SHARE

A well‑stocked bug out kit is one of the ten essentials, and on treks to desolate regions, the extent of “emergency treatment” fundamentally widens. At the point when proficient medicinal help is numerous hours (or even numerous days) away, canoeists and kayakers might be called upon to be wilderness physicians, treating issues that would warrant an immediate trip to the hospital in the event that they happened at home.

Deep cuts are a prime example. The kayakers life is brimming with dangerous situations: blades, tomahawks, mussel shells, coral, half‑submerged barbed‑wire wall, broken brew bottles… Any of these can slice open your delicate skin in under a moment, and regardless of how cautious you are, mishaps do happen. Standard emergency care is constrained to halting the blood (by applying force) and afterward securing the injury with a cloth bandage or comparable dressing. That is fine if you’re just a 15‑minute drive from the hospital.

Be that as it may, imagine a scenario where you’re kayaking in frigid waters, the breeze is blowing a large portion of a storm, and sight is down to 100 yards, with little prospect of change in the following 48 hours. Or, on the other hand assume you’re exploring the great outdoors beside a beaver lake, two strenuous days of paddling and portaging from your automobile, in a zone with no cellphone access. What happens at that point? You have a gaping open injury. What’s more, you have to close it. So… What do you do after you’ve slowed the bleeding?

Once upon a time, backcountry paddlers were encouraged to suture gaping wounds as soon as they’d been thoroughly scrubbed and debrided, and some wilderness medicine handbooks devoted several pages to the technique of stitching human flesh. But that advice has long been consigned to the museum of medico‑historical curiosities. A good thing, too. It’s difficult enough to clean a contaminated wound properly in a hospital setting. Doing so in a riverbank camp borders on the impossible. And stitching a dirty wound closed is asking for trouble — serious trouble.

This is why experts now propose utilizing wound‑closure strips (“butterfly wraps” or Steri‑Strips). These enable you to estimate the edges of the injury, in this way encouraging healing, while leaving pockets for any infection to seep out. Be that as it may, as far as I can tell, neither butterfly bandages nor Steri‑Strips can be depended upon to keep an injury shut if the harmed appendage can’t be refreshed — as may well be the situation if a paddler’s arm or leg is cut open when he has a long way to go. In such cases, something more is required.

Well, how about …

Duct Tape?

It’s convenient stuff, and most paddlers have a pack of this tough, strengthened tape in their aid bags. Be that as it may, duct tape is useful for more than fixing battered water crafts and torn coverings. It can be used to help heal a deep laceration. I didn’t come up with this on my own. British Army doctor Chris Anderson said it best:

Although living in the UK, whilst serving in the British Army as a medic I was canoeing in the Rockies around the Wainwright area in Canada some time ago. There was a fire ranger who took us for our survival training who was fantastic and thankfully put us in excellent stead in order to enjoy the wilderness for 10 days.
I remembered the lessons he taught regarding using what you have at hand in order to survive [the trek] back into civilisation, and to this end, I have been using and teaching the techniques he taught us regarding the closure of wounds using duct tape.

Astonished? I was. In any case, I shouldn’t have been. Duct tape has a lot of beneficial qualities. It has an industrious, waterproof adhesive. What’s more, it adjusts well to uneven surfaces, while holding a measure of flexibility. To put it plainly, it’s phenomenal at shutting expanding wounds on appendages.

Obviously, you wouldn’t have any desire to apply it on an opened wound. The adhesive would likely bother the tissue, and removing the sticky tape later would in all likelihood injure the area. Be that as it may, Chris let me in on the mystery of utilizing duct tape as an injury closer — securely. And so, now I’m passing the word along. So here goes:

How to Use Duct Tape to Close a Wound

I’m assuming you have the following items in your survival kit:

  • Duct tape
  • Stout, clean thread or a suitable substitute
  • Needle

After stanching the bleeding and flushing the wound (use disinfected water and mild soap or detergent), proceed as follows:

1.  Tear off two strips of duct tape. Three‑ to four‑inch lengths are usually enough. (If the wound is longer than the duct tape is wide, add more strips as needed. But three‑ to four‑inch lengths should still be adequate.)

2.  Cut two lengths of stout thread, each one long enough to extend one‑half inch or so beyond the tape strips’ edges. These will be used to prevent the tension stitches (see below) from cutting through the tape and pulling out.

