Military Emergency Tourniquet (MET) Gen III by H&H Medical

Military Emergency Tourniquet (MET) Gen III HH Medical

Military Emergency Tourniquet (MET) Gen III HH Medical

Military Emergency Tourniquet (MET) Gen III HH Medical

by Dr. Ramon Reyes, MD 

H&H Medical Corporation adds to our growing line of hemorrhage control products with one of the most rugged windlass tourniquets on the market, the Military Emergency Tourniquet - GEN III. Designed by formal special operations warfighters and proven in combat service for almost a decade, the MET GEN III is designed to be used in the most austere of environments.

The MET is a lightweight open-loop system composed of a sturdy strap and aluminum windlass. As a true open-loop system, this tourniquet comes apart completely to place around a limb and doesn’t need to be fully cinched down prior to engaging the windlass; even if loosely applied, by turning the windlass the slack will uptake and fully tighten the tourniquet. It has two securing points to lock down the windlass after application: one that is adjustable and one with Velcro.

The MET Gen III provides a one-handed application with a hardened aluminum windlass and tough 1000 Denier nylon to create a sturdy tourniquet that is easy to apply and stays in place.Military Emergency Tourniquet (MET) Gen III

Curso TECC España TACTICAL EMERGENCY CASUALTY CARE. TACMED Tactical Medicine

  GEOLOCALIZACION Desfibriladores 

Republica Dominicana 

https://goo.gl/maps/c5bYGCLGYLZ72ZEK8

TELEGRAM Sociedad Iberoamericana de Emergencias https://t.me/joinchat/GRsTvEHYjNLP8yc6gPXQ9Q   

Mass civilian shootings: Are we ready to face this new threat?

Mass civilian shootings: Are we ready to face this new threat?

COL A Puidupin (MD), CPT C Hoffmann (MD),CPT N Cazes (MD), COL S Margerin (PCD), LTC T Provost-Fleury (MD), LTC O Gacia (MD) French Armed Forces Health Service, Paris, Clamart, Marseille

Link to download a free PDF document 



Related 

The Hartford Consensus III Compendium, September 2015. PHTLS B-Con Bleeding Control for the Injured Course "Stop The Bleed" / Control de Sangrados para el Herido By NAEMT.

First Responder Guide for Improving Survivability in Improvised Explosive Device and/or Active Shooter Incidents / Guía DHS para mejorar la supervivencia de primeros respondientes a un incidente a dispositivo explosivo improvisado y tiroteos activos

• Fire/Emergency Medical Services Department Operational Considerations and Guide for Active Shooter and Mass Casualty Incidents   (US  Dept. of Homeland Security / FEMA, September 2013)

• See Something, Do Something: Improving Survival - Strategies to Enhance Survival in Active Shooter and Intentional Mass Casualty Events: A Compendium   (American College of Surgeons Bulletin, Vol. 100 No. 1S, September2015)

• An Evidence-Based Prehospital Guideline for External Hemorrhage Control: American College of Surgeons Committee on Trauma   (PREHOSPITAL EMERGENCY CARE, APRIL-JUNE 2014 VOLUME 18 / NUMBER 2)

• Tactical Combat Casualty Care: Tourniquets and Hemostatic Dressings   (source: National Association of Emergency Medical Technicians)
• 
  

• Committee for Tactical Emergency Casualty Care Guidelines

The Committee for Tactical Emergency Casualty Care used the military battlefield guidelines of Tactical Combat Casualty Care (TCCC) as an evidenced based starting point in the development of civilian specific medical guidelines for high threat operations. Each phase and medical recommendation of the military TCCC guidelines was examined and discussed by the Committee, and then was re-written, annotated, or removed through consensus voting of the Guidelines Committee to create civilian specific, civilian appropriate guidance. Additionally, the Committee added and/or put specific emphasis on several medical recommendations not included in TCCC to address high threat operational aspects unique to civilian operations.

The first phase of care under TCCC is Care Under Fire (CUF). To meet the various operational scenarios and terminology utilized in the civilian sector, the first phase of care under TECC was renamed “Direct Threat Care (DTC).” The priorities of DTC remain relatively unchanged from CUF; emphasis remains on mitigating the threat, moving the wounded to cover or an area of relative safety, and managing massive hemorrhage utilizing tourniquets. Additionally, emphasis was placed on the importance of various rescue and patient movement techniques, as well as rapid positional airway management if operationally feasible. Treatment and operational requirements are the same for all levels of providers during this phase of care.

The second phase of care under TCCC is Tactical Field Care. For the same reasons listed above, this phase was renamed in TECC to be called “Indirect Threat Care.” Indirect Threat Care phase can be initiated once the casualty is in an of relative safety, such as one with proper cover or one that has been cleared but not secured where there is less of chance of rescuers being injured or patients sustaining additional injuries. Similar to TCCC, assessment and treatment priorities in this phase focus on the preventable causes of death as defined by military medical evidence: Major Hemorrhage, Airway, Breathing/Respirations, Circulation, Head & Hypothermia, and Everything Else (MARCHE). Four different levels of providers were assigned to scope of practice and skill sets based on level of training and certification.

