"It might be scary to talk about but it's reassuring to know that there is something you can do and it's not complicated."
The spectre of turning around and seeing your pal getting de-limbed by a Great White ain’t the stuff of abstract nightmares around Western Australia’s south-west.
But a shark attack, even by a monster White, doesn’t necessarily mean a death sentence.
Recently, I took a phone call from the former world number sixteen surfer Mitch Thorson, now a real estate agent and owner of West wetsuits in Margaret River.
Over the past half-a-doz years Mitch has been a regular contact whenever I needed a little insider trading around the latest shark hit or bump or whatever. He grew up surfing at Rottnest Island, a sharky enough joint just off the Perth coast, and moved into Margs before the Whites started to make their presence felt from 2004 onwards.
Mitch thought I might be interested in a “Shark Bite Management Demonstration” he was running with a couple of emergency department doctors, John Cohen and Phil Chapman.
It’s the not-so-new reality around these parts.
There’s sharks, there’s going to be hits. Be prepared.
What do you do?
First, losing a leg don’t mean you or you pal is going to die. It’s not going to be pretty, but Jesus ain’t necessarily sending his angels down just yet.
According to Cohen, who is thirty-nine and who grew up in Canada and got into surfing while at college in Hawaii, if you can get the de-limbed person to the beach and apply a tourniquet above the wound so no blood can spurt out the hole you’re good.
He say that once you’ve stopped the blood flow you’ve got four hours before the leg, or arm, is choked off and dies. It means if you’re at a remote beach with no phone redemption, you can tourniquet the wound and take off for an ambulance or chopper without your buddy dying.
“It’s the same principle as a car crash, someone falling off a building or getting hit by a bullet in Iraq,” says Cohen. “Stop the bleeding and get the surfer to shore. In thirty seconds, using a tourniquet, you’ve saved a friend’s life.”
But, who’s got a tourniquet, right?
Cohen’s eureka moment came in 2016 when he pulled up to a gorgeous lefthand point just out of Yallingup: classic conditions, six-foot waves and nobody in the lineup.
One guy came in saying he thought he saw a shark.
“He was freaking out,” says Cohen. “It was just after that Mandurah attack and sharks were on everybody’s mind. I ended up going out but it wasn’t enjoyable. How could there be perfect waves, no one out and I wasn’t having a great time? What the fuck?”
Cohen, who’s worked the emergency room at nearby Busselton Hospital, figured he had the expertise so why couldn’t he help solve the problem of preventable shark attack deaths?
He knew that most Great White hits were a bit-and-release taste test so once the shark left, if you thought quickly enough a life could be saved.
Cohen spent three years trying to bring to market a tourniquet that was was so light it didn’t interfere with your surfing, you could apply it with one hand and you could do it ten seconds.
It got to the point where all the designers and engineers he spoke to wanted fifty-grand or a hundred gees to get it ready for production.
So he pulled back, repurposed military tourniquets and sells ’em on his site bettersurf.com.au for thirty bucks apiece or sixty if you want a version built into a legrope.
It’s clearly no get-rich-quick pitch.
“I know I’m not going to make a million dollars. I just want to get ’em out there,” he says.
Cohen also offers free downloads of first aid books on his site.
In January, he’ll be working in the emergency department of Esperance Hospital, the same joint where seventeen-year-old surfer Laeticia Brouwer was brought in and where she died in 2017 after being hit by a White at a popular wave called Kelpies.
Cohen wants to get a haemorrhage kit at Kelpies. He says it might make the difference between life and death if someone is attacked.
“I know some guys who were in the ED that day and it was a traumatic experience to manage. Cases like the are preventable deaths. People can act on the beach if they’re there when it happens. It might be scary to talk about but it’s reassuring to know that there is something you can do and it’s not complicated.”
The paralysis common among crowds at a disaster or accident can be broken by doing something, by being focussed on a task.
“All it takes is one person to squeeze the leg in the right spot,” says Cohen. “You only die from bleeding to death. Stop the bleeding, you stop the death. It’s the same as what soldiers in Iraq do. Their buddy gets shot in the leg, they put a tourniquet above the bleeding point, and they live.”
It ain’t complicated.
“You just have to step up and act,” he says.
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I went to the website, watched the video, read the comments, and am now more frightened by all the would-be do-gooders than any shark. 3/4 of those idiots would probably place the tourniquet around your neck. I even went to Google with “Placing a tourniquet,” and the featured snippet was wrong and outdated, having you place it on the part of the extremity closest to the heart… For fuck’s sake, take a modern first aid class, and learn CPR.
