Prepper TCCC: Blood Loss & Shock

By | May 3, 2022

Hello and welcome back to the bear Independent channel i am bear with bear Independent dot com Today we’re going to talk about shock In the trauma setting in our continual Continuous conversation continuing in Our conversations the best words Tremendous believe it Uh of tactical combat casualty care or Tactical emergency casualty care If you’re a civilian What is shock why does it matter Well It really for us what we’re concerned About is what’s called hypovolemic shock Hypo meaning a lack of volemic meaning Volume a lack of volume of blood There’s several different types of shock Cardiogenic shock which means your heart Stops beating whether that’s Mechanically because of something like This or because you have a heart attack Vasogenic shock which is usually Usually has to deal with an allergic Reaction where Your arteries and your veins actually Expand Which lowers the perceived volume of Blood to the heart blood pressure goes Down bad stuff happens it’s crazy and Then a hypovolemic shock meaning there’s Not enough blood in your body and that’s Important Because blood is an oxygen delivery

System and if you don’t get enough Oxygen to your organs they shut down and Then you die So My dad always liked to say a picture Says a thousand words And uh Let’s take a picture See this gallon jug of water right here On the stand that’s you Okay I’ll be the bad guy Let’s go look at you hold on So you didn’t come out of that so good Uh There’s our entry wound right there 30 caliber hole There’s our exit wound Kind of a big deal So let’s talk about this the stages of Hypovolemic shock and how much blood Can i lose before there’s a problem Because there’s actually three phases Three stages Of hypovolemic shock The first is called compensatory the Next is called decompensatory and the Last is called irreversible It’s called irreversible for a reason You look pretty bad buddy you need to See a medic or something So For our visual aids today I found uh

These in my barn I don’t know where they came from So if you left these in my barn two Years ago i apologize This is a liter bottle of Sweetened sparkling black cherry water This is one liter Okay Again picture says a thousand words You have approximately five liters of Blood in your body this is based upon Body weight and there is A Um an equation that we can do It’s x amount of milliliters per Kilogram of body weight But it for our purposes doesn’t matter Right now the average adult has five Liters of blood inside of them children Have less blood because they’re smaller So Here’s your first liter of blood okay Looking See what that looks like That’s a half liter of blood Are you going to die from this No This is how much blood you give 500 Milliliters one unit When you donate blood No biggie You might need a cookie after this or Some orange juice okay Some of us larger people because we have

A higher volume of blood donate two Units one liter of blood when we donate What does that look like See all that blood are you gonna die From that No You might be a little light-headed you Might be a little woozy but you’ll be Okay Generally speaking unless you have any Underlying medical issues you can lose a Liter of blood no problem Your next liter of blood Okay At a liter of blood blood loss no big Deal little woozy Things aren’t great but we’re definitely Not gonna die Leader number two fuji apple blood let’s Look at what this looks like on the Ground can you see the wet spot down Here Okay that’s a liter and a half of blood Gone At this point your body begins Compensatory shock Compensatory hypovolemic shock The Amount of blood in the body is low Enough That because blood is an oxygen delivery Vehicle an oxygen delivery system Your respiration rate will increase at This point to get more oxygen into your

Lungs and distributed to your blood to Make up for the lack of volume of blood So at a liter and a half We begin compensatory shock the Beginning stages of hypovolemic shock Okay At one and a half liters What happens at two liters pay attention To how quickly this goes at 2 liters Now at 2 liters You’re now in decompensatory shock That much difference in the volume of Blood Your body’s starting to figure out Something’s truly wrong okay At this point The body is pulling blood from the Extremities and moving it to the core Because your extremities can go for Hours and hours without blood flow But your core cannot Your muscle tissue and your organ tissue Are two very different things Your organs have to stay oxygenated Muscle not so much Uh 12 hours ish on muscle without any um Long term Effects Organs a few seconds and we have Problems okay And so at two liters the body begins Decompensatory shock all this is Generally speaking by the way there are Caveats and asterisks to all of this

And also we teach this in our refuge Training responder one class our intro Level class covers all this hypovolemic Shock and its stages and blood loss and All that Okay so at two layers we’re now in Decompensatory shock We go into leader number three Okay remember you’ve only got five Liters see how quickly this is going Leader number three Leader number three Let’s look at our big wet spot on the Ground At two and a half liters of blood loss We are now At the beginning stages of irreversible Hypovolemic shock There is not enough blood volume in your Body to sufficiently oxygenate your Internal organs At this point At this point If we get you on an ambulance And if we get you immediately to the Hospital And if you go straight through triage Straight into an operating room With a surgeon waiting on standby Standby ready to receive you You have a 50 50 chance of survival at This point 50 50 With today’s the entirety of modern Medicine

This is why it’s incredibly important to Keep the blood inside your body you see How quickly that blood’s coming out Stick your hand out in front of you and Make a fist Okay Stick your thumb up Do this Look at your thumb That’s the diameter of your femoral Artery that’s how big your femoral Artery is Femoral artery bleeds are a big deal For example Here’s my thumb It doesn’t fit inside of this My thumb is actually bigger around this Than this opening and look how quickly That blood comes out That’s why we say arterial bleeding is Oh bleeding When you see somebody bleeding and you Go oh Generally speaking bright red blood That volume that fast This is oh bleeding We got to do something about that right Now because if we don’t if we fail to Keep 50 of our volume of blood inside of Our body We have a 50 50 chance under the best of Circumstances of survival Under the worst of circumstances Unfortunately you’re done for

