COMPANYNAME SOLAS TRAINING MANUAL PART A – Section 3 Exposure Hazards, Clothing, Protection & Survival
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Never remove the dressing even if it becomes blood-soaked. Instead, add another dressing on top of the first one and continue applying direct pressure and elevating the part. A pressure bandage can replace direct hand pressure on most body parts. Center the bandage over the dressing, wrap the ends around the body part and tie the knot directly over the dressing. After bleeding has been controlled with a pressure bandage, check frequently for swelling and other indications of excessive pressure.
Be sure the pressure bandage has not become a tourniquet.
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Warning signs for excessive pressure include swelling next to the bandage site, numbness to touch, sensation of pins and needles, the limb becoming white or purple and pain beyond the site of the injury.
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Direct pressure is effective in stopping the bleeding from nearly all wounds. It almost always eliminates the need for a tourniquet.
Pressure points Using pressure points is a temporary means of controlling gross bleeding until a pressure bandage can be applied. Pressure points are specific areas where an artery passes over a bone and a pulse can be felt.
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Use pressure points in combination with direct pressure and elevation. A conscious victim can apply pressure to his own wound so that you can attend to other injuries or treat other victims. Pressure is always applied between the wound and the heart.
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Tourniquets Remember: the tourniquets are NEVER put on unless the bleeding is so severe that it cannot be stopped by any other means. Direct pressure by hand will control bleeding in nearly all cases. If it doesn’t, a tourniquet may be a last resort for saving the victim’s life. A tourniquet can only be used on an arm or leg and represents a trade-off probable loss of the limb in an attempt to save the life. -
Place the tourniquet just above the wound, if the wound is in a joint, put the tourniquet just above the joint (1) Use a wide band so it doesn’t cut into the tissue. Apply a pad over the artery to be compressed (2). Take two tight wraps around the limb and tie an overhand knot (3). Place a short, strong bar on the overhand knot and tie a second overhand knot above it (4). Twist the bar until the bleeding stops, no tighter. Issue No. 1
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