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external bleeding

  • Gunshot Wounds

    As we have shared in our posts about the Stop the Bleed campaign, which we participated in developing at the White House with the U.S. Department of Homeland Security and others; Bleeding kills faster than Cardiac Arrest, and we as bystanders can help end Death by Bleeding. Important is to have a Bleeding Control Kit and know how to use it to stop the bleeding - FAST.

    Now  a new National Campaign Focuses on gunshot first aid for bystanders.

    No matter how fast emergency responders get to a scene, bystanders will be there first! No matter how fast emergency responders get to a scene, bystanders will be there first!

    A new program, called FIGHTING CHANCE? has been launched at Temple University Hospital in Philadelphia, where the doctors and nurses conducting the training have vast experience with gunshot wounds - as the hospital treats at least 400 shooting victims a year!

    While most of the Stop the Bleed campaign efforts are focused on teaching the public how to respond to mass shootings or mass accidents such as plane or train crash, this focus of the FIGHTING CHANCE?  program is directly aimed and gunshots and urban violence and the traumatic bleeding wounds inherent thereto. This program focuses on teaching residents of communities suffering high rates of violence how to provide basic first aid to victims of gunshot injury.

    FIGHTING CHANCE? coordinators hope that collaboration between Temple, Philadelphia police and community members will not only improve outcomes for violently injured patients, but will also contribute to fostering strong community relationships.

    fighting-chanceIn addition to a focus on providing assistance to victims of violence, another key focus of FIGHTING CHANCE? is the well-being of the bystanders themselves. The program seeks to empower those bystanders and in turn reduce post-traumatic stress that they may experience after the violence.

    For two hours, program participants learn how to control bleeding, position a victim to aid breathing, and lift and carry him to safety while keeping themselves out of harm's way. Then they take part in an intense role-playing session to test their new skills, creating a scene that mirrors the bedlam of a shooting's immediate aftermath.

    The training curriculum was developed by Tim Bryan, DO, Assistant Director of Emergency Medical Services at Temple. A veteran of U.S. Special Operations, Dr. Bryan served as a combat medic in conflict globally. He based the FIGHTING CHANCE ? curriculum on the U.S. military’s Tactical Combat Casualty Care course.

    The Adventure Medical Kits Tactical Field Trauma with QuikClot. Find the Adventure Medical Tactical Field Trauma with QuikClot at First Aid Store™ - small enough to stash into a daypack while equipping you with the supplies and information to venture 1-2 days. Price: $47.99 - In stock Brand: Adventure Medical Kits Product ID: 2064-0291

    About Temple Health
    Temple University Health System (TUHS) is a $1.6 billion academic health system dedicated to providing access to quality patient care and supporting excellence in medical education and research.   The Health System consists of Temple University Hospital (TUH), ranked among the “Best Hospitals” in the region by U.S. News & World Report; TUH-Episcopal Campus; TUH-Northeastern Campus; Fox Chase Cancer Center, an NCI-designated comprehensive cancer center;  Jeanes Hospital, a community-based hospital offering medical, surgical and emergency services; Temple Transport Team, a ground and air-ambulance company; and Temple Physicians, Inc., a network of community-based specialty and primary-care physician practices.  TUHS is affiliated with the Lewis Katz School of Medicine at Temple University.

    The Lewis Katz School of Medicine (LKSOM), established in 1901, is one of the nation’s leading medical schools.  Each year, the School of Medicine educates approximately 840 medical students and 140 graduate students. Based on its level of funding from the National Institutes of Health, the Katz School of Medicine is the second-highest ranked medical school in Philadelphia and the third-highest in the Commonwealth of Pennsylvania.  According to U.S. News & World Report, LKSOM is among the top 10 most applied-to medical schools in the nation.

    Temple Health refers to the health, education and research activities carried out by the affiliates of Temple University Health System (TUHS) and by the Katz School of Medicine.  TUHS neither provides nor controls the provision of health care. All health care is provided by its member organizations or independent health care providers affiliated with TUHS member organizations. Each TUHS member organization is owned and operated pursuant to its governing documents.

  • Cops and Kits Save Lives

    We talked yesterday about he critical need for first aid kits both at home and at work.

    How about First Responders?


    Cops are rescuers, and being properly equipped means saving lives.

