(2) A person whose arm or leg has been amputated may not be bleeding
when first discovered, but a tourniquet should be applied anyway. This absence of
bleeding is due to the body's normal defenses (contraction and clotting of blood
vessels) as a result of the amputation. However, bleeding will start when the blood
vessels relax or if the clot is knocked loose by moving the casualty.
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5-8. APPLYING A COMBAT APPLICATION TOURNIQUET
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A Combat Application Tourniquet (figure 5-5) is the tourniquet of choice. The
Combat Application Tourniquet (CAT) is effective and can be applied quickly.
Procedures for applying the CAT are given below.
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Figure 5-5. The Combat Application Tourniquet.
a. Remove the CAT from the casualty's first aid kit.
b. Remove the CAT from its pouch.
The CAT is packaged in its one-handed configuration.
c. Slide the wounded extremity through the loop of the Self-Adhering Band
(figure 5-6 A).
d. Position the CAT (figure 5-6 B) two inches above the wound.
If the wound is below the knee or elbow, initially position the tourniquet
band two inches above the wound. If a tourniquet applied below the
knee or elbow is not successful at stopping the bleeding, apply a second
tourniquet two inches above the joint (knee or elbow). Do not remove
the first tourniquet until the second tourniquet has been applied.
Do notSV uu a tourniquet over a joint (knee or elbow).