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RATS is better than nothing but recommended minimum strap width is 1.5" to minimize localized nerve and tissue damage.
It's not. People have been using cravats as a TQ for over a hundred years. Even tip of the spear guys like Pat Mac still carry and run them which means it's part of their toolbox.How much of a concern is this for typical civilian use (read: <1hr to major trauma care center)?
Obsolete chart was obsolete when it came out. Now 4 years later...even more so. If your going to go off latest trends....it's not going to be in some bureaucratic pub. New products and TTPs come out all the time.CAT gen 7, but anything on the current CoTCCC recommended list should be good to go.
RATS is better than nothing but recommended minimum strap width is 1.5" to minimize localized nerve and tissue damage.
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Part of the toolbox and primary tool are different things though. Always nice to have a backup plan.Even tip of the spear guys like Pat Mac still carry and run them which means it's part of their toolbox.
And a guy who does not work in trauma medicine is again the expert. Seems thats his MO in about everything.
You should probably teach Frank how to shoot and Mike R how to build rifles too.
It 100% matters.
I heard a story of a guy who very nearly died and he could SEE the trauma center.
Transport isnt all “pull up the bus, load, and go”.
sometimes takes a while to get a patient out, unstuck (cut from a car, lift a bus they went under), or down from a steep hill covered in loose rock and they have an active bleed from an open femur.
Just guesses to possibilities.
Not cases I have actually dealt with in the field or a trauma center…..
You understand Powda works in a trauma center, right? You might want to STFU and go check your ego at the door.
Would you rather bleed out and die because you didn't have a tourniquet or use a tourniquet that could potentially cause muscle or nerve injury? Between two tourniquets of similar form factor and price, do you choose the one that has a long history of usage and clinical trials supporting efficacy or the new kid on the block that could be just as good? Choice is yours. Guideline is pretty simple if you have a choice, 1.5" webbing minimum and easy one handed application.How much of a concern is this for typical civilian use (read: <1hr to major trauma care center)?
Ewe steelin muh memes homey
Out of curiosity, have you heard anything about the impending approval of Traumagel, and it's efficacy?I do
For over 20 yrs
And used to do prehospital stuff too.
We are at the front of things. Flying patients with REBOA for instance (little different when you clear 12,000 ft regularly in rotor wing)
Loads of studies and research.
And was 100% a belt TQ was replaced with a CAT of SOF T Wide by the helo team.
By all means, use any resource available if the best isnt on hand.
But dont stock your kit with inferior stuff.
When I teach, I tell people to use a shop rag or whatever (paper towels are last, last resort) to pack a wound if needed. Something is better than nothing.
And we can wash wounds out well.
Out of curiosity, have you heard anything about the impending approval of Traumagel, and it's efficacy?
@FatBoy
Im gonna look at a couple of those Snakestaff ones.
Have you put one on and monitored your pulse or anything?
I may even apply them and do a little color doppler test on a few willing buddies and myself, to see.
And compare with the CAT.
At home of course.
I love the idea of small and easy, IF they work well.
Talks with Brian Litz about ballisticsClose Friend of the family saved a kids life a few nights ago with a belt. He blew his hand off making a pipe bomb. Was choppered to John's Hopkins. No one gives a fuck what model or sku or nsn TQ they used. It's 5000 year old technology.....stop trying to make it sound like more than it is.
My combat medicine experience is about 20 years old but the TQ you have is better than the one you don't. I carried a trauma bag in Iraq for over a year, and got to use it more than once. EQT makes a wide version to placate the spec nerds but even they say in clinical testing there is no/little difference.
It's OK to admit you are behind the curve too. Unless you work in a level 1 trauma center, you are.
What did he do wrong?Close Friend of the family saved a kids life a few nights ago with a belt. He blew his hand off making a pipe bomb.
Shitty parenting is the root cause. Little shit tried to make a muzzleloader with condiut, FFG black powder and marbles. Its amazing he is still alive. Blew half his hand off, one eye and shrapnel all up and down his body.What did he do wrong?
