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Rapid Application Tourniquet System (RATS) TQ

Discussion in 'Military/Tactical/Wilderness EMS' started by InNoViSiOn, Jan 27, 2015.

  1. InNoViSiOn

    InNoViSiOn Forum Crew Member

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    http://ratstourniquet.com/

    I put this thread under the military subforum because it is currently still being evaluated by the committee on tactical combat casualty care. I did a search on this forum and did not find a thread talking about this relatively new tourniquet system. If this subject is relating to other EMS subforums MODS please move it.

    Here's a video from a squared away man with a good youtube channel -

    I finally got around to ordering one last week and hopefully will receive it soon to get some hands on practice with it myself. The longevity of this tourniquet seems like it would be superior to the SOFTT, SWAT, and CAT tourniquets. The TK4 FYI is no longer praised by CoTCCC and has been phased out for some time now (Although I still carry one on my person EDC because of how compact and light it is).

    I won't note the common concerns that many people have had with this tourniquet because I would like a good thread discussion on this TQ here on this forum.

    What do you think?
     
    irishboxer384 likes this.
  2. irishboxer384

    irishboxer384 Forum Captain

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    Looks interesting, the thing I like about the CAT-style TQ though is it is very simple. I'm not saying this device isn't, but for something that could be mass produced for the military then it should have as little things to do as possible.
    CAT-style can also be applied with one hand, and it doesnt seem that is possible with this design. I had a colleague apply 3 himself with one hand with a CAT.

    On the flip side, this device has a slimmer width, meaning more pressure meaning should stop a bleed more efficiently...in theory i guess.
     
  3. InNoViSiOn

    InNoViSiOn Forum Crew Member

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    I carry CATs on the outside of my IFAK because they are indeed easy to manipulate one handed. I have SOFT-T as well but they are not as easy one handed so they are for mainly for others. There are some videos and other people stating that this can be done one handed but it doesnt seem nearly as easy as the CAT. Ill have to practice with this one handed myself to get an opinion. But one handed manipulations have been the major concern people have had with this particular tourniquet.
     
    irishboxer384 likes this.
  4. redundantbassist

    redundantbassist Nefarious Dude

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    Looks good in theory, but would be bad in application. As you can see from the video, skinnymedic had to use a lot of fine motor skills to apply this TQ. That's bad when your patient is screaming and kicking, and even worse when YOU are the patient.
     
    COmedic17 and OhItzJimmy like this.
  5. InNoViSiOn

    InNoViSiOn Forum Crew Member

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    Good point and I agree it looks like it does require more finesse and dexterity.
     
  6. BrodyL4513

    BrodyL4513 Forum Ride Along

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    I am about to graduate 68w school and obviously we are taught with the CAT. with that being said, we got to try out the RATS for a few days and to be honest, I like the cat better. I think it is faster to apply. My avg tq time on the x was about 25 seconds (I understand this is probably slow for all of you) but with the RATS, it actually took me longer. It could just be me but I like the CAT better
     
  7. DRock249

    DRock249 Forum Ride Along

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    Just came across this thread. Does anyone have any real-world experience with this device? I would be concerned about the narrow width causing undue pressure necrosis for extended applications.
     
    CaitlinBelinda and Luno like this.
  8. wilderness911

    wilderness911 paramedic student

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    Negative on real world experience with the rats, because I passed it over for the softt and cat for exactly the reason you mentioned. I assume it would also hurt like hell for the patient. I only use tqs with a windlass as I prefer the ease of application and satisfaction of cranking the windlass down until the bleeding stops - it's like turning off a faucet. Most of the time I have actually applied tourniquets in the field, I have ended up improvising out of a cravat and a stick or other rigid windlass substitute. Never had an issue with it.

    My least favorite is the swat-t, which is nothing more than a glorified and overpriced elastic bandage in my opinion. Takes forever to apply and is absolutely inferior to the cravat/stick across the board. There's my two cents.
     
  9. Vikus

    Vikus Forum Ride Along

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    Careful where you buy the RATS, lots of counterfeits online that look pretty similar.
     
  10. CaitlinBelinda

    CaitlinBelinda Forum Crew Member

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    Just an EMT basic, but what are some of the potential problems that come using a tourniquet that is less then 3 or 4 inches wide?
    In class we learned some types of materials found on Ambulances that we could use, and they always made it a big deal to use something thicker, or else the patients arm may potentially be cut.
     
  11. MackTheKnife

    MackTheKnife RN, EMT-P

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    I agree, from the video, that the RAT apparently takes a lot of fine motor skills and the band is pretty narrow. In real world, I've used the CAT and MET TQs. I personally prefer the MET, as it is truly one-handed like the CAT. The MET has an aluminum rectangular block for the windlass. Not sure if they're still around as I mostly see CAT TQs.
     
  12. Gurby

    Gurby Forum Asst. Chief

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    I don't think this is something you should worry about. If a patient has severed a major artery, they have already lost a lot of blood by the time you get there - just stop the bleeding ASAP. If you don't have something like the CAT, I would use a blood pressure cuff rather than improvise something with cravats.
     
  13. Vikus

    Vikus Forum Ride Along

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    I don't think the issue is patients being cut. I don't know what the technical term for it is, but it's basically getting much heavier tissue damage at the point at which the tourniquet is applied. Also, it's more effective using something wider (or in the case of RATS, which I don't necessarily agree with, using a wider area).
     
    CaitlinBelinda likes this.
  14. Daniel G

    Daniel G Forum Crew Member

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    Self app of a tourny is extremely painful. This is design is good but for effective self application, it needs a better cranking/cinching system like a CAT
     
    MackTheKnife likes this.
  15. Nick Gawriluk

    Nick Gawriluk Forum Probie Premium Member

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    There are so many tourniquets out in the market now and I still feel that the original designs like the CAT and SOFT are still the best. Personal opinion.
     
    MackTheKnife likes this.

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