Basic First Aid

[@JohnDoe69986]

1. “S” - Situational Safety 2. “M” - Massive Hemorrhage 3. “A” - Airway 4. “R” - Respiration 5. “C” - Circulation 6. “H” - Hypothermic 7. “E” - Everything Else -Be calm Batman -the human body is resilient -Pretty sure the pooch (7:12) in the corner of the screen is the first responder we all need.

[@Nowhere888]

Thanks dude. Very cool of you.

[@honkingdonk3981]

After a career as a Combat Medic in the Army I can say that this brought back many memories. I spent many years teaching and performing these techniques and they work. Standards change in the world of CPR but the theory remains the same. Saving lives is the name of the game. Keep things as simple as possible and try to stay calm.

[@Kyw883]

I asked my EMT friend a couple of questions about the items within an IFAK I had bought from Bear Independent. My EMT friend responded with a link to an application for the EMT-B course at the ambulance station where he worked. I applied, took the entry exam, and was accepted. Paid $750 for a ~12 week course just so I could learn how to handle a medical emergency. The EMT certification was not the ultimate goal of taking the class. My goal was to gain experience in patient treatment, learn how to approach a medical emergency and what to do until the ambulance arrives. I learned more than I initially wanted to. If I ever have to apply any knowledge gained from my EMT-B experience, I would consider the course to have paid for itself. EVERYBODY should take an EMT class, because EVERYBODY is human. The human body is resilient, but medical emergencies do happen.

[@mariner_life7631]

How would I find out information about taking that class?

[@adanfranchi578]

Some EMTs are fine but others are very dangerous and can cause more harm to a patient. EMT course is basically a “crash course” but a ED Registered Nurse is far superior in knowledge and experience. Often times a ED nurse guides the ED physician in problem solving.

[@ClarkKyle]

ABSOLUTELY BROTHER. You are not a civilian, but a CITIZEN with something to offer your community. A lot of people think the certifications are for professional applications as if we do not need medical training as the modern minutemen/women. Good on you! I similarly have the certification for my entry in LE, however a career change a few years back has me now as a prepared CITIZEN willing to hold it down until the uniformed professionals arrive.

[@Kyw883]

@@mariner_life7631 call your local ambulance or fire station, or both, and ask when the next class will be and how to apply. Some places have better price rates than others, some courses are longer than others, and some places may not offer a class at all. Just have to ask around your community and it’s all situational. If nothing else, it will give you some perspective on a “normal” job versus a job in EMS. I’ve gained a whole lot of respect for our EMS workers after being around them in their duties for a few weeks. I also appreciate my “normal” job a lot more than I did before I took the class.

[@Kyw883]

@@ClarkKyle God bless you and God bless our nation.

[@jwdjr52]

Great video Pat. Miltary trauma focuses on penetrating trauma, GSW, shrapnel, etc. Yes, stop the bleeding by direct pressure, tourniquets, etc. Most roadside trauma will be motor vehicle accidents and the bleeding, except for facial and scalp lacerations, is internal, non-visible, from a ruptured spleen, liver lacerations, and bone fractures. Easy to drop 2 units around a fractured femur. Adults only have 8-12 units. At the top of the list is to activate the EMS/call 911 as you are fighting TIME, the golden hour, and without fluid resuscitation, you are extremely limited in what you can do. So activating EMS and arranging transport to a trauma center is critical. It is a good idea to know which hospitals in your area are trauma centers as many are not!

[@greoricm771]

Likely to be a VERY underrated comment.

[@Flashhood1425]

This video was great! 15 year firefighter medic and I wish these basics were taught in every high school! Top 5 pre-arrival actions I’ve seen make a huge difference in no particular order: 1. Starting chest compressions and not stopping until relieved properly. 2. Having an Epi Pen. 3. Holding direct pressure or applying a tourniquet (in the one Tx case I’m thinking of a dudes seatbelt ripped his dialysis port open and thankfully an off duty state trooper stopped and was able to get a Tx high enough up on his arm to slow it down) 4. Knowing when and how to reposition someone’s airway to keep it open. 5. Knowing how to contend with a choking in all age groups… if every capable adult had those skills we’d probably see a lot less lives lost. That’s assuming they’d actually act and not video record it all first…

[@michaelsorenson3887]

Refuge Medical is one of the top ways to get trained. Can confirm from personal experience. Go sign up for a class in or near where you're at. It's even worth traveling for. Get gear, but LEARN HOW TO USE IT. Ownership doesn't equal proficiency. You'll always fall to your level of training, rarely if ever rise to the level of your expectations or hopes. Thanks for the great video

