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STOP THE BLEED

Drew Crandall SNPS

BLS Standards

BLS Standards

In December or 2017 the BLS PCS was updated and released to paramedic's across Ontario. WIth the new BLS PCS came the addition of two new tools to help save lives, and stop the bleeding.

Tourniquet

Hemostatic Dressings

Soft Tissue Injury Standard

Soft Tissue Injury

Tourniquet

CAT (Combat Application Tourniquet)

Use of a tourniquet

  • If a tourniquet is applied to stop uncontrollable extremity hemorrhage, it should not be removed in the pre-hospital setting

  • The time of tourniquet application must be documented and communicated to the receiving facility at transfer of care

  • In situations such as multi-casualty incidents (MCI), the time of tourniquet application must be listed on the patient and tourniquet

  • Do not cover the tourniquet once in place

ChitoSAM100

Hemostatic Dressing

Hemostatic Dressing

Use of hemostatic dressings

  • Hemostatic dressings should not be applied to an open cranial wound

  • If the hemostatic dressing soaks through, apply an additional hemostatic dressing on

top of the first one. Do not remove the dressing at any time. If bleeding persists, use

standard bulky pressure dressings.

CAT Tourniquet Training Video

CAT Tourniquet

CAT application video

<iframe src="https://player.vimeo.com/video/191722929" width="640" height="360" frameborder="0" allowfullscreen></iframe>

ChitoSAM100

ChitoSAM100

Example

Severe Bleeds

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