Speaker 2: Ah! Speaker 1: Now we're gonna cover arterial bleeding in the workplace. In this
setup, what we saw is a person who knew he probably should have used something to help
put the wood through. But the problem was it was inconvenient, which is so common, puts
it down, uses his hand, but slips, and cuts his radial artery. We know that it's an arterial
bleed because it's pulsating and bright red in color. Venous bleeding is more oozing and
is darker in color. Now, when we come across this, most people automatically, they grab
their bleeding part of their body. They put a hand over it. That's natural. It's normal
but they may not even have a bandage. So when we respond, we're gonna make sure that our
scene is safe, the machinery is off, our gloves are on, and we're ready to rescue. I like
to come with at least a 4X4 or a 5X9 immediately. Sir, I'm gonna go ahead and replace your hand
with this 4X4. Ready? Go ahead and change it out. Now we saw that it was obviously pulsating.
Go ahead and put pressure on that right there. There you go. He puts direct pressure himself.
He can assist as long as he's conscious and not losing responsiveness. I can see that
it's already leaking through so I don't take the first one away. Go ahead and cover that
now. And I put a second one on there. He puts firm pressure. It, you know, getting it above
the heart was something that we used to teach, but again, if they're not comfortable doing
that, it's more important to put the direct pressure instead of worrying about elevating
it, all right? We're sitting the person down so that if they do get a little light headed,
they're in a sitting position. Eventually, maybe a chair and if it gets real bad we'll
lower them all the way down to the ground. Now once we have controlled the bleeding,
and it's not like arterial bleeding cannot be controlled with direct pressure. It's something
that we need to keep an eye on, every time we see it starting to leak through, we put
another fresh bandage. Here's a 5X9, go ahead and put direct pressure there. And now we
see that it's not leaking through this 5X9 bandage. If we could not control this arterial
bleeding, we might move to a proper tourniquet device. This is for delayed emergency response
of greater than 10-15 minutes, major arterial bleeding that cannot be controlled, and life-threatening
bleeding that if we don't stop the bleeding, the person's gonna lose their life. That's
the proper use of tourniquets and when to use them. In most cases, direct pressure and
pressure bandages are going to work just fine. You can also make a make-shift tourniquet
if you don't have a proper tourniquet device. In this case we're controlling it with direct
pressure. Now it's not leaking through, the person's consciousness is fine. He's responding
to me well. He's still helping. And now I'm gonna go ahead and wrap this, sir. I wrap
it from the distal end which means all the way to the end. I start at the end of the
extremity. I'm using an Ace wrap to hold pressure with this so it could actually work like a
tourniquet by accident. Not my point, and I'm gonna show you how to check to make sure
we're not causing a tourniquet in just a minute. But I'm able to wrap that pad in place. Look
it, if I need a little extra pressure once I get over the wound itself, I do a little
twist. Then I come back around, another little twist straight over it, and now I can finish
out that bandage. And now I just tuck the end into the actual Ace wrap to hold it there.
Now I wanna check nail beds. I squeeze the nail bed and look at this. You can see that
when I pinch the nail bed and it blanches white and then I let it go, it only takes
like one, maybe two seconds to refill with blood. That's what tells me this is not so
tight that it's cutting off circulation, but it's tight enough that it's holding direct
pressure and it's keeping the arterial bleeding from still losing a certain amount of blood.
So this is a great bandage. Now we can decide whether we're going to transport this patient
to the emergency room by private vehicle or whether we need to activate EMS. At the point
that this person started to lose consciousness, or show signs of shock like cool, pale, sweaty
skin, decreased level of consciousness or I could not get this bleeding to stop and
they were losing a large amount, that's when I activate EMS by calling 911 and get help
on the way and treat the patient for shock or any other life-threatening conditions.