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#131599 - 04/30/08 04:38 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: Paul810]
Arney Offline
Pooh-Bah

Registered: 09/15/05
Posts: 2485
Loc: California
Originally Posted By: Paul810
You could patch things up the way we do on construction sites.

I hear that a poultice of concrete works wonders... whistle

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#131606 - 04/30/08 05:35 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: KG2V]
wildman800 Offline
Carpal Tunnel

Registered: 11/09/06
Posts: 2846
Loc: La-USA
"Gauze Sponges" are what I prefer vs. "wound dressings".
_________________________
QMC, USCG (Ret)
The best luck is what you make yourself!

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#131651 - 04/30/08 08:18 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: MartinFocazio]
figtree
Unregistered


more is always a plus for heavy draining or bleeding wounds.
don't forget that simple pressure and if need pressure points and simple elevation can work wonders,and spare you a "50 pack" of 4x4's in the process

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#131652 - 04/30/08 08:21 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: MartinFocazio]
OldBaldGuy Offline
Geezer

Registered: 09/30/01
Posts: 5695
Loc: Former AFB in CA, recouping fr...
Yup, 4x4's are my favorite for about 90% of anything bleeding. I prepackage a stack of them, maybe 1.5-2" thick, a roll of gauze of some type, a roll of tape (with a corner turned under for easy location) if the gauze is not the stick to itself stuff, and a pair of gloves in a ziploc bag. My car FAK has several of those things in it. When I was an EMT, I stopped more bleeding than I care to remember with that stuff...
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#131653 - 04/30/08 08:23 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: ]
wildman800 Offline
Carpal Tunnel

Registered: 11/09/06
Posts: 2846
Loc: La-USA
I am going with the 50 packs because when you need them, you can go through a lot of them just changing a wound dressing after the bleeding has long since stopped. Especially when you're putting betadine solution over each incision/puncture.

This is my recent experience concerning 4 incisions and 1 puncture wound on 2 limbs (arm and leg).
_________________________
QMC, USCG (Ret)
The best luck is what you make yourself!

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#131675 - 04/30/08 11:35 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: wildman800]
haertig Offline
Pooh-Bah

Registered: 03/13/05
Posts: 2322
Loc: Colorado
A handful of sterile 4x4's, 3x3's and 2x2's, a whole mess of non-sterile 4x4's, several giganto size female pads, and lots of Kerlix. Kerlix is so much easier to work with than gauze, and works much better. However, it is quite a bit more expensive than regular gauze - but well worth it.

Quote:
I'd only use Kerlix if direct pressure and gauze didn't work immediately. No need to make it harder for the folks at the ER to dig in there.
Dressings are cut off in the ER, not unwrapped. Kerlix won't make it any harder. It probably cuts easier than a wad of regular gauze, if anything.

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#131676 - 04/30/08 11:37 PM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: haertig]
MDinana Offline
Pooh-Bah

Registered: 03/08/07
Posts: 2208
Loc: Beer&Cheese country
ABD pads, and the 10x30 bandages we use on the ambulance!

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#131682 - 05/01/08 12:12 AM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: MartinFocazio]
Stu Offline
I am not a P.P.o.W.
Old Hand

Registered: 05/16/05
Posts: 1058
Loc: Finger Lakes of NY State
You can never have too many 4x4's or roll gauze. My car kit has a full box of them in it.
_________________________
Our most important survival tool is our brain, and for many, that tool is way underused! SBRaider
Head Cat Herder

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#131692 - 05/01/08 01:06 AM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: wildman800]
KG2V Offline

Veteran

Registered: 08/19/03
Posts: 1371
Loc: Queens, New York City
Originally Posted By: wildman800
"Gauze Sponges" are what I prefer vs. "wound dressings".


Well, when you get beyond "gauze sponges" there are all sorts of other dressings - the abd pads, Maxi pads, etc. The goal on my leg, for instance, is to only change the dressings 2x/week. The problem is, it exudates more than even doubled up 4x4s can handle over those 3 days, and the type of exudate I have is actually corrosive to the wound - causes it to macerate, and get larger. So, I get to play with all sorts of "fun" stuff - Algenate dressings (with and without silver), Iodasorb gel and pads, etc etc

As my wound care specialist says "In this field, the patient eventually becomes an expert in their own wound - they alone know how the wound feels that day, and that changes how you treat it, day by day"
_________________________
73 de KG2V
You are what you do when it counts - The Masso
Homepage: http://www.thegallos.com
Blog: http://kg2v.blogspot.com

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#131696 - 05/01/08 01:25 AM Re: Go put more 4x4 gauze in your FAK. Do it now. [Re: KG2V]
wildman800 Offline
Carpal Tunnel

Registered: 11/09/06
Posts: 2846
Loc: La-USA
I've had very good experiences with the algenate packing when used at the proper stage of a deep wound healing process. This is dealing with a deep wound after it had closed up to the 1" - 2" deep stage and being approx. 1/2" in diameter.

The healing time was approximately 12 months.

Yes, it's a long, getting longer, story....
_________________________
QMC, USCG (Ret)
The best luck is what you make yourself!

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