Tourniquets have been a part of medical kits carried by field medics for centuries now, but wars change and so do the types of injuries suffered by soldiers. 
Powerful bombs have become a common way to attack armies, often leading to severe injuries of the lower anatomy that traditional tourniquets cannot address.
North American Rescue of Greer, SC just received FDA clearance for the JETT Junctional Emergency Treatment Tool that is designed to control acute bleeding in the groin and inguinal region. Applied like a belt, the device includes two pressure pads that can be positioned directly on the wound site and tightened to occlude blood flow from both or either of the lower limbs. Here’s a video released by the company demonstrating the functionality and features of the JETT:
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The JETT provides two pressure pads in a single device with the ability to treat both unilateral and bilateral injuries, thereby stopping blood flow to the lower extremities without impeding respiration. It is configured for easy, rapid deployment and comes pre-assembled and ready for use in a compact, vacuum-sealed pouch. Additionally, the JETT is designed to allow for patient movement without dislodging or reducing pressure, enabling it to be effectively utilized in the prehospital environment.
Another key advantage is that the JETT is a mechanical device rather than a pneumatic or air inflated device, which means that it maintains steady pressure on the injury regardless of atmospheric pressure changes, and is rugged enough to withstand the rigors of austere environments without fear of puncture or damage to an air bladder.
Product page: JETT Junctional Emergency Treatment Tool…
Press release: NORTH AMERICAN RESCUE RELEASES JUNCTIONAL EMERGENCY TREATMENT TOOL