In this video I'm gonna be covering the M in smart
medicine, massive bleeding, so stick around for this life
saving information. And joining us from San Diego Chief Petty
Officer Chris Sajnog
Joining me now is retired Navy SEAL sniper, Chris Sajnog.
I came up with smart emergency medicine which stands for scene
safe, massive bleeding, airway, reassess, and then transport.
Smart is a simple and effective system to respond to any medical
emergency situation before medical personnel arrive, or the
victim can be brought to a hospital. If you haven't watched
the previous video on making sure the scene is safe, make
sure you watch that first. Because if you skip any steps in
this system, well, it's not really a system now is it? Okay,
so I'm going to assume that you're all caught up in the
scene is safe. So next up is massive bleeding. Now first,
let's define what massive bleeding is. Massive bleeding is
if you see blood pooling or flowing or squirting out, and
it's not just small cuts are bleeding, it's bleeding that
needs to be stopped immediately. Or it can lead to a life
threatening situation from blood loss. To find massive bleeding,
we need to do what's called a blood sweep. Doing a blood sweep
is not a gingerly look around to find bleeding. If someone
watching you do a blood sweep thinks that you're attacking
that person, you're actually off to a good start. Make sure to
check everywhere and look at your hands to see if there's
blood on them. When you do find massive bleeding, not just a
little blood, you need to pause your sweep and stop that
bleeding. Because somebody can bleed out in as little as 30
seconds. And it's not easy to simply put blood back into
people. I'm often asked by my students why they've heard about
the ABCs their whole lives, the ABCs airway first then
breathing, then circulation, these are synonymous with first
aid. And why am I not following this so called established
system? Well, because it's not only wrong, it's actually
dangerous. The ABCs were never intended for first aid. It was a
memory aid for healthcare workers to respond to cardiac
arrests. In fact, in 2010, the American Heart Association and
the International liaison committee on resuscitation
change their recommended order for CPR interventions for most
cardiac arrest cases, to chest compressions, then airway and
then breathing or cab ca B. Still, even with this new cab,
that still for CPR intervention, cases of cardiac arrest, not
trauma, people can literally live after hours of not
breathing. Medical disclaimer, although I am a doctor, I am not
a medical doctor. So do not try this at home. That's why we
don't care if the airway is open right away, we will get to that.
But if this person is bleeding out, you need to stop that
bleeding by any means you can remember this saying head to toe
treat as you go. As you're doing your blood sweep. Anytime you
find massive bleeding, stop the bleeding, then continue your
blood sweep. And it should seem obvious, but oftentimes common
sense is not common knowledge. If you walk up to somebody and
you see blood squirting out, it's sweating in the eyes,
whatever. You do not need to start a blood sweep, you need to
stop that bleeding. If you've got a tourniquet, this is the
time to use it. If you've got a belt, you've got a tourniquet
patients got a belt, you got a tourniquet pants in a stick,
bicycle tire inner tube, you get the idea. stop the bleeding.
Something else to keep in mind if you don't have any medical
gear with you, as long as you carry a knife. everyone around
you is wearing an infinite supply of bandages. Make sure
you practice the lesson you just learned. Grab a friend or family
member and practice doing blood sweeps on each other. Get some
medical supplies, get a tourniquet, practice putting
them on yourself and those you love because just watching this
video won't save anyone's life. In the next video I'll be
teaching you the A in smart medicine, airway, until then
keep paving your path to perfection. Alright, if you
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