Before moving on to the rest of your assessment and treatment plan, always remember to reassess the massive hemorrhage control interventions performed in Tactical Field Care. This reassessment should become second nature as you go through your tactical trauma assessment process, and only takes a few moments. Previously applied tourniquets should be assessed for effectiveness (bleeding has stopped and distal pulses are absent). If the tourniquet is not effective, apply direct pressure and tighten the original tourniquet and/or apply a second tourniquet side-by-side and proximal to the first one.