UNCONTROLLED WHEN PRINTED
Indications
  • Control life threatening limb haemorrhage that cannot be controlled by direct pressure.
Contraindications
Contraindications
Patient Factors & Considerations
Factors
Procedure
  • All relevant infection control methods are to be utilised.
  • Remove C-A-T® from sealed package.

  • Slip the C-A-T® device under the affected extremity and feed the self adhering band through the friction adapter buckle.
  • Position the C-A-T® device above the site of the uncontrolled haemorrhage leaving at least 5cm of uninjured skin between the C-A-T® and the wound site. Apply directly to skin surface and not over clothing if possible.
  • Pull the free running end of the self-adhering band tight.
  • Securely fasten self adhering band back onto itself.
  • Twist the windlass rod until the bleeding is controlled[1]. The tourniquet should be tight enough to stop all circulation to the injured limb and control the bleeding (ARC 2014).
  • Lock the rod in place with the windlass clip and secure the windlass rod with the windlass strap[2].
  • Record the date and time the tourniquet was applied and record it on the space provided on the tourniquet.
  • After 1 hour of application consider a trial of tourniquet conversion. Apply direct pressure over the site of injury and slowly release the tourniquet. As soon as it is noticed that the haemorrhage is still uncontrolled, re-apply the tourniquet, tighten as above and do not remove again.
  • Handover at hospital must include tourniquet location and application time. Do not cover with bandages or clothing.
  1. CAT1
  2. Cat2
Success
  • The tourniquet should be tight enough to stop all circulation to the injured limb and control the bleeding (ARC 2014).
Discontinue
Discontinue
Additional Information
Additional information

References
References

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Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Published Date

Review Date

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