I’m glad you’re here. This community is built to help you grow confidence in lifesaving skills and decision-making under stress, but I want to make sure the content actually serves you. 👇 Drop a comment and let me know: - Why did you join this community? - What skills do you most want to learn or sharpen? (CPR, first aid, trauma response, preparedness, decision-making under stress, etc.) - Are you here as a parent, professional, first responder, or just someone who wants to be better prepared? Your answers will directly shape the future lessons, scenarios, and resources I build here. Looking forward to learning from you and growing together. 💪 — Jonathan

You’re in a grocery store checkout line when the person in front of you suddenly collapses. They’re unresponsive and not breathing normally. People around you freeze. Someone says, “I think he’s having a seizure—don’t touch him.” 👉 What’s the very first thing you do, and why? 👉 What mistakes do you see people commonly make in this situation? There’s rarely a “perfect” answer—what matters is decisive action, priorities, and safety. Comment what you’d do first, not everything you’d do.

MARCH: Massive Hemorrhage – Reassessment Matters 🔴 Scenario You arrive first on scene of a vehicle vs pedestrian crash. A bystander applied a tourniquet to the patient’s left thigh. EMS is 6–8 minutes out. The patient is conscious, pale, and anxious. M – Massive Hemorrhage ✅ What To Do - Reassess the tourniquet Is it high and tight? Is bleeding fully controlled? - If bleeding continues: Tighten the tourniquet until bleeding stops Apply a second tourniquet above the first if needed - Check for hidden bleeding Groin, buttocks, armpits, behind knees - If a tourniquet can’t be placed: Pack the wound and apply direct pressure 👀 What To Look For - Blood soaking through clothing or bandages - Pooling blood beneath the patient - Pale or clammy skin - Fast pulse or increasing anxiety (early shock signs) 🆚 Civilian vs Law Enforcement Response 🧍‍♂️Civilian Focus - Prioritize personal safety - Call 911 early - Use commercial or improvised tourniquets - Apply direct pressure if unsure - Reassess only if safe to do so Goal: Stop the bleeding until help arrives Law Enforcement / First Responder Focus - Ensure scene security - Apply rapid hemorrhage control - Carry and use department-issued TQs and hemostatic gauze - Perform systematic MARCH reassessments - Prepare for handoff to EMS Goal: Stabilize, reassess, and maintain control until transport 👨‍🏫 Instructor Note Tourniquets fail more often from poor placement or hesitation than from overuse. Pain is expected. Bleeding control always comes first. Reassess after movement, stress, or time passes. 🔑 Key Takeaway The first tourniquet isn’t the finish line — reassessment saves lives.