something like 0:16:59.040 --> 0:17:01.800 or so like. It's it's pretty remarkable the degree to 0:17:01.840 --> 0:17:06.080 which it's made certain, particularly like for moorl bleeds survivable UM. 0:17:06.119 --> 0:17:07.760 And it can be used if you've got like a 0:17:08.400 --> 0:17:11.000 serious arterial bleed. It will often be used in conjunction 0:17:11.040 --> 0:17:13.600 if it's on an extremity with a tourniquet UM. But 0:17:13.680 --> 0:17:16.119 you can just use it to pack a bleeding wound. 0:17:16.240 --> 0:17:18.800 And if you pack it and apply pressure, sometimes you'll 0:17:18.800 --> 0:17:21.080 pack the combat galls into there and then add other 0:17:21.119 --> 0:17:25.520 gals outside of it. Like. But it's it's most wounds 0:17:25.760 --> 0:17:28.800 that are bleeding aren't going to require sellock scaus and 0:17:28.840 --> 0:17:32.000 it's pretty expensive, but it's another really useful thing to 0:17:32.119 --> 0:17:34.919 have if there is like an arterial bleed. Yeah, I 0:17:34.920 --> 0:17:37.760 think actually the where we first I think Kalin might 0:17:37.800 --> 0:17:39.360 be what the stuff is called. I believe it comes 0:17:39.359 --> 0:17:42.520 from indigenous practices using it to stop bleeding. But yeah, 0:17:42.640 --> 0:17:45.439 it comes in a small package. Quicklot is the normal brand, 0:17:45.760 --> 0:17:48.840 And yeah, it's a lot of what we've learned about 0:17:49.040 --> 0:17:53.119 stopping arterial bleeds has come from twenty years of war, right, 0:17:53.600 --> 0:17:56.280 And they're obviously a lot of town sites, but yeah, 0:17:56.359 --> 0:17:58.040 learning about how to stop those things is one of 0:17:58.040 --> 0:17:59.480 the things that has got a lot better in the 0:17:59.560 --> 0:18:01.680 last dec aid or so. That's another thing. And you 0:18:01.720 --> 0:18:03.480 can always buy these kids pre made. A lot of 0:18:03.480 --> 0:18:06.639 people make various premate kids. Yeah, you can google i 0:18:06.840 --> 0:18:10.360 fac and make sure it's you know, rated, well, Dottle, 0:18:10.400 --> 0:18:13.399 do your research. Um, we've mentioned some brands here, but 0:18:13.480 --> 0:18:16.480 like it's not hard to find I Fax. They're they're 0:18:16.520 --> 0:18:18.560 made constantly And it's one of those things we talked 0:18:18.560 --> 0:18:21.679 on this show about being armed and whether or not 0:18:21.760 --> 0:18:25.080 people should should have firearms, and I'm broadly supportive of 0:18:25.080 --> 0:18:29.520 of particularly threatened people having guns. But there's downsides to 0:18:29.600 --> 0:18:32.080 having a gun. Um, a number of them. We don't 0:18:32.080 --> 0:18:33.879 need to get into the statistics, but there are a 0:18:33.920 --> 0:18:36.399 bunch of downsides to being armed. There's no downside to 0:18:36.480 --> 0:18:38.400 having an I FAC and keeping one in your car, 0:18:39.200 --> 0:18:42.520 keep one in your backpack, you know. Um, there's absolutely 0:18:42.560 --> 0:18:45.560 no way you will have a negative experience as a 0:18:45.560 --> 0:18:47.200 result of the fact that you keep an eye fact 0:18:47.240 --> 0:18:49.840 on you and it might save somebody's life. Yeah. I 0:18:49.840 --> 0:18:52.239 have a little ankle holster um that I use when 0:18:52.240 --> 0:18:54.760 I'm working in places where we wouldn't look very you know, 0:18:54.880 --> 0:18:56.840 it would look off to have it on my belt. Uh, 0:18:56.880 --> 0:18:59.040 And I don't want to carry backpack, maybe I need to. 0:18:59.080 --> 0:19:00.800 It's wrapped around my ankle. And it has a tiny 0:19:01.520 --> 0:19:05.560 combat dressing which you haven't really talked about Jesse Seal Tornique. 0:19:05.760 --> 0:19:07.880 And it doesn't have the quick clot but the combat 0:19:07.960 --> 0:19:10.720 dressing has its own goals. Yeah, we can talk about 0:19:10.760 --> 0:19:13.280 that in a second. But like I just have like 0:19:13.320 --> 0:19:15.439 I have a couple of effects. But also just in 0:19:15.480 --> 0:19:18.440 all of my light jackets because you know Oregon, usually 0:19:18.480 --> 0:19:20.280 you can wear some sort of jacket. I just have 0:19:20.440 --> 0:19:23.480 a bunch of cats and quick clot gauze packets just 0:19:23.560 --> 0:19:26.320 kind of scattered around, like there's nearly always something just 0:19:26.400 --> 0:19:28.600 in my pocket or in the center console in my car, 0:19:29.320 --> 0:19:32.000 um in addition to the actual packed I fax and 0:19:32.560 --> 0:19:35.080 yeah it's handy. Um, it's just good to have around. 0:19:35.400 --> 0:19:37.399 It never hurts to have more of that stuff, or 0:19:37.440 --> 0:19:40.360 you have the means or you know, if you are 0:19:40.400 --> 0:19:42.639 in a situation where something horrible has happened, right like 0:19:42.680 --> 0:19:45.480 what happened in Portland, if you in your truck have 0:19:45.600 --> 0:19:47.199 three or four of those and you can just be 0:19:47.320 --> 0:19:49.000 to go, go go. Does anyone know how to use these? 0:19:49.320 --> 0:19:51.199 Use these if they're in your backpack when you're at 0:19:51.200 --> 0:19:54.320 a protest, like, you could potentially save several lives. So 0:19:54.480 --> 0:19:57.960