Two Letters Re: First Aid Kits Are Not Enough
…has been applied on the wound (to reduce infection), you may use towels over them if necessary for additional absorption and to maintain a dry outer surface for applying pressure. Exceptions to the general rule about clotting may occur if someone has a coagulation disorder, whether inherent (liver disease, blood disorders) or secondary to medication (aspirin, warfarin, calcium channel blockers in high doses). I can think of only about four times in the last 40 years as a lifeguard, firefighter, paramedic, and physician that I have faced uncontrollable bleeding. Twice from severe liver disease (sick livers don’t make the proteins necessary for clotting), and twice from disseminated intravascular coagulation (before a strategy became widely known to address it). I have had others bleed out, but those were from massive trauma causing quick death, generally secondary to internal bleeding that would have required immediate trauma surgery to address. Regards, – K.N….