Below is part of an AAR I sent to Kerry Davis to post on his FB page about the recent save I had w/ his DARK kit. This is the second time I've used it. The rest of it should be up on his FB page within the next few days.
I get dispatched to the bleeding in the supermarket. As an EMS provider in a relatively busy system, I shrug it off. I've been running nonstop all day, and I'm seriously expecting this to be some bullshit patch job.
Oh, how wrong I was. Complacency kills. See a trend here?
I pulled up and saw the panicked look on the store employees faces as they met me outside. I chalked this up to the usual jitters I see everyday. They were making comments which made it sound like it was the end of the world in there, and that it vaguely resembled a crime scene. Again, I shrugged it off.
I rounded the corner to the aisle and see my patient laying on the floor. He's white as a ghost, and I'm looking at what appeared to be anywhere from 350-500cc's of blood on the floor. This is a retarded amount of blood, and on the floor it looks like someone just dumped a bucket of it everywhere. Thank God it wasn't shark week. One of my cop friends is on scene holding pressure on his ankle, unsure of where the actual wound is, because there's that much blood.
Long story short, he was walking in the aisle when he noticed his foot was bleeding. Next thing he knows, he's laying on the floor covered in blood.
Because I had absolutely no idea where the hell this guy was bleeding from, and looking at the sheer amount of blood on the floor, and that I couldn't palpate a radial pulse (very, very bad), he bought the tourniquet. I applied the CAT in his groin, as high up as possible.
Some might ask, why the TQ? It wasn't an arterial bleed!
It's important to note that the blood was dark red in color. Venous bleeding is still deadly. Just because it isn't bright red, and squirting everywhere doesn't mean it's any less dangerous. Oozing venous blood will still kill you, just a bit slower. Any bleeding is bad. Therefore, stopping the bleeding is paramount, especially if you don't know where the hell it's all coming from.
After the TQ was applied (don't forget to annotate time and check the distal pulse!), I used my handy dandy Rip Shears (old version) to cut off the rest of his pants leg, his shoes, and his socks in an attempt to find where he was bleeding from.
After searching for a bit, I found that he was bleeding from an old scab from varicose veins. The izzy bandage from the DARK kit was immediately applied with extreme prejudice.
Unfortunately in the process of getting the TQ and the Izzy out from the kit, the rest of the contents spilled everywhere and fell in the pool of blood. Thus the rest of the kit was lost, because fuck that. Bloodborne pathogens are no joke. Even the pouch was a lost cause. (same thing happened in save #14, sorry Doc!).
However, Kerry and I both agreed that it was a small price to pay for the outcome. The guy made it, in no small part due to the DARK kit (that I had with me, hint hint)
I'll let you in on a little secret. Everyone is so hell bent on being some tacticool gucciflaged mall ninja beating their dick to the latest Kryptek covered BFG-9000 freedom dispenser, yet they can't handle a medical emergency, which is way more likely to happen than running into some ghetto gunfighter sent by the current administration to cap your ass.
Edited by Jersey0311, 31 May 2014 - 05:01 AM.