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Bleeding Control

Stop the Bleed! No matter how rapid the arrival of professional emergency responders, bystanders will always be first on the scene. A person who is bleeding can die from blood loss within five minutes, therefore it is important to quickly stop the blood loss.
  • National Terrorism Advisory System

    STATEMENT BY SECRETARY JOHNSON ON THE NEW NTAS BULLETIN

    In December 2015, I announced the revision of the Department of Homeland Security’s National Terrorism Advisory System, or “NTAS,” to include an intermediate level NTAS “Bulletin.” We then issued a new NTAS Bulletin at the same time. The duration of the December Bulletin was six months, and expires tomorrow.

    The Department of Homeland Security is today issuing a new NTAS Bulletin. This Bulletin reflects the tragic events of Orlando several days ago. Here is what is stated in the new Bulletin’s summary:

    “In December, we described a new phase in the global threat environment, which has implications on the homeland. This basic assessment has not changed. In this environment, we are particularly concerned about homegrown violent extremists who could strike with little or no notice. The tragic events of Orlando several days ago reinforce this. Accordingly, increased public vigilance and awareness continue to be of utmost importance.”

    This NTAS Bulletin goes on to describe the government’s counterterrorism efforts, and how the public can help and be prepared in the current environment. This includes an advisory to “[b]e prepared for increased security and plan ahead to anticipate delays and restricted/prohibited items.” This new Bulletin has a duration of five months, and will expire in mid-November, just before the start of the holiday season.

    The full weight of the U.S. government – including our military, intelligence, law enforcement and homeland security communities, along with our partners in state and local law enforcement – is currently dedicated to detecting and defeating terrorism and protecting the homeland. This is our number one priority. In this current threat environment, which includes the prospect of homegrown violent extremism, the public has a role to play too. Public vigilance and awareness can and do make a difference. The NTAS Bulletin we release today is intended to contribute to an informed public, and promote public vigilance and awareness.

    To read the new NTAS Bulletin, click https://www.dhs.gov/national-terrorism-advisory-system.

    Terrorism

    Learn how to help when terror and injury occur:

  • The Good Samaritan Act

    Get involved: We need to be a Nation of By-Doers, not By-Standers. Lives are saved by intervention of friends, neighbors, and strangers before EMS arrives every day.

    Scales_of_JusticeFear of retribution: Unfortunately, in this day of litigiousness, many people fear repercussions from getting involved. Isn't that sad? Wouldn't you rather have someone try to save your life than stand by for fear of you our your family suing them afterward?

    Gotcha covered: The good news is that in almost every state of the union, the law has your back. While some lawyers and individuals may unscrupulously pursue any avenue to chase a buck, lawmakers understand that life supersedes all other concerns.

    While the actual statutes vary, the "essence" of Good Samaritan Legislature in most jurisdictions is that a Bystander, acting in good faith, attempting to perform first aid, cpr, or rescue using an AED cannot be held civilly liable for unintentional harm caused to a victim while attempting to resuscitate or otherwise perform lifesaving aid.

    So what are the "ground rules"?

    Nearly Universally, these principles apply:

    1. You must act in good faith.
    2. You are neither reckless nor negligent.
    3. Act as a prudent person would.
    4. Only provide care that is within the scope of your training.
    5. You must not abandon the victim once you have begun care.
    6. You must not accept anything in return for your services.

    What else?

    Prior to providing care for a Conscious Adult, you must first obtain consent. This is a very simple procedure and requires only a few seconds. The steps are as follows:

    1. Tell the victim your name.
    2. Tell them you have been trained to assist in First Aid and/or CPR
    3. Ask the person if he/she wants help.
    4. Once they indicate that they want your help, begin care.

    *If the victim is a minor, you may obtain consent from the minor’s legal guardian or parent if they are present on the scene. If the minor’s legal guardian or parent is not present, consider it a situation of Implied Consent.

    What is Implied Consent?

    If the victim is seriously ill, extremely confused, or unconscious, he or she may not be able to give consent. The law then assumes that the victims would most likely give consent if they could, so assistance may be given without verbal permission.

    Duty to Act...

    What are we talking about here? Moral or Legal? This is the humdinger...  Depending on the specific State Law, most licensed and/or certified professionals, medical personnel, public safety officers and medically trained government employees have a “duty to act” while they are working or on assignment. If responding to an emergency while not on duty, the same person would be protected as a bystander choosing to provide care under the Good Samaritan Laws. This area of concern has been in the media a lot lately - especially regarding senior care and "do not resuscitate" orders.

    Curious Notes:

    • Rhode Island specifically applies their Good Sam to anaphylactic shock care, too.
    • Utah excludes liability for failure to obtain consent
    • Texas has one of the most simple and broad Good Sam Coverage Statutes: Persons not licensed or certified in the healing arts who in good faith administer emergency care as emergency medical service personnel are not liable in civil damages for an act performed in administering the care unless the act is wilfully or wantonly negligent. This section applies without regard to whether the care is provided for or in expectation of remuneration.