This is why we wear plates over our Lungs and our heart right because It’s really hard to fix problems inside Of this box right here If somebody does something like one of These to you right so hypovolemic shock Is a big deal and it’s directly related To blood loss Additionally what’s referred to as the Lethal triad Which is hypothermia acidosis and Coagulopathy Are all directly related to blood loss And so it seems like a very basic Concept but we want to keep as much Blood inside the body as possible That’s why In the t triple c situation We have our care under fire phase where Uh whoever the casualty is as long as They’re conscious and able to render Survey Puts a tourniquet on this is a soft tee You can use a cat you can use the sam xt There’s lots of good t triple c Chameleon t triple c approved Tourniquets that you can use whatever Whatever flavor you prefer But under care under fire a conscious Casualty is going to render surf uh self Aid by applying tourniquets right to the Extremities Tactical field care when we’ve taken That hot zone to a warm zone now we get

Into uh buddy aid not sulfate Where we’re going to do things like Wound pack with hemostatics or with Compressed causes pressure bandages in The junctional areas the neck the Shoulders the pelvic girdle the ass And pelvic girdle is a bad place to get Wounded man And then we move into kazavac or medevac Which we addressed in the previous video Get off the x get out of here bad stuff Happened here we can’t stay here And uh probably what we’ll discuss next And i’d i’m always interested in your Comments down below i want to know if You guys are appreciating this if it’s Making sense what questions do you have So we can continue to address this stuff Is what’s called a ccp or a casualty Collection point Where do we take the casualties Who is at the casualty Who are our aid and litter teams That are going to move the casualties Um our most qualified medical Professional does not need to be on the Assaulting team or the security team or The support team or as part of the Leadership they need to be at the ccp Casualty collection point because if People get hurt that’s where we’re Taking them and then at that point we Can start doing deeper medicine to keep These people alive what does my hand say

It says make content because i was Rebuked by a couple of my admins today Hey dude you got nothing in the bank Roger that i’ll make some content so Here we are making content So triple c tactical combat casualty Care or tecc tactical emergency casualty Care It goes really quick boys and gerbils That blood comes out of the body really Quick and this is why we stress Tourniquets bleeding control kits aid Bags Something simple like this this has got Mud on it because it’s been riding Around on my four-wheeler this is a Bleeding control kit put together by North american rescue we sell these at Refugemedical.com right and you can use Promo code bearnation because it’s my Company refuge medical handmade made in America guaranteed forever exceeds Military specification 36 lives save to Date in the last two years on four Continents with all branches of us armed Forces thousands of law enforcement Officers tens of thousands of civilians Like you all thank you for blessing our Small businesses we appreciate it Bleeding control kit A tourniquet a pressure bandage wound Packing gauze gloves an emergency Blanket why the burrito blanket Because remember one third of the lethal

Triad is hypothermia right got to keep The casualty warm bad things happen to Your clotting factor and your Survivability rate goes down with every Degree of uh body temperature drop so Burrito blanket not a throwaway set of Shears so you can expose the wound to Hold on okay have this or a bare fact 3.0 or an sov sob kit an adventure kit Whatever but a real trauma first aid kit Not some band-aids and a rat’s Tourniquet air quote tourniquet from uh Some of those other guys no You want something that is that conforms To the committee on triple c guidelines Like a soft tee like a cat like a sam xt Whatever But it’s super important Like It’s super basic but it’s super Important keep as much blood inside the Body as possible because the stage of Hypovolemic shock at a liter and a half We begin Compensatory shock At two liters we’re now in Decompensatory shock the body can’t keep Up And at two and a half liters The amount of blood Right here This amount of blood watch this At two and a half liters We’re in decompensatory i’m sorry

Irreversible hypovolemic shock You’re gonna die Watch how fast this goes Compensatory Decompensatory Irreversible Picture says a thousand words right And this of course comes back to tactics If your tactics for shtf are to get into As many gunfights as we can and win as Many as possible your tactics suck Doesn’t mean you shouldn’t be good at Gunfights but don’t go looking for a man Because that’s a two-way range bullets Go both ways and you need to know how to Do this stuff more importantly you need To know how to do this stuff in everyday Life motor vehicle accidents Statistically the most dangerous thing We do is drive right as americans the Most dangerous thing we do statistically Is drive Additionally 9 out of 10 preventable Deaths in the united states of america Are from uncontrolled bleeding Think about that that means you and your Minivan or your work truck Or your school bus You need tourniquets pressure bandages Wound packing gauze and you need to know How to use them so you can save a life That’s a big deal half of the lives Saved with refuge medical kits have been Motor vehicle accidents and it’s almost

Always the same methodology there’s a Bad wreck the femur the bone inside the Thigh breaks it squirts out the inside Of the thought the thigh and it severs Partially or completely the femoral Artery the diameter of your thumb And oh bleeding starts and it Starts dumping out all over the place And if you don’t get a tourniquet on That like That fast you got about 90 seconds Before you lose consciousness And after 90 seconds if you’re Unconscious and nobody’s there to help You guaranteed you’re not rendering Self-aid so it’s that important guys i Hope This video was a blessing to you i hope It makes sense as always i’m interested In your comments down below Again and this is i’m not the shamwow Guy but if you need to get some medical Gear you can get it at refugemedical.com And your promo codes bear nation for Free shipping bless y’all shalom