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The 2016 White House Stop The Bleed (STB) initiative was created to address specific medical issues surrounding the alarming increase in U.S. mass casualty Incidents (MCIs). Supported by recommendations from the Hartford Consensus1and lessons learned during military combat,2,3 the STB initiative seeks to: 1) train laypersons to provide hemorrhage control; and 2) strategically place hemorrhage control supplies in public spaces at highest risk for an MCI. National health organizations and industry leaders have embraced this well-constructed initiative. From this effort, there`s been some increase in STB training initiatives as well as active public awareness campaigns. There have also been large donations of hemorrhage control supplies for placement in public spaces. However, there remains a significant, and as of yet unaddressed, gap in this initiative: Most laypersons can't use the currently available tourniquets without proper training.4,5 [Native Advertisement] The Delay in Public Health Campaigns It's well-known that there's a delay in public health campaigns between the educational intervention and the increase in desired health behaviors.6 We've seen this delay in bystander CPR efforts.7 Seeing a measurable difference requires a significant investment in education before a community will appreciate an increased rate of bystander CPR. This dilemma has been directly linked to the public`s fear of harm (for both the patient and the layperson) related to inadequate training8 for the medical emergency at hand. Knowing this, medical professionals and industry leaders worked hard to engineer an AED that untrained persons could operate.9,10 Engineering efforts like this were also successful in the development of auto-injectors for naloxone.11 Following the same reasoning that led to the acceptance of AEDs and auto-injectors, why can't we develop a more suitable, intuitive tourniquet for the lay public? An Effective Lifesaving Device There's no doubt that current commercially available tourniquets are effective when used correctly. Thanks to research by military medical leaders and scientists,2,3 we have substantial evidence that, in the hands of well-trained personnel, tourniquets save lives. The same lesson has been demonstrated in the civilian setting when tourniquets are placed in the hands of trained law enforcement, fire and emergency medical personnel.12–14 The significant difference between the professionals in harm`s way and the lay public, then, is specialized, specific and determined training. Appropriate Engineering Technology Only in relatively recent times has the U.S. military switched from using a World War II-designed strap and buckle tourniquet.15 These devices lacked the mechanical advantage necessary for adequate arterial occlusion that modern devices employ. Since the early 2000s, improved devices have been developed by researchers, service members and industry to save lives. This cooperative effort to create and deploy the right tools has been accomplished on a global scale. Unfortunately, a true layperson tourniquet has yet to be designed. Recent research points out that today`s commercial tourniquets, in the hands of untrained users, have successful application rates of 16–20%,4,5 which are far below the rates for successful layperson operation of an AEDs or autoinjectors.9-11 By applying appropriate engineering technology to hemorrhage control devices, we may save thousands of lives in this country, and beyond. Educating the Public The greatest value to public safety and health is large-scale education.16 However, until we reach a critical mass of trained individuals, bystanders are ill-equipped and ill-prepared to respond when the next emergency occurs. If we're going to ask the lay public to respond, aren`t we, as medical professionals, obligated to provide them with best tools to manage their problem? In the simplest terms, we need to create a bleeding control device that`s [so easy even a child could use," and provide the training to use it correctly.

A road worker is recovering after his leg was completely severed when a vehicle plowed into him nine days ago. Recently, he got a chance to thank the bystander who saved his life using a simply technique. "That's who saved my life. He's my hero that day," Eric Walkenhorst said, as he pointed to Don Freeman III. The two men that fate brought met again at Bryan Hospitals West emergency room Friday afternoon. "I'm just glad he was there that day, because I wouldn't be here today," Walkenhorst said. Walkenhorst, 39, was setting up a mobile traffic sign on Old Cheney Road near 16th Street on Oct. 13. He had just turned on the sign when a driver plowed into him. "I was pinned between the car and the arrow board. And she gets out and I told her to move her car back now. I looked down and my leg was laying there," Walkenhorst said. Freeman III was across the street. He heard the crash and ran over to help. "A lot of blood. He was obviously in shock and needed help," Freeman said. Without any training in how to use a tourniquet, Freeman said he didn't think, just reacted. " I"I took my belt off and strapped it around his thigh and kept it tight," Freeman said. Rescue crews arrived just minutes later. They say without Freeman's quick action, they may have been too late. "In that amount of time, depending on the injury, if there's no bleeding control it could be crucial," Lincoln Fire and Rescue Capt. Brian Giles said. Bryan Health officials said this in another example of why it's important for everyone to know how to stop bleeding in traumatic injures. - Call 911. - Cover and pack the wound with a clean cloth. - Apply direct pressure, . -Use a tourniquet. "Anyone can do it. It doesn't matter the age. It doesn't matter what kind of background you have a medical background, if you don't. Anyone can help save a life and stop the bleed," registered nurse, Brittni Clark said. Walkenhort, a volunteer firefighter himself, is just grateful that the right person, happen to be in the right place, during the worst time. "If he wasn't there, I wouldn't be here today," Walkenhorst said. The driver Jaqueline Mills, 47, told police she looked away to check the other lane and collided with the road worker. Mills was ticketed with negligent driving.

