When we had our updated first aid training in the library, they said that was the old advice: avoid tourniquets unless absolutely necessary. However, thanks to more than two decades of US war, and the resultant military and civilian casualty experience, that perspective has changed. If the basic pressure and positioning don't stop the bleed, tourniquet it. The risk of gangrene and other complications has been mitigated by experience.
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Very interesting!
I will bring that up next time I do First Aid (much to the annoyance of everyone!)
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A toothbrush works much better.
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