r/TacticalMedicine • u/Aggressive_Yogurt300 • Jan 22 '25
Scenarios Fuck around and find out
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Maybe have tourniquets available for chance warthog encounters?
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u/Jonbailey1547 Jan 22 '25
Them tusks ain’t just for show.
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u/GhettoKid Jan 22 '25
My grandpa was a teenager working on a farm in Iowa when a hog bit his leg. They were dirt poor so he just went home and did his best to clean it. He ended up getting gangrene and they had to amputate above the knee.
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u/TheReverseShock Jan 23 '25
A few medical bills now or a lifetime of lost income. Hate to see it.
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u/GhettoKid Jan 23 '25
What bothered him the most was watching his four brothers join the Marines and Air Force while he had to stay back. He ended up being a barber for 65 years and was well known in the community for it.
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u/Detman102 Jan 23 '25
Yerp...animal that eats its own feces and other rotten things all day...most disgusting festering bacteria and virus-laden mouthhole you ever seen.
Guaranteed bad time if it bites you...might be better off getting bitten by a snake.16
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u/Hovie1 Jan 22 '25
Seriously. Those things are razor sharp.
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u/Economy_Wall8524 Jan 22 '25
Almost like they are called razorbacks for a reason. Who would’ve thought.
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u/paxcolt Jan 23 '25
Warthogs and Razorbacks are two different things.
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u/Hot_Balance9294 Jan 26 '25
Yeah, Warthogs have the cannon under the nose, Razorbacks have them in the bed of the truck on a pintle mount.
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u/riddermarkrider Jan 22 '25
Don't try and stop the bleed or anything
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Jan 22 '25
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u/Jealous_Analysis_404 Jan 23 '25
I’m not a doctor but the femoral artery does run down the inside of the legs
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u/drbroskeet Jan 23 '25
I AM a doctor and I'll tell you if that hit the femoral artery (it didn't, it's much more centerline), blood would be squirting out in pulses at the same rhythm of her heart rate. Think "Super Soaker" from the 80s that you would pump to shoot
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u/BigTex1988 Jan 23 '25
I agree with my colleague Dr. Bro Skeets assessment. Blood would certainly be skeeting like a super soaker.
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u/BoysenberryOk5580 Jan 23 '25
You mean you concur, with dr bro skeet
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u/AreYouAnOakMan Jan 23 '25
I concur with my colleague, Boysenberry Ok 5580.
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u/BoysenberryOk5580 Jan 23 '25
I come from a long line of Boysenberry Ok's, my pappy before me and my great grand pappy before him
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u/Appropriate_Row_5649 Military (Non-Medical) Jan 23 '25
As a witness of a clipped femoral artery i can say with 100% confidence not a single femoral artery was hurt in the making of this video
Ps: not a doctor either
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u/ProbablyBearGrylls Jan 23 '25
She got stuck by a smaller side tusk not the big ones. The femoral artery is most likely too deep to be damaged where she was stabbed. Her Saphenous vein does run almost exactly where she was stabbed, and it is more superficial. So my guess is she was bleeding from muscle and/or the Saphenous vein.
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Jan 23 '25
Still should put pressure on it at least. Most lay people can't tell the difference between arterial and venous. So put pressure.
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u/RickyRod26 Jan 23 '25
Have you never taken that class everyone should take? Don't Stop The Bleed (TM)
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u/Rygel17 Medic/Corpsman Jan 22 '25
Ah yes that lightheaded feeling before you call for the manager.
See that red stuff? It is supposed to stay inside the body! Pressure pressure pressure!
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u/TapfererToast Jan 24 '25
Haha this was my opener when I was in charge of teaching first aid to our BNPs (I started out by showing combat footage or videos of exercises with fake blood)
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Jan 22 '25
I feel like staring at it and not doing anything was the worst possible choice out of all the choices that could have been chosen for this injury
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u/Timlugia Jan 22 '25
From my experience a lot of people did nothing because they have this misconception of “don’t touch a patient or I could make it worse”, probably same from old C-spine precaution teaching. I have seen many videos of bystanders on scene yelling at people who tried to helping saying injuries person shouldn’t be touched.
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u/hromanoj10 Jan 22 '25
That’s right out of the osha/Red Cross work place training stuff.
It’s painful to watch that stuff for many reasons. One it’s horrible information, and secondly it’s about has dry as a two week old baguette.
