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Extra resources for ACEP First Aid Manual, 2nd edition
Pressure Dressing Pressure dressings aid in blood clotting and compress the open blood vessel. If bleeding continues after the application of a field dressing, manual pressure, and elevation, then a pressure dressing must be applied as follows: a. Place a wad of padding on top of the field dressing, directly over the wound (Figure 2-27). Keep the injured extremity elevated. 1/AFMAN 44-163(I) Figure 2-27. Wad of padding on top of field dressing. NOTE Improvised bandages may be made from strips of cloth.
Digital pressure (pressure with fingers, thumbs or hands). 2-20. Tourniquet DANGER A tourniquet is only used on an arm or leg where there is a danger of the casualty losing his life (bleeding to death). A tourniquet is a constricting band placed around an arm or leg to control bleeding. A service member whose arm or leg has been completely amputated may not be bleeding when first discovered, but a tourniquet should be applied anyway. 1/AFMAN 44-163(I) after a period of time bleeding will start as the blood vessels relax or the clot may be knocked loose by moving the casualty.
C. Tie the ends together in a nonslip knot, directly over the wound site (Figure 2-30). DO NOT tie so tightly that it has a tourniquet-like effect. If bleeding continues and all other measures have failed, or if the limb is severed, then apply a tourniquet. Use the tourniquet as a LAST RESORT. When the bleeding stops, check for shock; administer first aid for shock as necessary. 1/AFMAN 44-163(I) Figure 2-30. Ends of improvised dressing tied together in nonslip knot. NOTE Distal end of wounded extremities (fingers and toes) should be checked periodically for adequate circulation.