The Junctional Emergency Treatment Tool (JETT) is another of the three CoTCCC-recommended junctional tourniquets.

Similar to the SAM, it is designed to provide pelvic compression (with the circumferential belt) as well as direct pressure over inguinal junctional wounds with the junctional pressure pads.

The junctional pressure pads should be positioned over the femoral pulse just below the inguinal ligament or just below the midpoint of the imaginary line between the anterior superior iliac spine and pubic tubercle, if femoral pulse is not palpable.

Adjust the two junctional pressure pads on the straps to position them in the area over the femoral pulse just below the inguinal ligament. Angle the junctional pressure pads so that their long axis is lined up with (parallel to) the inguinal canal or gutter (the distal part of the pad will be pointed somewhat laterally at approximately a 30-degree angle).

Once the pads are appropriately positioned, the belt is buckled and all slack should be removed from the belt before tightening the threaded T handle on the injured side until bleeding has stopped and distal pulse is no longer palpable.