[@penttij5817]

Marine Corps boot camp in the 80’s, they taught us, start the breathing, stop the bleeding, protect the wound, treat for shock. That’s forever locked in my head. Dig your quick reference to METALLICA’s Seek & Destroy! 🇺🇸🤘🏻🇺🇸

[@bobrowley4346]

Great vid, Pat. For clarification to others, when he demonstrated using a "thing" with a TQ for a proximal bleed to the pelvis... this is called a junctional TQ and there are lots of good instructional vids out there. Note: if you suspect trauma in/near the pelvis... DO NOT drop a knee, you'll make it worse. Same goes for the shoulder, where you can also use a junctional TQ. Hypothermia? Pat is correct that people can go hypothermic from blood loss regardless of ambient temp so you must keep them warm. Related to this, people CANNOT clot effectively when they're cold... keep them warm! When Pat mentions head injuries and not getting tied up with them during a primary assessment... YES! You MUST finish the primary, head-to-toe assessment before treating anything!!! Don't let someone die b/c you stopped at the head or torso to treat something when the bigger problem was lower on their body! Wound packing: you can wound pack just about everywhere, even the neck (don't occlude blood flow!!!) but, you CANNOT wound pack the thoracic cavity (lungs)!!! Also, wound packing the abdominal cavity is generally a no-no... b/c organs usually get moved out of the way and you'll be packing forever! But, it won't kill them so you can stuff a roll in there and then bandage tightly over the wound. Lastly, everyone should invest in medical training!!!

[@vincegordon6830]

Add surgical gloves and eye pro or a face shield to the kit.

[@bobrowley4346]

@@vincegordon6830 Boom! BSI: body substance isolation.

[@greoricm771]

The external junctional bleed plus a broken pelvis is worse than a broken pelvis alone. If a knee is all someone has, then they absolutely should do that until they have a gauze and bandage, a shirt, or whatever.

[@greoricm771]

@@vincegordon6830 Nitriles are fine. You're not going to be doing a sterile procedure on a sterile field.

[@TAVAAR7]

With windlass TQs a good way to have an idea if its tight enough while twisting is its one full turn past bad words lol.

[@Tux7.62]

As per usual, Pat Mac hitting a home run on these shorts. Keep up the good work!

[@GaMt13]

Very important under discussed topic. I’ve crossed more car wrecks lately than Russian Soldiers. Thanks

[@jonathanyoung2588]

Scanning the scene in the society tonight Looking for you to START UP THE FIGHT! You are an inspiration, PatMac

[@rostamr4096]

Thank you, this was so very helpful....ABC, for us(I was an Iranian soldier in the Iran-Iraq war in the '80s) Air, Blood and Choc( French for Shock)

[@ashleypenaloza7177]

I needed this. Thanks.

[@michaelcarter8209]

Outstanding

[@parkeratwood2717]

One thing taught in every EMT course is BSI/Scene Safety. Body Substance Isolation (gloves). Scene Safety could refer to; traffic, power lines down, threats, etc

[@kristovatlas]

Highly recommend viewers take a course with TCCC material. They will teach you to seal the box, TQ the limbs, and pack the junctions.

[@NickLinneyDev]

2:13 "We're looking for you, to start up a fight!" 😁🎸

[@vvogt4252]

Excellent Video, Thanks for m this One! Pure Awesomeness.

[@justcallmejoeable]

Thank you

[@droughty666]

6:32 As for an emergency blanket, like Les Stround said in a recent video of his "buy the one that you can't rip with your hands". Whether it's a car crash with sharp debris all over the place or middle of the woods with thick brush, a space blanket won't do you much good if it's full of holes.

[@jamesstanley4764]

Thanks for giving back Pat. Things r about to get crazy by design.

[@BLBL-nk4jh]

Thanks Pat!

[@muntjunk-plk3171]

It’s different in Australia. We are trained in DRSABCD (Doctors ABCD is really easy to remember under stress, especially for a civilian). Danger, Response, Send(for help) Airway, Breathing, CPR, Defibrillation. Also taught to triage if first on scene of multiple casualty event by determining if they are crying in pain, they are not a priority compared to someone unconscious. Cool to see different methodologies love this channel.

[@bobvan2576]

Thanks for another quick refresh. 60% or the time, it's good to think about this stuff, all the time.

