![]() ![]() The Committee on Tactical Combat Casualty Care (CoTCCC) guidelines for bleeding are: Assess for unrecognized hemorrhage and control all sources of bleeding. “Mini.” Ultra-compact size makes it ideal for plainclothes assignments or everyday carry. Many personal security details carry Pocket D.A.R.K. Finally, 6) stop life-threatening external hemorrhage if tactically feasible by directing the wounded to control hemorrhage by self-aid, use a tourniquet for hemorrhage that is anatomically amenable to tourniquet application, apply the tourniquet above the wound high on the extremity over the uniform, and tighten to stop arterial bleeding or until pulse is lost. The TCCC Basic Plan for Care Under Fire is: 1) return fire and take cover, 2) direct or expect the wounded to remain engaged as a combatant, 3) direct the wounded to move to cover and apply self-aid, 4) try to keep the wounded from sustaining additional wounds, and 5) airway management should be delayed until the Tactical Field Care phase. There are three phases to combat casualty care: 1) Care Under Fire, 2) Tactical Field Care, and 3) Combat Casualty Evacuation Care. TCCC has three goals: 1) treat the casualty, 2) prevent additional casualties, and 3) complete the mission. While recognizing that civilian law enforcement operations differ from military combat operations, the National Tactical Officers Association (NTOA) believes that “TCCC should serve as a foundation for TEMS protocols, practices and procedures.” “Mini” comes in tear-open vacuum-sealed bag that is resealable after opening. In the TCCC model, injuries are diagnosed and treated in accordance with the MARCH sequence: Massive hemorrhage, Airway, Respiration, Circulation, Head injury. In the ATLS model, injuries are diagnosed and treated in accordance with the ABCDE sequence: Airway, Breathing, Circulation, Disability, Environment and Exposure. TCCC guidelines differ from the Advanced Trauma Life Support (ATLS) guidelines on which civilian trauma care has been based in most countries. Instead of viewing the tourniquet as a last resort, as has been the case in the past with civilian Emergency Medical Services (EMS) and emergency room physicians, the new Tactical Combat Casualty Care (TCCC) protocol considers the military tourniquet as an initial lifesaving intervention to control massive hemorrhage from an extremity. It can be utilized along with the vacuum bag to make an expedient occlusive dressing.Īlthough much dogma relating to tourniquet use persists, tourniquets have re-emerged in Tactical Emergency Medical Support (TEMS) as the standard of care in the tactical environment due to their ease of use, rapid application, and stoppage of blood loss. Nitrile gloves are more resistant to puncture and chemicals than latex gloves and do not cause the allergic reactions latex may.ĭuct tape is multi-use. “Mini” comes in a resealable tear-open vacuum-sealed three-mil thick bag and includes a TEMS Solutions SWAT-Tourniquet™ (SWAT-T™) Celox® RAPID Ribbon hemostatic gauze one pair of nitrile, latex-free gloves for protection from bodily fluids and a two-foot length of duct tape. Pistol is Kahr K9 Elite with CTC Lasergriips and SureFire E2D LED Defender Ultra flashlight. “Mini” packs a lot of life-saving capability into a small package. Designed for situations where you don’t have room for a larger kit, it has everything you need to “Stop the Bleeding and Start the Breathing.” While great for pocket carry, the kit also fits into numerous cell phone pouches, the Blue Force Gear Ten Speed Single M4 mag pouch, and the HSGI Taco Single M4 Mag pouch. It’s an ideal kit for everyday carry or plainclothes duty. The “Mini” takes the Dark Angel “Simplicity Under Stress™” minimalist med kit approach to an even smaller level, as it measures 4″Hx2.5″Wx1″D and weighs only 4.8 ounces. ![]() “Mini” from Dark Angel Medical meets those criteria. You need a simple, well-thought-out, easy-to-carry, and easy-to-deploy trauma kit. In a “time is life” situation, seconds count. You have your CCW and train with your firearm to prepare for the unexpected, but are you truly prepared? Knowing emergency medical skills and having a trauma kit with you are essential to increase your survivability and that of those around you in a grave situation. ![]()
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