3.  Place the thread on the adhesive surface of each strip of tape, roughly one‑half inch from one end, as shown in Figure A below. (The adhesive is colored pale gray; the tape’s outer surface, dark gray. The thread is orange.)

Preparing
4.  Fold the tape over the thread as shown in Figure B, then press the tacky adhesive surfaces together, trapping the thread in the crease (C). Repeat with the second piece of tape.

5.  Next, stick the prepared tape strips to the intact skin on either side of the gaping wound. Make sure the skin is dry. (Since duct tape often employs latex‑based adhesives, think twice before applying it to the skin of anyone with a latex allergy.) The thread‑reinforced creases should lie close to the edges of the wound without extending beyond them (Figure D below).

6.  Using more thread, place a running stitch between the tape strips, as shown in Figures E and F. You’ll need to double ordinary sewing thread, but button thread or any similarly sturdy stuff can be used just as it comes. Stop the end of the thread with a figure‑eight knot to prevent it pulling through, and keep the stitches in the doubled portion of the tape (its outboard edge is shown by the dotted white line). Take great care not to stick the needle point in your patient’s flesh. He’s suffered enough already.

Closing
7.  Continue the running stitch as shown in Figure G, maintaining just enough tension to bring the lips of the wound together.

8.  Finish by tying off the working end of the thread. Now cover the closed wound with a light, sterile dressing.

Tying Off
OK. It’s time to get real. Well, realish, anyway. In the photos that follow, I used waxed nylon sailmaker’s twine for thread. It performed admirably. I drew the line at self‑harm, however. Verisimilitude has its limits. I’ve indicated the “gaping wound” with red ink and cherry jam:

Show a Leg
 It should prove far more sturdy than a line of butterfly bandages. Better yet, I already have everything I need in my survival kit. And so do you, in all likelihood. But if you really want to be prepared, you’ll, …

Make a Brace of Duct Tape Wound‑Closure Strips in Advance

I made a couple of sets in a trice, and it was much easier to do on a table at home than on a muddy riverbank in a downpour. Each strip was fashioned as shown above, but the finished strips were subsequently stuck to squares cut from the plastic lid of a (now‑empty) can of ground coffee. I then placed the running stitch as already described, leaving a generous free end at the finish:

Make Ahead...
That being done, each completed closure was tucked into a ziplock bag and slipped into my “doc box.” Piece of cake.

To Take Along
The upshot? I’m now ready to close a gaping wound at a moment’s notice. I’ll just remove a prestitched pair of closures from their ziplock bag, put the strips in place, snug up the thread, and tie the end off. It couldn’t be easier. (Good‑quality duct tape will retain its adhesive properties through several stick‑unstick cycles, so there shouldn’t be any problem making the prepped closures adhere to dry skin after removing the plastic backing from the tape.)
A heartfelt thank‑you to Chris, whose letter describing this ingenious wilderness expedient was the genesis of my article. Of course, I hope I’ll never have to use the knowledge I’ve gained in assembling my duct tape wound‑closure kit, but it’s good to know it’s there. Just in case.

Duct tape probably isn’t the principle thing you think of when you go shopping for first‑aid supplies. It may not even be on your list, though thanks to nurse practitioner and former British Army medic Chris Anderson, I’m betting it will be in future. Then you’ll have what you need should you ever have to close a wound in the out in the field.

Source

59 COMMENTS

  1. Stunning story there. What occurred after? Good luck!cheap nhl jerseyshttp://signaltradez.com/groups/saquon-barkley-produces-absent-american-footbal-combine/http://underonesun.co/groups/satisfy-the-medical-experts-working-to-solve-nfls-cte-headache/http://rastafari.org/groups/seahawks-should-be-able-to-might-depend-on-quantity-of-backup-copies-all-the-way-through-chief-casino-task-or/

  2. Viagra Et Avc Viagra En Vente Libre Belgique Levitra Mit Rezept [url=http://ausgsm.com][/url] Dutasteride Store Baclofene Sur France 2 Acheter Cialis En Tunisie [url=http://zgdkdz.com]viagra online pharmacy[/url] Lasix Shop Isotretinoin Secure Ordering Overseas Prescription Sildenafil Citrate Aacifemine Clomid Il Parait Que [url=http://catabs.com]priligy precio 2011[/url] Where Can I Order Levitra Cialis Funziona Depressione Venta Cialis Hermosillo

