The Combat Ready Clamp is the third FDA-approved commercial junctional tourniquet we’ll highlight. It is designed to provide direct pressure over junctional wounds or pressure points with a pressure disc. Although there has been a little more research and a few more case reports of its use in axillary junctional bleeds, the design of the device, with the arm extended away from the casualty’s body, makes its use in upper extremity injuries more challenging. The same design consideration also creates a challenge in maintaining pressure disc location during casualty movements. Also, the steps to set up the CRoC are slightly more involved than the other junctional tourniquets, and users should train and refresh themselves on proper application before and during deployments.

Like the SAM junctional splint target compression device, the pressure disc 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 the femoral pulse is not palpable. And for axillary junction hemorrhage, the pressure disc should be applied just below the clavicle next to the shoulder.

Once positioned properly, rotate the handle to tighten the pressure disc on the injured side until bleeding has stopped and a distal pulse is no longer palpable. Monitor for hemorrhage control and adjust the device as necessary, especially after any casualty movement. To treat additional junctional injuries, a second CRoC device would be used following the same procedure.