Tourniquets - Back in Fashion

Really wish i had the SAM Junctional tourniquet. Doubles as a traditional pelvic binder as well as useful for device related bleeds (i.e IABP) which makes it more attractive. Holding direct pressure on a junctional injury is not ideal when you only have two providers and a lot of other interventions to do.
 
Love them and use them quite often as the area I work in we tend to get a ton of calls where a tourniquet definitely comes in handy. I’ve used both the MAT and SWAT-T and many others. SWAT-T tends to be more convenient in regards to time.
 
In my entire career, I've used them twice, I think. I agree with DesertMedic66 that direct pressure works better when applied correctly. However, if they are used for tactical medicine, their utility is proven, but if the purpose is another, then I won't recommend using them. They are not clothes to be worn as a fashion element, and someone can harm himself if the tourniquet is used wrong. I think that they are made only for tactical medicine. Thank you for sharing the video, I enjoyed watching it, and I found it very informative.
 
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StephenLewisreuw said:
In my entire career, I've used them twice, I think. I agree with DesertMedic66 that direct pressure works better when applied correctly. However, if they are used for tactical medicine, their utility is proven, but if the purpose is another, then I won't recommend using them
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Going to have to strongly disagree with you. In my career I have used tourniquets numerous times, in a non-tactical environment, that would have been difficult or impossible to control by other means. That mentality creates preventable deaths.
 
VFlutter said:
Going to have to strongly disagree with you. In my career I have used tourniquets numerous times, in a non-tactical environment, that would have been difficult or impossible to control by other means. That mentality creates preventable deaths.
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Could not agree more!
Im a emt in Portugal and in my 9 years of experience i've used CAT multiple times!! Im several dozen miles of an hospital on a rural area where many accidents with heavy machinery happen and CAT is 1st option!!! Theres not many things that can replace it in this environment and its not tactical at all, just bloody, thats all
 
There is no difference between “tactical “ bleed outs and “civilian” bleed outs. Both are preventable.
 
VFlutter said:
Going to have to strongly disagree with you. In my career I have used tourniquets numerous times, in a non-tactical environment, that would have been difficult or impossible to control by other means. That mentality creates preventable deaths.
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Couldn't agree more. From another reply, if DP and a compression bandage works, great. But there are times where a TQ is what's required. Yes, I have used them. They work.
 
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