Perform First aid for

Bleeding of an Extremity

Page 3-388
 Evaluate the Casualty

Steps in a Primary Survey

1. Mask and Treat a Chemical Agent Casualty

2. Check the Casualty for Responsiveness
3. Check the Casualtys Airway
4. Check the Casualtys Breathing
5. Check the Casualtys Circulation
6. Check the Casualty for Bleeding
7. Treat for Chemical Agent Poisoning (if
appropriate)
8. Check the Casualty for Shock
 Evaluate the Casualty

Steps in a Secondary Survey

1. Check the Casualty for Fractures

2. Check the Casualty for Burns
3. Check the Casualty for Closed Head Injury
(concussion)
4. Check the Casualty for
Environmental Injuries
5. Check the Casualty for
Other Wounds/ Fractures
6. Check the Casualty for
Combat Stress Reaction
 Perform First aid for
Bleeding of an Extremity

Task: Apply a Field Dressing, elevation and manual

pressure, a pressure dressing, and a Tourniquet, as
needed, to a wound on a Casualtys limb

Conditions: Given a simulated Casualty

with bleeding from a limb and needed Supplies

Standards: Score a GO on the Performance Checklist

 Perform First aid for
Bleeding of an Extremity

All Bleeding stops eventually

Stop it before it runs out

 Perform First aid for
Bleeding of an Extremity

Dressing: Material placed directly over a wound

Bandage: Material used to Hold Dressing

Field Dressing: Carried by all Soldiers

 Perform First aid for
Bleeding of an Extremity

Step # 1:

Expose the Wound

Use Caution with Burns

or if in a Chemical Environment
 Perform First aid for
Bleeding of an Extremity

Step # 2:
Apply & Secure a Field Dressing
Expose the Wound
Prepare Dressing
Open Dressing
Apply to wound
Secure dressing
Tie tails in Non-Slip Knot
 Perform First aid for
Bleeding of an Extremity

Step # 3:
Apply Manual Pressure
Direct Pressure for 5 to 10 Minutes

Step # 4:
Elevate the Injured Limb
Do this at the same time as Applying Pressure
DO NOT elevate a suspected Fracture
Hold And Wrap
 Perform First aid for
Bleeding of an Extremity

Step # 5:
Apply a Pressure Dressing
Only on a wound of the Arm or Leg
Placed on top of the field dressing
 Need a hand ???

How about a Tourniquet ?

 Perform First aid for
Bleeding of an Extremity

Step # 6:
Determine if a Tourniquet is Needed
Only when all else Fails

Not on wounds to the Head, Neck, Chest

Not used on amputation of part of Hand or Foot

Is used on amputation of Upper Arm, Forearm,

Thigh or Lower leg
 Perform First aid for
Bleeding of an Extremity

Step # 7:
Gather Materials for Making a
Tourniquet
Tourniquet Bands
Rigid Object
Securing Materials
Padding
 Perform First aid for
Bleeding of an Extremity

Step # 8:
Select Tourniquet Site
Upper Arm

Thigh

Above the Joint, as Close to Joint as Possible

Not over a Fracture

 Perform First aid for
Bleeding of an Extremity

Step # 9:
Apply a Tourniquet
ONLY USED AS LAST RESORT
Application Of Tourniquet
(Tying of Half-Knot)
Application of Tourniquet
(Positioning Stick)
Application Of Tourniquet
(Full-Knot on Stick)
Secure Stick
 Perform First aid for
Bleeding of an Extremity

Step # 10:
Dress an Amputation
 Perform First aid for
Bleeding of an Extremity

Step # 11:
Mark the Casualty

T and time of Tourniquet application

Do not cover tourniquet
Monitor Casualty and Treat for Shock
 Perform First aid for
Bleeding of an Extremity

Find your Partner

Use the Performance Checklist on Page

4-20 & 4-21
 Perform First aid for
Bleeding of an Extremity

QUESTIONS ??