The SAM Junctional Tourniquet is one of the three CoTCCC-recommended junctional tourniquets. It is designed to provide pelvic compression (with the circumferential belt) as well as direct pressure over inguinal junctional wounds with the targeted compression devices (TCDs).
It is important for the combat medic/corpsman to have an understanding of basic junctional anatomy to ensure the TCDs are positioned appropriately to compress the large blood vessels and effectively control bleeding.
For inguinal junctional hemorrhage, the TCDs 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.
Once the TCDs are appropriately positioned, the belt is buckled and all slack is removed from the belt before TCD inflation.