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#264314 - 10/14/13 02:08 PM Re: How do you apply direct pressure? [Re: bigmbogo]
JerryFountain Offline
Addict

Registered: 12/06/07
Posts: 418
Loc: St. Petersburg, Florida
Sorry if I was misleading and hijacked the thread.

I totally agree with wearing gloves, my statement was to indicate that pressure is pressure. The gloves protect you, they (and the gauze) do not help the pressure, they are for other reasons. The bare hand works just as well for the pressure, but it does not protect you (or the patient). I keep gloves in all my kits and in my EDC bag.

Do remember to replace gloves, on a regular basis. Especially those subject to heat and light. They do deteriorate, especially latex ones but nitrile as well.

JHertig,

Unless you carry sterile gloves packaged in sterile packaging, there is no difference. It depends on how and where you have been carrying them. Outside the operating room I have seen very few sterile gloves. The patient is probably better off if you carry non-powereed gloves, but in an emergency I would use them over no gloves.

Respectfully,

Jerry

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#264315 - 10/14/13 02:18 PM Re: How do you apply direct pressure? [Re: JHertig]
ILBob Offline
Old Hand

Registered: 02/05/10
Posts: 776
Loc: Northern IL
Originally Posted By: JHertig
Originally Posted By: Russ
+1 on gloves. Since taking the WFA course I've started to EDC a pair of nitrile gloves loose in my right thigh pocket -- very accessible. My various FAK''s all have 2 pair. In a first aid situation the gloves will be on before first contact.


What is the risk (to the patient) of using non-sterile gloves?


In a non-sterile situation, which is just about anything you will run into short of an OR, there is no way to get anything else sterile so clean is probably far more than adequate.
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Warning - I am not an expert on anything having to do with this forum, but that won't stop me from saying what I think. smile

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#264316 - 10/14/13 02:31 PM Re: How do you apply direct pressure? [Re: ILBob]
Russ Offline
Geezer

Registered: 06/02/06
Posts: 5357
Loc: SOCAL
Yep, what ILBob and JerryFountain said. The initial use of the gloves is to check the person's pulse and then for bleeding which may not be apparent. By the time that check is complete the gloves will be much more contaminated than the inside of my relatively clean pocket.
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Better is the Enemy of Good Enough.
Okay, what’s your point??

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#264349 - 10/14/13 11:47 PM Re: How do you apply direct pressure? [Re: bigmbogo]
CJK Offline
Addict

Registered: 08/14/05
Posts: 601
Loc: FL, USA
Didn't read through the replies so if I'm duplicating....sorry.
ACE bandage. Sorry.....elastic bandage. Whichever one.... it is good.

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#264380 - 10/15/13 03:05 PM Re: How do you apply direct pressure? [Re: bigmbogo]
bigmbogo Offline
Journeyman

Registered: 02/11/05
Posts: 82
I'll have to check out different gauze pads. I always pictured them being sort of flimsy and maybe too absorbent, rather a firm fluid barrier. But I'm sure there are good options out there.

David

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#264381 - 10/15/13 04:43 PM Re: How do you apply direct pressure? [Re: bigmbogo]
gonewiththewind Offline
Veteran

Registered: 10/14/08
Posts: 1517
I carry compressed gauze, triangular bandages, and a tourniquet. The tourniquet can be used to maintain the pressure without actually tightening it enough to cut off circulation. It helps to free you hands while you get more gauze or dial 911!

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#264398 - 10/16/13 02:47 AM Re: How do you apply direct pressure? [Re: bigmbogo]
Pete Offline
Veteran

Registered: 02/20/09
Posts: 1372
"She apparently contracted the virus through unbroken skin"

that's troubling. first time I've heard that.

Pete2

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#264413 - 10/16/13 12:47 PM Re: How do you apply direct pressure? [Re: bigmbogo]
JPickett Offline
Enthusiast

Registered: 08/03/12
Posts: 264
Loc: Missouri
"that's troubling. first time I've heard that"
Yes, that was troubling to many of us. The I.D. doc couldn't come up with any other means of transmission.

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#264436 - 10/17/13 12:51 PM Re: How do you apply direct pressure? [Re: bigmbogo]
codyjack Offline
Stranger

Registered: 07/02/10
Posts: 11
Maybe a little off-topic, but what would you guys recommend to stop major bleedings:

"Chemical" solutions like Quikclot and other clotting agents, or rather "physical" ones like the Israeli bandage or tourniquets, that work by applying pressure?

I could imagine that the "normal" bandages are more rugged when still wrapped, and even if their expiration date is up, they should still be sterile and thus usable as long as the packaging is intact.

Chemical agents, on the other hand, might really not be as effective when they expire (I have no idea), and I guess extreme storage conditions like in a dark backpack under direct sunlight might have negative effects on them (again, no idea).

I know that most kits have a combination of both types, but what if you had to choose?
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Visit my little blog to learn more about my EDC and survival gear.

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#264438 - 10/17/13 01:34 PM Re: How do you apply direct pressure? [Re: bigmbogo]
JPickett Offline
Enthusiast

Registered: 08/03/12
Posts: 264
Loc: Missouri
Cody, I can count on having my hands with me and don't need instructions on their use. If I have a sudden Major bleed to handle, I'll apply direct pressure; with my bare hand if necessary, while I look around for something to protect me and better control the bleeding. If the bleed is not major, I'll move a little slower and grab something such as a glove or glove/gauze pad to use. If what I have to use requires I read instructions, I'll probably go with the glove/gauze pad.

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