# Answers

### What is the proper distance a deliberate tourniquet should be placed from the bleeding site in Tactical Field Care?

- A deliberate TQ placed in Tactical Field Care should be 2-3 inches above (proximal) to the site of bleeding.

### What are the differences between the high & tight/hasty tourniquets placed in CUF and the deliberate tourniquets placed in TFC?

- The tourniquets placed in CUF are typically placed over the uniform/clothing as high up on the extremity as possible as time is very limited and the exact site of bleeding may not have been identified.
- In contrast, the TQs placed in CUF are placed more deliberately after uniform/clothing have been removed and 2-3 inches above the identified site of bleeding.

### How long should direct pressure be applied onto packed hemostatic dressings?

- 3 minutes.

### Why is it important to check the pulse after applying a pressure bandage?

- A pressure dressing should not be a TQ.
- It is important to check to ensure a pulse is still present distally after bleeding has been controlled by application of a pressure dressing.
- If no pulse is present the pressure dressing should be loosened and reapplied.

### What is inguinal junctional hemorrhage and how is it treated?

- Inguinal junctional hemorrhage is bleeding from the large blood vessels at the junction where the lower extremities join the torso.
- Injuries to these junctional areas are typically not amenable to a limb tourniquet and require other intervention.
- If available a CoTCCC-recommended junctional tourniquet should be applied.
- If not available, the wound should be packed with hemostatic dressing and direct pressure applied to the wound.
- Application of an improvised pressure delivery device may be needed to apply additional, targeted, and sustained pressure to control hemorrhage.

### Injectable hemostatic agent is contraindicated in which types of wounds?

- This device is not indicated for use in chest or abdominal cavity wounds.