The final phase of care under TECC is called “Evacuation Care.” During this phase of care, an effort is being made to move the casualty toward a definitive treatment facility. Most additional interventions during this phase of care are similar to those performed during normal EMS operations.  However, major emphasis is placed on reassessment of interventions and hypothermia management.

Download the TECC Guidlines »

http://www.c-tecc.org/images/content/TECC_Guidelines_-_JUNE_2015_update.pdf

• Improving Active Shooter/ Hostile Event Response Best Practices and Recommendations for Integrating Law Enforcement, Fire, and EMS   (Interagency Board, September 2015)

Almost 90% of American service men and women who die from combat wounds do so before they arrive at a medical treatment facility. This figure highlights the importance of the trauma care provided on the battlefield by combat medics, corpsmen, PJs, and even the casualties themselves and their fellow combatants. With respect to the actual care provided by combat medics on the battlefield, however, J. S Maughon noted in his paper in Military Medicine in 1970 that little had changed in the preceding 100 years. In the interval between the publication of Maughon's paper and the United States’ invasion of Afghanistan in 2001, there was also little progress made. The war years, though, have seen many lifesaving advances in battlefield trauma care pioneered by the Joint Trauma System and the Committee on Tactical Combat Casualty Care. These advances have dramatically increased casualty survival. This is especially true when all members of combat units – not just medics - are trained in Tactical Combat Casualty Care (TCCC.)

Combat medical personnel and non-medical combatants in U.S. and most coalition militaries are now being trained to manage combat trauma on the battlefield in accordance with TCCC Guidelines.

• Committee for Tactical Emergency Casualty Care Guidelines

• Stop the Bleed   (US Dept. of Homeland Security)

Articles

• Report from Paris (New England Journal of Emergency Medicine, 6 December 2015)
• The medical response to multisite terrorist attacks in Paris  (The Lancet, 24 November 2015)
• Arlington County, Va., Task Force Rethinks Active Shooter Incident Response   (Journal of Emergency Medical Services, November 2009)

Podcasts

• Youri Yordanov: Lessons learned from the November Paris attacks (The St.Emlyn’s virtual hospital podcast 4/12/2015)

            Combat Application Tourniquet (C-A-T)

FAKE TOURNIQUET 

Combat Tourniquet One of Army’s Top 10 Inventions for ’05

by TIM ODELL on Jun 22, 2006 • 12:56 pm

Combat Application Tourniquet (C-A-T)

Combat Application Tourniquet (C-A-T)

A new design for a tourniquet for use in combat has brought the devices back into favor with Army surgeons.
The Combat Application Tourniquet was tested along with eight other tourniquets in 2004 at the U.S. Army Institute of Surgical Research in San Antonio, Texas. The evaluation was prompted because many deploying Soldiers and units were purchasing tourniquets off the Internet, but the tourniquets’ effectiveness had not been determined. Once testing was complete, the institute’s researchers recommended the Combat Application Tourniquet be pushed to deployed troops to stop otherwise lethal blood loss.
“If USAISR (U.S. Army Institute of Surgical Research) hadn’t done the work, there still wouldn’t have been an effective tourniquet out there,” said Dr. Tom Walters of the institute that studies how to save the lives of Soldiers who are wounded in combat.
Up until that point, he added, the tourniquets that were available through the military’s supply system included a cravat-and-stick tourniquet that Soldiers were taught how to use in basic training and the strap-and-buckle tourniquet that dated back to the American Civil War. The latter “had always been known to be ineffective,” Walters said.
In the “tourniquet-off” held at the institute during the summer of 2004, 18 volunteers helped evaluate the nine tourniquets’ ability to cut off blood flow. When the results were in, the CAT, as well as two other tourniquets, came out on top. The CAT had a smaller learning curve than the others, so researchers recommended it for the Army. The Marine Corps has adopted it as well.

“Tourniquets are being used on almost every extremity injury, and they are saving lives,” said Holcomb, who was recently deployed as a surgeon at the 10th Combat Support Hospital in Iraq. “Tourniquets were rarely seen early in the war, and now it’s abnormal to see a severe extremity injury without a functional tourniquet in place. There is no pre-hospital device deployed in this war that has saved more lives than tourniquets.”

While it’s certainly come at a tremendous human cost, the Iraq war has shown us entire fields of technology where we’ve been lacking. Say what you will about technology that improves offensive potential, but innovations to keep soldiers and civilians alive are always good ideas.
More from ARNews…
Flashbacks: The Special Operations Forces Tactical Tourniquet; Army Develops Improved Tourniquet

MedGadget

Curso TECC España TACTICAL EMERGENCY CASUALTY CARE. TACMED Tactical Medicine