A deliberate tourniquet placed in TFC should be 2-3 inches above (proximal) to the site of bleeding.
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.
3 minutes.
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.
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.
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