    In a recent NBC news story, Cleveland area ER doctors have confirmed Cleveland police officers saved at least three lives in less than a week, with first aid kits used in each incident. According to the article, last week, an 18-year-old crashed his car and then the teen had suffered a gunshot wound shortly before the accident. He ran from police. Those same officers then saved his life. The officers used first aid kits with life-saving products, like tourniquets and QuikClot.

    Have the same essential lifesaving items in your home, car, at work... everywhere. See The Adventure Medical Kits Tactical Field Trauma with QuikClot... it has been a popular product with a wide range of our customers, not just law-enforcement and the hard core Outdoorsmen worried about gunshot wounds, but workplace responders, do-it-yourselfers, and more. Severe bleeding is a serious threat to life, occurs suddenly without warning, and if you truly want to be prepared to stop the bleed, you need to be ready.


  • Death by Bleeding

    Car Accidents, Train Derailments, Flying or Falling Debris in Natural or Man-Made Disasters - not to mention common home and workplace accidents; There are so many ways to damage our soft and fragile human bodies.

    Bleeding Kills. Fast.

    Know what to do, get involved, save someone's life. Mortally wounded victims can be rescued with fast intervention - by you.

    As our Readers know, we've been working with the White House Staff on a program to address this specific human risk when can be minimized.

    From the White House FACT SHEET: Bystander: “Stop the Bleed” Broad Private Sector Support for Effort to Save Lives and Build Resilience

    The Administration launched the “Stop the Bleed” campaign during an event at the White House, to provide bystanders of emergency situations with the tools and knowledge to stop life threatening bleeding.  Working with the private sector and nonprofit organizations, the “Stop the Bleed” campaign will put knowledge gained by first responders and our military, into the hands of the public to help save lives.

    stopthebleedUncontrolled bleeding injuries can result from natural and manmade disasters and from everyday accidents. If this bleeding is severe, it can kill within minutes, potentially before trained responders can arrive. Providing bystanders with basic tools and information on the simple steps they can take in an emergency situation to stop life threatening bleeding can save lives. Research has shown that bystanders, with little or no medical training, can become heroic lifesavers.  Similar to the use of CPR or automatic defibrillators, improving public awareness about how to stop severe bleeding and expanding personal and public access to Bleeding Control Kits can be the difference between life and death for an injured person.

    Our national preparedness is the shared responsibility of all levels of government, the private and non-profit sectors, and individual citizens. The goal of this initiative is to build national resilience by empowering the general public to be aware of the simple steps that can be taken to stop or slow life threatening bleeding, and to promote the general public’s access to Bleeding Control Kits in public spaces, while they travel, and in the home.

    The initiative and launch event included representatives from numerous private sector groups (that would include us!) and nonprofit organizations to who are working to build awareness, implement and accelerate this initiative. For more information on these efforts and how you can get involved in the “Stop the Bleed” campaign, please visit

  • Boston was Strong - will you be?

    You are the Immediate Responder. That means you need to be ready to jump in and act before and until "First" Responders arrive. That's right, Immediate is before First.

    “Our challenge and opportunity is not just about saving lives from immediate life threats. It is not just about cost-benefit analyses. And it goes far beyond increasing survival from daily occurring and catastrophic tragedies. It is about building resilience of people through increasing personal and community efficacy and effectiveness. It is about building on a foundation of the public’s propensity to act and willingness to intervene. And it is about building a community narrative, speaking to the notion of a nation of people who are self-propelled and who have a spirit of taking care of each other, especially in their most desperate moments of need. This is who we are as a nation.”

    Paraphrased from Dr. Herman B. “Dutch” Leonard of the Harvard Kennedy School and Harvard Business School, lead author of Why Was Boston Strong? Lessons from the Boston Marathon Bombing

    QuickClot-TraumaJoin the "Stop the Bleed" movement... get involved, save lives.

  • Bleeding kills faster than Cardiac Arrest.

    It is true... you can "Bleed Out" in as little as 3 minutes. Don't be a Bystander... be a By-Doer! Save the lives lost by "Standing By".

    An anecdote from the Bystander “Stop the Bleed” Forum at the White House 11 days ago was about the premise of bleeding control and Immediate Responder techniques is perfectly apropos: "Keep the Blood in the Body." That's really all it takes. Get involved, stop the bleed, save a life. You can get training, you can have bleeding control kits, you can suit up and hunker down, but even if you just have your hand, you can keep the blood in the body, Stop the Bleed.

    First Responder Bag Image First Responder Kits -
    First Responder Emergency and CPR Kits ranging from 80 Piece On Call Jump / Go Bags to 100+ Casualty Professional Responder Trauma Bags.