LAS VEGAS - The incidence of pelvic fractures from blunt trauma and blast injury and evidence for treatment with a pelvic splint were discussed at the World Trauma Symposium. Col. Stacey Shackelford, MD, USAF, MC, Chief of Performance Improvement, Joint Trauma System, reviewed pelvic fracture epidemiology on the battlefield and non-combat, civilian mechanisms before describing relevant anatomy and pathophysiology. Shackelford discussed a set of questions answered through literature review of research on application of a pelvic sling. The process led to an update of the Tactical Combat Casualty Care guideline review recommending pelvic sling as part of circulation care along with tourniquet application. Memorable quotes on pelvic binder Here are three memorable quotes from Shackelford on pelvic fractures. "Hemodynamic instability from pelvic fracture has 40 percent mortality." "Complex network of blood vessels surrounds entire pelvis." "There is evidence in cadaver studies that fracture motion is reduced" with a pelvic splint." Top takeaways on prehospital pelvic fracture treatment Combat and civilian injury mechanisms can lead to a pelvic fracture. Here are four top takeaways from Shackelford's update of the Tactical Combat Casualty Care guidelines. 1. Pelvic fracture can lead to rapid blood loss Any fracture pattern to the pelvis can lead to life-threatening hemorrhage. Blunt trauma and blast injury forces to the pelvis, major vessels and surrounding vasculature can lead to rapid blood loss and shock. 2. Pelvic fracture is associated with other trauma Because of the high amount of force required to fracture the pelvis, the patient is likely to have other major traumatic injuries. For example, soldiers with traumatic lower limb amputation had a high incidence of pelvic fracture. 3. Pelvic splint is treatment for a pelvic fracture The top treatment goals for a patient with a suspected pelvic fracture are reducing blood loss and rapid transport to definitive care. A pelvic splint or sling is the only treatment available for non-invasive prehospital care of a pelvis fracture. Devices are known by different names, including commercial products – PelvicBinder, T-PODResponder, SAM Pelvic Sling II, orthopedic compression device, pelvic sling and pelvic splint. Shackelford described all devices as a pelvic splint and that there is weak clinical evidence to select a commercial compression device over an improvised sheet. Shackelford reviewed available research to answer a number of questions about the impact of a pelvic splint to control severe bleeding and improve patient survival. There is weak clinical evidence that a pelvic splint may reduce pelvic fracture bleeding and improve survival, but all of the research is based on pelvic compression being applied after patient arrival at the hospital. Since the evidence of efficacy is weak Shackelford described research about the potential for harm by applying a pelvic splint. A case review of 115 patients with pelvic ring injuries found no increase in hazards associated with placement of the compression device. 4. Pelvic splint indications Indications for a pelvic splint after severe blunt or blast injury include one or more of the following: Pelvic pain Any major limb amputation or near amputation Physical exam findings suggestive of a pelvic fracture Unconscious Shock In addition to applying the pelvic sling, Shackelford reminded attendees to secure the patient's legs to prevent external leg rotation during patient lifting, moving and transport.

One of the leading causes of preventable death in accidents is loss of blood. And one of the best ways to stop serious bleeding is with a tourniquet. Many people had been taught to use tourniquets only as a last resort because it would lead to the loss of the limb. But that idea is out of date, according to health professionals. Here & Now's Jeremy Hobson speaks with Andrew Fisher (@FisherAD1), a volunteer with the Stop the Bleed campaign and a former physician assistant with the 75th Army Rangers, about the lifesaving value of tourniquets. This segment aired on October 18, 2017.

