When Tourniquets Don't Work - Applying a Second
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Exploring Further Steps When Tourniquet Fails: What's the Next Move?
Evaluating Tourniquet Effectiveness
Assessing the tourniquet's efficacy involves checking for cessation of bleeding and the presence of a distal pulse.
Potential Issues
If bleeding persists and a distal pulse is still present, further action is required.
Ensuring Tightness
Firstly, verify that the tourniquet is sufficiently tight; additional pressure may be necessary for effectiveness.
Application Force
Remember, significant force is required during tourniquet application to achieve hemostasis.
Exploring Alternatives
If the initial tourniquet is correctly applied but ineffective, alternative measures must be considered.
Available Options
Choices include applying direct pressure, using a hemostatic dressing, or applying an additional tourniquet.
Direct Pressure and Dressing
Initially, consider employing direct pressure and a pressure dressing, especially if prior attempts were unsuccessful.
Effectiveness Enhancement
With the tourniquet in place, reduced blood pressure may improve the efficacy of direct pressure and dressing.
Hemostatic Dressing or Additional Tourniquet
Alternatively, the use of a hemostatic dressing or applying another tourniquet presents viable options.
Decision-Making
Due to limited guidance, the choice between hemostatic dressing and additional tourniquet relies on the caregiver's judgment.
Improvised Tourniquet
In the absence of commercial options, improvising a tourniquet may be necessary, prioritizing patient safety.
Applying Additional Tourniquets
If multiple tourniquets are required, apply them above or below the initial one, maintaining a 5cm distance from joints.
Location Considerations
Consider applying additional tourniquets to the lower limbs, where reduced blood pressure may enhance effectiveness.
Time Documentation
Record the time of each tourniquet application and refrain from removing any tourniquet.
Rare Circumstances
In extreme cases, a third tourniquet may be necessary, although uncommon.
- IPOSi Unit three LO3.1, 3.2, 3.3 & 3.4
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