TACTILE TRAUMA CARE

Wound packing, besides applying a tourniquet, is one of the most basic techniques of bleeding control in a pre-hospital environment. In theory, the concept is relatively simple: hold pressure on a wound, and after several minutes, the applied pressure will help to encourage the body’s natural clotting factors. This can vary from just three minutes of pressure if using specially manufactured gauze (i.e. Combat Gauze) impregnated with hemostatic agents, to 10 minutes if using standard gauze or other fabrics.

The trick to this technique, however, is that the correct pressure application point may be several inches down inside the muscle. Pressure is much more effectively generated once you reach a hard surface, such as a bone, to push against. Otherwise, trying to compress relatively squishy fat and muscle starts to feel like