Page 143 - Journal of Special Operations Medicine - Summer 2016

Implementing the Hartford White House
Consensus: 6 Saves in 2 Years “Bystander – Stop the Bleed”

“ Three of the cases in our paper were police officers who were ambushed
and sustained arterial injuries (Lakewood, Colorado July 2014 and Aurora,
Colorado December 2014). There is no doubt that they would have • White House meeting on this topic 6 October 2015
exsanguinated without application of a TQ, in one case self applied and in the
other two, buddy care.” • Emphasis was on BYSTANDERS – now renamed
“Immediate Responders” being able to use tourniquets
Dr. Peter Pons et al
Journal of Emergency Medicine 2015 52 and hemostatic dressings 53

What Can TCCC Offer to Airway Management in

My Civilian EMS System? Maxillofacial Trauma

• Tourniquets
• Hemostatic dressings
• Trauma airway approach
• TCCC Needle Decompression Plan
• Tranexamic Acid (TXA) • Most airway fatalities in combat are from direct trauma
• Hypotensive resuscitation - with blood products where to the airway
possible • Casualties with severe facial injuries can often protect
• Intraosseous vascular access their own airway by sitting up and leaning forward.
• Triple-Option Analgesia • Let them do it if they can!

What Can TCCC Offer to Evolution of Needle
My Civilian EMS System? Decompression (NDC) in TCCC

• Revised indications - 1996
• Tourniquets
• Hemostatic dressings • Chest tubes usually not needed
• Trauma airway approach for initial management - 1996
• TCCC Needle Decompression Plan • 3.25-inch, 14-gauge catheter – 2008
• Tranexamic Acid (TXA)
• Hypotensive resuscitation - with blood products where • Bilateral NDC for loss of VS - 2011
possible
• Intraosseous vascular access • External anatomy landmark - 2012
• Triple-Option Analgesia
• Lateral site as alternative - 2012 57

TCCC Updates 129