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1/28/2012 6:00:28 PM EDT
Ok a little story. My dad is on blood thinners (warfarin). He cut his toe on glass. Not a bad cut nothing that would normally require a doctor visit. For the past two hours I have tried everything I knew but no luck in stopping it.  He on the way to the ER now but he is part of my group when things SHTF.  So it got me thinking on how would you stop someone like that from bleeding?  Thanks guys
1/28/2012 6:03:40 PM EDT
[#1]
Get some Celox in various bandages or gauze.
1/28/2012 6:06:41 PM EDT
[#2]
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.
1/28/2012 6:11:14 PM EDT
[#3]
Quoted:
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.


This
1/28/2012 6:12:39 PM EDT
[#4]
Quoted:
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.


I don't have the quick-clot gauze yet but I was thinking it would of helped. If I would of used it do you have to go to a doctor later or is it safe to use then forget it after bleeding has stopped? Obviously not on a severe wound.
1/28/2012 6:22:58 PM EDT
[#5]
super glue
1/28/2012 6:25:27 PM EDT
[#6]
Quoted:
super glue


In this situation I don't think that would work.  Way to much blood.
1/28/2012 6:28:43 PM EDT
[#7]
Quoted:
Quoted:
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.


I don't have the quick-clot gauze yet but I was thinking it would of helped. If I would of used it do you have to go to a doctor later or is it safe to use then forget it after bleeding has stopped? Obviously not on a severe wound.


I really don't know too much about this civilian quick clot stuff. The last stuff time I used this stuff was in training and we put it on a raw piece of meat and it actually cooked it. The medics that showed us this stuff said the doctors in the ER hated it since they had to remove each and every piece and it took forever. Maybe this stuff is different, but after seeing that there is no way in hell that I would ever use it unless it was a life or limb situation.

So does anyone know if this civilian stuff is better for uses like this? I would imagine that using a piece of a chitosan bandage would almost be better, but those are hard to come by, at least last that I knew.

This thread makes me realize I've really got to get back to school to see what's in and what's out.
1/28/2012 6:32:46 PM EDT
[#8]
Quoted:
Quoted:
Quoted:
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.


I don't have the quick-clot gauze yet but I was thinking it would of helped. If I would of used it do you have to go to a doctor later or is it safe to use then forget it after bleeding has stopped? Obviously not on a severe wound.


I really don't know too much about this civilian quick clot stuff. The last stuff time I used this stuff was in training and we put it on a raw piece of meat and it actually cooked it. The medics that showed us this stuff said the doctors in the ER hated it since they had to remove each and every piece and it took forever. Maybe this stuff is different, but after seeing that there is no way in hell that I would ever use it unless it was a life or limb situation.

So does anyone know if this civilian stuff is better for uses like this? I would imagine that using a piece of a chitosan bandage would almost be better, but those are hard to come by, at least last that I knew.

This thread makes me realize I've really got to get back to school to see what's in and what's out.


Did you use the old powder stuff?  The new stuff is quik-clot combat gauze.
1/28/2012 6:36:36 PM EDT
[#9]
I've heard from a now dead pharmicist that styptic pencils are good for this use.  They were originally used for shaving with a razor.

As an EMT, I've allways found gettign the patient to lay down, elevate the wound and direct pressure stopped minor bleeding in every case.  I think telling the person this and getting them to calm down is half of the effort.  Moving the injured part, or getting excited does no good.  You have hours to deal with a wound that is dripping blood, people allways imagine they have lost pints instead of ounces.  Ice sometimes works and helps with the pain as an alternative

I would think nothing of applying a hemostatic agent to the outside of a minor wound, it's going to fall off with the scab.  If it goes it the wound, transport is probally needed.  A packet of quick clot is cheaper then an ER visit.

I'd make him check his BP.  Elevated BP is often the cause of dificult to control bleading considering the injury.  Some people are better at taking their meds to avoid nosebleeds than to avoid kidney damage.

In an emergency, if the bleeding just won't stop, you could cauterize the source.  But direct pressure, and elevation will often buy you enough time for it to clot naturally.
1/28/2012 6:37:49 PM EDT
[#10]
Quoted:
Did you use the old powder stuff?  The new stuff is quik-clot combat gauze.


