When you should use a TQ or Wound Pack??

I get the question all the time about when someone should use a tourniquet or wound pack a wound. The simple answer is that you put a tourniquet on major bleeding in the arm or the leg. We normally would pack hips and shoulders that have major bleeding that you can’t get a TQ up high enough. Also, if you are a LONG TIME from getting to a trauma center you may want to consider would packing the injury and down grading the tourniquet. The tourniquets used in this video is the North American Rescue C-A-T TQ and the new SOFT-T Wide by Tac Med Solutions. (Both available at the Skinny Medic Store)

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Comment (62)

  1. So this is no problem for utube but Patron is blocking it? What's up with that? I wondered if it was an actual video of a major wound which could bother a sensitive person … maybe. It is not. Nor do you discuss firearm or knife wounds.
    I guess "they" don't have to explain … but I sure would like to hear WHY.
    Keep up the good work. We appreciate what you do.

  2. Ok quick question I've thought about your videos a lot and you always say this will help save there life until you get them to medical attention. What if this is a work disaster and there is no medical attention? What do you do then how can we safely stop and make sure it heals/ doesn't get infected?

  3. How much of an idiot would I be if I put a tourniquet on a wound that wasn't worthy of a tourniquet? I dont live remote. Ambulance response time would be pretty quick.

  4. Would you consider wound packing an invasive procedure which in turn if a lamen person did some wound packing they could potentially be liable for whatever reason?? If not can you provide me some facts where it states it is a non invasive procedure?

  5. I THINK you have overstated the idea that the tourniquet should be put "as high as you can get it." Am I correct that what you meant to say is put the tourniquet 2-3 inches above the bleeding injury, UP TO the point that the tourniquet is as high as you can get it? Thanks for the clarification.

  6. I'm no expert,but i was told to place the tourniquet 2 to 3" above the wound site.Then if you need to you can apply a second tourniquet above the first tourniquet.

  7. is everything the same for bi-lateral deep vein thrombosis people with an INR (clotting factor time) of 2-3 that are on sodium warfarin?
    or would wound packing pressure have to be held for 2 – 3 times as long (11-12 minutes vs. the 3)?
    any other tips for people on anti-coagulants?
    wasn't going to ask but i figure if im wondering i bet there are a few others that are.

  8. Not suitable? That's crazy! On another note, I have a request or perhaps maybe an idea for your next video, if your interested. I've been trying to come up with a cargo pocket sized ALoK sack bleeding control kit. Now, what I'm thinking is something that would be ideal for someone with very minimal medical training, and also not include any hemostatic agent. I'm thinking this way because my wife and I have two 5 year old twin boys. She's needs something she could carry in the event one of them feel or got hurt where there was a some what major injury. I like the idea of the 5×9 and 4×4 and cling but I would really like to here your thoughts on it.

  9. SM, you should do a review of the CoAg Stops Bleeding hemostatic powder. I saw it at Walmart for $5. It's like a cost effective version of the original Quikclot powder but they say it's plant based so it might not last as long as minerals.

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