[@AlabamaPilgrim333]

Thanks for sharing! 👊🏽

[@monroetinker9844]

RULE # 1 is the scene SAFE PRIOR TO APPROACHING then ABC’s

[@karatetiger3531]

2:12 hahaha "scannin' the scene in the city tonight!" That is why professor Pat is the best. Making learning fun.

[@weed2man]

I suggest everyone carry narcan in their med kits too. I have saved plenty of lives with narcan and that seems to be the type of emergency I run into regularly.

[@cavecanem2826]

Amazing. Thank you

[@SweetDDaddy]

"A little Metallica to help us memorize that "S"...Seek & Destroy...sweet! Great clip as always.

[@jstep100]

Good shit as always! Thank you sir!

[@frankgriffitt2425]

Thanks for helping me load out my truck. I was batman just the other night. Leaving a college ball game, a very nice car was stuck in the mud. I was the only in the stadium it seemed with tow straps and rope. Thanks for the advice.

[@SteveCabana-ir7jt]

Loving these videos pat!

[@johngross8300]

Thank you. Great Talk. Affirmation.

[@JEJAK5396]

ASMR sleep rain sounds with Pat Mac 🤣 great info!

[@HuckOrris]

It's been a while, and I hadn't heard SMARCHE before. Now it's written in bold sharpie on my first aid kit.

[@joshroten3997]

Additional tid-bits: Re: feeling for a peripheral pulse at the wrist (Radial Artery) - when Blood Pressure (BP) starts dropping due to Shock (inadequate tissue perfusion) setting-in, you should be able to palpate (feel) a pulse at the wrist if the Systolic (highest BP reading - when the heart is actually contracting/squeezing/pumping) should be at least 90mmHg, 80mmHg if you can feel it at the Femoral Artery, but not the wrist, and 70mmHg if you can feel it at the Carotid Artery (neck) but none of the other spots. That’s just a Rule of Thumb, but is fairly accurate. C-Spine: consider the possibility of neck injury - if you suspect it, and/or the patient has sustained significant head and/or upper chest injury di your best to immobilize the neck and head to prevent movement and further injury. Sucking chest wounds: GSW or stab wounds, etc to the chest - any of the four sides (front, back, either side) - air and blood may be escaping from the wound(s) when the patient breathes - cover with an “Occlusive Dressing” (anything that won’t allow air to pass such as special dressings made fo that purpose, tape, or the plastic wrappers from other EMS supplies such as gauze wrappers, etc. Lastly, note the patient’s condition/status about every 5 minutes so when you are able to hand them off to EMTs, Paramedics, etc. you can give them a basic run-down of: what you found, what you did, and whether the patient is better, worse or the same as when you found them.

[@BruceMusto]

As always, extremely useful information presented in a succinct and engaging manner. It's a little disconcerting though when I realize that when Mac talks about back in the day, or the old days and I'm thinking to myself that the 80's and 90's weren't all that long ago. Were they? Seems like just yesterday when I was a new boot getting DC qualified on my first ship.

[@johngross8300]

Cheers Shipmate!

[@joshuamelby]

Cool. Thanks!

[@therulesaredifferent8280]

Thanks Mac

[@jeffreyphipps5099]

Good info for sure! Always remember your 5/25 survey. After 35 years in Emergency Services it’s still ABCs: Airway, Bleeding/Breathing, Circulation. As for tourniquets, they hurt but not as bad as bleeding out. The best class for shooters & laypeople is Stop the Bleed.

[@ericrumpel3105]

Another Great video - simplified to be 100% effective & REAL !! - Thanks fer sharing !!

[@patriotjames1076]

Rebeccer rocks!

[@luguefamily1498]

Awesome tips

[@jhutch1470]

At the 6:50 mark I watched Pat say "if the injury is in the box." All I heard was "If the injury is in the No No Square."

[@MrSirUndersteer]

Another Seek and Destroy reference. LOVE IT!

[@TSC1]

Great information, and also a great Seek and Destroy reference!

[@davidhubble5283]

Very cool technique for upper femoral arterial thing. Very cool. Thanks SGM. Preciatcha, as always, dropping that essential insightful knowledge altruistically man. tx

[@Traineddelta]

Pat, just a quick correction from a Canadian army medic/paramedic. All good advice. Only thing I'd like to correct is we like to stay away from knee drops now. I was taught to do this on my army medic course, but since then some leading experts in TCCC have come out against the knee drops. Main reason is no scientific evidence it's doing anything besides wasting time, second reason is if the patient has a pelvic injury you're causing a lot of internal bleeding by dropping your knee in someone's pelvic region. I understand you're not a medical provider so obviously you're not keeping up as much to recent updates. Just wanted to pass this a long. Respect. 🤙

[@Kyw883]

@J PM would you happen to know of any classes round my neck of the woods?