    The ”Stop the Bleed” objectives:

    • The general public will know the phrase and associated logo: “Stop the Bleed
    • The general public will be able to have access to lifesaving bleeding control kits at home and in public places.
    • Every bleeding control kit will provide “just in time” audio and visual training

    What belongs in an effective bleeding control kit? According to the recent Stop the Bleed Roundtables, and based upon studies from the Hartford Consensus:

    Bleeding Control Kits – 

    Quantity           Description

    1                      Effective Tourniquet

    1                      Compressive Dressing

    2                      Rolled Gauze

    1                      Trauma Shears

    2                      Nitrile Gloves

    1                      Bag or Container to Hold Equipment


  • Don't Be a Bystander: Find Out How You Can "Stop the Bleed"

    As you have read, we've been involved in developing the new "Stop the Bleed" campaign with the National Security Council, FEMA, and the White House... here's some updated information from DC on this important new nationwide effort. We all need to stop being "ByStanders" and become "ByDoers"!

    No one plans for an emergency.

    A car crash, a tornado, an active shooter, or any accident can change lives in a split second.

    No one plans to be a victim.  No one plans to witness tragedy.

    However, simple knowledge and immediate action of a bystander can mean life or death for a victim. Bystanders, with little or no medical training, can become lifesavers.

    Today, the Administration launched the "Stop the Bleed" campaign to provide people with the tools and knowledge to stop life threatening bleeding in the event of an emergency situation. Working with the private sector, nonprofit organizations, and the medical community, the "Stop the Bleed" campaign will put knowledge gained by first responders and our military, into the hands of the public to help save lives.

    The Administration launches the "Stop the Bleed" campaign to provide people with the tools to stop life threatening bleeding in the event of an emergency.

    So, why is bleeding the trauma you need to pay attention to in an emergency? Severe bleeding can lead to death in five minutes or less. A victim can bleed to death much faster than trained public safety personnel can arrive. The person standing or sitting next to that individual may be the ONLY one who can make the difference between life and death.

    logo_stopthebleed_350The “Stop the Bleed” campaign is the culmination of work convened by the National Security Council at the White House with partners committed to build awareness, harness technology, and empower Americans from all walks of life to respond when they are needed most.

    As President Obama said in the aftermath of a tornado that leveled much of Joplin, Missouri:

    Just as we can’t know why tragedy strikes in the first place, we may never fully understand where these men and women find the courage and strength to do what they did.  What we do know is that in a split-second moment where there’s little time for internal reflection or debate, the actions of these individuals were driven by love -- love for a family member, love for a friend, or just love for a fellow human being. 

    Please take a moment to get the information and have the tools to help save lives in the precious moments immediately after an emergency.

    While the government can and does have a role in fortifying our Nation’s readiness, response happens every day on the individual level.  Everyone can protect our nation from harm; anyone can protect their neighbor from harm; and anyone can protect their loved one from harm.

    Don’t be a bystander. Get informed and be a hero and stop the bleed.

  • Stop the Bleed

    We've talked about the Bystander “Stop the Bleed” Initiative, the importance of Bleeding Control Kits, and the use of Tourniquets.

    One of the most significant changes in Bystander first aid is that we now recommend use of tourniquets to save lives.

    Another important thought from Tuesday's Stop the Bleed Forum at the White House is the thought that we need to be a Nation of By Doers, not By Standers. Are you in?

    Here's a great infographic from Homeland Security about how to "Stop the Bleed"


  • Bleeding Control Kits

    In yesterday's White House Forum, sponsored by the National Security Council, there was a call for bleeding control kits in public places and for personal use.

    Conveniently, most businesses that strive to be OSHA & ANSI First Aid compliant will already have these elements in their business first aid kit. The New Class B 2015 ANSI First Aid Kit Requirements feature all the components recommended by the Bystander “Stop the Bleed” initiative... even Tourniquets.


  • Bystander “Stop the Bleed” Initiative

    EisenMoments ago a signature even began at the White House in the Eisenhower Executive Office Building’s South Court Auditorium. This meeting, the Bystander "Stop the Bleed" Forum: Logistics and Directions, is a gathering of Media, Medical, EMS, Government, and leaders in the Corporate side of First Aid and Emergency Response to inaugurate a national Bystander “Stop the Bleed” Initiative. Express Companies, Inc. and First Aid Store have the privelege and honor of participating in this select group as part of this vital project aimed at spreading awareness of this lifesaving opportunity as well as the adjunct products enabling both trained and untrained bystanders to act in the critical moments required to stop sudden death resulting from severe and uncontrolled bleeding.

