1. Tactical Medical Solutions Inc.
SOFTT-W Training Guide
BECAUSE YOUR EQUIPMENT SHOULDN’T BE A COMPROMISE.

2. SOF TACTICAL TOURNIQUET- WIDE
THE SOF TACTICAL TOURNIQUET WIDE IS THE BEST TOURNIQUET ON THE MARKET TODAY. NOW WITH A WIDER CONSTRICTING BAND AND QUICK RELEASE BUCKLE, THE SOFTT-W IS MUCH FASTER AND 25% LIGHTER THAN ITS PREDECESSOR.
THE QUICK RELEASE BUCKLE ELIMINATES THE NEED TO EVER UNTHREAD AND RETHREAD THE CONSTRICTING BAND.
THE SOFTT-W HAS THE SAME SOLID CONSTRUCTION AS THE GENERATION II, NOW IN A SMALLER, LIGHTER, FASTER PACKAGE.
PART# SOFTT-W

3. SOF TACTICAL TOURNIQUET- WIDE
MATERIAL IS PROVIDED FOR TRAINING PURPOSES ONLY. WHEN USING ANY MEDICAL DEVICE OR PERFORMING A LIFE SAVING PROCEDURE SUCH AS APPLYING A TOURNIQUET, UNIT STANDARD OPERATING PROCEDURES SHOULD BE FOLLOWED. PROPER TRAINING SHOULD BE CONDUCTED WHEN A DEVICE SUCH AS A TOURNIQUET IS ISSUED. EFFECTIVE TRAINING ALONG WITH QUALITY EQUIPMENT WILL GREATLY INCREASE SURVIVABILITY OF THE TACTICAL PROFESSIONAL.

4. Anatomy of the SOF Tactical Tourniquet
TRI-RING
WINLASS
BASE
QUICK ATTACH BUCKLE
CONSTRICTING BAND

5. The Man, The Myth, The Legend
Applying a tourniquet will result in the loss of the limb it is applied to. (FALSE)
Fact
There is not an established ‘SAFE’ amount of time to leave a tourniquet in place. Factors specific to each patient would dictate this period of time
Cases exist of patients in the US and abroad in which a tourniquet has remained in place for 4 hours or more without permanent damage being caused
Tourniquets are the fastest, easiest, most effective way to stop arterial and major venous bleeding of an extremity

6. Carry and Deployment
Your SOF Tactical Tourniquet should be quickly and easily accessible with either hand
Stow in ‘Ready’ status
Do not stow with rubber bands around the TQ
Buckle should be cliped and sized out to fit your leg
Your wound, your tourniquet
Utilize your patients tourniquet first
If not- your patient leaves with your tourniquet and theirs

7. Recognize The Need Error on the side of caution
Remember, you’re not going to lose a limb by putting a tourniquet on yourself or another
You might lose a life if you don’t
Closed fracture application
Blood belongs in the circulatory system, in the body isn’t good enough
Remember Point One- Error on the side of caution

8. Tourniquet Placement-Post Placement
Place tourniquet as high as possible on the affected limb
Arteries can retract when an injury occurs
Tourniquet placed only inches above a wound may not occlude bleeding
When possible, tourniquet should be in direct contact with skin, not over clothing
Monitor the TQ to ensure that it remains effectively in place

9. Is Your Application Effective?
An effective application will result in a stoppage of blood flow and…
Absence of the distal pulse

10. LETS PUT IT ON!!

11. SOF TACTICAL TOURNIQUET- WIDE
BEGIN BY RELEASING THE QUICK DISCONNECT BUCKLE. ROUTE THE CONSTRICTING BAND AROUND THE INJURED LIMB AS PICTURED BELOW, AND RECONNECT THE BUCKLE. 1
REFER TO YOUR UNIT SOP FOR TOURNIQUET PLACEMENT AND POSITIONING. AS PICTURED, TOURNIQUET IS PLACED HIGH ON THE LEG REGARDLESS OF WHERE THE BLEED IS LOCATED. 2

12. SOF TACTICAL TOURNIQUET- WIDE
REMOVE SLACK BY PULLING ON THE LOOSE END OF THE CONSTRICTING BAND. REMOVING AS MUCH SLACK AS POSSIBLE AT THIS STAGE OF THE APPLICATION WILL INCREASE EFFICACY WHEN WINDLESS IS TURNED. 3
TURN WINDLESS UNTIL BLEEDING STOPS COMPLETELY. WOUND MAY CONTINUE TO SEEP BUT THERE SHOULD BE NO ACTIVE BLOOD FLOW. STOW END OF HANDLE IN THE TRI-RING. 4

13. SOF TACTICAL TOURNIQUET- WIDE
ANNOTATE TIME IN ACCORDANCE WITH UNIT SOP. CASES OF TOURNIQUETS BEING IN PLACE IN EXCESS OF 5 HOURS HAVE BEEN NOTED WITH THE PATIENT EXHIBITING NO PERMANENT LOSS OF FEELING OR
DEATH OF TISSUE. 5
WINDLESS PROPERLY STOWED IN TRI-RING ONCE BLEEDING IS CONTROLLED.
THE USE OF A TOURNIQUET SHOULD BE CONSIDERED AS A PRIMARY MEANS OF STOPPING SEVERE BLEEDING IN AN EXTREMITY.

14. SOF TACTICAL TOURNIQUET- WIDE
ONE HANDED APPLICATION
OPTIMAL ONE HANDED APPLICATION SHOULD BE PERFORMED IN ONE OF THREE WAYS. THESE THREE TECHNIQUES REPRESENT REAL WORLD ONE HANDED TOURNIQUET APPLICATIONS AND HOW THEY ARE ACHIEVED OUTSIDE OF THE CLASSROOM.
USING CHEEK TO IMMOBILIZE TQ WHILE SLACK IS REMOVED.
LYING DOWN WITH INJURED SIDE PRESSED AGAINST THE GROUND.
LEANING AGAINST A STRUCTURE OF ANY KIND. IE. BUILDING OR TREE.
NOTE: WHILE TRAINING ON ONE HANDED TOURNIQUET APPLICATION SHOULD BE CONDUCTED, KEEP IN MIND THAT ONE HANDED APPLICATIONS ACCOUNT FOR LESS THAN 1% OF ALL REAL WORLD TOURNIQUET USES.

15. SOF TACTICAL TOURNIQUET- WIDE
APPLICATION- SINGLE SLIDE
THE SOFTT-W IS APPLIED THE SAME WAY WHETHER IT BE ON AN ARM OR LEG. REMOVE AS MUCH SLACK AS POSSIBLE BEFORE BEGINNING TO TWIST THE WINDLESS. TWIST WINDLESS UNTIL HEMORRHAGE IS CONTROLLED, AND STOW THE HANDLE INSIDE OF THE TRI-RING AS PICTURED.