Administer Epinephrine to stop blood loss within the paddock? As an EMT can I donate an Epi pen to costrict blood flow
To use Epi to control blood loss would be a bad perception. It would be much better to imediatley apply a tourniquit. It is less invasive and you wont achieve sued (the unfortunate authenticity of civillian healthcare). A tourniquiet is quick and can be effortlessly applied and be more effective consequently Epi so long as you have one preped within your "go bag". The details you read in Emergency Medicine may own been refering to a clinical procedure, which EMT's don't traditionaly do.
I dont bring to mind what civillian EMT's are being qualified as of late but, treatment technics within the military are changing hastily (as a result of the GWOT and OIF) and what is now man taught to our ground and flight medics is to tourniquit adjectives moderate to severe bleeding. The justification is that we do not hold the time, resources, or security to move about through the traditional steps of direct pressure, dressing, pressure dressing, and finally tourniquit. It is much better to "T" everything of concern and go. I recomend alike to you. Stabalize what you need to on the ground, and be off quickly. A Tourniquit will not produce a pt to lose a limb. They use them contained by surguries everyday. Some of those surguries last for hours.
I commend you for thinking beyond your manage. It helps you to better follow the skill and to better adapt and overcome. Be diligent of what you read, who's advice you whip, and what you actually put into goings-on.
... and remember, you are not the asset, the ambulance is...
You might want to consider what that epinephrine will do to the rest of the patient - it doesn't do much polite to save the feeler if you caused a rational hemorrhage or heart attack with the epi.
I'd move about with the tourniquet.
Won't work. Your hand are better used on direct pressure and packaging. One of those little issues just about your job is prioritization. If you're looking contained by Tintinalli or some such text, I suspect you may be looking at a requirement about the potential of not deliberate injection into a digit. People don't bleed out from a cut finger. Now be a good boy and walk with difficulty (you are Tamur the Lame, right?) back onto the bus for your subsequent run.
While the epi does cause vasoconstriction, this probably will not result within less bleeding. It's true that the bleeding vessel may constrict, but so do all the other vessel in the body. The epi will jack the patient's blood pressure by a huge level, which will probably increase bleeding. The vasoconstriction might help near very small bleeds, but if this blood loss is plenty to make you contemplate about using epi, likelihood are the epi won't help. High dose epi may compromise blood flow to the fingers and toes, but I'm pretty sure that if you sliced them they would still bleed moderately a bit even with the epi.
The surgeons never ask us to impart epi to help stop a forgiving from exsanguinating. If anything, they often ask us to lower the pressure a touch if bleeding is getting out of mitt. The only time epi will backing the bleeding patient is if the blood loss is so discouraging you need strong agents to support the blood pressure. But even after, it is only supportive, not curative.
And, as pangolin and others hold noted, the epi can cause profusely of bad effects, including intellectual hemorrhage, myocardial infarction, etc... in conclusion, don't contribute epi to stop bleeding.
When in doubt, read your local protocols. Aside from one a bad impression, I'm pretty sure its not in the EMT-B freedom of practice.
Check with your standing instructions from your medical direction for epinephrine. I bet it will be only covering allergic reaction if you are a basic. Also if you are a straightforward, you are not trained to give medication to constrict blood flow within your basic training. If you be to do this. You would most likely loose your EMT credentials and be charged with negligence. Id check.
Pressure, Elevation, Pressure point, Tournicate. That is what we are trained within to restrict bleeding. Stick with that.