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Another method of achieving constriction of the supplying artery is a tourniquet - a band tied tightly around a limb to restrict blood flow. Tourniquets are routinely used to bring veins to the surface for cannulation, though their use in emergency medicine is more limited. Many armies carry a tourniquet as part of their personal first aid kit.
Emergency care services implementing routine tourniquet use, especially in the civilian setting, should exercise caution and ensure that training is adequate for optimal results. [3] However, given proper precautions, the occurrence of complications due to tourniquet use is quite rare. [9]
Tourniquet being applied to an arm on a training dummy A combat tourniquet commonly used by combat medics (military environment) and EMS (civilian environment).. A tourniquet is a device that is used to apply pressure to a limb or extremity in order to create ischemia or stopping the flow of blood.
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The military services, not surprisingly, are reluctant to discuss moral injury, as it goes to the heart of military operations and the nature of war. The Army is producing new training videos aimed at preparing soldiers to absorb moral shocks long enough to keep them in the fight.
The distinction between venous and arterial tourniquets must be reinforced in Tactical Combat Casualty Care training. [40] Tactical Combat Casualty Care courses must also train soldiers to remove tourniquets for the purposes of reassessing trauma after the patient and caregiver is no longer under enemy fire. [ 40 ]
Getting a good night's sleep can be a little more challenging amid the hype of the holidays. With changes in routine, diet and potentially time zones, quality sleep could be difficult to come by ...
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