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Old December 5, 2005, 01:07 AM   #14
Sir William
Senior Member
 
Join Date: October 13, 2004
Posts: 3,261
The first thing to do is secure the scene. Ceasefire and weapons are cold/unloaded. Leave the weapon involved in the shooting alone, treat it like a viper. Call or send someone for help. Calm the shooting victim. Check the ABCs. Airway, breathing and circulation. Tilt their head slightly back to open the airway. Make sure they are breathing normally, or not. Check the carotid artery in the neck for a good pulse. If there is severe bleeding such as 3' spurts of blood, you have arterial bleeding. Locate where it is coming from. If it is below the knee, apply a rifle sling or belt at least 1" wide about 3" above the woundsite. Slowly apply prssure until the bleeding slows/stops. Apply a topical dressing of clean material and wait for EMS. Use an inkpen or magic marker to place TK on the forehead in large letters, the time applied and the location. If there is little bleeding, that usually indicates internal bleeding. The only thing you can do is treat for shock. Keep the shooting victim warm and monitor the ABCs. Do NOT give the shooting victim anything by mouth, no liquids especially alcohol. A great and gaping wound usually presents more of an infection risk than anything else. Apply a clean topical dressing and treat for shock while monitoring the ABCs. If there are bowels hanging out, DO NOT push them back inside! Apply dampened topical dressing, treat for shock and monitor the ABCs. If a hand, foot, leg or arm are severely damaged or partially amputated, elevate the wound above the heart, if there is NOT arterial spurting, DO NOT apply a constrictive device. Apply a topical dressing and use the nearest pressure point to control bleeding. The main thing is to remain composed and call/send for help. If the shooting victim stops breathing, tilt the head back to open the airway. Look for breathing by watching the chest. Listen for breathing with your ear close to their face. Feel for breathing by placing your hand on their abdomen/belly. If there is NO breathing, keep their head tilted back, pinch their nostrils(nose) closed with your hand and place your mouth over theirs. Breathe out and push your breath into them. Do this twice and then look, listen and feel again. If they are still not breathing, give them mouth to mouth at a rate of 1 breath every 5 seconds or 12/minute. CPR is no biggie either. After 1 minute, check the carotid pulse in the neck. If there is no pulse, chest compressions will be added to the mouth to mouth. You simply locate the Xiphoid process which is where the ribs come together. Yo place the heel of your hand two finger widths above the xiphoid process. Place the other hand on top and compress down. You don't use your upper body, you actually lock your elbows and use your upper body mass to lean down. Compress roughly 2" deep and give 15 chest compressions in a row and then 2 mouth to mouth breaths. Continue until aid arrives. There may (should be) a AED or heart shock machine available. Follow the simple directions. There are tons of medical supplies at www.galls.com
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