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Backpacker Magazine – May 2013

Treat Deep Wounds

Miles from the trailhead, your hiking partner springs a gusher after taking a fall on an iffy scramble. Here's what to do.

by: Ted Alvarez

PAGE 1 2

Prevent Shock Maintain blood flow to a victim’s brain.
After you’ve stopped a bleed, expect and preempt shock. Symptoms include a weakening, rapid pulse; gray, cool, or clammy skin; nausea; and shallow breathing. Lay your victim down, elevate his feet 6 to 10 inches, and keep him warm and hydrated. Prepare to turn him on his side in order to prevent choking if he vomits.

Key Skill Close a Wound
After bleeding stops and the cut is cleaned, trim ¼- to ½-inch-wide strips of duct or medical tape long enough so they will extend at least 1 inch beyond each side of the gash. A. Starting in the middle of the wound, apply strips of tape in pairs: First, attach the end of each strip to opposite sides of the cut. Then, gently pull the strips to close the wound, and adhere the loose ends to the cut’s far side. B. Continue placing pairs of tape strips above and below the center closure (allowing 1/8 inch between strips of tape) until the wound is fully closed. Dress the cut to keep dirt out, and check it regularly for signs of infection.

DIY Demo
Watch Ted dress a big bleed—and learn how to practice the skills yourself using a hydration bladder, pigs’ feet, and a whole lot of red food dye. backpacker.com/dropdeadted
PAGE 1 2

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Reader Rating: Star Star Star Star Star

READERS COMMENTS

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Katy L
May 26, 2014

Seriously!? Don't stick your fingers in a wound!!! First of all super unsanitary, secondly if you do you run the risk of opening the wound even more, thirdly if you do this and then remove your finger once the bleeding has stopped any clot that has formed beneath your finger will more than likely pull away with it. Also it isn't mentioned here but only attempt to close a wound that has been thoroughly cleaned (I'm talking an entire liter of drinkable water!) and doesn't have more than a 1/2 inch wide gape (width not lengthwise) anything wider should be packed with sterile moist gauze and evacuated to definitive medical care as quickly as possible. There is also a comment that says you shouldn't raise a persons legs because there isn't much benefit to it and there is a risk of additional injury, the benefit hasn't been proven but it also hasn't been disproven, as for the risk of additional injury there are two types of injury I could see potentially occurring with this practice. The first is the stress placed on the cardiac system by the increase in blood flow to the heart, however this is only going to cause an issue if the person is going into cardioginic shock but a person who is losing blood is going to be going into hypovolemic shock. The second type of injury would be the potential to exacerbate a spinal injury caused during the original trauma, to be honest though if this is your first aid training course? you've already made the spinal damage worse just getting them into a position where you are going to feel comfortable helping your patient and you should focus on keeping them alive until you can get definitive medical care.

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ƒ‚ƒ`ƒx[ƒ^[:http://www.hikanpou.com/product/Motivat.html
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‰Ô”V—~:http://www.hikanpou.com/product/‰Ô”V—~.html
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“¿‘•‹à:http://www.hikanpou.com/product/“¿‘•‹àBLACKGOLD.html
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‘ ”ª•ó:http://www.kanpocom.com/pro/zbb.html
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‹l”{‘:http://www.hikanpou.com/product/‹l”{‘.html

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—d•P:http://www.hikanpou.com/product/youhi.html
ˆúƒCƒ“ƒ‚ƒ‰ƒ‹:http://www.hikanpou.com/product/immoral.html
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•”{‰¤:http://www.hikanpou.com/product/•”{‰¤.html
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üKF•—–\:http://www.hikanpou.com/product/üKF•—–\.html
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v26 Œø‰Ê:http://www.hikanpou.com/product/V26.html
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USA-Excitement‹»•±Ü:http://www.hikanpou.com/product/USA‹»•±Ü.html
cayenne:http://www.hikanpou.com/product/cayenne.html
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ˆÐšF‰¤:http://www.hikanpou.com/product/weige.html
‹l”{‘:http://www.hikanpou.com/product/‹l”{‘.html



‰Ô’s:http://www.hikanpou.com/product/‰Ô’s.html
‰Ô’s:http://www.hikanpou.com/product/‰Ô’s.html
VigRx:http://www.hikanpou.com/product/VigRx.html
VigRx:http://www.hikanpou.com/product/VigRx.html
VigRx:http://www.hikanpou.com/product/VigRx.html
‹l”{‘:http://www.hikanpou.com/product/‹l”{‘.html
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g’wå:http://www.hikanpou.com/product/g’wå.html
g’wå:http://www.hikanpou.com/product/g’wå.html
g’wå:http://www.hikanpou.com/product/g’wå.html
ˆúƒCƒ“ƒ‚ƒ‰ƒ‹:http://www.hikanpou.com/product/immoral.html
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ˆÐšF‰¤:http://www.hikanpou.com/product/weige.html
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ˆÐšF‰¤:http://www.hikanpou.com/product/weige.html
‰Ô’s:http://www.hikanpou.com/product/‰Ô’s.html
‰Ô’s:http://www.hikanpou.com/product/‰Ô’s.html
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—d•P:http://www.hikanpou.com/product/youhi.html
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Star Star Star Star Star
Amanda Sass
Jan 02, 2014

Two corrections - Get rid of the latex gloves - to many latex allergies and you never know who you might need to help. Replace with Nitrile. Shock - no longer recommended to raise the legs - not much benefit and a greater risk of additional injury to the victim

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