Ace wraps for mass hem

[u/Cautious-Vegetable21]

Hey guys AD greenside corpsman question for you guys I’m running 4x 4in ACE wraps and 2X 6in ACE wraps. How do you guys secure to wraps after mass hem without an H wrap or any type of Velcro I’ve been using the overhand knot technique at the end of the wrap but I wanna get other opinions and ideas thanks in advance

[u/dmtx22]

Leave a tail when initially applying and use it to tie at the end. Then tape the knot/tie together and on to the wrap. I then time stamp the tape so anyone following up on my team knows it was placed now vs initially before being evacuated to us. That way we’re not undoing fresh interventions in the chaos of a mascal. That’s our SOP, whatever you do, secure it so it doesn’t start flinging around in the rotor wash from dust off or loosen while moving them.

[u/Jmurr_29 → u/dmtx22]

This is the answer 👍🏻

[u/Antirandomguy]

Tie, tape. I wouldn’t use those little clips, they’re shit.

[u/lpblade24]

Lick it and stick it like an envelope

[u/Joliet-Jake]

Chemtape over the top after tucking the end under the last wrap and clipping it with those shitty metal tabs. I keep about 15ft of it flatrolled on a card.

[u/[deleted]]

You can start the wrap with a chest seal, so your first wrap can be tighter, then tuck under and knot at the end. Even if you have Velcro, I’d tie it.

[u/occamslazercanon]

Knots are always the best bet. Tape is an ok backup, but if a tiny bit comes up and catches on something, it's gone. A well-tied knot is never going anywhere unless someone very intentionally undoes it.

[u/Beautiful_Effort_777]

Just leave yourself a proper bite and tuck multiple times. Ive dragged people/ things very far never had an issue

[u/Cautious-Vegetable21 → u/Beautiful_Effort_777]

Ngl man I’ve gotten mixed answers on google mind going into a little bit more detail?

[u/Cautious-Vegetable21 → u/Cautious-Vegetable21]

What exactly is a bite and tuck?

[u/little_did_he_kn0w → u/Cautious-Vegetable21]

I am assuming he means "bight," like we were taught in bootcamp, i.e. a loop in the middle of a line (or in this case, ACE wrap) that you can use to make a knot or put tension on things.

[u/Scythe_Hand]

Tape and/or simple knots. First pref (situation dependant) would be Coban, can usually see blood through it depending on weave pattern, to know there's a problem. Then 3M brand duct tape would be next choice, in a light or non tacticool color.

[u/Godless_Rose]

You literally just tuck it into itself. The only time I’ve ever seen one come undone that way is when he was dragged across the ground in the woods.

[u/Sudden_Impact7490]

I think coban does a better job in terms of holding vs ace wraps.

Neither really does much in terms of direct pressure on its own since its circumferentially wrapped - you need a lot of bulky dressings under it to really get some downward force.

I prefer manual pressure almost always

[u/No_Organization_7125]

Genuinely wondering, have you not been taught to leave a "tail" when you start wrapping?

[u/Cautious-Vegetable21 → u/No_Organization_7125]

I was but I was thinking that even with a tail would the ace wrap be enough to wrap around an extremity

[u/No_Organization_7125 → u/Cautious-Vegetable21]

Valid point.

[u/Embarrassed_Emu_4879]

Perhaps Koban or self adhesive tape. Use that a few times to apply a SAM Splint to a bilateral broken Tib Fib. Probably not the most durable but it works for me.

[u/ChosenCasEvac]

Tie a knot. Knots also make good pressure devices even more so if you kind of loop them.

[u/Low-Landscape-4609]

When you've done it enough, you learn how to tie them off. Just leave a little tail.