The Apprentice Doctor

The Apprentice Doctor® Control Bleeding Course and Training Kit

The Apprentice Doctor® Control Bleeding Course and Kit is in development phase and should be available in the market by March 2020! Contact us if you are interested in this “like no other” training resource Contact Us

Stop a bleed and save a life!
Blood is precious. The ancient Hebrew book of Moses correctly states: “…the life of the flesh is in the blood…”. Surgeons respect this fact and will use a variety of methods to limit blood loss – even during minor surgical procedures. Following a breach of the continuity of a blood vessel, as commonly happens with an injury or during surgery, blood will start leaking out of capillaries, flowing out of veins, and squirting out of arteries. Let’s take a minor surgical procedure as an example. An oral surgeon is going to remove this wisdom tooth and injects some local anesthetic into the region. The injected solution also contains a minute amount of adrenalin, a vasoconstrictor. It causes the blood vessels to constrict, thereby reducing blood loss. The surgeon carefully removes the wisdom tooth, and immediately, blood starts leaking out of multiple arterioles and venules as well as the thousands of capillaries in the tooth socket. Instantaneously, the blood clotting cascade is initiated, and tens of thousands of blood platelets start clumping together in an attempt to plug all these small leaking blood vessels. The surgeon uses suctioning to help with the visualization of the operative field, then places an absorbable hemostatic sponge into the bleeding tooth socket, and follows by applying pressure with sterile gauze. He asks the anesthesiologist to give IV-medication to assist with limiting the bleeding, then places a tight absorbable suture, and in less than three minutes, the bleeding has virtually stopped!

The Apprentice Doctor® Control Bleeding Course:

  • Contents
    • Copyright
    • Warnings
    • Disclaimer
    • Index
    • Preface
    • Objectives
  • The Apprentice Doctor® ‘Control Bleeding’ Kit
  • ‘How to Control Bleeding’ Course
    • Aspects of Safety
    • The Circulatory System
    • Anatomy
    • Histology
    • Physiology
    • Blood pressure
    • Hypertension
    • Blood functions
    • Blood and Oxygen
    • Blood clotting
    • Fibrinolysis
    • Hypovolemic shock
    • Classification of hemorrhagic shock
    • Pharmacology
    • Anticoagulants
    • Risk of thrombotic incidents in a hospital
    • Various specific entities
    • Hematoma
    • Ecchymosis
    • Hemangioma and vascular malformations
    • Thrombus
    • Embolus
    • Aneurysm
    • DIC (Disseminated intravascular coagulation)
    • Vital signs
    • Bleeding
    • Types of Bleeding
    • Arterial bleeding
    • Venous bleeding
    • Arteriolar and Venular bleeding
    • Capillary bleeding
    • External bleeding
    • Internal bleeding
    • Specific common external bleeds:
    • Emergency medicine
    • Penetrating injuries
    • Foreign objects
    • Gunshot wounds
    • Penetrating chest injuries
    • Penetrating abdominal injuries
    • Pneumothorax and hemothorax
    • Orthopedic injuries
    • Fractured Femur and Tibia
    • Maxillofacial injuries
    • Dental bleeding
    • ENT (Ear, Nose, and Throat) bleeding
    • Internal bleeding
    • Specific common internal bleeds:
    • Intracranial Hemorrhage (ICH)
    • Skull fracture
    • Base of skull (basilar) fractures
    • Cardiac tamponade
    • Gastrointestinal hemorrhage
    • Ruptured aortic aneurysm
    • Ruptured spleen
    • Liver trauma
    • Pelvic girdle fracture
    • Long bone fracture
    • Obstetrics
    • Postpartum bleeding
    • Bleeding after C-section
    • Post-operative bleeding
    • Bleeding during laparoscopic surgery
    • Urology
    • Bleeding in an uncontrolled environment
    • Bleeding in a controlled environment (Hospital/Field hospital/Clinic/ the ER or the OR)
    • Control bleeding during surgery
    • Knowledge of anatomy
    • Know the patient
    • Methods of controlling /reducing bleeding
    • Hypotensive anesthetic
    • Arterial Tourniquets
    • Specialized surgical modalities
    • Harmonic scalpel
    • Electrosurgery
    • Laser
    • Clamping
    • Tie off blood vessels
    • Hemostatic clips
    • Packing with non-absorbable materials
    • Absorbable hemostatic agents
    • Bone wax
    • Various pharmacological preparations
    • Epinephrine (adrenalin)
    • Vitamin K
    • Protamine
    • Vasopressin and derivatives
    • Lysine analogs
    • Conjugated estrogens
    • Blood components
    • Limb elevation
    • Semi-fowlers position
    • Other
    • Bloodless surgery
    • Intraoperative blood salvage (IOS)
    • Radiographic assisted embolization
    • Restoration of blood volume
    • Guideline for the management of massive blood loss due to trauma
    • Crystalloids
    • Colloids
    • Blood transfusions and blood components infusions
    • Adverse effects
    • Infection
    • Inefficacy
    • ABO and Rh compatibility
  • Practical Projects:
  • Your own safety
    • Project 1: Preparatory Projects
    • Project 1A: The pulse points of the body
    • Project 1B: Measuring blood pressure with palpation
    • Project 1C: Determine the heart rate at the wrist (radial) pulse point
    • Project 1D: Capillary refill time (capillary nail refill) test
    • Project 1E: Respiratory rate
    • Project 2: Knot tying techniques
    • Project 2B: Surgeons knot: instrument tie
    • Project 4: Setup the simulation arm (prepare for a workshop)
    • Project 5: Stop venous bleeding
    • Project 6: Stop arterial bleeding
    • Project 6A: Proximal arterial pressure point
    • Project 6B: Direct pressure
    • Project 6C: Packing and applying a pressure bandage
    • Project 6D: Tourniquet
    • Project 6D1: Tourniquet (CAT) – simulation
    • Project 6D2: Tourniquet (CAT) – volunteer
    • Project 6D3: Blood pressure cuff tourniquet (on a fellow student)
    • Project 6D4: Tourniquet (RATS / anchor)
    • Project 6D5: Tourniquet (SWAT-T)
    • Project 6D6: Tourniquet (Improvised)
    • Project 7: Stop an amputation bleed
    • Project 7A: Clamp off an arterial bleed
    • Project 7B1: Ligation – method 1
    • Project 7B2: Simulate an arterial aneurism
    • Project 7B3: Ligation Method 2
    • Project 7C: Various other suturing techniques for securing hemostasis
    • Project 9: Stop an arteriolar and venular bleeding
    • Project 8: Stop capillary bleeding
    • Project 9: Simulate an emergency/disaster setting (Assess, Call for help, etc.)
    • Directives on when to use which bleeding control method
    • Project 10: Clean and store the simulation arm for re-use
  • The legalities of assisting a person in an emergency setting
  • Assessment and certification
  • Epilogue
  • Glossary
  • Credits

The Apprentice Doctor® Control Bleeding Kit:

  • Stop the bleed arm
    • Basic upper arm model
  • Instruments/Reusable Items
    • Hemostatic forceps
    • Hemostatic forceps
    • Sphygmomanometer
    • Tourniquet
  • Replenish pack:
    • Linen savers
    • Plastic aprons
    • Nitrile gloves
    • Gauze squares
    • Ribbon gauze(mutton cloth)
    • Crepe/ pressure bandage
    • Fluid-bag⁴ (empty)
    • Fluid administration line
    • Syringe
    • Stitch cutter
    • Balloon
    • Marker pen
    • Tie suture