  3. online casino, free online casino games, casino online, online casino
    usa, casino games online, online casino games, watch
    casino online, online casino real money, best online casino,
    nj online casino, casino movie online, free online casino, free casino games online, resorts casino online, online casino real money no
    deposit, watch casino online free, free online casino slots, real
    online casino, online casino reviews, online casino no deposit bonus
    online casino, free online casino games, casino online, online
    casino usa, casino games online, online casino games, watch casino online, online casino real money, best online casino, nj online casino, casino movie online, free online casino,
    free casino games online, resorts casino online, online casino real money no deposit,
    watch casino online free, free online casino slots, real online casino, online casino reviews, online casino no
    deposit bonus
    online casino, free online casino games, casino online, online casino usa,
    casino games online, online casino games, watch casino online, online casino real money, best online casino, nj online casino, casino movie online, free online casino,
    free casino games online, resorts casino online, online casino real money no deposit, watch casino online free, free online casino
    slots, real online casino, online casino reviews, online casino no
    deposit bonus
    online casino, free online casino games, casino online,
    online casino usa, casino games online, online casino games, watch casino online, online casino real money, best online casino, nj online casino,
    casino movie online, free online casino, free casino games online, resorts casino online,
    online casino real money no deposit, watch casino online free, free online
    casino slots, real online casino, online casino reviews, online casino no deposit bonus

  4. Thank you for some other informative site. Where else
    may I get that type of information written in such
    an ideal way? I have a project that I’m just now
    operating on, and I have been at the look out for such information.

  5. Cialis Thailandia [url=http://ausgsm.com][/url] How To Buy Elocon Keflex Medicine Provera 5mg Perlutex Levitra Cialis Espana Viagra Cost Per Pill Buy Lasix 100mg [url=http://levitab.com]gen health levitra[/url] Amoxicillin Causes Rapid Heartbeat Cialis Online Offerta Sale Discount Bentyl Real My Secure Tab [url=http://allngos.com][/url] Minocycline No Prescription Lasix Usa Sale Zithromax From India [url=http://sildenaf75.com]viagra[/url] accutane online canada no prescription Opinion Cialis Generico Canadian Pharmacy 24hr Rx Pharmacy Online [url=http://66pills.com]viagra[/url] Cialis Belgique Cialis Hypertrophie Prostate Acheter Viagra Au Canada Is Amoxicillin The Same As Penicilin [url=http://kamagorder.com][/url] Viagra Et Angor

  6. Viagra Lichtschalter Kaufen [url=http://rxbill6.com]extra super levitra frumforum.co[/url] Amoxicillin Vs Ampicillin Alternative Fur Levitra [url=http://kamagpills.com][/url] Presidone On Line Lasix With No Rx Fast Shipping Motilium Prix Du Cialis 5 Mg En Pharmacie [url=http://cialiprice.com]п»їcialis[/url] Amoxicillin Clavu Cialis Dependance Prednisone Online Purchase Amoxicillin Clavulanic Acid Dogs Mg Kg [url=http://crdrugs.com]cialis 5 mg best price usa[/url] Cialis Generico Acquisto Sicuro Cialis Rezeptfrei Auf Rechnung want to buy real isotretinoin Buy Vigra [url=http://orderlevi.com]generic levitra professional[/url] Nolvadex 20 Mg Effets Secondaires Buy Zithromax In The Uk Will Amoxicillin Get You High

  7. After 2 days of wild volatility within the equity markets, US equities
    are up a lttle bit as I write this, but who knows how we’ll finish the day.
    And, obviously, tomorrow could bring new concerns, as well as a different interpretation of your Brexit that renews the
    volatility. Suffice it to talk about, if
    you aren’t a hedge fund manager, nobody likes wild swings inside the market.
    Commemorate investors nervous, and if they’re nervous, consumer
    confidence often slips.

  8. We are a group of volunteers and starting a new scheme in our community.
    Your web site offered us with valuable information to work on. You’ve done a formidable job and our entire community will be grateful to you.

