>> WENT TO PADDLE AND THEN JUST BID ME. I LOOKED AT IT LIKE THREE DEEP
GASHES.
LIKE STICK MAN.
>> WELL, OVER THE PAST FIVE
DAYS WE HAVE SEEN SHORT TALES
LIKE THIS IN FLORIDA.
MONDAY 18-YEAR-OLD ZIPPER WAS
BITTEN ON THE HAND WHILE
SURFING OUT IN NEW SMYRNA
BEACH.
>> ABOUT 100 MILES NORTH OF
THERE, VIDEO SHOWS PROFESSIONAL
SURFER FRANK GETTING KNOCKED
OFF HIS BOARD AND THAT IS WHEN
A SHARK LATCHED ONTO HIS ARM
NEAR THE PIER IN JACKSONVILLE
BEACH.
>> BOULEVARD BEACHES HERE IN
FLORIDA AND THERE HAVE BEEN
PLENTY OF THOSE SHARK SETTINGS
ALL OVER THE US THROUGHOUT THE
SUMMER.
>> WHILE THE ODDS OF A SHARK
BITE ARE LOW YOU WANT TO REMIND
YOU IT IS GOOD TO KNOW BASIC
TECHNIQUES OF BLEEDING
CONTROLLED BECAUSE ACCIDENTS
HAPPEN TOO.
>> YES, JOINING US TO TALK
ABOUT STOP THE BLEED EDUCATION
DOCTOR ALEXANDER EVANS A TRAUMA
DOCTOR AT CENTRAL FLORIDA
REGIONAL HOSPITAL.
THANK YOU FOR BEING HERE THIS
MORNING.
>> ABSOLUTELY.
>> SOME GREAT INFORMATION FIRST
OF ALL HER FOR FOLKS THAT DON’T
KNOW WHERE TO STOP THE BLEED
TO.
>> IT IS A CAMPAIGN THAT IS
NATIONAL AND IT SUPPORTED BY
THE US GOVERNMENT TO BASICALLY
HELP PEOPLE BEFORE THE FIRST
RESPONDERS GET THERE, YOU, A
CIVILIAN STOP THE BLEEDING.
I KNOW OBVIOUSLY IT STARTED
FROM WHETHER IT BE SHOOTINGS OR
OTHER DIFFERENT HERMETIC THINGS
THAT HAVE HAPPENED ACROSS OUR
COUNTRY.
>> SO THE FIRST QUESTION IS
WHEN SHOULD YOU EVEN THINK
ABOUT A TOURNIQUET?
>> I MEAN IF THERE’S BLEEDING
YOU SHOULD ALWAYS THINK ABOUT
IT.
THE FIRST THING I WAS I WAS
SAYING BEFORE IS NUMBER ONE.
CALL FOR HELP IS THE FIRST
THING.
AND THEN IF THERE’S AN
EXTREMITY OR SOMEONE’S ARM OR
LEG IS BLEEDING, YES, YOU
SHOULD ACTUALLY START THINKING
ABOUT A TOURNIQUET WHETHER YOU
USE THE TRADITIONAL
TOURNIQUET’S THAT ARE PROVIDED
OR BELTS, STRAPS, PIECES OF
CLOTHING TIGHT AROUND.
THE GOAL IS TO STOP BLOOD FROM
LEAVING.
BECAUS ONCE BLOOD LEAVES THE
BODY THE CHANCE OF DYING GOES
UP.
>> FOR PEOPLE WHO DO NOT REALLY
UNDERSTAND WHAT A TOURNIQUET IS
YOU BOARD AN EXAMPLE OF ONE.
LIKE A FIRST AID KIT TYPE OF
CRICKET.
>> YES, YOU CAN GET THESE NOW.
TOURNIQUET THE RIGHT BESIDE
FIRST AID KITS NOWADAYS BUT IT
LITERALLY GOES AROUND THE ARM
EXTREMITY AND YOU TIGHTEN IT UP
AND THEN YOU TURN THIS AND IT
LITERALLY STOPS THE BLOOD FROM
LEAVING.
IT CLAMPS DOWN ON THE ARM
BASICALLY.
>> SO THIS SHOULD NOT BE THE
FIRST THING YOU THINK OF WHEN
YOU SEE SOMEBODY IN A
SITUATION.
OTHER STEPS YOU SHOULD TAKE
BEFORE YOU BUS STOP THE
TOURNIQUET?
>> CALL 911.
>> CALL 911 AND MAKE SURE THAT
THE AREA IS SAFE OBVIOUSLY.