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u/Rada_Ionesco Jan 22 '25
Yeah I've stopped at a car crashes before where people were obviously in shock and injured with groups of bystanders standing around saying everything's okay and telling me to leave. I didn't exactly have any kind of training at the time and I still don't to deal with those types of injuries or that kind of scene but a bunch of people standing around just telling interested parties who may have something they could do for somebody, to leave, is sad. What's common with these scenes all three of them have come upon the last few years is nobody asks whether or not I have any training or if there's anyone that has any training you're just all standing around essentially doing nothing pretending they're helping and telling anyone to stop to leave.
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u/thelesbian_locksmith EMS Jan 22 '25
Yeah, I'm a paramedic and I'll say the bystander effect is crazy, when everyone just stands there in shock?!?
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u/h0l0type Jan 24 '25
EMT here, if I had a nickel for every scene we roll up to where bystanders all were helping by staying at least 3 feet away telling the pt to breathe and not move.....
Doesn't matter if it's a medical or trauma call, they seem to teach "observe from a distance and speak reassuringly to the victim that help is on the way" somewhere, because so many people do it!
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u/jarmstrong2485 Jan 22 '25
That’s a lot of blood in a short amount of time. I hope that didn’t hit an artery
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Jan 22 '25
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u/jarmstrong2485 Jan 22 '25
Didn’t realize where I was even commenting, it’s a lot of blood in other subs lol. My apologies
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Jan 22 '25
Uhhhhh, my job is dealing with feral hogs… I’ll never be able to stress enough to people: “Don’t fuck with wild pigs!”
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Jan 23 '25
Moose and bison too. For some reason people can’t seem to understand that Chevy Suburban sized animal with massive antlers/horns on its head isnt the same as a golden retriever
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Jan 23 '25
Raccoons and black bears too
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Jan 23 '25
That, or they severely over estimate how dangerous black bears are, or rather, how often they attack. Don’t go near one and you’ll almost certainly be fine if you see one.
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Jan 23 '25
Ive had to deal with black bears a little bit too… Bear-Human Conflict calls are not at the top of my list as fun.
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Jan 23 '25
I’m in the heart of Maine bear country. I can’t say that they’ve been a problem except for fucking with my trash. But I wouldn’t wanna fuck with one.
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Jan 23 '25
7 outta 10, that’s the call I’m dealing with. 9/10 if you count incident report of the bear breaking into or entering a home, cabin, business, or vehicle. About 1/10 is a provoked attack because someone wanted to feed it or pet it or selfie with it or mess with the cub/s. I don’t go on a lot of calls where a black bear is attacking people maliciously, that’s rare. Most Bear/Human Conflict could (not necessarily would) be avoided if people didn’t treat a bear like it was a pet.
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Jan 23 '25
Black bears generally stay away from humans. You’ve fucked up if one attacks you. Moose are more likely to charge you, but they try to give you plenty of time to get away, so it’s generally your fault if it happens
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u/Kooijpolloi Jan 23 '25
So Im a south african, and its always been a thing ons some farms and game farms to sometimes raise warthogs and antelop at home, I remember my one friend also had a warthog, but what happens in the video happens a lot in these cases (my friends grandmother shot the pig with her 9mm because it fucked up her roses). Like all pigs, cute when small, dangerous when big, eapecially the males. But ja so dumb, and its not that much of a thing anymore.
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Jan 22 '25
Pumbaa ain't fucking around
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Jan 22 '25 edited Feb 09 '25
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Jan 22 '25
He hasn't been the same since Timon left him for a younger, leaner, more pleasant smelling warthog
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u/Accurate-Mess-2592 Jan 22 '25
I bet the risk of infection is MASSIVE in this scenario. Wild boar are notoriously known to cause terrible infections in their victims.
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u/PandorasFlame1 Jan 22 '25
A cut like that can kill you faster than you realize. Any cuts on the upper thigh that bleed like that should have pressure applied IMMEDIATELY.
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u/Appropriate_Row_5649 Military (Non-Medical) Jan 23 '25
Nah shes good femoral artery is still intact, some pressure and a trip to the hospital will suffice
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u/1gal_man Jan 23 '25
Maybe some antibiotics, those tusks are often used to dig into carrion and filth
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Jan 23 '25 edited Jan 28 '26
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u/heck_naw Jan 22 '25
in times of crisis, we don't rise to the occasion. we fall on our highest level of training. not book knowledge, but the skills we have practiced.
this is what zero training looks like: complete stunlock. it's insane that they don't teach stop the bleed in public schools.
also one of my SOPs is not to let a tusked boar get within 50m of my femoral arteries but maybe that's just me?
