Posted: 5/29/2014 11:54:01 AM EDT
| Anyone know where I can get a one-pager (less is preferred) on treatment of a GSW? I need something to put in my range med kit to give me or someone else a checklist and set of priorities to handle this situation until I can get pros involved. |
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Every gunshot poses its own set of unique problems. Things like hemorrhaging, tension pneumothorax, obstructed airway, hemothorax, etc..
Unfortunately training is your best bet. A one page paper on what to do will probably do more damage than good. Besides the basics of stop the bleeding and calling 911, you'd be best spending that time reacting rather than reading. Just my opinion though. |
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I second the two posters above me. Too many variables to treat a GSW besides control the bleeding and get to the ER. Definitive treatment for a penetrating GSW is surgery. Control the bleeding by whatever means necessary and get to ER. If you want more than that, you should get training with hands on experience on how to control bleeding. Reading about it and doing it are two completely different things, especially during stress. |
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Quoted:
Stop bleeding. Get to ER. Sorry, but if you ask for less than a page worth of info on how to treat a GSW, you don't have enough training by a long shot. Yep. Lots of variables there...like gunshot to where. Sucking chest wounds are more involved than the infamous "flesh wound". Any arterial bleeding? Can't just rub some dirt in those. |
| You won't get an argument from me that the priorities are stop the bleeding and get help. I am not looking for a step-wise manual to self treat and I'm not in a position to get any real depth of training for this. The place where I shoot is an 3/4 of an hour at best from help - them coming to us or the reverse. I'm on my own to handle the situation for at least that long. Or someone who has given this even less thought than me has to handle it on my behalf. There must be something akin to "Ok, someone got shot. Here are 5 (or 7, or 10....) things you need to assess/do right now". |
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This might help.. FM4-25.11
ETA - Pay extra attention to the black box warnings. |
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Quoted: You won't get an argument from me that the priorities are stop the bleeding and get help. I am not looking for a step-wise manual to self treat and I'm not in a position to get any real depth of training for this. The place where I shoot is an 3/4 of an hour at best from help - them coming to us or the reverse. I'm on my own to handle the situation for at least that long. Or someone who has given this even less thought than me has to handle it on my behalf. There must be something akin to "Ok, someone got shot. Here are 5 (or 7, or 10....) things you need to assess/do right now". I would maybe organize a first aid training class for your gun club.
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Here you go. One sentence:
If someone is shot, first call 911 then address bleeding with direct pressure or a tourniquet. Your welcome. There are a lot of medical types that shoot at my range. A couple years ago a guy, way down the line from the steel shooter, got a jacket to the carotid. He was lucky he was at that range even though on that day there were only 2 or 3 ED nurses there! |
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I kind of agree with the OP. I'm not a doctor, paramedic, or anything else. BUT, I would like to be in a position to do the right thing(s) IN ADDITION TO calling 911.
I'm assuming a simple boo-boo isn't going to need somebody to do something RFN or they will die before help arrives. If the injured person DOES need somebody to do something RFN before help arrives, then I'd like to know what that is and be in a position to, if at all possible, to keep that person from expiring before competent emergency medical help can arrive. Should it be a one pager? Probably not, unless of course you actually want somebody to remember what to do under incredible stress when time is critically short. Then, it needs to be in simple English that anybody can implement with good enough memory pneumonics that a chimpanzee can remember the steps, because that may be the level of mental acuity you have under sky-high stress. So, I agree with the OP and would like to know if such a resource exists or if anyone has seen such a thing at a course as part of the training materials. |
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Well, I am a paramedic. I was a Combat Lifesaver in the Army. I have treated numerous patients for GSWs. It is not rocket science by any means. The really, really simple plan is to have someone without a clue grab an Izzy, or what ever type of bleeder bandage, Apply to wound with direct pressure. Hope that someone with some training shows up.
IMHO, anyone who shoots either as a job, hobby, recreation, etc. should have some training to deal with GSWs. It is the responsible thing to do. Luckily, I think there is always a good chance that at least one person on a range would have some knowledge and/or training. On that note, once you get training, you should have the requisite supplies. Just my two cents. |
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I carry a few items for gsws. I am former mil, present leo and an emt. Our trauma bags have the following items.
israle bandage swat t quick clot. chest seal these are the videos we use for training. these are no way intended to bypass formal training but may help you make up your own notes for your kit. video 1 video 2 video 3 video 4 video 5 |