[@greoricm771]

How new is that? And any source? ED Physician here.

[@greoricm771]

@J PM Agreed. This actually is a tough one, because while pressure is great, what we're all really after is pinpoint pressure to the site of the bleed. I'm not sure that a broad knee to a dissected femoral artery does much. Additionally, it's also plausible that the knee to the hip absolutely could be opening up a larger potential space for hemorrhage into the pelvis. In fact, we don't "rock" the pelvis anymore to check for stability, for this reason. Given that in a GSW scenario, a pelvic fracture is even more likely. All just conjecture though. Very interesting.

[@Kyw883]

@J PM Southeastern Kentucky

[@Traineddelta]

@@greoricm771 Nothing official has come down from CoTCCC. Dr Andrew Fisher and Dr Mike Simpson two well known physicians in the TCCC space have both come out saying that there's 0 evidence that knee drops do anything (besides personal anecdotes) and the potential for a pelvic fracture especially with blast injuries makes doing a knee drop potentially harmful to the patient.

[@justindodge7147]

Thank you for some more badass knowledge!

[@johnc6655]

Each morning I look forward to what new knowledge Mr Mac is going to provide. Always diverse and useful. Thanks for sharing with us. Knowledge is power and ignorance shouldn't be bliss.

[@JNC7601]

Great stuff

[@flexmasterson4297]

Excellent, thank you.

[@clarkkent3335]

Thanks! Perfect timing, I was thinking about this subject today.

[@nicholasobrien8499]

i had such a brief explanation on TC3 and was so confused in lab, this helps so much! thank you!

[@danielmarshall4587]

2:14 GREAT USE OF SOME FINE LYRICS. ... a very good video as well cheers.

[@dwai7754]

I like the jam the knee tip to slow the bleeding never thought about that. Good stuff

[@auroramcgow]

It's not recommended anymore, does more damage and waste time.

[@Flashhood1425]

Another reason not to shy away from tourniquets if/when you’re alone… you might need the hands to do something else (airway management, disengagement, talk to 911, etc.) …not to mention a large chunk of the civilian populous is on medications that negatively effect their blood clotting ability so it’s better to go ugly early when it comes to bleeding control especially if there are multiple traumatic injuries involved.

[@Doc_Egan]

Pat Mac, Great stuff brother! I love your videos and learn something every time. Keep them coming. The best advice is to have someone take a Stop the bleed and CPR class. I appreciate the way you presented the info however, as a Corpsman I have to agree with some other comments. Don't pack the box(seal it and pack the junctions), the ABCs are really important after hemorrhag control and dropping a knee is not needed (never did it on any actual casualtie tourniquet application). I did love the way you showed an improvised junctional tourniquet, I never thought to use a tourniquet that way. Keep up the great work and rock on!

[@duncanidaho0175]

DUDE Y'ALL ARE BADASSERY AT ITS FINEST SUA SPONTE RANGERS LEAD THE WAY

[@TheHorta]

Two thumbs up on the Muy Bonita Esposa front, Macho Man!

[@mistermusik]

Thanks! Super-necessary!

[@sergionatali3071]

Thanks Pat another very interesting video!

[@Messier31NGC224]

Thanks so much for these dude! Your videos lately are packed with so much valuable info. I'm seriously considering joining your squad member club.

[@connor4010]

only thing i would add and i know its situation specific but after you check the scene for saftey you should CALL 911 or point to someone make eye contact and tell them CALL 911 because first responders dont just magicly know to show up.

[@donfilkins298]

great info!.....

[@vincegordon6830]

I keep surgical gloves, and eye protection in my kit as well.

[@richardhull7021]

Another good one brother.

[@rufuslynks8175]

Keep it simple and make a mantra: Air goes in and out. Blood goes round and round. Deviations get managed.

[@High0Alai]

Thanks for this. Most people tell me a femoral hit's just a death sentence.

[@sombra6153]

Great lesson. I went by the ABC method for a long time when the general attitude was having EMTs on call and an idea of the nearest school yard to land a life flight. Glad attitudes are changing. Getting to be time to consider taking another combat lifesaver class.

[@c431inf]

Pat Mac Squad (PMS) lol these are great boss , I will never forget my CLS training in afghan we all walked out looking like shot up heroin addicts bleeding from our arms

[@carlosfernandez1]

I need to get back on first aid and commo /radios.

