The following case study is of an Afghan civilian woman who was medically evacuated to a Forward Surgical Team in regional Afghanistan having sustained a through-and-through gunshot wound to her right upper chest. The exact circumstance of the wounding was never made completely clear, but it was understood that the women was injured in crossfire during a firefight between two feuding Afghan tribes. The likely weapon that the bullet came from was an AK-47, and history from the woman suggested that the range she was shot from was likely between 300-400 metres, meaning that the bullet would have lost a significant amount of velocity before it struck her.
The casualty had been taken to a regional military base where her wounds were covered with occlusive dressings by the treating medic and an AME was organised to the FST that I was working at on the day. The following image shows the primary survey of the casualty in the resuscitation bay of the FST with myself assessing her wounds and one of the trauma surgeons listening to her chest to assess for breath sounds.
Read the Original Article with Photos and Vids at Tac-Med Australia
Muslim terrorists attacked the Belgian capital of Brussels today in a series of attacks that seem to have used IEDs and may have used firearms as well. The attacks took place four days after the primary suspect in the November terrorist attacks in Paris, France was arrested in the city.
News media are reporting at least 28 known dead in the attacks.
The first two explosions rocked the departure hall at the Brussels airport shortly after 8 a.m. local time. (3 a.m. ET). Witnesses told The Associated Press that one occurred at an excess baggage payment counter and the other near a Starbucks cafe.
Reuters, citing the Belga news agency, reported that shots were fired and shouting in Arabic was heard before the explosions.
Zach Mouzoun, who arrived on a flight from Geneva about 10 minutes before the first blast, told BFM television that the second, louder explosion brought down ceilings and ruptured pipes, mixing water with blood from victims.
“It was atrocious. The ceilings collapsed,” he said. “There was blood everywhere, injured people, bags everywhere.”
“We were walking in the debris. It was a war scene,” he said.
About 80 minutes after the airport blasts, another explosion was reported on a train that was stopped at the Maelbeek subway station, not far from the headquarters of the European Union. Rescue workers set up a makeshift treatment center in a local pub. Dazed and shocked morning travelers streamed from the metro entrances as police tried to set up a security cordon.
Fortunately, terorist attacks are very rare here in the United States. We’re far more likely to run across victims of vehicle accidents or street crimes. Fortunately, the training to respond to the vast majority of trauma injuries we’re like to encounter in a civilian context is largely the the same, and life-saving training can be had for approximately the same cost as a good firearms course.
Tactical Combat Casualty Care (TCCC) and Tactical Emergency Casualty Care(TECC) are the current “gold standards” for dealing with traumatic injuries, though even a firearms course that works in a medical brief and incorporates trauma response into scenario training can give you some idea of what you can do to help save lives if the Worst Day Ever happens while you’re around.
We’re not trying to turn you into paramedics, but if you’re going to train to put holes in bodies in response to deadly force threats, it only makes sense to have the basic skills and equipment to provide the most basic care to keep people—particularly the friends and family most likely to be with you when a traumatic incident takes place—alive.
Learn how to use a quality tourniquet like a SOFTT-W or an CAT, and learn when they’re appropriate for use and how to apply them effectively to stop arterial bleeding from limbs. Learn how and where to use gauze to pack specific kinds of wounds, and when it is isn’t appropriate and can cause complications. Learn how to use occlusive seals and clear airways. do the best you can to keep people alive until EMTs arrive. That’s all anyone can ever ask of you.
It doesn’t take long to learn these basic skills, and you’re more likely to run across a scenario where these skills, instead of your shooting skills, is more likely to save lives.
Read the Original Article at Bearing Arms
STAFF SERGEANT NICK Lavery wasn’t only the most physically imposing Green Beret on our team, he was the most physically imposing soldier any of us had ever seen. He was 6’5″, approaching 280 pounds, and cut like a linebacker—the position at which he excelled, not coincidentally, as a college football player at the University of Massachusetts Lowell. He was a weapons specialist, and an expert in hand-to-hand combatives. If Army scientists and tattoo artists had highjacked a Darpa lab to create the ultimate soldier, they would have created Nick. But that wouldn’t prevent a single gunshot to the leg from nearly killing him.
Most of what we learn about gunshot wounds, we learn from watching television. A small sliver of this programming is actually educational, like the ballistics tests performed onMythbusters. (Some lessons: Bullets fired into liquids will stop or disintegrate rather than slice through seawater a laSaving Private Ryan, and a weapon that would blow a victim backwards would also blow the shooter back.) But these examples are outliers. Depictions of gun violence in fictional shows and movies are routine, and often wildly imaginative. Those depictions are distorting understanding of what bullets can—or can’t—do to bodies.
As a combat medic in Afghanistan, I treated a variety of gunshot wounds. And as the husband of an emergency room provider at Johns Hopkins Hospital in Baltimore, gun violence has remained—at least peripherally—a significant part of my life. This year, murder rates in Baltimore are on track to surpass death tolls generated by the crack epidemic. Through conversations I’ve had with ER doctors at Johns Hopkins, in addition to my own combat experience, I can offer a few tips you won’t learn at the movie theater. This isn’t just about exposing Hollywood sophistry: It’s about knowing what to do if you ever find yourself near or among the 297 or so people in America who are shot each day in homicides, assaults, suicides, suicide attempts, accidental shootings, and police interventions.
Read the Remainder at Wired
