Are you sure that amputations are relevant?

Treatment priorities[edit source]

I highly disagree with everything on this page. The primary concern in a gunshot wound should ALWAYS be prompt and rapid transport. On site treatment increases mortality, especially with untrained individuals. https://onlinelibrary.wiley.com/doi/pdf/10.1111/1745-9133.12479

TRANSPORT should be the number one treatment for GSW's as bystanders, and is becoming standard EMS protocol as well. There are enormous procedural errors with on site treatment as well;

1) A tourniquet should NEVER be the first step. Full stop. They are effective tools when used correctly, but direct pressure is ALWAYS your first priority.

2) Whiskey is a TERRIBLE choice to disinfect a wound. Your priority in a shrapnel/GSW situation is not to play surgeon. DO NOT willfully introduce foreign contaminants into patient wounds! YOU WILL CAUSE SEPSIS, AND GOOD SAMARITAN LAWS DO NOT APPLY WHEN YOU OVERSTEP YOUR SCOPE OF CARE.

3) DO NOT FUCK WITH PRESSURE POINTS. YOU ARE WASTING TIME AND EFFORT. USE A TOURNIQUET IF NEEDED. THIS IS NOT, AND HAS NEVER BEEN, INDICATED FOR FIELD TREATMENT. YOU WILL CONTRIBUTE TO YOUR PATIENT'S DEMISE.

4) DO NOT LOOSEN A TOURNIQUET. Following proper protocol for tourniquet application (USE ONLY IF CONTINUED BLEEDING WITH DRESSINGS, DIRECT PRESSURE), a tourniquet is essential to keeping your patient hemodynamically stable. Studies have promoted their use for up to 6 hours; IN ANY CASE, YOU SHOULD NOT BE THE PROVIDER AT THIS TIME POINT. THEY SHOULD HAVE LONG SINCE BEEN IN THE HANDS OF MEDICAL CARE. YOU HAVE FAILED IF THEY ARE NOT PROMPTLY SENT TO ALS/PHYSICIAN CARE.

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