[@mikefranklin1253]

I learned a lot of medical care over the years, mostly by owning horses. BTW, if you can do 1st Aid on an 1800 pound horse you can handle most anything.

[@bryanreilly1290]

Thank you. I especially like the info about the high femoral artery tq application. I had never seen that before. Great stuff!

[@wv4life375]

Excellent tips. To what extent should you worry about being sanitary? Example using a sweaty shirt to apply pressure to a wound. Any scenario where things can be made worse?

[@ryanwarunek8385]

Thank you for mentioning hypothermia. People dont realize that hypothermia can happen in any climate

[@gary6354]

Just a thought. In case of an emergency, implement the 7A's of emergency management. Anticipate, assess, act, assign task, attend to the injured, administration, arrange for evacuation.

[@squashhead1374]

3:54 he couldn’t help himself haha. There is always more to learn, I just learned how to apply the tourniquet on the femoral artery for a high bleed. Awesome.

[@mariusfrost640]

I always assumed that unit guys would be super highly trained in medicine. Maybe not EMT, but I figured their "basic" first aid would make them near experts.

[@Reaper0886]

Nice Metallica reference! 🤘🏽🤘🏽

[@snakeplissken3825]

I have a trauma Dr. ,Fishing buddy, I fought in the Box, I learned a lot helping my corpsman, but go on Reddit and talk to trauma surgery dudes. Crazy. Basically h- bandages and duck tape, and tourniquets. And a band-aid (1).

[@uncleroysmusic]

to do with the resilient thing I was taught..."Air goes in and out, blood goes round and round, everything else will take care of itself". I KNOW this is simplified. If you want to argue with me, just don't. I know I'm not an EMT. I'm just a person making a comment. Have some grace. :)

[@BLacknesmonstaz]

You put together a first aid bag or bug out bag or whatever and we'll buy it I guarantee it. Another dude I know talked about cleaning products he liked or didn't like and finally with all the questions the viewers had he said "I'll put a package together of what I like and we'll see what happens" - Matt from obsessed garage.

[@dantekun1203]

Just some advice that I have been taught. Talking to the dude will give you some sane advice on how to proceed. If you come up and ask "Hey, dude. Are you alright." And his response is "AAAAAAAAAAA MY FUCKING LEEEEEEG". You can get a few things from it. His airway is free and he didn't bump his head. Probably not dying of shock anytime soon too. If he goes "I wanna be an astronaut!" he hurt his noggin pretty bad.

[@Flashhood1425]

Use caution with the Amazon special CAT tourniquet… a lot of knock PFDs out there… better to buy from a reputable vendor.

[@ianturner8459]

First rule of first aid is don't become a casualty yourself.

[@subthousandoaks]

Ty, Jr batman in training

[@merces47letifer4]

...we're looking for YOU to start up a fight...

[@SenorGato237]

Point on TQs, all the advice about only using them as a last resort, "life or limb" and all that, is from a long time ago when quick evac to a proper medical facility was not certain. These days, especially in a civilian environment, fast medevac is pretty much guaranteed.

[@Voxclamantis]

Tourniquet only for massive hemorrhage - people need to understand what a massive hemorrhage is and not be slapping tourniquets when they are not necessary. Just re-certified in 11 months ago in Wilderness First Responder. Need to check airway on CPR. Recommend everyone regularly re-cert in a full First Aid w/modern CPR and AED course. Red Cross even has good online (as well as in-person) courses that only take about 8 hours for short overiew. Good abstract here/table of contents, but can't substitute for taking a good class and practice.

[@flhtcuclassic2334]

Brother Pat Thank you !! Hey bro, did I not learn in gsw class NOT to pack the abdomen bc it will just distend forever ?? Rather apply massive pressure ie; towel/tee/Israeli/etc...?? Perhaps both ??

[@Ntop33]

Pat, do you have a book? I would love to read it.

[@nilsschenkel7149]

Should be added that you better call 911 as soon as you stop for an accident, chances are noone else will because they see you helping. Also, if you´re not quite sure what should go into a car first aid kit, a good starting point are the kits that are mandatory to carry in the EU. You should get them over Amazon etc for not more than ten bucks, or at least find a contents list online so you can assemble your own.

[@harryfatcat]

Might include chest seals in this. Seal the box Pack the junctions Tourniquet the limbs

[@skim193]

👏🏽 wife cameo...

[@stevennolan3966]

S is for Sua Sponte!

[@RicoZaid_]

Metallica reference +100 points.

[@bellebmw]

TQ was a total swear word in the early 90's now its the life saver. Evolution