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SEL Number: 09MS-04-TNQT
Title: Tourniquet


Last Updated: 11/30/2023 2:10:26 PM

Previous SEL Number: 09MS-04-TNQT

Description: Device utilized to quickly manage significant extremity and junctional bleeding, including crushed, entrapped, and amputated/partially amputated limbs.

ImportantFeatures: Tourniquet should be constructed of a durable material, and should be long enough to circumferentially fit around limbs of the majority of the civilian adult population.

The windlass should be extremely durable and should have a large enough locking mechanism that it can be easily secured while wearing various levels of PPE.

Operating Considerations: There is currently limited data to support the use of tourniquets on small children or infants.

Tourniquet use must always be in accordance with departmental/agency protocols.

If a tourniquet was placed prior to decontamination in a contaminated environment, it should remain on the patient through the decon process, and then replaced.

Training Requirements: Core Training: ASTM F1031-22, NFPA
National Fire Protection Association
450, NFPA
National Fire Protection Association
470 (within medical scope of practice, departmental/agency protocols, and medical director approval).
Initial Training: Minimal (<1 day)
Sustainment Training: Minimal (<1 day) per certification cycle

Mandatory Standards:

Applicable Standards and References:


MSSL:
  • Maritime
  • Preventive Rad/Nuc Detection
  • Law Enforcement: SWAT/Tactical Team
  • Basic Life Support
  • Tactical Emergency Casualty Care
  • Medical Disaster Stockpile
  • REL: Full Canadian Recommended Equipment List
  • REL: LOS-1, Multi-Agency Intervention
  • REL: LOS-5, Emergency Washdown