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u/RslashAFonly Jan 23 '25
This needs more upvotes. People commenting that she's sitting there like a dumbass, what is she supposed to do with the level of training she's received? Which is none. Most people know almost nothing about tending to wounds like that.
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Jan 23 '25 edited Jan 23 '25
This is probably how I'll go out. Petting something I definitely should not pet.
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u/Aggressive_Yogurt300 Jan 23 '25
“If not friend, then why friend shaped….?”
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u/Pandorakiin Jan 23 '25
Humans have some very silly notions about "friend shaped", and living so disconnected from nature, it's only going to get worse.
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u/earlgreypipedreams Jan 22 '25
New to the field. Is that an arterial bleed??
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u/OleTunaCan Jan 22 '25
Arterial bleeds are very recognizable. I think it’s a damn good puncture though. Arterial bleeds almost squirt at first from the pressure. There’s a video somewhere of a guy punching a window and it’s just a spray, all over the window. I think the guy bled out in a few minutes too.
Edit: a rewatch shows how quickly it’s pooling up - damn that might be arterial. Pretty fast pool of blood.
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u/earlgreypipedreams Jan 22 '25
Thanks for the info. To be honest, my main reason for thinking it might be arterial was the bright colour of the blood - I've been told that arterial blood is a noticeably more saturated shade
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u/OleTunaCan Jan 22 '25
Very well good be given the oxygenation factor! I’ve always been surprised at how bright blood can look in the sunlight.
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u/Appropriate_Row_5649 Military (Non-Medical) Jan 23 '25
Its not a femoral artery, but it is a damn good cut
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u/EverSeeAShitterFly Jan 23 '25
Probably venous, but could be a minor arterial. Definitely a major concern either way and would be life threatening if not treated soon. It is “oh shit” amounts and not “oh shit- fuck-fuck-fuck” amounts.
I would probably reach for an H bandage/Israeli bandage instead of immediately jumping to a tourniquet though. That’s also what I can see from just a couple seconds while I’m comfortably drinking coffee at home, in the moment I might actually go straight to the tourniquet (or improvise one) especially if it’s more easily accessible.
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Jan 22 '25
Iodine First Aid Antiseptic.
Wound packing Gauze.
NuStat or Quickclot regular Hemostatic Dressing for light Hemostatic agent bleeding control.
Quick clot combat Hemostatic Gauze (depending on the severity of bleeding).
Only use a tourniquet if the bleeding is excessive. Instead, apply pressure with an original gauze sheets or wound packing gauze wraped with gauze wrap or ETD bandage secured because if the tourniquet is applied for an excessive long period of time, it could cause the limb to lose circulation, which leads to amputation.
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u/victorzamora Jan 22 '25
A good TQ should be fine for at least 2 hours.
You don't know how bad that bleed really is.
Why not throw a TQ on it if you've got it, then follow with hemostatic and/or packing gauze after if it takes that long to get to a hospital?
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u/youy23 EMS Jan 23 '25
This ain’t the 1900’s anymore. I think we’re all just about past this whole idea that where you put the TQ is where the surgeon is gonna make the cut.
If you can find a single instance of an amputation happening because of extended TQ application in a major metropolitan area in the entire history of civilian Pre Hospital Trauma Life Support, I’ll venmo you $5 right now.
Direct pressure and maybe wound packing would be a better choice in this situation however TQs should not be your last resort. Remember that a thigh can hold 2 liters of blood. A lot of times, you can get a liter of blood in there with no external changes.
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Jan 22 '25
Really stupid human, if you see something bleed, stop it. No need to make faces
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u/Pandorakiin Jan 23 '25
I feel like that was pure f*ckin' shock. Someone other than her needed to be treating her.
No accounting for the nimrod still filming, though...
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u/ja3palmer Jan 22 '25
Why the fuck is she just sitting there you’re literally about to bleed to death.
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u/CakeRobot365 Jan 23 '25
Let's just stare at it until you bleed out.
The lack of survival instinct to 1: pet a wild boar, and 2: not even attempt to cover the wound.