$11.44 on Amazon for the Yanks. Should be a part of anyone’s first aid kit.
Yeah Tourniquets went way out of style for the second half of the 20th century, all based on data from World War 1. Standard military issue since the early 2000’s. Scientific consensus is that 4 hours is considered safe before permanent damage to the viable part of the limb becomes likely. What we try to teach in “Stop the Bleed” courses and what we want to get across in our shark bite demonstration nights is how to identify life threatening bleeding, how to stop / slow it with direct pressure like you were taught, and how to escalate to applying a tourniquet if needed. If you’re out in the wild, far from help, particularly without many people around, getting that tourniquet on early is going to free up alot of hands to sort out your evacuation to the nearest trauma hospital.
Crazy to be that unlucky and lucky on the very same day. Thanks for sharing.
A shirt is a great starting point, wrapped as tightly as possible. The trick is to then get some kind of solid object to act as a “windlass”. A drink bottle or metal pen could possibly do the trick in a pinch until help (and a tourniquet) arrives. Life saved.
Sold! I’m going to try to organise some first aid training for me and few other regulars. It’s sharky as shit round here and I’m pretty sure they’re all as clueless as me
EDIT: I reread after posting and realised that I could just as well have been referring to the BG comments section
Shoot some of the sharks, theres too many of them, now theres 31 year old proof from a lady marine biologist, thst a fact: female sharks can get pregnant without a Male.!!!
Fashionable and functional. Now that heroin habit can be a benefit to society!
Oh you must expand upon story.
Long story, but fairly standard surfers nightmare come to life. 2 guys. Glassy head high surf. Grabs me on my left side. Arm and leg in mouth. Takes me under for awhile. Tried punching but didn’t have leverage. Came across the eye. Gouged it. Spat me out. Paddled in. Nearly bled out. Arm and leg still pretty fucked 30 years later.
Shock is a motherfucker. Some people respond calmly and slide directly into action, others freak out and run around in circles, while others ‘calmly’ act out in pointless activity. And you don’t know which type you are until the shit hits the fan.
Have heard stories from a survivor of 9/11 saying there were heroes going from floor to floor to get people out, unable to get catatonic people to stop cleaning up their cubicles. While most were calmly moving down the stairwells, others would be trying to jump over people’s heads.
True stuff Lemon. Another type of reaction we want to help surfers get over, and not just in shark-bite situations, is “bystander paralysis”. Shit goes down, something can be done, but everyone just kinda stands around waiting for someone else to do something, thinking surely someone else around is more brave, more experienced or more knowledgeable. In the shark bite scenario, around 75% of the serious injuries it’s going to be about stopping the bleeding as fast as you can and getting more help.
Relax, Assess, React – that’s the motto we have plastered on our shirts at Surfing Doctors. If we could get that message out there most situations would be pretty much under control by the time surfers get into the infirmary.
Good Info! OffRocker & U_Sepsis..
That’s good information to know. When Ken Crew got nailed by a large great white in 2000, while swimming along the shore break in front of North Cottelsoe Surf Club, he lost a leg and bled to death on the beach in front of his shocked early morning swim friends. One of the head guys from life saving West Oz later told me the people there who witnessed Ken’s death could have saved his life, if they weren’t all in shock, and had of applied a tourniquet, same as this article has prescribed. Deaths by great white can also be prevented in other ways, such as putting more catch and kill drum lines in place, as they are deployed in Queensland and Sydney. But weak willed vote conscious governments and their many vocal paid shark researchers won’t have that, despite flourishing great white populations and growing concerns for public safety. Next 10 to 20 years could see many more attacks from great whites as they reach maturity and look for larger mammals to prey on. So yeah, get a tourniquet in your surf kit.
Might be good for them to post a video of the demonstration somewhere. I guess it’s not that complicated
Been pretty slow going getting our own vids up – every time we get together we usually end up going surfing instead of shooting…life’s short. Here’s the generic vid of the SWAT in action in the water, pretty graphic. We’re gonna try to get some good video overviews of not just the SWAT and the Omna, but also tips on improvised tourniquets and the CAT as well. They’ll all come through our social channels and the mailing list from the site as well (where it’ll all be available for free in eBook format as well)
https://bettersurf.com.au/s…
Shit Derek, this is a bit close to the bone. The other bloke keeps his shark stories more light & fluffy.
