A constricting band placed around an extremity to stop arterial bleeding
Tourniquet A constricting band placed around an extremity to stop arterial bleeding Only used on an arm, forearm, thigh, or leg
Tourniquet Used when there is no time to control bleeding Used on an amputation of the arm, forearm, thigh, or leg
Applying a Combat Application Tourniquet (CAT)
Applying a CAT
Marking the Casualty T
Dressing an Amputation
Place a dressing (soft/absorbent) over the end of the stump Secure the dressing with bandages
Dressing an Amputation Prevents contamination Protects from additional injury
Applying an Improvised Tourniquet
Gather materials Applying an Improvised Tourniquet
Rigid object (windlass) such as a strong stick Applying an Improvised Tourniquet
Rigid object (windlass) such as a strong stick Tourniquet band (cravat) at least two inches wide Applying an Improvised Tourniquet
Rigid object (windlass) such as a strong stick Tourniquet band (cravat) at least two inches wide Securing material (cravat) Applying an Improvised Tourniquet
Twist windlass until bright red bleeding has stopped Wrap second cravat around limb Applying an Improvised Tourniquet
Wrap tails around end of windlass so the tourniquet will not unwind Tie tails in a non-slip knot Applying an Improvised Tourniquet
Ranger Ratchet Tourniquet
The Special Operations Forces Tactical Tourniquet (SOFT)
Are any of the pre-fabbed tourniquets available outside the military?
Have you ever used a blood BP cuff as a tourniquet?
Slow the bleeding first with point pressure or tourniquet, depending on the location of the insult Wound Packing
Pack and pack and pack until there is no more room, filling all the voids you can Wound Packing
Using a gauze with a blood stopping agent will make the pack more effective Wound Packing
Using a gauze with a blood stopping agent will make the pack more effective Check and recheck during transport or with movement Wound Packing
Wound packing with a clotting agent can be helpful Wound Packing
Summing It All Up
NREMT skill change
Summing It All Up NREMT skill change Civilian accessible hemostatic agents
Summing It All Up Techniques and equipment used in management of major bleeding
Are the blood clotting agents better for a trauma surgeon or emergency room doctor than they used to be – no more concrete clots?
Will the clotting agents help control femoral artery bleed?
Have the heat effects of some clotting agents improved?
Is there any push-back from surgeons?
Do these clotting agents have FDA (Food and Drug Administration) approval?
Can you put Celox™ in the wound, bandage it, and release the patient?
Clinically Related Operations: Bleeding If you have any questions about the program you have just watched, you may call us at: (800) or fax (806) Direct your inquiries to Customer Service. Be sure to include the program number, title and speaker. EMS 80810
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