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TRAINEE GUIDE - Recruit Training Command - The US Navy

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<strong>TRAINEE</strong> <strong>GUIDE</strong> A-950-0001<br />

OUTLINE SHEET 5-01-1 (continued)<br />

(c) Pressure points (indirect pressure): Application of<br />

pressure where a main artery lies near the skin<br />

surface and over a bone or firm tissue.<br />

1 Use the pressure point nearest the wound.<br />

2 <strong>The</strong> compress is to compress the artery against<br />

the underlying firm surface, thus slowing the<br />

flow of the blood to the wound.<br />

3 Used in conjunction with direct pressure and<br />

elevation to control bleeding without having to<br />

use a tourniquet.<br />

4 Pressure points in the arms and the groin are<br />

used most often.<br />

(d) Tourniquet: Used ONLY as a last resort for severe,<br />

life-threatening bleeding that cannot be controlled by<br />

any OTHER method.<br />

d. Prevent or reduce shock<br />

1 A tourniquet is dangerous; its application may<br />

cause tissue injury or loss of the injured limb.<br />

2 Used only in cases of partial or complete<br />

severing of arms, legs, or when bleeding<br />

is uncontrollable.<br />

(1) Shock is a condition in which blood circulation is<br />

seriously disturbed; results in a lack of oxygen to the<br />

body. All injuries are accompanied by some degree of<br />

shock.<br />

(2) Symptoms<br />

(a) Eyes: Vacant, lackluster (dull), pupils dilated<br />

(large).<br />

(b) Breathing: Shallow, irregular, and rapid.<br />

(c) Skin: Pale, cold, and moist.<br />

(d) Pulse: Usually rapid but may be weak.<br />

(e) May complain of nausea, vomiting, headache, dizziness,<br />

weakness, and anxiety.<br />

(3) Treatment<br />

(a) Monitor the airway, breathing, and circulation.<br />

(b) Control bleeding as soon as possible.<br />

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