    Want to learn more? Want to know about your State? Read this excellent article: Good Samaritan Laws by state - provided by Recreation Law

  • New Year - New Lifesaving Skills

    The beginning of the year is always a time of ambition and thoughts of how we each will be a better and more productive person.

    This year, why not learn some critical lifesaving skills?

    What could be better than being ready, will and able to save a life when needed? Bystanders (this means you!) are the first link in the lifesaving chain of survival.

    Learn CPR, participate in the Stop the Bleed Bystander preparedness campaign, schedule a first aid class for your group... do something to be ready when others are in need!

    HNY2016

  • Our Free Gift to YOU! (Share this with your Friends & Family!)

    Tomorrow is Christmas, a time of giving... we've got something to share with you and your friends and family!

    Watch our FREE 22 minute video to teach some basic first aid skills and how to use those funny items you'll find in a First Aid Kit.

    HOW TO USE A FIRST AID KIT: WHAT YOUR FIRST AID COURSE DIDN'T TEACH YOU

    Watch this FREE 22 minute First Aid Video from American CPR Training™ Watch this FREE 22 minute First Aid Video from American CPR Training™
  • 8 Steps to Reduce Your Risk Of Deadly Healthcare-Associated Infections

    SurgeryHealthcare-associated infections (HAIs) are a serious risk to patient safety. One in 25 U.S. patients will contract an infection during their hospital stay, according to the CDC’s first national and state HAI progress report; perhaps shockingly, this is an improvement from years prior. The report’s goal, analyzing data from 2013 but not published until this year, is to help aid in eliminating HAIs through surveillance and prevention programs- a reasonable target considering these infections are preventable.

    “Research shows that when healthcare facilities, care teams, and individual doctors and nurses are aware of infection problems and take specific steps to prevent them, rates of some targeted HAIs can decrease by more than 70 percent,” the report reads.

    There are five HAIs most often contracted by patients after their admission to the hospital: central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), Clostridium difficile infections commonly referred to as C.Diff, MRSA, and the most prevalent, surgical site infections (SSI).

    While most safety measures must come from doctors, nurses and health facilities, there are steps patients can take to help reduce their risk of contracting HAIs, according to the Committee to Reduce Infection Deaths.

    1. Research the hospital’s HAI rate. This may take some diligence; start with the CDC’s progress report and ask hospital staff or your possible surgeons directly.

    2. Ask your doctor about the devices used to keep you warm during surgery. Currently 80 percent of hospitals use the Bair Hugger Warming Blanket System; However, the device is also fighting multiple lawsuits for aiding in patients developing life-threatening SSIs.

    3. Do not personally shave the surgical site prior to the operation. The blade may knick your skin, creating an opening - no matter how small- for bacteria to enter.

    4. Keep your hands away from your mouth. This sounds easy but most people don’t realize how much they touch their face until their consciously trying not to. C.Diff can survive on various surfaces for days and is not killed by alcohol sanitizers. You should also be wary of where you place utensils while eating.

    5. Keep track of time on the day of your surgery. Many surgeries require a pre-surgical antibiotic one hour before going under, remind a nurse if you don’t receive yours on time.

    6. Pay attention to your IV. They should always be inserted and removed under clean conditions and changed regularly every three to four days, but ask your doctor for a specific timeline regarding your IVs. Let your nurses know if too much time goes by without a change or redness occurs.

    7. Ask your doctor to test you for MRSA prior to the operation. One in three people have staph infections in their nose or on skin usually without ever becoming ill and two in every 100 people carry MRSA. If you test positive there are extra precautions the hospital staff can take to prevent the staph from developing into a life-threatening infection. The test is non-invasive, usually completed with a nasal swab.

    8. Don’t be afraid to ask your caretakers to wash their hands in front of you. Many healthcare sites, including the CDC, advise patients to ask their doctors if it’s not done in front of them.

    By: JMurell of Safer America

  • Bandaging a Wound

    Clean, Treat, Protect.

    These are the essential steps in caring for or bandaging a wound.

    Clean:

    Often, at the first site of blood, our reaction is to cover it up. This is a good thing. This is, in fact, and instinctual action 0 when we are cut or abraded we instinctively cover it with our hand, applying pressure (this is partly because our nerves can only send one type of signal at a time, and applying pressure means a large portion of the nerve endings in the injured are will send "pressure" signals to the brain instead of "pain" signals.)

    In first aid treatment, however, you need to remember that the goal is to improve the situation and avoid further harm. For minor wounds, the bleeding is not in-of-itself a major concern. The first concern in treating minor cuts and scrapes is to cleanse the wound, removing any foreign debris or contaminants. This can be as simple as washing with warm soap and water or wiping with an antiseptic, to carefully picking out debris and light scrubbing in the case of severe abrasions (like "road rash" - you definitely don't want all that junk left in a wound.. even the asphalt itself contains preservative properties which can worsen scarring.)

