An important reminder, you never know when you are going to need to put your training to use. When we think tactical medicine there are people out there that still think it only applies to acts of violence. This past week our Director of Training witnessed an accident during the winter weather event we had. A truck driving at a significant speed lost control and hit the end of a guiderail/bridge abutment. Noting the heavy front end damage, our director stopped to assist. Upon opening the door, it was noted that the driver had an open fracture above her right ankle with both bones protruding from the injury. There was a steady stream of blood and her all weather floor mats had already collected a significant amount of blood. Using an IFAK kept in the map pocket of his car, our director applied a TMT tourniquet above the injury and easily stopped the bleeding. The PT was turned over to an ambulance before she showed any significant signs of hypotension. Moral the story: if you're not trained, get trained. If you are trained, training more. You never know when you may be that bystander called upon to make that immediate difference. #trauma #trainasyoufight #trainmorebleedless #paramedic #savinglives #tccc #tecc #techlinetrauma #presidentsday #tmt #combatmedicalsystems @combatmedical https://www.instagram.com/p/BuO1wZ5Hfc5/?utm_source=ig_tumblr_share&igshid=ua925blfpmiv