    Our national preparedness is the shared responsibility of all levels of government, the private and non-profit sectors, and individual citizens. The goal of this initiative is to build national resilience by empowering the general public to take action to stop life threatening bleeding.

    Highlighted during the event will be exemplary efforts in support of the ”Stop the Bleed” objectives:

    • The general public will know the phrase and associated logo: “Stop the Bleed
    • The general public will be able to have access to lifesaving bleeding control kits at home and in public places.
    • Every bleeding control kit will provide “just in time” audio and visual training

    The purpose of this signature event is to celebrate actions by federal and private sector partners to create meaningful and lasting impact in support of bystanders as immediate responders in stopping life threatening bleeding.

    The timing of the Bystander “Stop the Bleed” initiative is ideally suited for immediate action in both areas of First Aid Products and Safety Training. With the recent ANSI First Aid Guideline updates and the forthcoming (October) CPR guideline changes*, we are able to incorporate sweeping changes bringing the new campaign and awareness to the public forefront.

    The two issues at present are raising awareness if the phrase, logo, and purpose of the “Stop the Bleed” campaign and making access available to the general populace of personal and public bleeding control kits – and together that bystanders with no training should be able to step in and assist in an emergency.

    Stemming from the American College of Surgeons and a White House Directive, this program was developed in a series of round table meetings (in which we participated) composed of major physicians’ organizations, emergency management, healthcare, public health, 9-1-1, EMS, the fire service, law enforcement, and leaders representing corporations with interests in lifesaving products, chaired by the National Security Council (NSC) staff.

    We are proud to be a part of this important initiative to raise awareness of the vital importance bystander participation plays in emergency response. The initiative and supporting products have the potential to save many lives directly through the “Stop the Bleed” campaign, and further through the effect of bystanders no longer “standing by” but rather doing what they can to help. We hope to have a significant impact on the growth and promotion of the initiative

    (*Every five years, an updated set of resuscitation guidelines are released by Emergency Cardiovascular Care (ECC) & International Liaison Committee on Resuscitation (ILCOR): The new 2015 CPR guidelines are due to be released on October 15, 2015, effective in
    2016. See American CPR Training™ for more information)



  • Tourniquets

    For decades we've been teaching bystanders to use tourniquets only in the most dire and isolated instances when there is severe bleeding, no hope of arrival or rapid transport to advanced medical attention, and Direct Pressure, Elevation, and Pressure Points won't curb the bleeding.

    1"x18" latex free Tourniquet

    While it is still true that tourniquets should still only be applies to control severe and life threatening bleeding and only after the other three methods of bleeding control have proved ineffective, it is no longer recommended that bystanders wait as a complete "last resort" when bleeding is severe. This sort of bleeding, especially arterial bleeding, is immediately life threatening. A wounded person can exsanguinate, or bleed out,  in just a few minutes and can die from severe bleeding even faster thank sudden cardiac arrest.

    Bystander care in severe bleeding injury is as life-critical and as bystander CPR & AED use. With national average EMS response time of 8-14 minutes, a victim will die without bystander intervention.

    image of at CAT Tourniquet with windlass Combat Application Tourniquet (C-A-T)

    Knowledge brought home from military and field medicine, plus advance in technology have made bystander use of tourniquets for controlling a recommended action. Proper use of an effective tourniquet can save a life. With natural and man-made disasters, accidents and violent events like Active Shooter and Intentional Mass Casualty Events... we cannot rely on trained personnel, and must depend upon one another for immediate care and to stop the bleed before it is too late.

    This is a unified and overwhelmingly accepted change. The new 2015 ANSI First Aid Kit Guidelines call for tourniquets in business first aid kits for the first time. A recent American College of Surgeons release (The Hartford Consensus Compendium 2015) advocates an initiative to increase survival from active shooter and intentional mass casualty events and to enhance the resilience of citizens. This week, you'll learn more from the National Security Council, which has been charged by the White House to develop a policy to enhance the resiliency of the American public.

    Medical Definition of EXSANGUINATION. : the action or process of draining or losing blood. —ex·san·gui·nate ek(s)-?sa?-gw?-?n?t transitive verb, ex·san·gui·nat·ed ex·san·gui·nat·ing.
    Exsanguination - Merriam-Webster

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