None. Allusions, is all. I mean what I say. Participating in this forums is akin to a bunch of guys casually sitting around a table chatting. No one is professing to be an expert on a topic; most topics are handled without crossing any lines, and I don't think any are being crossed here.
GrandChelems is implying that our conversation is inappropriate and better suited for other forums; I think it's fine to discuss it the way we are discussing it here. It might not be the best way to become educated about the details of arterial injuries and what not...but then again no one is really looking for that here. So I don't think we should be asked to leave, desist, or go sign up on some medical forum to direct our questions, as nothing we've said is against forum rules afaik. We're just a bunch of guys sitting around a table chatting, and there's nothing wrong with that.
Sorry, it's sometimes hard to assess a posters intent sometimes and I agree, all we're doing here is discussing the situation that took place.
I haven't felt that anyone has crossed any lines whatsoever and furthermore, I would say that anyone who feels otherwise not just post and run but to try and articulate there concerns in such a way that others might better be able to comprehend just why they feel this way.
You're right. It's not rocket science. However that being said, I've seen tourniquets put on incorrectly during training, and the poor medic's leg swelled up to half the size and from her upper thigh to the tips of her toes were black and blue.
A tourniquet that high will cut off the circulation to your entire leg...and if it is left on too long, you could lose the leg.
To you and I, it's very cut and dry. But to a professional athlete, I imagine that it's not that simple. Extensive damage to his leg can and will affect the rest of his career.
I get the ABC's and stuff...but apply pressure does not mean apply tourniquet. You use a tourniquet with the understanding that it's life or death and to aren't goin to get medical help right away and you know that the guy will probably have lasting effects from it.
In this case, you can get him to the hospital to get looked at.
I understand totally with regards to the use being a last resort, without actually being there and only going on what information has been made available to date, wouldn't you say that the situation was pretty dire and using a jacket as a makeshift tourniquet was indeed approaching if not past the "last resort" stage?
The bold above is where I'm having difficulty understanding your point of view ref. tourniquets. I think he was in a life and death situation, I also think that the bleed was so critical that they had to use something to staunch the flow. If it's life or damage to tissue or nerve I think the answer is an easy one.
As for your example of the improper tourniquet use, that should not have been allowed to happen. It sounds like the Medic didn't know what they we're doing as well. You don't let someone crank a tourniquet on you that tight, especially when it's not required (for obvious reasons).
I can't imagine how that scenario played out.
Medic "Ok, slip the tourniquet over my leg, fasten the velcro, and turn to tighten, ok that's tight enough.....ok I can't feel my leg you can stop....no really you can stop now..."
Something strange about that...