This is going to be a bit long, but maybe it may help someone. I'm not telling this to judge others [or to be judged]I just think it may help.
A friend of mine and myself were on the first day out of a 7 day canoe trip on Sept. 9 of this year. We were in the south central U.S. It had been storming the night before and we came across a log that had fallen fully across the smallish river. We cleared the small limbs off the tree with a C.S.LTC Kukri [his] and a 20" Martindale machete [mine.] We then thought maybe we would clear the 6" log if it weren't too difficult. It was a definate hazard and could drown an inexperienced canoist if they were swept under it. He took about 6 wacks just getting the notch width set when the Kukri bounced out of the notch and into his left wrist. We were 7 miles from the nearest take out and we found out later he had severed his radial artery and 2 flexor tendons.It was about a 3" cut to the bone.The artery and tendons had all retracted from the wound.
He was a recon Green Beret in Viet Nam and I have about 40 years of Boy Scout and wilderness camping experience and we both knew he was in big trouble.
First aid: He initially grabbed his wrist [mostly a reflex.]We got him down on the ground with his head above his feet. His elbow on my thigh and his forearm straight up. We used cravats [which we always have around our necks] and applied tourniquets; 1 at the elbow and 2 just below the wrist. It took these 3 and me holding with both hands as tight as I could grip to keep it from bleeding. There were only 2 other canoes on the river that day and thankfully we were ahead of both groups when this happened. They went downriver to send help back. It took 1 hour and 15 minutes for the first responder to arrive and the medivac helicopter arrived at about 1 hour 45 minutes.The first responder had communications but no meds or equip.that could help. He was flown 130 miles to the nearest equipped hospital where a reconstructive surgeon put him back together. Believe it or not he was released that same evening.
Lessons: We carry a 21" break down bow saw, should have used it.
S**t happens
Know the first aid first. When it goes bad wrong it ain't the time to be learning.
We were/he was very lucky. I was lucky cause I'd have had to come home and explain that day for the rest of my life.
We had a long talk with the surgoen and she said tourniquets are very iffy. They have to be in exactly the right place and can do a lot of damage. Briefly, imagine a scab forming in your veins and arteries, get a doc to explain this further. I don't know if I would use them again. She couldn't say do or don't. I guess she and we decided what we did must have worked.
The chopper paramedics changed places with me and held his wrist onto the backboard, 300yds to a 4x4, 1/4 mile to the chopper, for the chopper ride, into the E.R., and into the O.R. My point is nobody had a better plan than direct pressure for this wound.
Total bill: $21,000 [worth every penny.] Flight for life was $6400 of that bill.
He will fully recover.
I didn't and I don't "play" with knives. I do carry daily.
Thank cops, firemen, parameds, Forest Service, Park Service and anyone else devoting their lives to help "civilians" when in need.
I truely hope this helps someone think. Happy holidays!!