    This, of course, pertains primarily to treating a minor cut, scrape, incision, or abrasion - serious wounds, and sever bleeding are major life threatening issues (a victim can actually die faster from sever bleeding than from cardiac arrest!) learn how to Stop the Bleed.

    Treat:

    We know you are still yearning to slap on that bandage, but hold on - there's another step first! While covering and protecting the injury is certainly important (don't worry, we're getting there next) it is also very important that you apply an antibiotic and pain relief cream or ointment to provide a proper healing environment and to help prevent infection.

    Protect:

    OK Band-Aid lovers... here's your favorite part. Time to cover the wound (these three wound care treatment steps are sometimes referred to as "Clean, Treat & Cover".)

    image of a finger with an adhesive plastic bandage Cover it up and let it heal!

    After you have cleaned out any foreign contaminants and applied a salve to assist in healing the wound, it is time to cover it up. We Americans, by and large, have some silly notion that you should allow a wound to "breathe" in order to heal. Don't you believe it.

    According to Johnson & Johnson, only slightly more than 29% of us actually apply bandages or dressings to our wounds. It is important to understand that a covered wound heals faster. Covering the affected area with a dressing or an adhesive bandage and keeping it covered until the wound is completely healed protects the injury from dirt and germs that can cause infection.

    So should you dress a wound or bandage it? Both. dressings, like gauze pads and sponges, are applied to a wound to cover it and absorb any bleeding, bandages, such as roller gauze or other wraps and tapes are used to hold the dressing in place.

    Remember, though, not to remove the first layer of dressings... if a wounds bleeds through the bandaging, or if you feel for some other reason you should "change the dressings", do so, but don't remove the first layer of dressings applied against the skin - if these fall away freely, fin, but often they are adhered to the wound, or incorporated into the healing/scabbing processes so if you pull them away, you are likely to reopen the wound, causing new bleeding and possibly increasing any damage or scarring.

    (Got Kids? Or maybe, like us, you've got "Peter Pan Syndrome" and will never grow up... check out our super cool and fun theme decorated bandages!)

    DID YOU KNOW? Although many think that bandages are used to stop bleeding or infection, they’re actually used to hold a dressing in place. Typical "bandages" as we think of them, (like Band-Aid™ or our plastic/fabric bandages) are really a small bit of dressing attached with a small piece of bandages to put over the top of a separate piece of sterile dressing. This is important to note, because if you simply put a bandage over a wound without dressing, the wound will continue to bleed and runs the risk of becoming infected. Never put a bandage directly over a wound.

    NOTE: Puncture Wounds can be deep and a First Aider is unlikely to be able to clean out contaminants well. Do your best, then seek more advanced medical care.

     

  • Stop the Bleed

    Severe Bleeding is one of the most life-threatening emergencies. Blood loss, or exsanguination, can lead to death in as little as 5 minutes... considering that average national EMS response time is 8-14 minutes, you can see why this is a major threat to loss of life.

    We recently participated in project at the White House to address this issue. Working toward developing a program for Public enablement and awareness, with the Centers for Disease Control, FEMA, the Department of Homeland Security, National Security Council, as well as other representatives from select private sector groups and nonprofit organizations we are working to build awareness, implement and accelerate this initiative... learn more, stop "Standing By" - you can save lives.

    Stop the Bleed

    stopthebleedNo matter how rapid the arrival of professional emergency responders, bystanders will always be first on the scene.  A person who is bleeding can die from blood loss within five minutes, therefore it is important to quickly stop the blood loss.

    "Stop the Bleed" is a nationwide campaign to empower individuals to act quickly and save lives.

    Remember to be aware of your surroundings and move yourself and the injured person to safety, if necessary.

    Call 911.

    Bystanders can take simple steps to keep the injured person alive until appropriate medical care is available.  Here are three actions you can take to help save a life:

    Compress

    Compress

    Find where the bleeding is coming from and apply firm, steady pressure to the bleeding site with bandages or clothing

    Tourniquet

    Tourniquet

    If the bleeding doesn't stop, place a tourniquet 2-3 inches closer to the torso from the bleeding. (The tourniquet may be applied and secured over clothing.)

    Pull the strap through the buckle, twist the rod tightly, clip and secure the rod with the clasp or the Velcro strap.

    Compress Again

    Compress again

    If the bleeding still doesn't stop, place a second tourniquet closer to the torso from the first tourniquet.

    Pull the strap through the buckle, twist the rod tightly, clip and secure the rod with the clasp or the Velcro strap.

    * One type of tourniquet is depicted in the illustrations.

     


    Watch " A Perfect Stranger "

    A Perfect Stranger’ tells the story of Kinneil and Angelia and the event that brought the two women together. When a motorcycle accident left a frightened Angelia on the street alone and bleeding, Kinneil didn’t just stand by, she cared enough to stop and provide a comforting hand and a reassuring voice. It is a powerful reminder that at a moment’s notice, any one of us might find ourselves in a situation where we are the help until help arrives. In the end, this film calls on all Americans to remake what it means to be a bystander.

     

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