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It's Friday and time for this week's Legends newsletter;
buncha stuff today...
First--info on this month's RAW
BOXING ON THE MOVE PART 3. This 3rd volume of our integrated Focus Mitt System for MMA picks up where 140 left off and is a pretty damn comprehensive drill template for integrating knees with your boxing. Details below.
Second--This week's Video Clip has Coach Dan Marx assisting me in yet another detail regarding setting a modified 3/4 Nelson into a Reverse Lever. Thanks, Dan!
Third--And we have some brand new shirts in--Men's & Women's.
The men's shirts have The Texas Proverb on the back and the Ladies, well, have a look at the July Special at the end of the newsletter, we're selling out of these wherever we go. Women are snatching them up, and it turns out guys, too. Who knew?
Fourth--Today's article is a superlative guest piece for our No Second Chance Program
from Coach Jim Marx. Thanks, Jim!
And last, but not least, check out the ESP RAW Subscription service info to your left. You can save yourself some money on this volume of RAW ($5.50 to be exact) and pick up 3 more volumes of RAW absolutely free.
Thanks everyone and have a great weekend!
Sincerely,
Mark Hatmaker
Extreme Self Protection
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ESP RAW 141: CMC #18
BOXING ON THE MOVE Pt. 2
Integrating Knees with Boxing
[Important: This volume assumes that you have drilled and understood RAW 139 & 140 as it builds on and blends new drills onto these templates.]
We continue building a progressive, comprehensive alive MMA Focus Mitt Systemwith this volume. Contents include...
- An overview of the Root Combination.
- A review of the 4 Compass Points of movement.
- We introduce Head-Hooking, 4-Ways to increase the impact of your knees without having to commit to the full Plum Blossom Clinch.
- We then run 8 Boxing + Focus Mitt Drillsto build Head-Hooking facility that integrates elbows and knees into your boxing game. (These drills are about as alive as it gets, Crew.)
- Next we move into using wrestling concepts to improve your 2-on-1 Clinch aka Plum Blossom. Hint: We'll drop the hand-stack and go for full control and show you where to put your opponent's forehead so you can use crank/torque pressure to keep them plastered.
- We then run 5 more mucho alive Mitt Drills to drive home these new found skills.
- We then introduce the Roll-Out, a little maneuver that gets you out of takedown or return fire position after you've ended your knee barrage. [We offer a tip for how to make this skill ambidextrous.]
- We then introduce two Root Knee Skipping patterns so you can choose the one that fits your needs.
- From there we close out with 4 more Hardcore Boxing + Drills that combine your boxing with skip knees and ambidextrous roll-outs in one alive package.
- In all 17 Focus Mitt Drills, & 6 mini-lectures to keep this material on target.
We've been working on this Focus Mitt Matrix for some time and I appreciate all the kind words so far from those who have consumed and used the 1st 2 volumes beginning on RAW 139.
By the time you work all of these thru the drills you should be far smoother, far snappier, and most of all in good balance at all times whether throwing or defending against punches, elbows, or takedowns.
This volume (as with all volumes of RAW) comes with a printed syllabus for inclusion in your training notebook.
ESP RAW 141 can be had this month for $32 (S & H included--Domestic & International) at the end of the month the price goes to $42 Domestic/$52 International. [Of course, it's only $26.50 for the RAW Crew.]
To order: 
To pay only $26.50 for this DVD + receive 3 other RAW DVDs for free, subscribe to our ESP RAW DVD Service.
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Treatment of Gunshot Wounds for the 1st Responder
Jim Marx
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Remember if you are involved in any traumatic event, YOU are the First Responder!
You may be the only thing standing between life and death for the gunshot victim.
I am not a Doctor and any information in this article must be preceded with first aid/medical training before using. I am merely discussing what is working in the field at the present time.
After active shooter incidents many of the victims have stated that they felt helpless even after the incident because they did not know what to do to help those in need of medical attention. I hope this article will encourage you to go get first aid/first responders training.
