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Had a first Friday night that I thought you’d appreciate. Had a male patient that was attacked with a sword to the left shoulder/chest. It was medial enough you couldn’t get a tourniquet on it. EMS had tried to control the bleeding with direct pressure but couldn’t get it stopped. The sword had created a large defect which made it difficult to obtain source control. The surgery resident tried to pack the wound with quik clot but it became obvious he wasn’t sure how to do it as he just laid the dressing in the wound bed. So, in the trauma bay I gave him 25mg of Ketamine for a little cooperation. Then I packed the wound with the quik clot followed by two rolls of Kerlex to completely fill in the defect and get enough pressure to control the hemorrhage. It was difficult because of the sheer size of the injury, not necessarily hidden cavities. At the same time, he got a gram of TXA as we took him to the OR. In the OR it was explored and it turned out he’d severed a branch off the subclavian. Thanks for the training and experience. Brian
Brian was in one of our Basic SWAT Medic Courses
We love to hear feedback from our students and how the training has help them. This is just one of the many we sharing.
Brian was in one of our Basic SWAT Medic Courses
We love to hear feedback from our students and how the training has help them. This is just one of the many we sharing.
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