Yeah the last stuff I used was in a packet and was powder like the consistency of sawdust. Actually scared the hell out of me of anyone using that shit on me. I guess that it really wouldn't matter if it was life or limb but it's good to know that they've improved that stuff. Now, does the gauze still cook the hell out of the wound?
1/28/2012 6:41:46 PM EDT
[#11]
Quoted:
Quoted:
Did you use the old powder stuff?  The new stuff is quik-clot combat gauze.


Yeah the last stuff I used was in a packet and was powder like the consistency of sawdust. Actually scared the hell out of me of anyone using that shit on me. I guess that it really wouldn't matter if it was life or limb but it's good to know that they've improved that stuff. Now, does the gauze still cook the hell out of the wound?


The gauze doesn't burn near as much as the powder did. Cooking the meat. I don't know.
1/28/2012 6:41:48 PM EDT
[#12]
Pour sugar in the wound to clot the blood.
Works on everything from little kids playing with daddy's razor to stabbing yourself in the thigh while gutting a dear.
1/28/2012 6:44:47 PM EDT
[#13]
Quoted:
In an emergency, if the bleeding just won't stop, you could cauterize the source.


I wanted to do this but he wouldn't let me.
1/28/2012 6:46:48 PM EDT
[#14]
Quoted:
Pour sugar in the wound to clot the blood.
Works on everything from little kids playing with daddy's razor to stabbing yourself in the thigh while gutting a dear.


Didn't even think of sugar. Anything special to do after or just pour sugar on and call it good?
1/28/2012 6:56:35 PM EDT
[#15]
Quoted:
Quoted:
Pour sugar in the wound to clot the blood.
Works on everything from little kids playing with daddy's razor to stabbing yourself in the thigh while gutting a dear.


Didn't even think of sugar. Anything special to do after or just pour sugar on and call it good?


I totally forgot about this as well. Damn...I really need to go back to school and refresh all my not fresh.
1/28/2012 6:57:46 PM EDT
[#16]
Make sure check his INR in the ER. May be higher than it should be if he hasn't clotted yet.
1/28/2012 7:05:36 PM EDT
[#17]
Quoted:
Quoted:
In an emergency, if the bleeding just won't stop, you could cauterize the source.


I wanted to do this but he wouldn't let me.


This should be a last ditch procedure when applied to the foot of someone with medical issues.  And it's going to hurt like hell if done with something like a soldering iron.  I'd take my dad to the ER before attempting this.

I mentioned this only because you asked post SHTF.
1/28/2012 7:10:33 PM EDT
[#18]
Quoted:
Quoted:
Pour sugar in the wound to clot the blood.
Works on everything from little kids playing with daddy's razor to stabbing yourself in the thigh while gutting a dear.


Didn't even think of sugar. Anything special to do after or just pour sugar on and call it good?


Depends.
Little one's razor cut, nothing more.
Stab wound? What do you think?
1/28/2012 7:11:21 PM EDT
[#19]
Quoted:
Quoted:
Quoted:
In an emergency, if the bleeding just won't stop, you could cauterize the source.


I wanted to do this but he wouldn't let me.


This should be a last ditch procedure when applied to the foot of someone with medical issues.  And it's going to hurt like hell if done with something like a soldering iron.  I'd take my dad to the ER before attempting this.

I mentioned this only because you asked post SHTF.


I was more joking with him since I couldn't stop the bleeding when I said that. Great idea though if going to the hospital is impossible.
1/28/2012 7:19:00 PM EDT
[#20]
Quoted:
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.


This is good advice.

Elevating the extremity will decrease the venous pressure (the bulk of the bleeding), and direct pressure will virtually always stop bleeding.
1/28/2012 7:31:17 PM EDT
[#21]
Quick clot gauze works pretty well.  If you don't have that around, you can try moistening a tea bag and apply it to the wound using direct pressure.  Tannic acid helps speed up the clotting process.
1/28/2012 7:42:06 PM EDT
[#22]
Iv been putting off getting combat gauze for my med kit. Don't know why but I guess I need to get some now.  I'm just confused on it. I know how to apply it but after the bleeding stops do you still have to go to a doctor if it's not a bad wound?

ETA: Wheres the best place to get combat gauze?  Thanks
1/28/2012 8:02:02 PM EDT
[#23]
Quoted:
Quoted:
Quoted:
Have the person lie flat and elevate the injured extremity above the level of the heart.  Hold constant firm pressure until all bleeding stops.  Even if his INR is 3 he will eventually stop bleeding.  Once bleeding stops apply a pressure dressing to the wound.

