Max Dodge, board member of National Stop the Bleed Month, visits with Ginger about how Medic Mindset listeners can get involved with the Stop the Bleed campaign. She ended up talking to him about bleeding control for an hour.

Point of clarification from Max: “The pressure needed to occlude arterial flow is the same as the pressure exerted on the vessel during systole. However, more pressure is needed to ensure occlusion (say +10% like in transcutaneous pacing) and even more pressure is needed to translate force applied at the skin to force applied on the artery. 300mmHg is considered relatively safe for tissue (skin, muscle, nerves, etc in the compression area) and 500mmHg is considered relatively unsafe (likely to cause skin ulceration or nerve palsy). I think effective occlusion can occur at less than 300mmHg, but for reliability sake 300mmHg is a good goal.”

Paper referenced by Max: Tourniquets and occlusion: the pressure of design.

TOTAL EM episode with Andrew Fisher

2 thoughts

  1. Hi Ginger,
    I am a paramedic and EMS educator in the UK. I initially was trained and registered as an EMT and EMT-P in Washington state and have since returned to my Native UK after living in the USA for 25 years. I love your podcasts. We are starting a Stop the Bleed campaign in the UK as we are in the midst of a stabbing epidemic. My partner and I have become Stop the Bleed instructors and are launching the campaign in London this month at a panel discussion held on a Further Education college campus in London where a student was recently stabbed to death. The panel will include members from the Metropolitan Police, Members of Parliament and National experts on knife crime and gang violence in the UK. If you have any further help you can give us I would really appreciate it.

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  2. What a great podcast and thanks to the both of you. I will pass this on to the undergraduate paramedic students here in Queensland, Australia.

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