Wound Packing

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  • Comments (7)

    • 3

      This is where it seems very useful to have gloves in your IFAK.

      Great demonstration of how much gauze is used for a wound.

    • 2

      Question on this lesson: a. Is it a datum in packing a wound that you always want to pack towards the heart – ie push pressure mainly up (in this case)? b. If I have some, would I use anti coagulation gauze first?

      • 1

        Good question.

        You want to start packing or applying that “power ball” directly at the precise site of the bleeding vein/artery.  So focus more on that exact source of bleeding more so than using the direction of heart as a guide.  

        Yes, use your hemostatic agent first.  Never use “anticoagulant” products when trying to control any bleeding.  “Anticoagulant” means basically not clotting or prolongs clotting; which in this case, we DO want clotting to take place.  

    • 4

      In really austere scenarios, how would one eventually remove this wound pack without restarting the bleeding? Is it just a matter of timing?

      • 2

        Assuming the original packing did it’s job of putting well-aimed direct pressure on the bleed site, then yeah, it’s basically a matter of timing — has enough time passed for the injury to clot.

        Removing the packaging isn’t that different between austere and normal, because in both cases you’re essentially using clean hands / tweezers / whatever to carefully pull the packing material out, reversing what you did when packing. Similar to undoing a tourniquet, the key is to be ready to “clamp back down” if the bleeding restarts — that’s really all that matters during the unpacking process, since it means the wound still needs that packing pressure. So you might have a fresh gauze roll nearby, ready to use a finger or two to put pressure back down in the wound while re-packing the cavity. 

      • 1

        Loaded question.  😉  

        The problems with removing packed material from a wound are extensive.  Several variables will come into play.  

        I would recommend reviewing wound management techniques and concepts first.  

    • 1

      Are these the types of wounds that Quikclot is sometimes recommend for?  And, if so, how is Quikclot different from standard run-of-the-mill Z-fold gauze?