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The War in Ukraine

This war is change the tune on tourniquets, some 75,000 amputations were apparent required because of them.

Don's Weekly, 6 October 2025: Part 3 (Ukraine, Tourniquets, Diplomacy)
"Blame the training not the tool' They have been over used for virtually any bleed not just arterial and unstoppable venous (with appropriate clotting gauze packing and pressure - which CAN be applied by a tourniquet but a lot less tightly. Also some studies have found loosening to get some blood flow to the limb and then tightening every 2 hours can prevent many amputations. With the caveat that IV access and some fluids are available - blood being the first choice obviously. With the prolonged evac times there needs to be more research and likely revised training at the grunt / Stop The Bleed / TCCC level
 
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"Blame the training not the tool' They have been over used for virtually any bleed not just arterial and unstoppable (with appropriate clotting gauze packing and pressure - which CAN be applied by a tourniquet but a lot less tightly. Also some studies have found loosening to get some blood flow to the limb and then tightening every 2 hours can prevent many amputations. With the caveat that IV access and some fluids available.

The levels of Med Support are important too, of course.

If you don't have a couple of well trained company medics running the CAP, and the equivalent down the line, you're going to be in the hurt locker in more ways than one....
 
... With the prolonged evac times there needs to be more research and likely revised training at the grunt / Stop The Bleed / TCCC level
FAR from a medical expert (or even amateur for that matter), but I have to wonder how much of the issue is the bit in yellow. If it's significant (and I don't know, one way or another), yeah, more work needs to be done on the rules. I suspect it's already ongoing, but good point.
 
Hopefully they take the advice and add NVG lights and a NVG / IR display screen for the driver. Those lights have been standard on CUCV etc since the early 80's
Shutters of some kind for windows and a DVE are basically essential kitting these days. It should be written right into the contract imo.
 
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