Combat Application Tourniquet

Procedure Guidelines

9.33 COMBAT APPLICATION TOURNIQUET

Severe traumatic extremity injuries with uncontrolled bleeding may sometimes require the application of a tourniquet. The SOF T Tourniquet is designed to provide effective pressure on the injured extremity to occlude arterial bleeding. See PP 6.06 “Extremity Injuries” for indications.

FEATURES:

The SOF T uses a self-adhering band and friction adaptor buckle to fit a wide range of extremity sizes combined with a one-handed windlass system. The windlass system uses a free moving internal band to provide even circumferential pressure to the extremity.

APPLICATION PROCEDURE:

• SOF T
  • Step 1
    • Apply tourniquet proximal to the bleeding site.
    • Route the band around the limb and pass the tip through the inside slit of the buckle.
    • Pull the band tight.
  • Step 2
    • Pass the tip through the outside slit of the buckle.
    • The friction buckle will lock the band in place.
  • Step 3
    • Pull the band very tight and securely fasten the band back on itself.
  • Step 4
    • Twist the rod until bright red bleeding has stopped and the distal pulse is eliminated.
  • Step 5
    • Place the rod inside the clip; locking it in place.
    • Check for bleeding and distal pulse.
      • If bleeding is not controlled, consider additional tightening or applying a second tourniquet proximal side by side to the first and reassess.
  • Step 6
    • Secure the rod inside the clip with the strap.
    • Prepare the patient for transport and reassess.
    • Record the time of application.