Control life threatening limb haemorrhage that cannot be controlled by direct pressure.
Patient Factors & Considerations
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
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. 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.
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.
The tourniquet should be tight enough to stop all circulation to the injured limb and control the bleeding (ARC 2014).