Comments by "Stephen Villano" (@spvillano) on "The History Guy: History Deserves to Be Remembered" channel.

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  27. One critical advance in first aid being the reintroduction of the tourniquet. Initially, service members were trained that the use of a tourniquet doomed the limb it was utilized on, thus its use should be avoided in favor of pressure dressings. One new lieutenant, a physician just out of residency, mentioned how orthopedic surgeons use tourniquets for the better part of a day during surgeries and obviously don't lose the limb, so WTH were we training people in? Needless to say, that swiftly changed policies and procedures. Then, we moved into the 20th century and put coolers with blood on the MEDEVAC flights. Another odd hint needed to be made, blood replaces blood better than salt water replaces blood, what with all of that necessary red stuff inside of the blood, clotting factors, proteins, etc. Next thing you knew, we got nearly into the 21st century! For a chuckle, for some specific injuries, we still use leeches for the only effective treatment and maggot debridement of really stubborn wounds has been reintroduced. Sometimes, old is the new new. And sometimes, new treatments are ignored, like when we flew a specialist team from Germany to train treatment staff in treating injuries from RPG's striking the FM-200 fire extinguishing system on the mine resistant vehicles, causing hydrogen fluoride inhalation injuries and death. The treatment was highly successful, with a powdered inhalation agent administered on scene before evacuation to limit injury. Said entire protocol was rejected by the medical command in Afghanistan. With predictable results in deceased service members. I'm sure that Colonel got promoted...
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