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This doc was spot on with modern medicine techniques (not sharpshooting specific doses, calibers, weapons and such). This was TCCC that I was learning in 2000 at SOCM/SFMS. The Blood/platelet/clotting factor stuff started gaining traction in TCCC around 2005-2006. Wound ballistics info was consistent from when I went to SOT in 93 and 18D course in 2000.
Fluid replacement theory is that clotting factors work better at lower pressures (below 90mmHg) than higher pressures that tend to blow the clot out. You sustain your Pt at lower Systolic BP so that the wound can clot faster and better. As far as pre-op care goes we do this with Tourniquets and monitoring BP with IV therapy titrated to maintain proper BP.
He mentioned an important factor that I have stressed in other medical threads and that is WATER DOES NOT TRANSPORT OXYGEN. Stop bleeding immediately, use fluids to maintain BP, but get blood into the Pt ASAP.
Something else I found of good value was the explanation of entrance/exit wounds. Bullets do crazy things and you will not always get the --entrance here...straight thru...exit here-- Get as much of the clothing off of your Pt so you can find ANY injury and get the holes plugged!
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"The rifle itself has no moral stature, since it has no will of its own. Naturally, it may be used by evil men for evil purposes, but there are more good men than evil, and while the latter cannot be persuaded to the path of righteousness by propaganda, they can certainly be corrected by good men with rifles." — Jeff Cooper
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