Answers

What is the proper distance a deliberate tourniquet should be placed from the bleeding site in TFC?

A deliberate tourniquet placed in TFC 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 tourniquets placed in TFC are placed more deliberately after uniform/clothing has 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 bandage should not be a tourniquet. It is important to check to ensure a pulse is still present distally after bleeding has been controlled by application of a pressure bandage. If no pulse is present the pressure bandage 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 gauze 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 thorax, pleural cavity, mediastinum, abdomen, retroperitoneal space, sacral space, above the inguinal ligament, and tissues above the clavicle