f. Twist the windlass rod until the arterial bleeding has stopped (figure 5-6 E).
Darker bleeding from the veins may continue for a while.
g. Lock the rod in place with the windlass clip (figure 5-6 F).
(1) For added security (and always before moving a casualty) secure the
windlass rod with the windlass strap.
(2) For small extremities, also secure the Self-Adhering Band under the
h. For small extremities, continue to wind the Self-Adhering Band around the
extremity and over the windlass rod (figure 5-6 G).
i. Grasp the windlass strap, pull it tight, and adhere it to the Velcro on the
windlass clip (figure 5-6 H). The CAT is now ready for transport (figure 5-6 I).
j. Check for a pulse below the tourniquet. If the tourniquet is functioning
properly, there will be no pulse and arterial bleeding (spurting bright red blood) will have
ceased. Darker blood may still be seeping from the veins and should be ignored.
A. Wrapping the Self-Adhering Band
B. CAT applied to a complete amputation.
buckle to prevent the Self-Adhering
Band from loosening during
The friction adaptor buckle is not necessary for proper CAT application to an
arm. It MUST be used with two hands when applied to a leg.
Figure 5-7. Applying the Combat Application Tourniquet to the thigh.
(large extremity application).