Jun 7, 2016
Howie shows us the tools in his toolkit:
- Tourniquets save lives and do not cause limb ischaemia. The
aorta is clamped for many hours in cardiac surgery. Data from the
battlefield showed that in >800 cases where tourniquets were
applied, there were 3 adverse outcomes (loss of sensation in the
- Haemorrhage control (Israeli) bandages are tourniquets with a
haemostatic agent that can be applied to a bleeding wound
- QuickClot (haemostatic powder) can be used for abdominal wounds
but may draw the ire of surgeons because they cause an exothermic
reaction that burns surrounding tissue.
Howie emphasises that not all bleeding have to be stopped - if
it’s not pouring out, it can wait. He teaches us to quantify blood
loss in the field - three 335 mL cans of soda worth is when to
The talk ends with an interesting mini Q&A session as trauma
surgeons and paediatricians also weigh into the debate.