Magpul - Extended Minute - 043 Trauma T/P/S

Published on November 13, 2020
Duration: 2:23

This video outlines the 'Tourniquet, Pack, Seal' (T/P/S) protocol for managing severe bleeding. It details the proper application of tourniquets on limbs, packing junctional wounds with hemostatic dressings, and sealing the 'box' area (collarbone to pelvis) with occlusive dressings for penetrating trauma. The instruction emphasizes practice and simplicity in chaotic situations.

Quick Summary

The Magpul T/P/S protocol simplifies severe bleeding control: Tourniquet limbs using approved devices, Pack junctional areas (neck, armpits, groin) with hemostatic dressings, and Seal the torso 'box' (collarbone to pelvis) with occlusive dressings for penetrating trauma. Practice is essential for proficiency.

Chapters

  1. 00:06Introduction to T/P/S Protocol
  2. 00:19Tourniquetting the Limbs
  3. 00:56Packing the Junctions
  4. 01:26Sealing the Box
  5. 02:04Summary and Importance of Planning

Frequently Asked Questions

What is the Magpul T/P/S protocol for trauma bleeding?

The Magpul T/P/S protocol stands for Tourniquet, Pack, and Seal. It's a simplified approach to managing severe bleeding: tourniquet limbs, pack junctional wounds with hemostatic dressings, and seal the torso area (collarbone to pelvis) with occlusive dressings for penetrating trauma.

How should I apply a tourniquet for limb bleeding?

For limb bleeding, use an approved tourniquet. Apply it high and tight on the limb, or 2-3 inches above an identified wound if possible. It's recommended to practice application with both dominant and non-dominant hands.

What are considered 'junctions' for packing with hemostatic dressings?

Junctions are areas where limbs meet the body that cannot be effectively tourniqueted. These include the neck/shoulder area, armpits, and the groin. Life-threatening bleeds in these areas should be packed with hemostatic dressing.

What is the 'box' in the T/P/S protocol, and how is it sealed?

The 'box' refers to the area from the collarbone to the pelvis, encompassing the torso. For penetrating trauma, this area should be sealed 360 degrees with an occlusive dressing, such as chest seals, to prevent air from entering the chest cavity.

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