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Now we're going to show you how to perform the skill evaluation for the bleeding control scenario. So I have Genevieve as my student. She has her gloves on. She's ready to go there. And then we also have the roller gauze and we have two gauze pads here as well. So I'm gonna hand these to her. And I'm gonna tell the student that I have a cut on my arm. And you can be the victim as the skill evaluator for this. And then she is going to appropriately place the bandage on the arm. And what you're looking for, you're looking to make sure she understands that when you put a bandage on a wound, you never take that bandage off. You only add more to it. That's one of the key points. The other key point is when she puts the pressure bandage on, she wants to make sure that that pressure bandage is fairly snug but not so tight that we're actually making a tourniquet. It's not really the goal of this. We're just trying to actually put it snug enough so it helps to stop the flow of that bleeding. So that's the points that we're gonna cover here. So Genevieve, you're my student and you're coming for the skill evaluation today and we're doing the bleeding control scenario. I'm gonna say right here on my arm I have a major cut. Everytime my heart beats blood spurts out of that cut. What kind of cut do you think that is? Speaker 2: Arterial? Speaker 1: Yeah, that's probably an artery that's cut if it's under pressure. So there it is. What are you gonna do? Speaker 2: Alright, so I'm gonna check the scene then come tell you I know first aid, can I help you? Speaker 1: Sure. Speaker 2: Okay and them I'm gonna quickly get my gauze and put it right on that cut and then hold the pressure there to try to stop the bleeding. Speaker 1: Good, direct pressure. Okay. Speaker 2: And then I can use my wrap. Speaker 1: Before you even put the wrap on, I'm ask you, what would you do if that gauze you put on there just soaked right through. What would you do? Speaker 2: If I have more gauze, I'm gonna put it right on top of there and just keep that pressure solid, make sure you're not gonna pass out or anything. Speaker 1: Exactly. Now we're standing up right now as we're practicing but a real person is probably gonna be pretty tipsy so you might wanna have them sit down cuz they're gonna get probably dizzy. But for our practice purposes we're gonna go ahead and just stay standing here. Speaker 2: Okay. So once it seems like I've got it a little under control, I can start wrapping. Let me just go around keeping it pretty tight. Speaker 1: Good. I see you're doing a good thing. You're wrapping from the distill end and you're going all the way towards the heart, that's the idea. We wanna try not to trap blood into the hand. What are you thinking about while you're wrapping that? What do you wanna try to accomplish there? Speaker 2: I'm trying to be aware to not completely cut off your circulation and just monitoring you as I go. Speaker 1: Yeah, and what things might you be looking for me? What might be a problem that I might have if I'm bleeding severely like this? Speaker 2: Well you might be extremely terrified and panicking and freaking out and you might be at risk of going into shock and breathing emergencies. Speaker 1: Right. Good, you're looking for shock, any kind of breathing emergencies. So you're looking for other medical conditions that you might have to take care of here. Now there are a couple of things you might wanna take this as you get it down there, just tuck it in after you have it on there like that. You can tie it off if you have a nice gauze if you have a long enough one. You can actually tie it, make a nice knot right over the top of the injury. However, it's not the most important thing in the world. But what is important that you put this on there snug over top of the wound. And so you did a good job on that. Now what might you wanna check after you've actually put this on? Speaker 2: I can check to see, can I get a finger in there? Is it too tight? And then I check your capillary refill. Speaker 1: Yep, good. You're checking the ends of the fingers. Again if you made a tourniquet, we're really not trying to make a tourniquet unless we absolutely had to if there's no way to control that bleeding, it's something we can use. But good, rechecking the circulation after you put the bandage on. So she did a great job. She put the bandage on. She knew what she was looking for. She knew other injuries to look for. And so in this situation, she would have passed that skill.
Bleeding Control