  9. I really like what you guys tend to be up too. This kind of clever work and exposure!
    Keep up the good works guys I’ve included you guys to my personal blogroll.

  10. You’re so interesting! I don’t think I have read a single thing
    like this before. So great to discover somebody with a few unique thoughts
    on this topic. Seriously.. many thanks for starting this up.
    This website is one thing that is required on the internet, someone with some originality!

  11. Hi to all, the contents existing at this website are actually awesome for people knowledge, well, keep up the good work fellows.

  12. All businesses really should have a message page. Websites ranging in dimensions and sophistication originating from a
    local restaurant to a Fortune 500 company, have
    contact pages. Within current startup I have come across numerous requests… in the pizza delivery guy letting us
    know he was in the door to potential investors looking to chat with these
    management team.

    When you are setting increase your contact page (and getting the traffic volume of a local restaurant) would likely not want
    to think about how to deal with your contact requests when site traffic increases.
    However you should.

    Look at starting automation that alerts support, sales or some other stakeholders in your
    company when a communication request comes through.
    You may create a dropdown field in an application for different types of contact requests.
    You are able to arrange logic practically in most marketing automation platforms that
    sends email alerts to the right resource inside your startup based upon what sort of request the viewer selects.

    I used to be buried with contact requests once we launched
    beta. Like a cloud-based product I saw many product support requests.
    Therefore we mapped form submissions on our contact page to create support tickets in Zendesk.

    Make sure that you setup redundancies so contact requests (important ones!) don’t get lost in one particular
    recipient’s inbox. You’ll be able to alert multiple recipients, create reminder emails, or trigger automatic replies
    to get hold of requests with information that could solve their problem.
    This is perhaps all very easy to setup with all-in-one marketing platforms like HubSpot.

  13. Hi, I do think this is a great website. I stumbledupon it 😉 I am
    going to come back yet again since I saved as a favorite it.

    Money and freedom is the greatest way to change, may you
    be rich and continue to help other people.

  14. I’m not certain the place you’re getting your information, but great topic. I needs to spend some time studying much more or figuring out more. Thank you for wonderful information I was looking for this info for my mission.

  15. I would like to thank you for the efforts you’ve put in writing this website. I’m hoping the same high-grade blog post from you in the upcoming as well. Actually your creative writing abilities has inspired me to get my own website now. Actually the blogging is spreading its wings fast. Your write up is a great example of it.

  16. Watch should have a communication page. Websites ranging bigger and sophistication at
    a local restaurant with a Fortune 500 company, have contact pages.
    At my current startup I have seen a wide range of requests… from your
    pizza delivery guy letting us know he was in the front door to
    potential investors looking to chat with these management team.

    When you are setting the contact page (and getting the traffic volume of the
    local restaurant) you will possibly not be considering how to take care of your contact requests when site traffic
    increases. However you should.

    Consider starting automation that alerts support, sales or another
    stakeholders as part of your company when an e-mail request comes through.
    You could make a dropdown field in submit form for types of contact requests.

    You possibly can arrange logic in many marketing automation platforms that sends email alerts
    to the suitable resource within your startup according to the type of request the viewer selects.

    I’m buried with contact requests if we launched beta.
    To be a cloud-based product I saw many product support requests.
    And we mapped form submissions on our contact page to build support tickets
    in Zendesk.

    You should arrange redundancies so contact requests (important ones!) don’t get lost in an individual recipient’s
    inbox. You possibly can alert multiple recipients, create reminder emails, or
    trigger automatic replies get in touch with requests with information that may solve their problem.
    This ‘s all easy to put together with all-in-one marketing
    platforms like HubSpot.

  17. Hola! I’ve been following your weblog for a long time now and finally got the bravery to go ahead and give you a shout out from Houston Tx! Just wanted to say keep up the good job!

  18. Since the admin of this site is working, no question very shortly it will be famous, due to
    its feature contents.

  19. Hello! I simply want to give a huge thumbs up for the good information you’ve here on this post. I will likely be coming again to your weblog for extra soon.

  20. Very nice post. I just stumbled upon your weblog and
    wanted to mention that I’ve truly enjoyed surfing around your
    blog posts. In any case I’ll be subscribing on your rss feed and I’m
    hoping you write again very soon!

