How to use tourniquet ENG

Hello, today we will talk about tourniquets. More precisely, how to give yourself self-help in the case of a gunshot wound to the upper and lower limbs.

At the beginning we will discuss why it is worth having 2 TQ and where it is best to place it:

The first TQ should be in a place where we are able to reach with two hands. In this case, the middle of the chest. Why, you ask? It's about ease of access for gunshot wounds, regardless of whether it is the upper or lower limb. In the case of a gunshot wound, it is easier for us to control the insertion of TQ.

As of today, there are two options for applying a tourniquet in the Care Under Fire phase: it is recommended that the TQ be worn as high as possible and as tightly as possible on the  limb, directly on the victim's uniform/clothing. In other situations, it is recommended to put the TQ 5-7.5 cm above the wound. Why? At the time of the explosion or shelling, the main gunshot wound may not be the only one the wounded person received, micro shrapnel may have pierced the clothing, which could cause internal bleeding over the source of the main wound.  In the same way, the bullet could bounce off the bone and cause other injuries.

How to prepare TQ for use? :

One of the things that the user must do after receiving IFAK is to remove the protective film from the cable tie to check that the TQ is properly folded and will avoid wasting time saving the user's life in the future . Below we will present how to clarify TQ in this case training. 

Putting TQ on the lower limb. 

We grab the TQ from the chest and shake it forward with a sweeping movement. 

As a result, the TQ will open to its maximum length. Then we unzip the TQ and translate under the knee due to the anatomical space, we will save a lot of time. With a dynamic movement of our hands, we pull up as high as possible, avoiding the pockets. 

It should be checked that nothing hinders us from tightening the TQ to the upper part of the thigh. 

We tighten the TQ as tightly as possible and proceed to the use of the stock.

Then we lock the restraint in the ratchet.

The belt, after checking the strap whether it sticks to Velcro, fasten the strap with the time.

If the strap is too long, it should be tied behind the crust.

If you are a lifeguard, remember to write down the time on the TQ or the letter T and the time on the forehead.

Remember, with a femoral artery wound you have a maximum of 40s to provide self-help, so it is important to practice putting on TQ within 15-30s. It is worth remembering that soldiers wear tactical vests (bulletproof), helmets, which does not make it easier to save lives. Therefore, the harder the training is, the best chance you have to save your own life. During the exercises, avoid movements with the limb, which we dress, due to the nature of the injury, if the bone is shattered , we are not able to move the limb.

Remember also that with gunshot wounds you have to assume the worst scenario, such as arterial injury, due to the fact that in the rush of adrenaline we will not be able to rationally determine the type of wound.

If you put on your TQ well and are evacuated within 1 to 2 hours, you have the best chance of preserving your limb.

Putting TQ on the upper limb. 

We grab the TQ from the chest and shake it forward with a sweeping movement. 

As a result, the TQ will open to its maximum length. Then we drag the TQ. With a dynamic movement of our hands, we pull up as high as possible, avoiding the pockets. 

It should be checked that nothing hinders us from pulling the TQ to the upper part of the hand. 

We tighten the TQ as tightly as possible and proceed to the use of the stock.

Then we lock the restraint in the ratchet.

The belt, after checking the strap whether it sticks to Velcro, fasten the strap with the time.

If the strap is too long, it should be tied behind the crust.

If you are a lifeguard, remember to write down the time on the TQ or the letter T and the time on the forehead.

Remember, with arterial wounds you have a maximum of 40s to provide self-help, so it is important to practice putting on TQ in 15-30s. It is worth remembering that soldiers wear tactical vests (bulletproof), helmets, which does not make it easier to save lives. Therefore, the harder the training is, the best chance you have to save your own life. During the exercises, avoid movements with the limb, which we dress, due to the nature of the injury, when shooting through the bone, we are not able to move the limb.

Remember also that with gunshot wounds you have to assume the worst scenario, such as arterial injury, due to the fact that in the rush of adrenaline we will not be able to rationally determine the type of wound.

If you put on your TQ well and are evacuated within 1 to 2 hours, you have the best chance of preserving your limb

Article prepared by Dragon from BOSPOLAND (Brygada Operacyjno Szturmowa Polska)

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