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


Last Updated: 4/24/2025 11:33:06 AM

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.
For information regarding operation in high threat environments, see guidance by the Committee for Tactical Emergency Casualty Care (C-TECC), at https://www.c-tecc.org

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