In this month’s episode we are exploring major and catastrophic bleeding. Death from haemorrhages represents approximately 35% of all traumatic deaths. Lessons learned from the experiences of the military, tragic mass shootings, violent crimes and terrorist attacks, have lead to the adoption of techniques, such as tourniquets, wound packing and the use of haemostatic gauze being adopted into civilian prehospital practice. These techniques have not only been adopted by Emergency Medical Services but by civilian programmes such as “Stop the Bleed” course and the Daniel Baird Foundation’s “Control the Bleed”. In this episode our first guests, Mick and Kieran will help us explore this topic and will hopefully build confidence in Irish practitioners in the use of tourniquets and Wound packing.     References:   https://handbook.bcehs.ca/clinical-practice-guidelines/pr-clinical-procedure-guide/pr04-wound-packing/    Donley ER, Loyd JW. Hemorrhage Control. [Updated 2021 Jul 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535393/   Chitosan-based dressing for the treatment of external/accessible bleedings in children with bleeding tendency, https://pubmed.ncbi.nlm.nih.gov/23588337/   https://www.cureus.com/articles/7905-pre-hospital-hemorrhagic-control-effectiveness-of-axiostat-dressing-versus-conventional-method-in-acute-hemorrhage-due-to-trauma      Antifibrinolytics in a rural trauma state: assessing the opportunities     https://pubmed.ncbi.nlm.nih.gov/29766102/   Spahn, D.R., Bouillon, B., Cerny, V. et al. The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Crit Care 23, 98 (2019). https://doi.org/10.1186/s13054-019-2347-3   https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjxnLWJwdX1AhVBUMAKHcHGBn4QFnoECAoQAQ&url=https%3A%2F%2Fwww.euro.who.int%2Fen%2Fhealth-topics%2Fdisease-prevention%2Fviolence-and-injuries%2Fnews%2Fnews%2F2020%2F7%2Fwho-report-on-violence-and-injuries-reveals-grim-statistics-on-preventable-deaths&usg=AOvVaw3_W_8Uzzq5Y23CuRPXiDdC   https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiwpIGqwdX1AhXSgVwKHcGmBYIQFnoECAUQAQ&url=https%3A%2F%2Fwww.hse.ie%2Feng%2Fabout%2Fwho%2Facute-hospitals-division%2Ftrauma-services%2Ffurther-information-and-documentation%2Freport-of-the-trauma-steering-group.pdf&usg=AOvVaw1wjLDfsjPkHZ-XmfyRjaNh   https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjk7qTCwdX1AhWKTsAKHTl-DRkQFnoECAcQAQ&url=https%3A%2F%2Fec.europa.eu%2Feurostat%2Fstatistics-explained%2Findex.php%2FAccidents_and_injuries_statistics&usg=AOvVaw2ViPnJuFdi19vALBwDorPf   https://www.youtube.com/watch?v=p41qvnFn--c     Stop The Bleed: Tourniquet Application   HaemorrhageContro   Stop the Bleed (Full Course) PrepMedic 165K views2 years ago