Tourniquet Use: Difference between revisions

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[[File:Tourniquet (PSF).png|thumb|431x431px]]
[[File:Tourniquet (PSF).png|thumb|431x431px]]


=== Benötigte Materialien (improvisiert): ===
*


* '''Stab oder stabiler Gegenstand''' (z. B. Schraubenzieher, Holzstock, Kugelschreiber ohne Hülle – stabil, nicht zerbrechlich)
=== Required Materials (Improvised): ===
* '''Fester Gurt oder Stoffstreifen''' (z. B. Halstuch, Gürtel, langer Stoffstreifen, Schlauchverband, T-Shirt-Streifen)
 
* Optional: Band, Schnur oder Tape zum Fixieren des Stabs
* '''Rod or sturdy object''' (e.g., screwdriver, wooden stick, pen without casing – must be strong and unbreakable)
* '''Strong strap or fabric strip''' (e.g., scarf, belt, long piece of fabric, tubular bandage, strip of T-shirt)
* '''Optional:''' Cord, string, or tape to secure the rod


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=== Anleitung: DIY-Tourniquet anlegen ===
=== 🛠️ Instructions: How to Apply a DIY Tourniquet ===


==== 1. Geeignete Stelle wählen: ====
==== 1. Choose the correct location: ====


* Nur bei '''lebensbedrohlicher Blutung an Armen oder Beinen''' verwenden.
* Use '''only for life-threatening bleeding''' on arms or legs.
* Den Tourniquet '''mindestens 5–7 cm über der Wunde''' anlegen – '''nicht auf einem Gelenk!'''
* Apply the tourniquet '''at least 5–7 cm (2–3 inches) above the wound''' – '''never directly over a joint!'''


==== 2. Band um die Extremität legen: ====
==== 2. Wrap the band around the limb: ====


* Lege das Band (Stoffstreifen/Gurt) '''eng um den Arm oder das Bein'''.
* Wrap the band (fabric strip or belt) '''tightly around the limb'''.
* Ziehe es so fest wie möglich und '''knote es mit einem einfachen Knoten'''.
* Pull it as tight as possible and tie a '''simple knot'''.


==== 3. Stab als Drehelement einbauen: ====
==== 3. Insert the rod (windlass): ====


* Lege den '''Stab auf den Knoten'''.
* Place the '''rod on top of the knot'''.
* Mache einen weiteren Knoten '''über dem Stab''', um ihn zu fixieren.
* Tie another knot '''over the rod''' to secure it in place.


==== 4. Stab drehen, bis die Blutung stoppt: ====
==== 4. Twist the rod until the bleeding stops: ====


* Drehe den Stab, um '''Druck aufzubauen'''.
* Twist the rod to '''increase pressure''' on the limb.
* '''Drehe, bis die Blutung deutlich nachlässt oder stoppt.'''
* Keep twisting until the '''bleeding significantly slows or stops'''.
* Dies kann schmerzhaft sein – aber notwendig, um das Leben zu retten.
* This will be painful – but it is necessary to save a life.


==== 5. Stab fixieren: ====
==== 5. Secure the rod: ====


* Wenn der Druck ausreicht und die Blutung gestoppt ist, '''fixiere den Stab''', z. B. mit einem Band, Gurt oder indem du ihn in den Stoff einklemmst.
* Once the bleeding has stopped, '''secure the rod''' in place using string, another strap, or by tucking it into the band.


==== 6. Zeit notieren: ====
==== 6. Note the time: ====


* '''Schreibe die Uhrzeit auf''', wann der Tourniquet angelegt wurde (z. B. mit einem Stift auf der Haut oder Kleidung).
* '''Write down the time''' the tourniquet was applied (e.g., on the patient’s skin or clothing).
* Ein Tourniquet '''sollte nicht länger als 1–2 Stunden''' angelegt bleiben – nur im absoluten Notfall länger.
* A tourniquet '''should not stay on for more than 1–2 hours''' – only longer in absolute emergencies.
 
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* Tourniquets sind eine '''letzte Maßnahme''' bei '''starkem arteriellen Blutverlust''', wenn Druckverbände nicht ausreichen.
=== ⚠️ Important Notes: ===


* Bei unsachgemäßer Anwendung besteht die Gefahr von '''Nervenschäden''' oder '''Gewebeverlust''' – nur im echten Notfall anwenden.
* Tourniquets are a '''last resort''' for '''severe arterial bleeding''' when direct pressure and pressure dressings are not enough.
* Improper use can lead to '''nerve damage or tissue loss''' – use '''only in real emergencies'''.

Revision as of 16:30, 7 May 2025

Required Materials (Improvised):

  • Rod or sturdy object (e.g., screwdriver, wooden stick, pen without casing – must be strong and unbreakable)
  • Strong strap or fabric strip (e.g., scarf, belt, long piece of fabric, tubular bandage, strip of T-shirt)
  • Optional: Cord, string, or tape to secure the rod

🛠️ Instructions: How to Apply a DIY Tourniquet

1. Choose the correct location:

  • Use only for life-threatening bleeding on arms or legs.
  • Apply the tourniquet at least 5–7 cm (2–3 inches) above the wound – never directly over a joint!

2. Wrap the band around the limb:

  • Wrap the band (fabric strip or belt) tightly around the limb.
  • Pull it as tight as possible and tie a simple knot.

3. Insert the rod (windlass):

  • Place the rod on top of the knot.
  • Tie another knot over the rod to secure it in place.

4. Twist the rod until the bleeding stops:

  • Twist the rod to increase pressure on the limb.
  • Keep twisting until the bleeding significantly slows or stops.
  • This will be painful – but it is necessary to save a life.

5. Secure the rod:

  • Once the bleeding has stopped, secure the rod in place using string, another strap, or by tucking it into the band.

6. Note the time:

  • Write down the time the tourniquet was applied (e.g., on the patient’s skin or clothing).
  • A tourniquet should not stay on for more than 1–2 hours – only longer in absolute emergencies.

⚠️ Important Notes:

  • Tourniquets are a last resort for severe arterial bleeding when direct pressure and pressure dressings are not enough.
  • Improper use can lead to nerve damage or tissue loss – use only in real emergencies.
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