I keep quick-clot impregnated gauze in my FAK just in case bleeding is beyond a cut finger and cannot be managed as above.


I don't have the quick-clot gauze yet but I was thinking it would of helped. If I would of used it do you have to go to a doctor later or is it safe to use then forget it after bleeding has stopped? Obviously not on a severe wound.


I really don't know too much about this civilian quick clot stuff. The last stuff time I used this stuff was in training and we put it on a raw piece of meat and it actually cooked it. The medics that showed us this stuff said the doctors in the ER hated it since they had to remove each and every piece and it took forever. Maybe this stuff is different, but after seeing that there is no way in hell that I would ever use it unless it was a life or limb situation.

So does anyone know if this civilian stuff is better for uses like this? I would imagine that using a piece of a chitosan bandage would almost be better, but those are hard to come by, at least last that I knew.

This thread makes me realize I've really got to get back to school to see what's in and what's out.


This is a bull shit excuse. The powdered Quick Clot rinses easily out of a wound. The fact that the doctor has to "clean it out of the wound" and it's a pain in the ass is just a lame excuse to not like or not use Quick Clot. The wound should be thoroughly cleaned anyways! As far as it getting hot, well yeah it does. But, as long as you keep it in the wound and not on the surface of the skin, it's not an issue. The heat that is created doe not do that much damage when it's clotting in a severe wound. The newer stuff that's in the "bean bags" doesn't get nearly as hot. Combat Gauze doesn't get hot at all. Quick Clot is extremely effective at stopping severe bleeding. I've used it on the battlefield and I can tell you from experience that it works. Now, I'm not a Z-medica rep or anything, but the stuff works. I've taught hundreds of people in TCCC courses how to use it  and it\s a product that I believe in.
1/28/2012 8:08:59 PM EDT
[#24]
Quoted:
Iv been putting off getting combat gauze for my med kit. Don't know why but I guess I need to get some now.  I'm just confused on it. I know how to apply it but after the bleeding stops do you still have to go to a doctor if it's not a bad wound?

ETA: Wheres the best place to get combat gauze?  Thanks


amazon

1/28/2012 8:13:01 PM EDT
[#25]
Quoted:
Quoted:
Iv been putting off getting combat gauze for my med kit. Don't know why but I guess I need to get some now.  I'm just confused on it. I know how to apply it but after the bleeding stops do you still have to go to a doctor if it's not a bad wound?

ETA: Wheres the best place to get combat gauze?  Thanks


amazon



Thanks. That's half the price of everywhere else I have seen.
1/28/2012 8:15:44 PM EDT
[#26]
I am going to say something that maybe really stupid but since he was home how about an ice pack or even ice cubes in a ziplock bag once the foot is elevated. Will this not constrict the veins in that area?

I have used extremely cold water in the past with kids booboos to stop the bleeding but since he is on blood thinners I don't know if it would work in this case. Just trying to educate myself more.
1/28/2012 8:32:58 PM EDT
[#27]
Quoted:
I am going to say something that maybe really stupid but since he was home how about an ice pack or even ice cubes in a ziplock bag once the foot is elevated. Will this not constrict the veins in that area?

I have used extremely cold water in the past with kids booboos to stop the bleeding but since he is on blood thinners I don't know if it would work in this case. Just trying to educate myself more.


Yes, ice will help stop bleeding in most cases. But, it won't be much of a help on someone who is taking blood thinners. Typically you are going to need some extra help like hemostatic agents (quick clot, hemcon, celox, etc.) or cauterization of some type (silver nitrate or a high temp cautery).
1/28/2012 8:38:59 PM EDT
[#28]
Quoted:
Quoted:
I am going to say something that maybe really stupid but since he was home how about an ice pack or even ice cubes in a ziplock bag once the foot is elevated. Will this not constrict the veins in that area?

I have used extremely cold water in the past with kids booboos to stop the bleeding but since he is on blood thinners I don't know if it would work in this case. Just trying to educate myself more.


Yes, ice will help stop bleeding in most cases. But, it won't be much of a help on someone who is taking blood thinners. Typically you are going to need some extra help like hemostatic agents (quick clot, hemcon, celox, etc.) or cauterization of some type (silver nitrate or a high temp cautery).