What I will cover in this article is to inform you of the following:
Identify the most important thing you can do for a gunshot wound.
Identify the Stages of Care.
Identify and the steps to best assess a gunshot wound.
Identify and the steps to best control bleeding.
The most important thing you can do for a gunshot victim is to control the bleeding!
I will cover Care under Fire, Tactical Field Care, Care rendered by the operator under effective hostile fire, care rendered while in a safe zone. Medical equipment is limited to that carried by the individual. Time of evacuation or arrival of medical professionals may be minutes or hours, depending on the situation.
Combat medical research found that of the preventable cause of soldiers killed in action:
- 60% died of hemorrhaging from an extremity trauma
- 33% died of tension pneumothorax
- 6% died of an airway obstruction
When under fire Professional Warriors should return fire; keep yourself and the victim from sustaining any more injuries.
When under fire the Lay person should flee the scene to a safe zone and only then, keep yourself and the victim from sustaining any more injuries.
Do not attempt to manage an airway at this time. What that means is no CPR no rescue breathing at this time. You need to stop any life threatening external hemorrhage (bleeding) before you do anything else.
Operators in the field acknowledge the most preventable cause of loss of life are the first to be treated. These include extremity trauma, and exsanguinating hemorrhage.
When using Tactical Combat Casualty Care (TCCC). The patient is assessed by looking for and treating the most preventable causes of death first.
The lifesaving continuum for Tactical Combat Casualty Care (TCCC) is the following:
X- Exsanguinating hemorrhage (bleeding out)
A- Airway
B- Breathing
C- Circulation
D- Disability/Deformity
E- Expose
Stimulate victim by shaking or painful stimuli for level of conscious.
X- Look for Exsanguinating hemorrhage.
Palpate the head, neck, chest, back, looking for blood. As life threatening bleeding is found it must be controlled. You need to stop any life threatening external hemorrhage before you do anything else.
Then cover the following:
Airway
Breathing
Circulation
Disability/Deformity-spine injury, obvious fractures/dislocations-move to a more natural position unless resistance is felt, and immobilize.
Expose- fully expose the victim so you don't miss wounds in difficult to see areas. Such as the armpit, buttocks, groin.
Next I will cover the steps on how to treat a gunshot wound.
The first thing is make sure the Scene is safe. What this means is that you are safe first, flee to a safe zone before you administer aid. Then ensure you and the victims are in a safe zone.
Activate EMS 911.
Do not move victim unless you must do so to keep them safe or to access care i.e. rural or secluded area.
Act quickly-Golden Hour- care within one hour increases the chance of surviving dramatically.
Assess the victim- X, A, B, C, D, E.
Treat for shock.
The most important thing you can do for a gunshot victim is to control the bleeding!
Now I will cover the best way to control bleeding on most wounds.
In the best of circumstances use gloves, a dressing, or even a piece of clothing, to wipe away the blood and debris to find the wound and apply direct pressure. Direct pressure requires pressure and counter pressure, you are using your hand to press a bandage of some kind very hard on the wound to stop the bleeding. Under some situations you may not have gloves or bandages, or you may not have time to retrieve these items so you can use hands and fingers to apply pressure directly to the wound.
When available place a clean sterile dressing or a dressing of some kind over the wound, wrap the dressing with some type of bandage. The dressing should be at least 2 inches wide, and wrap the dressing several times around the site and tie or secure the dressing over the site. Ace wraps work very well.
The dressing should be tight enough to maintain pressure and control bleeding, but not as tight as to restrict blood flow below the site of injury (Pressure Dressing or Israeli Combat Dressing). Something to keep in mind is that if direct pressure does not control the bleeding, a Pressure Dressing will not control the bleeding. Emergency Bandage (Israeli Combat Dressing) consists of a thick absorbent gauze that is applied to the wound and an elastic bandage that holds the dressing in place. Any dressing applied to the injury with some type of bandage will work. (Roll of Kerlix as a dressing with an Ace wrap as a bandage).