Can you imagine the shift in mindset paddling around with your SWAT tourniquet? You’d positively want someone to get hit.
Maybe just wanting to be prepared Derek. Jeez you have a mind quick to go to the edge.
Kinda like my snakebite kit for remote camping. But definitely more blood
Read up on that snake bite kit… they don’t work. Anti Venom is a must. They work well on burrowing insects though.
Fact check – anti-venom needs to stay refrigerated. Best chance of making it to an ED with the anti-venom is laying still, getting help putting a pressure immobilisation bandage on so any venom that might be sitting the tissues around the bite can’t get back to the heart and the rest of the body.
Just a few steps away from surfing with a magic metal wand and smokey attached, like shark killing divers used to swim with.
I don’t get it
We all have legropes.
I have done leg-rope-to-arterial bleed for a guy who got nailed right in the artery by a stingray. Had 30 mins before the ambos arrived to play around with how tight to hold it. Turns out pretty tight and prettty constant – hard but not impossible with slippery leg rope. I tried to fashion a tie off, but it was hard and started oozing again. Impossible to apply in the water. With the partially tied off and some direct pressure we got it stopped. I had a subsequent look at the military ones, they have a locking windlass. Now I have one in my car, but it’s too big to take in the water – tried stuffing down the back of my wetsuit a few times and got bored. I think some soldiers have them sewn into their battle fatigues – whose gonna be the first wetsuit manufacturer to put 4 tourniquets prebuilt into suits at the top of each limb? West, maybe?
Cohens option looks perfect though.
Very smart those Jews.
And the chosen ones so god reckons.
God’s bankers one very nice rabbi told me.
funny too
Fair nuff
Extra long string around the board shorts.
Tie it off and paddle back out for round 2
I already have a built-in wide-legged poo stance so some extra bulk around my upper thighs wouldn’t hamper my awkward cutbacks at all
Have you thought about changing fins . I am not sure about planing speed , or correcting / reinventing one’s stance , but everytime I have seen shark fins I have paddled like my life depended on it ….
Gnarly scenario, never even thought about a ray being my ultimate killer.
Sounds like you did a great job, punctured arteries are actually more likely to keep bleeding than completely severed ones so you almost certainly saved your mates life.
I’ve been a bit tourniquet crazy for the past couple of years and the only two that are reasonably comfortable to have out in the lineup are the SWAT and the Omna legrope tourniquet, which is why we have them on our site. I know 2 guys that don’t mind having the proper military CAT tourniquets in the water with them – one’s a navy diver and the other’s a pre-hospital helicopter doc who’s a research specialist in bleeding control – not exactly your average lineup!
For the record I go with the SWAT in my chest zip if it feels sharky. Don’t even feel it’s there.
Super easy to use, durable and super cheap.
Crazy story. Good save Rocker!
Except the hipsters …….maybe they can use their ponytails or beaver tail wetsuits instead ?
I hope the shark caught goofy foot in mouth disease ( just kidding social warriors ) ? Good work Dr C. taking a practical approach to a real problem . The WA State Government could possibly fund this project , and install a hemorrhage kit in the carpark of every popular surf spot in the state ?
Easy enuf, stay out the fuking water broski.
You come with me …. and when sharky come …. you let him bite U … ok arty farty smarty party … giggles ?
Already in application in some ‘Sharky’ South African Beach/point car parks. Incl my local.
Well done SA . Misha , I hope you never have to use these devices but at least they are available when needed in an emergency situation …… Obviously Biodiversity is essential and it’s wonderful to see all the big mammals come back in ever increasing numbers but when governments decide to protect a big fish , knowing the potential repercussions , the least they can do is issue resources to those effected by the rising numbers of the protected big fish … ?
JB I’m assuming you’re using the phrase “the least they can do” in jest.
You’d be hard pressed to find a more self-centered, crooked bunch of fuckwits than our politicians, across all parties.
That’s awesome Misha.
We’re working on getting some kits out to some of the higher risk beaches, be keen to hear how you guys went about it, particularly the thieving aspect you guys might see more than we would at places like Lefty’s where there aren’t many people about who aren’t using the ocean…
I’m keen to get some version of this going in my neighbourhood. Without giving any locations etc away, who can I get in touch with to find out what you’re using and how to get hold of a few kits? It’s only a matter of time before someone gets nibbled where I am.
damn, that’s heavy, and very cool that he is spreading that knowledge.
No phone redemption is the worst but
https://youtu.be/kOFu6b3w6c0