Two weeks ago, on a Saturday afternoon, I attempted to close a wooden-framed window in my house (can't have anything but, and yes, I hate historical districts). Window frame bound up, and I gave it a _little_ tap to encourage it to close the rest of the way...

...window shattered. Self bleeding profusely from inside right upper arm. Grabbed pressure point, listened to DW asking "Are you OK?", said, "Don't think so, grab the first aid kit."

Finally took a look, I had a nasty 6cm gash and could see muscle at the bottom of it. Not pleasant. Instructed DW on how to open battle dressings & apply them. Soaked two through (anyone know off hand how much blood a military field dressing (old style) will hold?)--one dressing was not in house FAK but in car FAK, had to have DW go fetch it. Ended up being twelve stiches; 8mm from artery and about 1mm from tendons and muscle. Not to mention a 6mm gash on left hand which added to the confusion (Where's the blood coming from _now_?!).

Point being: an "ordinary" household accident was darn near _lethal_ (if I had not been concious, and artery had been nicked) due to lack of familiarity w/ house FAK by DW, and I have since depleted said kit severely based on follow-up care.

Notes to self:

1) Windows break, don't "tap up" on them. Glass is inherently stressed.

2) DW needs training on first response, and use of the various and sundry FAK items (her idea of first aid for a cut stems from years of bumming around CA and Mexico: pour strongest alcohol available on it, and wrap it in a bandanna).

3) You can only instruct bystanders and/or perform suturing on yourself when you are in shock. After the shock wears off, all bets are off. Your mileage may vary.

4) Don't go to work the next day and rip your stiches out.

5) Glazing compound is a PITA to work with (second only to glazier's points), and windows are not designed to be replaced while still installed. Need precut plywood blanks for all window sizes in house, with predrilled holes for screws.

6) Need to restock kit with a trauma dressing that is designed for one-hand use. Not impressed with current offerings (Israeli and Olaes bandages). Any ideas here?

7) Non-stick pads aren't if the wound bleeds through. Coating them w/ antibiotic ointment helps.

8) You can never have too many rolls of Kerlix.

9) At least the scars match the tatoos...

After twenty years in the Army, and working in a hospital (on equipment--got tired of being a medic) I thought I had an adequate FAK and training. This incident has taught me that a) I am not an "Army of One" and b) having a room full of medical supplies (literally) doesn't mean squat if you don't have/run out of the "One Thing" that matters _for that emergency_.

On a side note, please be advised that a field dressing has a shelf life. If it's been stored in the heat (car), I'd give it a year. If a controlled environment, maybe five. Gauze dry-rots, as I found out

Makes it fun when you have to tweezer cotton fibers out of a healing wound

Yes, everything's healing fine now, thanks for asking.

Look at cederroth "bloodstoppers"

http://www.firstaid.cederroth.com/firstaid_us/bloodstopper.asp

I don't know how much blood the field dressings will hold but your trhead did get me to look at mine and they were both in need of replacement. Glad your OK and thanks for the reminder to check my FAK.

Wow, that sucks. You have my complete sympathy.

-Blast

Dang
Take care of yourself!

Wow. Glad you're OK. Just goes to show anything can happen at any time. Scary.

First, glad your OK.

That out of the way if it happened in my house the priorities would be different.

Slice myself open on a window and it will be my immediate duty to jump through said window. A laceration might possibly kill me but if I bleed on her carpet the lady of the house will surely kill me. Don't care if it is the fourth floor. You have to suck it up and keep your priorities straight. Jumping also puts you on the ground floor and closer to where the ambulance will be. Saves the EMTs work. That is the second priority: Don't [censored] off the EMTs. If they like you they might even stop to put you out at the emergency room. Drive-by deliveries, Gurney kicked out as they make the corner on the way to the doughnut shop, are both more entertaining and painful.

Remember that at home the lady of the house holds your life in her hands. And on the way to the ER the EMTs have you by the short and curlies. Keeping on the good side of the lady of the house and EMTs is an important survival strategy. One not often mentioned. A word to the wise.

More seriously those bandages usually work more quickly if you apply firm pressure for the first few minutes. They tend to soak through more quickly when just laid on or released too soon. Of course you may have been applying plenty of pressure but you had sliced a minor vessel. Everyone's mileage varies. Two seemingly identical wounds. One barely bleeds a drop while the second looks like a prop in a cheap slasher film, blood for days.

A trauma bandage is good but they have to be applied fairly tight. Most people try to hold one tail on their teeth and pull the other end with the free hand. It can work but a stronger move is to kneel and catch one end under a boot or knee. The free hand grabs the other end. Straightening up allows you to use your whole body to get an effective pull to draw it up firmly.

An ACE bandage over a 5by9 surgical bandage is a good substitute. Precut tape speeds one handed application. A piece or two to hold the pad. Another at the end of the ACE and wind. Finish with another piece or two. Firm pressure.

