Tourniquets have proven immensely valuable in saving life and limb. Director of the Level I Trauma Center at Mayo Clinic's campus in Rochester, Minn., Donald Jenkins, M.D., demonstrates how to use a tourniquet properly. He also explains why certain work environments and certain individuals should always have tourniquets readily available.
I just bought a "RATS" brand tourniquet, designed specifically for that purpose. It's not a 1-2" wide tourniquet, but is more 1/3" wide tourniquet with a locking mechanism. Is it a good tourniquet, you think? I've read some comments mentioning tournaments should be 1 -2" wide. So now I'm wondering if this RATS tourniquet was not a good choice? !!!
Doc, the tourniquet should be placed on a singular bone such as the humerus or femur as opposed to the tibia/fibia and ulna/radius. This achieves the best odds of hemostasis as when you have two bones they can compress thus relieving pressure on the artery allowing for continued bleeding. High and tight!
I had to drill down to get to this video because there's a bunch of veterans and doomsday survivalists who have made videos about this topic too, who, I might add, have no idea what they're talking about. Sad.
Why does the twisting part always make me feel nauseated? Like I can watch an acetabular replacement surgery without flinching but the moment anyone induces the idea of something affecting my arms, I just quit.
I am so confused because vascular surgery professor told us not to use this when we want to stop the bleeding but instead to apply digital compression or bandage compression , i don't agree with him but he is the professor.
I suppose it would depend on the situation. If the blood is "oozing" than apply direct pressure to the wound and seek medical help, but if it's "squirting" out than there's a severed artery and a tourniquet will close off the flow of blood long enough to repair the artery.
I'm no professional, just my best guess.
Ahh... To use or not to use...
If that's the question remember this... "All bleeding stops... Eventually" - The Skinny Medic
Worse case... Do you want to show up at your child's graduations/ weddings, etc minus a limb... Or not at all?
I am a Appalachian Trail maintainer, yup axe, Pulaski, crosscut and chain saws. I carry a C-A-T Gen 7 in Orange on my belt.
A SOFTT in a trauma kit along with 2 RATS on the sun visors!
There are very cheap Chinese counterfeits, they break! get the real ones! From North American Rescue or Medical Gear Outfitters.
Doc may be fat but he's right
Wide 1.5 inch Tourniquets are best... Also write the letter "T" on the forehead with the TIME and/or on the Tourniquet with a felt marker pen. And carry the Tourniquet if in a dangerous sport, working with a chainsaw or an axe ! tjl
Yes, i would completely do it the way you mentioned. Your rationale is very practical and seems very efficent. I tend to trust people with experience rather than someone who just researches with a book but has never even taken a manual blood pressure. This doctor seems like he is on point too.
Phillip Meece Numerous studies have shown that there is no difference between "high and tight" and "2-3inches above" when the TQ is applied properly.
The high and tight method is more useful for a different reason though. In a combat situation where you may not have time to expose the entire extremity to look for multiple wounds (shrapnel, entry/exit), and all you see is hemorrhage. Placing the TQ high and tight means you won't miss any secondary injuries above the site of the first one you noticed. Similarly, this method is useful in low light situations for the same reason.
it would work but it is not good! tourniquets should be 2 inches wide. This makes them safe to use and more effective. the problem with rope, shoelaces, yarn etc is that it could end up causing nerve and tissue damage. if a rope is the only thing you have to make an impromptu tourniquet then make sure to do 3-4 side to side lines or until it is 2 inches thick then go back over for a second layer. this would be where you put in a makeshift windlass from a marker, lipgloss tube, branch, etc. before you consider a rope try a cut up shirt, cut up towel, or even a bra. DO NOT USE A ROPE IF YOU CAN AVOID IT.
Yes if you have to you can use a loop of rope and a stick or metal bar, or a any length of material.
But I would only do that if you have no other option, for a number of reasons, 1 there is no locking mechanism for the windlass meaning you need to hold the tension, 2 the rope may fail and snap, 3 the thinness of the rope may cause damage to the skin, and most importantly, it cannot be done easily one handed.
If you have a TQ in your pocket and an injury to your arm, you can get to it quickly and have a TQ on your arm in seconds, a rope may take minutes when you have seconds left of consciousness.
As Phillip said, a tourniquet needs to be very tight, tighter than any hand knot you can tie. A proper tourniquet application will always result in no distal pulse.
However, that said, anything is better than nothing. You can make improvised emergency tourniquets out of even tape if need be. But you do want to avoid materials that can cut into the skin, some ropes included.
yes but you need a stick to make it tight enough. Anything can be a makeshift windlass. Just wind it up till distal pulse goes just like he showed but do it high and tight and secure that thing otherwise your make shift tourniquet will be useless after someone bumps it.
Nice vid by a real doc. No laughing matter! If you carry only one piece of gear on you, let it be a good name-brand TQ, preferably CATS or SOFTT - only these are combat trauma proven. Put the TQ HIGH AND TIGHT! This makes it easier to hit the artery and cut off the blood flow to the extremity.
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