Yeah, apparently it's been used by Veterinarians for years, under a different name, and has performed very well. It'll be interesting to see how well it performs on things like gunshot wounds and stab wounds. Seems like another easy button type thing; stick the nose of the tube into the wound, and then mash down the plunger to inject the stuff, deep into the wound, so that it can clot everything up quickly. I could see big green and the Corps buying that stuff by the case load....I havent kept up with trials and stuff, but yes, super excited to see it.
ETA: posted 4 days ago, they got 2nd FDA clearance for it for external use.
can see it being very beneficial for long extrications and remote stuff.
ETA: I am even more excited for the similar stuff I have heard about for internal bleeding.
YepYeah, apparently it's been used by Veterinarians for years, under a different name, and has performed very well. It'll be interesting to see how well it performs on things like gunshot wounds and stab wounds. Seems like another easy button type thing; stick the nose of the tube into the wound, and then mash down the plunger to inject the stuff, deep into the wound, so that it can clot everything up quickly. I could see big green and the Corps buying that stuff by the case load....
Found some interesting video of the animal version in use (vetigel). Looks pretty impressive... (video at the bottom of the page)Yep
So far “for external use” from quick glance.
Could be great for our S&R teams here.
Sometimes takes quite a while.
Tougher if they get cold and coagulopathic.
Oh I thought you meant he was intentionally making a pipe bomb.Shitty parenting is the root cause. Little shit tried to make a muzzleloader with condiut, FFG black powder and marbles. Its amazing he is still alive. Blew half his hand off, one eye and shrapnel all up and down his body.
Is that like a refined Celox?Out of curiosity, have you heard anything about the impending approval of Traumagel, and it's efficacy?
That Traumagel looks better than Xstat.Is that like a refined Celox?
I'm trying to find where I saw something similar to what you're referring to. It looked amazing.
I couldn't help but think of when my son and I would play HALO years ago where the ODST and SPARTANs had a biofoam injector in their IFAKs. Sci Fi becomes reality again.
At one time I learned what they consider the wall thickness to bore diameter ratio of a safe blackpowder device to be and marble : conduit definitely isn't it. But there are also people shooting bowling balls out of gas cannisters who to my knowledge are still alive so who knows.Shitty parenting is the root cause. Little shit tried to make a muzzleloader with condiut, FFG black powder and marbles. Its amazing he is still alive. Blew half his hand off, one eye and shrapnel all up and down his body.
Many of us have done "questionable" things when were were kids (especially in the 50s and 60s) and somehow survived, some still do dumb things and somehow survive.At one time I learned what they consider the wall thickness to bore diameter ratio of a safe blackpowder device to be and marble : conduit definitely isn't it. But there are also people shooting bowling balls out of gas cannisters who to my knowledge are still alive so who knows.
Terry,Is that like a refined Celox?
I'm trying to find where I saw something similar to what you're referring to. It looked amazing.
I couldn't help but think of when my son and I would play HALO years ago where the ODST and SPARTANs had a biofoam injector in their IFAKs. Sci Fi becomes reality again.
Very, very good to know.Terry,
As I understand it, it's a totally different matrix, made from algae and fungi (or some such). Apparently it has the consistency of hummus. They even joke about it being the real life version of biofoam, so yeah, scifi becomes reality...again.
I'm just wondering about the shelf life, and how it deals with extreme temps. Might be worth having a tube or two in the home trauma kit...
Still a concern. IF you need a TQ, you 100% want it to work.
Im not sure the RATS will actually STOP blood flow.
they have a link to a study done that says it will at the same % at a CAT gen7, I wish the “publication” had more info, such as how many “participants”, what artery was occluded, etc. I will look for it later when I have time.
I also have concerns about added increase in pain with how one tightens it, as well as the very narrow design and increased soft tissue or nerve damage.
Pretty easy to just use the ones recommended by COT or CoTCCC noted above (they work together) IMO.
Interestingly, the key reason the RATs site says for why they made it was ease of use and speed, and in the study link, they were still slower than the CAT 7 by a hair.