IF IT IS A SHARK BITE YOU TO
REMOVE THE PATIENT FROM THE
WATER AND MAKE SURE THEY ARE
BREATHING ETC. BUT YES, IF
THERE IS A PLACE WHERE SOMEONE
IS ACTIVELY BLEEDING AND YOU
PUT GAUZE OR SOMETHING ON IT
AND IT’S BLEEDING THROUGH THE
NEXT UP SHOULD BE MOVING
TOWARDS SOMETHING THAT WILL
HELP STOP THE BLEEDING.
>> SO IF PRESSURE IS NOT
WORKING YOU NEED TO GO TO THIS.
>> AND TROOPER STEVE EVERY
MEMBER DURING A HURRICANE
SPECIAL TALK ABOUT HAVING HER
FIRST AID KIT FOR HURRICANE
SEASON.
A TOURNIQUET IS ALWAYS A GREAT
IDEA, WOULD YOU SAY HAVING A
TOURNIQUET WHERE YOU ARE AT IT
ALL TIMES IS A GOOD THING
WHETHER YOUR BEACH BAG OR YOUR
CAR?
>> UNFORTUNATELY NOWADAYS IN
OUR SOCIETY YES, THAT IS
ACTUALLY WHAT WE ARE SUGGESTING
THAT IS WHY IT’S GOING INTO
AIRPORTS.
YOU CAN FIND IT IN SEVERAL
PLACES IN WALMART OR THE MALLS
ARE STARTING TO HAVE THEM.
IT IS IMPORTANT.
AGAIN HOW WE ARE LIVING OUR
SOCIETY IN A FEW DAYS
UNFORTUNATELY WE ARE STARTING
OTHER GUNSHOTS ETC. IF SOMEONE
IS BLEEDING IT IS HARD TO STOP
BLEEDING FROM THIS PRESSURE.
>> CAN YOU EXPLAIN HOW FAST
BLOOD LOSS CAN PLAY INTO
WHETHER OR NOT SOMEONE IS ABLE
TO RECOVER?
>> IT DEPENDS ON THE SIZE AND
WHAT ARTERY YOU HIT URBAIN ETC.
SOMEONE CAN BLEED OUT QUITE SO
QUICKLY.
SIX MINUTES OR 10 MINUTES.
AFTER 10 MINUTES YOU’VE LOST A
SIGNIFICANT LARGE VESSEL.
IF SOMETHING SMALL THE KNOW YOU
WILL BE FINE BUT AGAIN YOU AS
THE LAYPERSON DOES NOT KNOW
THAT.
APPLY THE TOURNIQUET, 911 AND
IT WILL GET THERE IN TIME AND
THEY CAN ASSESS WHETHER OR NOT
IT IS NEEDED.
LET THEM DO ALL THE WORK.
THE EMS PROVIDERS DO ALL THE
WORK.
>> IS THERE A WAY YOU CAN DO
THIS WRONG AND CAUSE MORE
DAMAGE THAN HELP?
>> THE ONLY WAY TO DO IT WRONG
I WOULD SAY WHEN SOMEONE IS
ACTIVELY BLEEDING IS IF YOU
APPLY IT AND THEY ARE STILL
BLEEDING.
IF YOU APPLY IT AND YOU STOP
BLEEDING THEN YOU HAVE NOT DONE
IT WRONG.
AS I SAID, THE EMS PROVIDERS IN
THE HOSPITAL THEMSELVES, WE CAN
FIGURE OUT WHAT NEEDS TO HAPPEN
NEXT.
WE HAVE AN EXTENDED AMOUNT OF
TIME BEFORE ANY PERMANENT
DAMAGE IS DONE.
>> DOCTOR, BUT IF YOU WANT TO
BE MACGYVER AND YOU DON’T HAVE
A TOURNIQUET.
WHAT ARE SOME OTHER ITEMS THAT
YOU CAN LOOK AROUND AND MAKE
ONE?
>> AGAIN, ANYTHING THAT YOU
HAVE CAN BE USED.
WHETHER ARTICLES OF CLOTHING
THAT ARE RIPPED DOWN.
BELTS.
SEATBELTS.
BELTS. SEATBELTS. STRAPS FROM UMBRELLAS, ETC.
ANYTHING THAT IS THERE.
SUITCASES.
WHEREVER YOU ARE.
IF YOU ARE ON THE BEACH IT WILL
BE SOMETHING CLOSE TO YOUR CAR
AND GET THE SEATBELT AND CUT IT
OUT AND BRING IT IF YOU DON’T
HAVE A BELT.
>> SHOULD SOMEONE INVEST IN A
STOP THE BLEED CLASS IF THEY
MAYBE WANT TO LEARN HOW TO DO
IT APPROPRIATELY AND MAYBE DO
SOMETHING LIKE THIS ONE DAY?
>> THAT IS ALWAYS A SUGGESTION.
LOCALLY, THE EMS TEAMS IN THE
HOSPITALS ALONG WITH THE POLICE
STATIONS ALL SPONSOR PUBLIC