Thanks and coming from an avatar like that I have to trust it, LOL
1/28/2012 8:41:50 PM EDT
[#29]
As I have told several surgeons:  All bleeding stops eventually.
1/29/2012 1:29:11 AM EDT
[#30]
Quoted:
super glue


Yup. That's what I'd try first...  If no alternative.



1/29/2012 4:11:38 AM EDT
[#31]
You can pick up Quick Clot on the EE I see it all the time for $20 shipped
1/29/2012 6:48:03 AM EDT
[#32]
Thanks for the link. Amazon also has the newer z fold style for a little cheaper. Shipping might make up the difference though.

Quoted:
Quoted:
Quoted:
Iv been putting off getting combat gauze for my med kit. Don't know why but I guess I need to get some now.  I'm just confused on it. I know how to apply it but after the bleeding stops do you still have to go to a doctor if it's not a bad wound?

ETA: Wheres the best place to get combat gauze?  Thanks


amazon



Thanks. That's half the price of everywhere else I have seen.




Posted Via AR15.Com Mobile
1/29/2012 6:57:00 AM EDT
[#33]
I think another aspect of this is the health problem that requires the blood thinner in the first place.

That wont go away post-SHTF, but his supply of blood thinner will.
1/29/2012 7:53:48 AM EDT
[#34]
How does this type of quik clot compare to the quik clot sport that is much cheaper???
1/29/2012 7:56:10 AM EDT
[#35]
Quoted:
I think another aspect of this is the health problem that requires the blood thinner in the first place.

That wont go away post-SHTF, but his supply of blood thinner will.


True. He always has a nice supply of the meds on hand but I don't have much choice.
1/29/2012 7:57:29 AM EDT
[#36]
Quoted:
How does this type of quik clot compare to the quik clot sport that is much cheaper???


I believe the sport is a powder.
1/29/2012 8:08:14 AM EDT
[#37]
I didn't mention that I also keep a CAT tourniquet in my FAK.  If bleeding is beyond manageable you could apply a tourniquet proximal to the injury, apply a pressure dressing, and transport to the closest ER for treatment.  Those tourniquets will start hurting like a bit*h after about a half hour.  Better to put up with tourniquet pain than bleed to death though.
1/29/2012 8:14:46 AM EDT
[#38]
Quoted:
I didn't mention that I also keep a CAT tourniquet in my FAK.  If bleeding is beyond manageable you could apply a tourniquet proximal to the injury, apply a pressure dressing, and transport to the closest ER for treatment.  Those tourniquets will start hurting like a bit*h after about a half hour.  Better to put up with tourniquet pain than bleed to death though.


I do have a Propper tourniquet but it's not meant for a toe.
1/29/2012 8:47:01 AM EDT
[#39]
Quoted:
Quoted:
How does this type of quik clot compare to the quik clot sport that is much cheaper???


I believe the sport is a powder.


The Quik Clot Sport I have is in a mesh bag like this : Quik Clot Sport.  You can get it at Walmart for $9.98.  At least, that is my price locally, YMMV.
1/29/2012 8:50:34 AM EDT
[#40]
Quoted:
Quoted:
Quoted:
How does this type of quik clot compare to the quik clot sport that is much cheaper???


I believe the sport is a powder.


The Quik Clot Sport I have is in a mesh bag like this : Quik Clot Sport.  You can get it at Walmart for $9.98.  At least, that is my price locally, YMMV.


Where did you find it at Walmart?  I looked everywhere and got strange looks asking about it.

ETA: How does that compare to the combat gauze?
1/29/2012 9:02:02 AM EDT
[#41]
The current QuikClot stuff is a different formulation than the old powdered stuff.  It won't burn.

Usually the problem when anticoagulated people won't stop bleeding from a minor wound is that they just didn't hold pressure long enough.  They keep checking every few minutes and have to start over.
1/29/2012 9:40:57 AM EDT
[#42]
Quoted:
Quoted:
Quoted:
Quoted:
How does this type of quik clot compare to the quik clot sport that is much cheaper???


I believe the sport is a powder.


The Quik Clot Sport I have is in a mesh bag like this : Quik Clot Sport.  You can get it at Walmart for $9.98.  At least, that is my price locally, YMMV.


Where did you find it at Walmart?  I looked everywhere and got strange looks asking about it.

ETA: How does that compare to the combat gauze?