What even happened to men having a handkerchief. I carry a clean, folded cotton bandanna. That way you always have a dressing, field expedient filter mask, etcetera. Always amazes me the number who don't. That said it might not have helped. Sometimes I forget I have one.

In a pinch a bandanna makes a reasonably good bandage and most athletic socks have enough elastic to act as a expedient, if someone short, ACE bandage. Not perfect but something to keep in mind.

You lived. So you obviously did something right. Now if we could just get an international team of anger management and conflict resolution negotiators to get between you and the fenestration...

CAYENE PEPPER??
i read on another site that Cayene pepper dumped onto a
open wound will staunch the bleeding--no it does not burn.
and thats dumped on not just sprinkled from the can like
your frying pork chops..the fellow who made the post sent
a photo of a now healed finger which had a run in with a
VERY LARGE knife while he was chopping branches..what was
a long jagged wound was healing up without infection..
he said that he keeps a jar in the house and one in the
shop with the seal off so he can dump it fast...
anyone else hear about this method..if nothing else a jar
of pepper sure beats the price of a pack of Quick Clot..

Good news that you survived Billy.

I think I remember seeing or reading about a teenage girl working near a picture window in her bedroom and standing on a chair. She fell into the window and nearly died of loss of blood from the wounds. If I remember right, her mother heard the crash, wrapped her up in towels, and got her to the hospital just in time.

Yikes! Wounded pride and wounded self not fun.

Get well soon.

Lee

Note to self get bandages for fak's

YEARS ago, as a teen, I was first to arrive on a NASTY car accident (2 doors down from my house) - all I had was 4x4s, and trust me - NOT enough. That's the day I learned that when you need a big dressing, you NEED a big dressing.

My FAK have had one since. Heck, last week, the company MD stopped by my office after she cleared me to go back to work - I opened MY first aid drawer, and she started laughing - I had more dressings for major trauma than she does in the exam room!! (I have thoraxic trauma dressings in there) PLUS I have TWO company 1st aid kits on the wall in my office - the current (I'm one of the floor wardens) and the one therey replaced (pulled all the out of date stuff - but the bandages and dressings etc are still good - she also got a chuckle that I had like 3-4 EMT shears sitting there (what can I say - you can get a box of 50 for like $20-25)

The bloodstopper looks like the Olaes without the pressure cup

Nope, a bloodstopper is just a quick-dressing. A Oales-bandage also has 4 yards of gauze and a occlusive layer build into it. It also has velcro on the bandage to make it extra secure.

I would go with the Oales-bandages.

http://forums.equipped.org/ubbthreads.php?ubb=showflat&Number=107838&an=

I'll post a couple of pics of them when I get to it.

EDIT: Pics added in the Olaes-bandage thread. (BTW: it's Oales-bandage, not Olaes-bandage. I misspelled )

Why you should never stand on anything small and unbalanced when trying to reach the top of the China Cabinet.....


Years ago a friend was standing on a kitchen stool trying to get something off teh top of the China Cab. She had had surgery about two weeks earlier, and still sore(back surgery I think). When she slipped and fell into the front glass of the cabinet cutting both wrists. Luckily her husband was there to rush her to the ER. After the bleeding was stopped and they bandaged her up the nuthouse DR. came by to "Talk". Staff thought she had cut her wrists on purpose.

She's fine now and didn't have to spend time in the white jacket with long sleeves.

A good replacement for medium battle dressings, IMHO, is an old fashioned OB (Kotex) pad.

Good Luck on the healing process!!!

Not a problem. My last eight years in the Army was in medical logistics, and even though the dressings didn't have a shelf-life, we figured out pretty quick what the limit was.

Hey, Blast, sympathy right back atcha...I've got four cats right now and the only way I'd wash 'em is with lead shot (say, OO Buck).

Complete and total fluke of an accident. I've got a new, healthy respect for large panes of glass.

Heh heh...I understand about getting blood on the carpet, was an issue with the last DW. The window was located in the Man Room, wood floors, and luckily carpet wasn't an issue. Now, I've got a really cool stain to point out to the poker buddies....

Half a liter sounds about right...from blood pressure checks afterwards I figured I'd lost around two pints. Second (pressure) dressing didn't really get that soaked, but first one was dripping.

Billy glad to see that you are recovering. Glass cuts are some of the worst, have cut myself with glass (not on purpose, was the "expert" glass cutter at a previous workplace) and not even felt it. Just wondered why there is red dripping, never managed to cut myself as well as you did.

If you want to make glass less hazardous put window film on the glass. Window films will keep broken glass in one sheet instead of many shards. You can even get security films in clear,

http://www.llumar.com/

Holy Crap! Glad you survived, and now you have to come up with a good story about how you "really" got that scar.

"...Don't go to work the next day and rip your stiches out..."

Good advice...

Unfortunately DW was in the next room, so I won't be able to make up any interesting stories regarding the new scar..."...so there I was, just mindin' my own business, when all of the sudden...."

Make em up anyway, in case she isn't around when you need to tell a few.....!

Well, keep the scar story on the back burner, some day it may come in handy...