Deputies used military first-aid materials to help save Tucson victims

[old medic]

Deputies used military first-aid materials to help save Tucson victims
http://www.latimes.com/news/nationworld/nation/la-na-0122-giffords-bandages-20110122,0,318338.story
By Nicholas Riccardi, Los Angeles Times

January 21, 2011

Reporting from Tucson —
Pima County sheriff's deputies responding to the shooting of Rep. Gabrielle Giffords had military-grade first-aid materials, which probably helped save the lives of some of the 19 shooting victims, authorities said Friday.

The department held a news conference to tout the packages, which it distributed to deputies last June. Officials said they hoped other law enforcement agencies would start programs like theirs, which they say enables them to provide care in the critical minutes before ambulances arrive at shooting scenes.

"Without this care it would have definitely been a different situation," said Dr. Katherine Hiller, who treated the wounded in the emergency room at University Medical Center on Jan. 8. Thirteen survived, including Giffords. Six died.

The deputies' packages include a combat-grade bandage — sometimes referred to as an "Israeli bandage" — that can stanch massive bleeding, along with combat gauze and a pad that seals sucking chest wounds.

It's the sort of equipment routinely carried by troops in Iraq and Afghanistan. Sheriff's officials decided last summer that deputies should have it for violent crime scenes or accidents. Capt. Byron Gwaltney called it "laying a foundation of care" before ambulances take the injured away.

Gwaltney said increasing numbers of departments are training their officers to use military-grade first-aid equipment, a big change from the days when police arrived at violent scenes with just a CPR mask and bandages.

When Deputy Gilbert Caudillo arrived at the shooting scene outside a Tucson Safeway, he was stunned at the mass of bloodied bodies. "It was a silent chaos," he recalled Friday.

He began swiftly performing triage to determine whose injuries were severe enough to require immediate treatment. He wrapped one bloodied wound with combat gauze and began performing CPR on an injured woman. Sheriff's officials said Caudillo couldn't publicly identify the people he worked on.

Deputies kept ambulances away for about six minutes, until they were certain there were no other gunmen.

"It felt like forever," Caudillo said. "It felt like we were there on our own for a long time."

When many patients arrived at the emergency room, Hiller said, their blood pressure and heart rates were stable because deputies had stanched bleeding from traumatic injuries.

"I would think we saved some lives," Caudillo said.

 

[mariomike]

Z-Medica
6/14/2008
"Soon every Tucson Police officer will be armed with QuikClot a sponge-like product that stops moderate to severe bleeding. Officers will also receive first aid training on how to use it. This product is very similar to what our soldiers are already using in Iraq.":
http://www.z-medica.com/lawenforcement/Home.aspx

 

[chrisf]

Fantastic.

In bulk, a packet of quik clot costs, what, $5-10? Add some decent bandages, a few air ways, not really a signifigant cost for it's use.

 

[mariomike]

Cost looks to be about $7,000 for 750 units of QuikClot.

2008
"On Friday, the Tucson Police Foundation handed over about 750 units of QuikClot, individually wrapped bandages treated with a clotting agent that stops the flow of traumatic bleeding.":
http://tucsoncitizen.com/morgue/2008/06/13/88255-tpd-has-new-tool-to-help-save-lives/

 

[chrisf]

So not quite $10 each, even with a shelf life of only three years, that's still a pretty reasonable price for the potential life saving effects.

 

[Journeyman]

Hmmm....QuikClot now comes as a gauze -- not just the grainy powder. Not a wasted day -- I've learned something new. 

While I suspect there's less risk of getting the material on the gauze near your eyes (a problem on dusty days with the powder), I bet it still stings like a bitch  :nod:

 

[Bass ackwards]

What sort of additional first-aid training would LEOs require to be using things like QuikClot ?

 

[Scratch_043]

"Quick Clot combat Gauze" is not the same as the 'grainy powder' that you may be familiar with.

The new 'combat gauze' is a z-fold bandage, treated with a hemostatic agent called Kaolin. It also features a blue x-ray band, which allows ER staff to see how deep a wound is, by how far into the wound the gauze has been packed. The benefit of the Kaolin, is that it produces no heat, therefore reducing headache of the doctors that have to remove it. Rather, it soaks up everything but the hemoglobin platelets (clotting factor) of the blood, creating a clot.

Nic

 

[mariomike]

As far as I know, Quikclot is carried by many EMS and police services throughout the United States. Although approved by Health Canada, only a few Paramedic services in Alberta and the Canadian military carry it. In Ontario, last I heard, only Algoma Paramedics carry it for communities with no local hospital. Their typical transport times are one hour.