There are some great medical materials that the average person can obtain and learn how to use easily such as HemCom, QuikClot, or hemostatic powder. These items stop bleeding on contact when direct pressure doesn't work. Here is how to use them, and also the directions on how to best use these clotting agents are on all the packages. Every one of your first aid kits and Go Bags should have at least one package of the clotting material in it. (More on that in a later article).
Apply direct pressure.
Wipe excessive blood from the area.
Pour contents of the pouch onto the wound.
Apply a dressing.
If extremity bleeding continues; use direct pressure and consider a tourniquet.
TCCC way of thinking is Life before limb. A tourniquet may be the most reasonable choice to stop bleeding in an unstable and unsafe environment, and will allow time to move victim, to a safer location. It should be applied early.
The Israeli Defense Force (IDF) confirmed that the uses of tourniquets in combat settings are effective and safe, even when the tourniquet use is prompted by tactical reasons. In most cases it is the GO TO for any serious extremity bleeding. The tourniquet is used under fire for most all extremity bleeding to get the victim to a safe zone. Use while not under fire a use of a tourniquet is determined by the inability to control bleeding by other means.
Tactical reasons include, when under fire, unable to take the time to attempt other methods to control bleeding, having to leave the aria right away with or without the victim.
Scientific research has found that commercially manufactured tourniquets are providing the best care, however a tourniquet constructed of material at least one inch or wider with some type of windlass (stick) device for tightening will suffice.
Tourniquets are safely used in surgery for 2 or more hours. Generally accepted medical expert thought is that limb salvage is safe up to a 2 hour time period before some functional loss occurs. LIFE BEFORE LIMB.
How to apply a tourniquet.
The following is from the U.S. Army Web Site:
The tourniquet should not be used unless a pressure dressing has failed to stop the bleeding or an arm or leg has been cut off. On occasion, tourniquets have injured blood vessels and nerves. If left in place too long, a tourniquet can cause loss of an arm or leg. Once applied, it must stay in place, and the casualty must be taken to the nearest medical treatment facility as soon as possible. DO NOT loosen or release a tourniquet after it has been applied and the bleeding has stopped.
a. Improvising a Tourniquet. In the absence of a specially designed tourniquet, a tourniquet may be made from a strong, pliable material, such as gauze or muslin bandages, clothing, or kerchiefs. An improvised tourniquet is used with a rigid stick-like object. To minimize skin damage, ensure that the improvised tourniquet is at least 2 inches wide.
WARNING: The tourniquet must be easily identified or easily seen.
WARNING: DO NOT use wire or shoestring for a tourniquet band.
WARNING: A tourniquet is only used on arm(s) or leg(s) where there is danger of loss of casualty's life.
b. Placing the Improvised Tourniquet.
(1) Place the tourniquet around the limb, between the wound and the body trunk (or between the wound and the heart). Place the tourniquet 2 to 4 inches from the edge of the wound site. Never place it directly over a wound or fracture or directly on a joint (wrist, elbow, or knee). For wounds just below a joint, place the tourniquet just above and as close to the joint as possible.
(2) The tourniquet should have padding underneath. If possible, place the tourniquet over the smoothed sleeve or trouser leg to prevent the skin from being pinched or twisted. If the tourniquet is long enough, wrap it around the limb several times, keeping the material as flat as possible. Damaging the skin may deprive the surgeon of skin required to cover an amputation. Protection of the skin also reduces pain.
c. Applying the Tourniquet.
(1) Tie a half-knot. (A half-knot is the same as the first part of tying a shoe lace.)
(2) Place a stick (or similar rigid object) on top of the half-knot.
(3) Tie a full knot over the stick.
