A dozen or so individuals gathered at the Civic in Neosho on Sunday to gain vital information about how to treat a gunshot wound.

A dozen or so individuals gathered at the Civic in Neosho on Sunday to gain vital information about how to treat a gunshot wound.
The power point type presentation was made by two members of U.S. Law Shield, a national organized dedication to providing legal defense for those who shoot in self-defense. The event was sponsored by the School of Weapons Safety in Neosho and Dan's Gun Shop in Stark City.
"We believe it's very important to know how to deal with these kinds of traumatic injuries," Dylan Borns told those in attendance.
Borns led the first portion of the program on behalf of U.S. Law Shield.
The first aid for gunshot wound procedures Borns outlined are derived from the Tactical Combat Casualty Care protocol used by the United States military. TCCC or TC3 introduces individuals to evidence based, life-saving techniques and strategies to provide the best trauma care on the battlefield. TCCC was developed in the mid-1990s, providing the ability to provide aid on the spot without delay.
"Time is everything in gunshot first aid," Borns said. "The military has done studies on why soldiers still die and many bleed out."
Data was gathered from Vietnam, Desert Storm, Bosnia and Kosovo, Operation Enduring Freedom in Afghanistan an Mogadishu. According to Borns, by the time of the 2003 Iraq Invasion the same training was provided to all doctors, nurses, and medics in the military.
"Rapid, correct decisions may make the difference between life and death," Borns stated.
Borns works as a tactical medic and paramedic in the Kansas City area. Tactical medics are also often called "SWAT medics."  
"It takes 3 minutes to bleed out from a major artery," Borns stated. "I'm on call all the time but it takes 20 minutes to get to the scene. The police may arrive on scene first but they won't help you - that's my job."
According to Borns, it takes just 30 seconds to lose the first liter of blood. At that point, the victim is usually ashen and confused. Unchecked bleeding will cause the individual to lose the second liter within 60 seconds and the third in 90 seconds. At that point, a bleeding victim will go into irreversible shock. "At that point, there's nothing we can do, no meds, nothing we can do to stop that so what we have to do (to save a life) is stop the bleeding before that point."
Borns outlined the differences between an arterial bleed, which will be bright red and spurts, venous blood, which is darker in color and has a steady flow, and capillary bleeding, which is red but slowly oozes.
The two tools to control massive bleeding are tourniquets and wound packing.
A tourniquet consists of material wrapped around an artery, usually located on a limb, and tightening that material in an effort to stop blood flow.
"A CAT tourniquet is the best," Borns stated.
A CAT or a Combat Application Tourniquet. Borns urged participants not to use improvised tourniquets such a belts unless no other option exists.
"Improvised tourniquets have a high failure rate of almost 100 percent," he said. "Belts, etcetera, don't really work. Don't use shoe laces or lamp cords, they're too thin and will cause damage. Tourniquet material must be thick."
Borns cautioned that although training with tourniquets is urged, "You don't want to use your CAT tourniquets to practice. They are a one time use."
The advantages of a CAT tourniquet are that they are self-contained and provide faster application.
"Basic tourniquet procedure, if done right, it hurts so talk to them and explain what you're doing, that you're saving your life."
He also told those who attended the training session that it's important to put a "T" on the forehead or other visible spot on the victim so that when they reached an emergency room or professional medical care, the personnel will be aware that a tourniquet is in place.
Other topics included the use of wound packing to stop bleeding, with details on how and when the technique should and should not be used,  treating pneumo-thoracic or "sucking chest wounds" as well as security and safety for both the injured and the individual providing aid.
Checking the airway, respiration, circulation and hypothermia are also vital.
Another representative from U.S. Law Shield, Victor Young, also spoke at the event. "There are three kinds of people," Young stated. "Sheep, that's most of us, sheep dogs, that's law enforcement and military, and wolves. The wolves are the predators, the shooters we need to be worried about. Don't shoot to kill, shoot to stop."
Young outlined the purpose of U.S. Law Shield and the legal protections they can offer to gun owners for a monthly or annual fee. He provided membership information to those present.
For more information about U.S. Law Shield, visit USLawShield.com.
U.S. Law Shield presents a variety of gun related topics on an ongoing basis around the nation. Topics in addition to First Aid for Gunshot Wounds include Surviving a Shooting, Civil Liability, Gun Law Seminar, Firearms Simulation Classes, What To Do After Pulling the Trigger, Situational Awareness and more.
For information about when and where other seminars will be available, visit U.S. Law Shield's gun seminar page online at http://www.gunlawseminar.com/.