  21. I precisely needed to thank you so much yet again. I’m not certain the things that I would’ve sorted out in the absence of the type of thoughts provided by you over this concern. It absolutely was a real difficult difficulty in my circumstances, nevertheless finding out your professional strategy you dealt with it forced me to cry over happiness. I am just happier for the help and then have high hopes you really know what a powerful job that you are providing training some other people with the aid of your websites. I am certain you have never come across all of us.

  22. What’s Taking place i am new to this, I stumbled upon this
    I’ve found It positively useful and it has aided me out loads.
    I’m hoping to contribute & help other customers like its
    aided me. Good job.

  23. Viagra Requiere Receta Medica Viagra Professional 100mg Viagra Haltbarkeitsdatum [url=http://tadalaf.com]canadian pharmacy cialis[/url] I Want To Buy 500 Mg Metronidazole

  24. Hello There. I discovered your weblog using msn. That is a very well written article. I will make sure to bookmark it and come back to read extra of your useful info. Thank you for the post. I’ll certainly comeback.

  25. Its like you learn my mind! You seem to understand a lot about this, such as you wrote the ebook in it or something. I believe that you simply can do with a few p.c. to pressure the message house a little bit, but instead of that, that is magnificent blog. A fantastic read. I’ll definitely be back.

  26. Definitely believe that which you said. Your favourite reason seemed to be on the web the simplest thing to bear in mind of. I say to you, I certainly get annoyed whilst other people think about worries that they plainly do not understand about. You controlled to hit the nail upon the highest and also defined out the entire thing without having side effect , folks can take a signal. Will probably be again to get more. Thank you

  27. Excellent items from you, man. I’ve be mindful your stuff previous to and you’re simply too magnificent. I really like what you have obtained here, certainly like what you’re saying and the way wherein you assert it. You make it entertaining and you continue to care for to stay it wise. I cant wait to learn much more from you. This is really a tremendous website.

  28. Vardenafil Canadian Pharmacy Buy Fluoxetine Online [url=http://prilipills.com]cialis dapoxetine overnight shipping[/url] Where To Buy Lasix Buy Cheap Lasix Online Viagra Brevetto Scadenza

  29. There are some fascinating deadlines on this article however I don’t know if I see all of them center to heart. There’s some validity however I will take maintain opinion until I look into it further. Good article , thanks and we would like extra! Added to FeedBurner as well

  30. Hmm it looks like your site ate my first comment (it was extremely long) so I
    guess I’ll just sum it up what I wrote and say, I’m thoroughly enjoying your
    blog. I as well am an aspiring blog writer but I’m still new to
    the whole thing. Do you have any tips for newbie blog writers?
    I’d really appreciate it.

  31. An outstanding share! I’ve just forwarded this onto a co-worker who
    was conducting a little homework on this. And he actually ordered me lunch simply because
    I stumbled upon it for him… lol. So let
    me reword this…. Thanks for the meal!! But yeah, thanx for spending the time to talk about this subject here
    on your internet site.

  32. I am typically to running a blog and i actually respect your content. The article has really peaks my interest. I am going to bookmark your site and keep checking for new information.

  33. Kamagra Oral Jelly 20mg Efectos Del Viagra En El Hombre [url=http://mdsmeds.com]cialis generic[/url] Pastillas Priligy 30 Mg Cialis En Ligne Belgique

  34. Ou Acheter Du Cialis En France Cheap Viagra Pills Uk [url=http://corzide.com]viagra prescription[/url] Stendra In Us Free Doctor Consultation Shop Priligy Europe

  35. Hello, I think your blog might be having browser compatibility issues.

    When I look at your blog site in Chrome, it looks fine but when opening in Internet Explorer, it
    has some overlapping. I just wanted to give you a quick heads up!

    Other then that, superb blog!

  36. We’re having coffee at Nylon Coffee Roasters on Everton Park in Singapore.

    I’m having black coffee, he’s possessing a cappuccino.

    He’s handsome. Brown hair slicked back, glasses that
    suit his face, hazel eyes and the most amazing lips I’ve seen. He or she is well built,
    with incredible arms including a chest that shines
    within this sweater. We’re standing in-front of one another
    discussing us, what we want into the future,
    what we’re looking for on another person. He starts telling me that they have been rejected a
    great deal of times.

