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that we have an isolated gunshot wound or penetrating trauma just below the knee okay now that were talking about our tourniquet conversion were working on converting this over were gonna pack it with some quick clot and were converting it over to wound packing rather than the tourniquet [Music] [Applause] [Music] [Applause] [Music] [Music] okay so lets back up for a minute in the march algorithm m is for massive hemorrhage thats when we apply tourniquets that is when we do some wound packing for junctional wounds that is when we are quickly stopping any of the major bleeding to keep that blood inside the body when we get to c for circulation we start reassessing some of that so we need to assess what weve done and specifically were going to be talking about what were doing with tourniquets so we reassess tourniquets we reposition those tourniquets if needed tighten those tourniquets that were put in place and then we will apply a second if needed and then finally we will conv