(4) Twist the stick until the tourniquet is tight around the limb and/or the bright red bleeding has stopped. In the case of amputation, dark oozing blood may continue for a short time. This is the blood trapped in the area between the wound and tourniquet.
(5) Fasten the tourniquet to the limb by looping the free ends of the tourniquet over the ends of the stick. Then bring the ends around the limb to prevent the stick from loosening. Tie them together under the limb.
NOTE: Other methods of securing the stick may be used as long as the stick does not unwind and no further injury results.
NOTE: If possible, save and transport any severed (amputated) limbs or body parts with (but out of sight of) the casualty.
(6) DO NOT cover the tourniquet--you should leave it in full view. If the limb is missing (total amputation), apply a dressing to the stump.
(7) Mark the casualty's forehead, if possible, with a "T" to indicate a tourniquet has been applied. If necessary, use the casualty's blood to make this mark.
(8) Check and treat for shock.
(9) Seek medical aid.
CAUTION: DO NOT LOOSEN OR RELEASE THE TOURNIQUET ONCE IT HAS BEEN APPLIED BECAUSE IT COULD ENHANCE THE PROBABILITY OF SHOCK
For any non-extremity bleeding use direct pressure a pressure bandage, and the clotting materials I discussed earlier.
Remember the No Second Chance continuum. Flee to safety is your first priority and get others to do the same. Once in a safe zone the most important thing you can do for a gunshot victim is to control the bleeding!
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(168 PAGES) Contents include Motivation, Female Approaches to Extreme Conditioning, Common Concerns & Remedies, Nutrition Facts, Tips on Building a Training Crew, Gear Recommendations per Commitment Level, Complete Exercise Vocabulary, and 3-Full Months of Exercise Menu Programming.
It will retail at $12.95 ($22.95 International) but for the month of July you can pick up an autographed copy for $11 bucks even ($20 International)--that's S&H included.
SHE'S TOUGH: 
SHE'S TOUGH (w/International Shipping):
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Brand Spanking New Shirts
 
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Places to Go; People to See
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August 22nd we'll be with Coach John Miller and his Crew
at the LancerLot Sports Complex 1110 Vinyard Rd, Vinton, VA 24179.
Also, the next day myself, Coach Miller, and some of his crew will be hitting the Spartan Super in Nellysford, VA. If you want to join us for this fun as well--
We're registered as a team, Team Name: Cult of Pain (sweet, huh?) Anyone can register to join the team; there is no password. It's on Saturday August 23 in the Late Morning (10:45am-12:00pm) heats. (I put the preference as 11am.) Just make sure you sign up under "Join a Team" and it will give you the option to search "Cult of Pain" as the team name during registration.
Hope to see you for some old school boxing, wrasslin', and mud-slinging fun!
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We'd love to have you come out and play at any of these events, or failing that, we'd love to come out your way. If you'd like us to come to you, see our Pick An Adventure sidebar and we may just come to you far cheaper than you'd imagine (I'm easy when it come to new friends and fun stuff.)
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Pick An Adventure
Seminars
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Some of us are old-enough to remember a series of interactive books where readers were asked to make a decision and then go to a corresponding page to see what sort of mess you got yourself into. You never quite knew where you were going to wind up with these books--pre-video game era, these were a novel idea.
Here's where you come in, if you'd like to host a seminar and save yourself some bucks off of the standard fees in the process--if you've got an Adventure Race in your area, a rock you think I'd like to climb, a river you think I want to raft, a hike you think I just need to take, a desert I've not run on, you get the idea--pitch your adventure and school location. If the adventure appeals and the logistics are right we offer greatly reduced fees to come to your school and play with your crew before we go play at your Adventure Pitch.
BTW--You and your crew are welcome to attend the adventure, as a matter of fact, we'll knock off even more bucks for this sort of hands-on guiding.
So, you got some adrenaline in your neck-of-the-woods and want to train? Feel free to make your pitch and we'll see what happens.
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Mark Hatmaker
(865) 679-1223
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