Mon, Sep 18, 2017 By H&H Medical H&H Medical Corporation, a leading provider of emergency trauma products, is proud to announce the acquisition of the right to produce the SWAT-T elastic tourniquet from TEMS Solutions, LLC. The addition of this product will expand H&H Medical`s line of [Stop The Bleed" products available to military and civilian customers worldwide. The SWAT-T was developed by a former Operator/Medic with 14 years` experience in Operational Medicine - former USAF Pararescue Journeyman (Para-Jumper or PJ), Contractor DoJ/FBI SWAT Operations, National Registry Paramedic, and Emergency Medicine Physician. The SWAT-T proprietary elastic design gives the product the ability to treat a variety of injuries, minor to life-threatening. Along with the patented easy-to-use instructions printed on the product itself, the SWAT-T can be used on children, adults, and pets to control major bleeding. The SWAT-T is being carried by Military (Conventional and Special Operations medical and non-medical personnel), EMS, Law Enforcement Officers, Contractors, Federal Agents, and prepared citizens (individually or as part of active shooter kits). The SWAT-T is carried by many first responders as their primary emergency response product, using it as a pressure dressing, all-purpose wrap, primary and/or back-up tourniquet. [We consider ourselves very blessed that we have been able to take the SWAT-T from concept to the market in such a big way. It has proven itself in the literature and in the field, and it continues to save lives. It remains the most affordable solution that is proven to work, and has also proven to work in some situations where the others fail. We are delighted that the good people at H&H will take what we have started to the next level." Says Dr. Blankenship – TEMS Solutions, SWAT-T inventor and president of TEMS Solutions. We are proud to add the SWAT-T to our complete product line of emergency trauma products and Stop the Bleed bleeding control kits," said Paul Harder, president of H&H Medical. [The SWAT-T has been proven effective with numerous lives saved. We look forward to bringing the SWAT-T to more customers who want to be prepared when they need to respond." Terms of the acquisition were not disclosed. Financing for this acquisition was provided to H&H Medical Corporation by Old Point National Bank of Hampton, Virginia. About H&H Medical Corporation Since 1982, H&H Medical Corporation has been dedicated to solving complex problems facing military and civilian responders. Recognized as a leading supplier of innovative pre-hospital trauma products, H&H Medical Corporation manufactures and distributes such products as the Bolin Chest Seal, H-Bandage compression dressing, H&H Compressed Gauze, and Emergency Cricothyrotomy Kit. For more information, visit us at http://www.gohandh.com. About TEMS Solutions LLC TEMS Solutions began working in 2007 as a top tier training company for US Special Operations medical personnel. While providing this training TEMS has identified specific shortcomings in training and equipment for the tactical environment. The SWAT-T was developed to fill a void as TEMS was trying to solve the problem of other tourniquets being single-use, complex and single-purpose devices. TEMS Solutions brought the SWAT-T to the market in 2008 and has seen substantial growth in sales, significant non-biased and independent quality research publications, and a quality product that it proudly stands behind. By H&H Medical

5.12 Wenchuan earthquake occurred in Beijing time (UTC + 8) May 12, 2008 (Monday) 14:28:04, according to the People's Republic of China Seismological Bureau data, the earthquake surface wave magnitude of 8.0 Ms, the magnitude of the earthquake up to 8.3Mw (according to the US Geological Survey data, the moment magnitude of 7.9Mw), seismic intensity of 11 degrees. The earthquake affected most of China and Asia and many countries and regions, north to Liaoning, east to Shanghai, south to Hong Kong, Macao, Thailand, Vietnam, west to Pakistan are shocked. Wenchuan earthquake affects the community from all walks of life, all walks of life have donated to the people of disaster areas to lend a helping hand. As of 17:00 on the 13th, the country received a total of domestic and foreign community donations of 89.45 billion yuan, which received domestic donations of 4.905 billion yuan. Among them, the Red Cross Society of China and the local Red Cross received donations from domestic and foreign amounted to 1.83 billion yuan. Anping Longji Medical Equipment Factory donates 10,000pcs first aid splint,20,000pcs tourniquet,5000pcs cervical collar,5000pcs finger splint.