    ‘Why Andrew? You’re so handsome. I’d never reject you ‘, I believe that He smiles at me, biting his lip.

    ‘Oh, I really don’t know. Everything happens for an excuse right.
    But analyze, you wouldn’t reject me, does
    one Ana?’ He said.

    ‘No, how could I?’ , I replied

    “So, you would not mind if I kissed you at this time?’ he stated as I purchase far better him and kiss him.

    ‘The next time don’t ask, function it.’ I reply.

    ‘I enjoy the method that you think.’ , he said.

    For now, I start scrubbing my high heel as part of his leg, massaging it slowly. ‘What can you want in ladies? And, Andrew, don’t spare me the details.’ I ask.

    ‘I really like determined women. Someone you will never know what we want. Someone who won’t say yes although I said yes. Someone who’s unafraid when you try new stuff,’ he says. ‘I’m never afraid of trying a new challenge, especially when it comes to making something mroe challenging in bed ‘, I intimate ‘And I enjoy girls that are direct, who cut in the chase, like you just did. To generally be
    honest, that is a huge turn on.’

  37. Following the thesis, you should provide sala.response.amsterdam/business/nutrition-business-plan.html a mini-outline which previews the examples you will use to support jevma.essay.amsterdam/book-review/health-and-wellness-resume.html your thesis in the rest of the essay. Not only does this tell the reader what to expect in the paragraphs to come but homework.amsterdam/essay/jane-eyre-essay-help.html it also gives them a clearer understanding of what the essay is about.

  38. Hi there would you mind stating which blog platform you’re using?
    I’m planning to start my own blog soon but I’m having a tough time selecting between BlogEngine/Wordpress/B2evolution and
    Drupal. The reason I ask is because your layout seems different then most blogs and I’m looking for something unique.
    P.S Apologies for being off-topic but I had to ask!

  39. Aw, this was an extremely nice post. Finding the time and actual effort to create a really
    good article… but what can I say… I put things off a whole lot and
    don’t seem to get anything done.

  40. Apo Amoxicillin Misoprostol 2mg [url=http://corzide.com]viagra[/url] Propecia Sueno Buy Propecia Online Uk No Prescription

  41. “We need to build to a different crescendo, cheri,” he said.
    “And we all may have an ending that might be as none before.”

    His smile was decadent, his eyes were filled with lust,
    and also the soft skin of his hard cock against my sex was
    having its intended effect. I had been feeling a stronger arousal now as I felt his cock slide between my
    sensitive lips. I felt the pinnacle of his
    cock push agonizingly at the doorway of my pussy, and
    I needed him to thrust into me hard. Instead he retracted and slid his
    hardness back approximately my clit.

    I’d been aching to acquire him inside, and I can tell that his really need to push that wonderful
    hard cock inside me was growing. His moans grew to fit mine, and I knew the feeling of my wet pussy lips to the head
    of his cock was getting an excessive amount of for of us.

    “Let the finale begin,” he said, anf the husband slid the tip of his cock inside me.

    Both of us gasped because he held his cock there for just a moment.
    I contracted my pussy to him further inside, and that he threw his head
    back for the sensation. Inch by excruciating inch
    he pushed his cock inside me, with each time I squeezed my
    pussy around him. His cock felt wonderful since it filled
    me, but I wanted all of it inside me. I rolled
    aside and rested my leg against his shoulder, and then he plunged his cock up
    in.

  42. Currently it sounds like BlogEngine is the top blogging
    platform available right now. (from what I’ve read) Is that what you’re using
    on your blog?

  43. Propecia Precio Farmacia Comprar Medicament Cialis 20mg Buying Cialis On Line Safe Website [url=http://bycheapvia.com]viagra online pharmacy[/url] Cialis 10 Bestellen

  44. I’m really loving the theme/design of your blog. Do you ever run into
    any web browser compatibility issues? A few of my blog readers have complained about my site not operating correctly in Explorer but looks great in Chrome.
    Do you have any recommendations to help fix this problem?

  45. Thanks , I have recently been searching for information about this topic for a while and yours is the best I have
    found out till now. However, what about the bottom line?

    Are you certain about the supply?

LEAVE A REPLY

Please enter your comment!
Please enter your name here