Airway, Breathing, Bleeding Shock or Bleeding, Breathing, Airway ?

 When the Suburban Prepper was learning how to become a medic in the Army in the late1980s, I learned that it was Airway Breathing Circulation Disability and Exposure as a quick means to evaluate an injured person. Sometime after 9/11 the standard changed to bleeding, breathing, or something. The truth is that you are evaluating all theses body systems as you are initially approaching the patient. The way in which a patient is evaluated has changed, but so too has the dressings and tourniquets we now use to control the bleed.  

An Israeli dressing can be used as a field dressing and as a pressure dressing. It is designed to provide temporary blood control and prevent further bleeding. The Israeli dressing can also be used as a sling or bandage for immobilizing an injury. In addition, it contains a built-in pressure applicator that allows the user to apply direct pressure to the wound without having to use extra materials.

Another important tool in a medic's kit is the tourniquet. This device is used to stop severe bleeding in limbs, where regular bandages and dressings may not be effective. Traditional tourniquets were bulky and difficult to use, often causing further damage to the injured limb. However, modern tourniquets have been redesigned for ease of use and effectiveness.

One such example is the Combat Application Tourniquet (CAT), a small and lightweight tourniquet that can be applied with one hand. It is designed to stop arterial bleeding in the arms and legs, and has been proven to save lives on the battlefield.

Aside from these specific tools, it is important for medics to also have general knowledge of first aid techniques. This includes knowing how to perform CPR, treat burns, administer medication such as epinephrine for anaphylactic shock, and immobilize fractures or dislocations.

Being knowledgeable about first aid can make all the difference in a medical emergency situation. It can mean the difference between life and death for a patient. That's why it is important for medics to constantly stay updated on their training and education in order to provide the best care possible.

In addition to medical knowledge, medics must also have strong communication and teamwork skills. They work closely with other medical professionals, such as doctors and nurses, in a high-stress environment where clear communication is essential for providing effective treatment.

At the same time, medics must also be able to communicate clearly with patients and their families, explaining procedures and diagnoses in a compassionate and understandable manner. This requires empathy and emotional intelligence, as well as the ability to remain calm under pressure.

Furthermore, being a medic also involves being physically fit and mentally resilient. Medics often work long hours in intense conditions, whether it be on the battlefield or in emergency situations. They must be able to handle physical demands such as carrying heavy equipment or performing strenuous medical procedures, while also being able to maintain a clear and focused mindset.

In addition to these critical skills, medics must also keep up with the latest medical advancements and technology. This requires ongoing learning and training to stay current in their field and provide the best possible care for patients.

Despite the challenges that come with being a medic, it is an incredibly rewarding career path. Not only do medics have the opportunity to save lives and make a tangible difference in people's lives, but they also form strong bonds with their colleagues and patients. The sense of camaraderie and purpose within the medical profession is unparalleled.

So when you see a medic working tirelessly on the front lines or providing care in a hospital setting, remember that behind their uniform is a dedicated individual who has committed themselves to a life of service and continuous learning. Their job is not easy, but it is one of the most important and impactful roles in our society.