It was in the same aisle as the band aids, tape and gauze.
1/29/2012 9:49:17 AM EDT
[#43]
Quoted:
Quoted:
Quoted:
Quoted:
Quoted:
How does this type of quik clot compare to the quik clot sport that is much cheaper???


I believe the sport is a powder.


The Quik Clot Sport I have is in a mesh bag like this : Quik Clot Sport.  You can get it at Walmart for $9.98.  At least, that is my price locally, YMMV.


Where did you find it at Walmart?  I looked everywhere and got strange looks asking about it.

ETA: How does that compare to the combat gauze?


It was in the same aisle as the band aids, tape and gauze.


My Walmart doesn't carry it then.
1/29/2012 10:09:13 AM EDT
[#44]
I used to work in a saddle shop, lots and lots of VERY sharp tools.  It was one of those places where you could walk through and get nicked by any number of different things and the bleeding wouldn't stop do to the width and depth of the cut.  There was always a can of kerosene by the sewing machine that was used as a light lubricant, stops bleeding INSTANTLY.  Not sure what the medical ramifications of putting kerosine on a wound are...but it works!
1/29/2012 10:12:35 AM EDT
[#45]
Quoted:
I used to work in a saddle shop, lots and lots of VERY sharp tools.  It was one of those places where you could walk through and get nicked by any number of different things and the bleeding wouldn't stop do to the width and depth of the cut.  There was always a can of kerosene by the sewing machine that was used as a light lubricant, stops bleeding INSTANTLY.  Not sure what the medical ramifications of putting kerosine on a wound are...but it works!


I'm not sure if I would go that route.
1/29/2012 10:27:07 AM EDT
[#46]
So after packing a wound with Combat Gauze, what do you use to wrap the area? Do you use a compression bandage like an Israeli bandage over the Combat Gauze?
1/29/2012 10:43:00 AM EDT
[#47]
Quoted:
So after packing a wound with Combat Gauze, what do you use to wrap the area? Do you use a compression bandage like an Israeli bandage over the Combat Gauze?


From what I have seen you just wrap it with a roll of gauze. Someone correct me if I'm wrong.
1/29/2012 10:56:22 AM EDT
[#48]
Quoted:
Quoted:
I used to work in a saddle shop, lots and lots of VERY sharp tools.  It was one of those places where you could walk through and get nicked by any number of different things and the bleeding wouldn't stop do to the width and depth of the cut.  There was always a can of kerosene by the sewing machine that was used as a light lubricant, stops bleeding INSTANTLY.  Not sure what the medical ramifications of putting kerosine on a wound are...but it works!


I'm not sure if I would go that route.


Not saying I use it on big gaping wounds, but if I have a cut on my finger that doesn't stop bleeding it clots it instantly.  No burning sensation, just blood coagulating.
1/29/2012 11:06:23 AM EDT
[#49]
Quoted:
Quoted:
Quoted:
I used to work in a saddle shop, lots and lots of VERY sharp tools.  It was one of those places where you could walk through and get nicked by any number of different things and the bleeding wouldn't stop do to the width and depth of the cut.  There was always a can of kerosene by the sewing machine that was used as a light lubricant, stops bleeding INSTANTLY.  Not sure what the medical ramifications of putting kerosine on a wound are...but it works!


I'm not sure if I would go that route.


Not saying I use it on big gaping wounds, but if I have a cut on my finger that doesn't stop bleeding it clots it instantly.  No burning sensation, just blood coagulating.


Is their any risk involved in using it?
1/29/2012 11:12:43 AM EDT
[#50]
Quoted:
Quoted:
Quoted:
Quoted:
I used to work in a saddle shop, lots and lots of VERY sharp tools.  It was one of those places where you could walk through and get nicked by any number of different things and the bleeding wouldn't stop do to the width and depth of the cut.  There was always a can of kerosene by the sewing machine that was used as a light lubricant, stops bleeding INSTANTLY.  Not sure what the medical ramifications of putting kerosine on a wound are...but it works!


I'm not sure if I would go that route.


Not saying I use it on big gaping wounds, but if I have a cut on my finger that doesn't stop bleeding it clots it instantly.  No burning sensation, just blood coagulating.


Is their any risk involved in using it?


I wouldn't do it. What sense does it make to pour a petroleum product into an open wound? Where do people come up with these home remedies?
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