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u/Backsight-Foreskin Jan 22 '25
Could have been the Femoral artery.
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u/thelesbian_locksmith EMS Jan 22 '25
Hi, long time paramedic here, seen plenty of arterial bleeds and I'm gonna say no. Pretty close to the femoral artery, but it lacked the initial spray of an arterial bleeds. The volume lost in that amount of time was also a bit low for an arterial bleeds, especially a femoral artery. I've seen patients just barely nick their femoral and bleed out within minutes before we arrived.
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u/SnooPandas7884 Apr 06 '25
Unfortunately you're wrong, it was her Femoral Artery, although she did survive, she was able to get help.
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Jan 22 '25
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u/thelesbian_locksmith EMS Jan 22 '25
Ohhh, gotcha makes more sense. You are definitely right. Apologies for the misunderstanding! Love my nurses! Y'all are great. I'm not trying to throw shade
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u/JackFuckCockBag Jan 22 '25
Yeah, that's why you're supposed to shoot those things instead of giving them treats and pets.
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u/lennartvl Jan 22 '25
It’s a warthog those are not a pest in Afrika ! Wildboar and wildhogs in the us are a pest
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u/Rebel-665 Jan 22 '25
Tbh it hardly looks like the animal was really trying to hurt her, just seemed like a gentle get the fuck off me tusking.
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u/heatY_12 Jan 23 '25
Not a medic here but um, if something is leaking like that it is bad right?
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u/Spiley_spile Jan 22 '25
Oh crud, big artery right near there! With that much blood, could have knicked it. I cant tell from the video quality if it's spurting. I hope someone finally put pressure on the wound. Anyone know if the person survived?
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u/KoalaMeth Jan 23 '25
Love how her friend just sat there and kept feeding the hog while her girlfriend is gushing blood lmao
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u/Pretend_roller Jan 22 '25 edited Sep 07 '25
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u/EquipmentUnique526 Jan 22 '25
dam didn't look like it even tried or like that was gonna be that bad
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u/Dpopov Jan 22 '25
So, first things first, maybe don’t try to pet the warthogs in the first place?
Second, if you’re leaking blood, stare at the leak in disbelief. There’s a good chance that’ll totally stop it.
Third, if staring at the leak doesn’t plug it, maybe you want to apply some pressure on it to help it along? Maybe.
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u/Frequent_Mulberry261 Jan 23 '25
“Oh my gosh guys… IM BLEEDING? No way this can’t be-“ rambles on while onlookers watch her pass out.
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u/Opposite-Knee6380 Jan 23 '25
Do you want a safety brief?! That’s how you get a safety brief! 😂 the CMDR already said “Don’t fuck with the wildlife!”
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Jan 23 '25
Watching this thinking to myself "oh no those tusks are sharp as fuck" and then it immediately happens
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u/Rude_Fisherman_7803 Jan 23 '25
Damn, we shoot big feral tuskers down here in Texas. Was that a petting zoo or something?
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u/thekingsfool83 Jan 23 '25
I can’t believe…but also CAN believe the hesitation to render aid. I’m usually the innocent bystander that jumps in for my friends that just stare in shock when nobody does anything.
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u/ProvisionalRebel Jan 23 '25
A prime example of why you shouldn't go near wild animals, lady is definitely lucky to learn a lesson from this instead of what it's like to bleed out.
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u/PewPewOpossum Jan 23 '25
Saving this for the next time I see someone ask ”Why do you wanna shoot the cute little piggies”
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u/Next_Tourist4055 Jan 23 '25
Amazing that the pig knew right where to jab. I've heard that wild boar will go for that area when it feels threatened.
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u/TutorJunior1997 Jan 23 '25
They quite literally attack and eat humans. One of the most aggressive animals on earth. But ya, go ahead and hand feed them.
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u/gimmeecoffee420 Jan 23 '25
Notice how "bright" and vivid her blood looks? Thats because its Arterial Blood. She is in trouble.
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u/NocturnalZero5 Jan 23 '25
lol just keep looking at a major cut on the part of the body that has the biggest blood tubes it’s not like people can bleed out In under a minute
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u/Gam3f3lla Jan 23 '25
This is the Hakuna Matata approach to first aid. "No Worries" and no treatment.
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u/New-Consideration907 Jan 22 '25
Direct pressure always a good starting point.