Monday, July 18, 2005

The Special Operations Forces Tactical Tourniquet

Filed under: Emergency Medicine , Military Medicine

DefendAmerica reports on the new one-hand operation tourniquet:

The Special Operations Forces Tactical Tourniquet is the Army's newest medical device designed to help save lives and is being issued to all soldiers serving in Iraq and Afghanistan.

Designed for one-handed application, the tourniquet allows a soldier to apply the tourniquet to himself if needed and replaces the Army's field-expedient method, where a soldier would use a bandage and a stick to stop blood flow from a wound...

Working on the same principals as all tourniquets, "(The Special Operations Forces Tactical Tourniquet) is used to stop the bleeding from an extremity and to prevent shock," said Staff Sgt. Thomas J. Brennan, post-deployment health assessment team noncommissioned officer-in-charge, Multinational Corps-Iraq Surgeon Cell.

The tourniquet has two latches used to secure the metal handle. While only one latch is required for the tourniquet to be effective, the extra latch provides extra securing ability depending on the handle's position after tightening.

To apply the tourniquet, one slides it over the limb and pulls the tail quickly. Once the slack is removed, they twist the handle until bleeding is controlled and then secure the latch. Finally, the screw on the buckle is tightened to prevent accidental loosening.

The Special Operations Forces Tactical Tourniquet is used as a last resort to treat a wound, Brennan said.

"Try to stop the bleeding with a bandage," Brennan said to a July 4 class of soldiers learning how to use the new tourniquet. "After using a pressure dressing for five minutes, you will know if you need to use a tourniquet. If the bleeding persists, use the tourniquet."

Once the tourniquet has been applied, a pulse needs to be checked on either the hand or foot where the injury is. "No pulse means the tourniquet is working," Brennan said.

After the tourniquet is in place, three rules apply: "Never loosen it, never take it off and don't cover it up," Brennan said.

Any ideas if this one is different from the Combat Application Tourniquet?

FLASHBACKS: SAM Pelvic Sling.

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replies: 6 comments
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This tourniquet is alot stronger than the CAT. I've used the SOFTT a coupple of times and have had great luck. The price is really reasonable as well. I think my unit payed around $20. I dont like the Idea of trusting my life to velcro and a little plastic stick. The SOFTT just seems alot more reliable to me. Justin 18D NREMT-P


Posted by: Justin
on July 18, 2005 04:58 PM GMT

I have used both this device and the "Combat Application Tourniquet" (CAT).

They will both stop life threatening arterial bleeding from an extremity (which is more than can be said for many of the "one-handed" tourniquets currently on the market.)

My personal preference is for the CAT; because it is a smaller, lighter, more streamlined (no bulky/protruding spring-buckle with screw) and therefore more easily carried by each operator (soldier) in an immediately accessible location. (No, I don't have any commercial interest in the CAT. Only an interest in seeing that our guys and gals get the best tools available to help them do the job in the safest way possible.)


Posted by: SOF Medic
on July 19, 2005 01:14 PM GMT

The information in this article concerning when to apply a tourniquet, and what to do after applying the tourniquet, is NOT in keeping with the current practices within the Special Operations community.

Our SOPS are derived from the principles articulated by Butler in the document "Tactical Combat Casualty Care in Special Operations"

For more information on this topic see the "Care Under Fire" section of:
http://www.specialoperations.com/Navy/SEALs/SEAL_Medicine.htm

or you can download the source document from:
http://www.hhdarh.dk/hhd/aktiviteter/san/pdffiler/TCCC_Special_Operations.pdf


Posted by: SOF Medic / Instructor
on July 19, 2005 01:18 PM GMT

We have both tourniquets in our aid station. Some guys do like the CAT because its a little more compact, but we have had two break on us. I wont carry it anymore.


Posted by: SSG Wiggins
on July 20, 2005 05:56 PM GMT

I'm currently on my 4th tour with the 3rd Special Forces Group, and we have been using this tourniquet, since my second rotation. I have personally seen this tourniquet in action, and I have to say it is the best one on the market. My team has taken them and, using velcro, have secured them throughout our vehicle within easy reach no matter where you are.
We tested the CAT and continually had problems with the windlass breaking.

just my .02

Bergheil


Posted by: loren
on July 21, 2005 03:58 AM GMT

Thanks for the info re the windlass breaking on the CAT.
Consider my opinion modified, I'll make room for the SOFTT...
Even though the screw does eat holes in my vest. :-)


Posted by: SOF Medic
on July 22, 2005 12:31 PM GMT