PERFORMANCE CHECKLIST
Section II: APPLY A COMBAT APPLICATION TOURNIQUET TO AN EXTREMITY
Situation: You have decided to apply a Combat Application Tourniquet (CAT) to a
casualty. However, do not tighten the tourniquet all the way. Tell the evaluator what
you would do at that point, then continue as though the tourniquet band were tightened.
Supplies: Combat Application Tourniquet
GO
NO-GO
Opens pouch and removes the CAT.
_____ _____
Slides the wounded extremity through the Self-Adhering Band loop
_____
______
Correctly positions the CAT about two inches above the wound.
_____ ______
Pulls the free running end of the Self-Adhering Band tight and
_____ ______
securely fastens it back on itself (the band does not adhere past
the windlass clip).
If leg, routes the Self Adhering Band through the fiction adaptor
_____ ______
buckle.
Twists the windlass rod until the bleeding has stopped. [Simulate
_____ ______
if practicing on a person.]
Locks the rod in place with the windlass clip.
_____ ______
Secures the windlass rod with the windlass strap.
_____
______
If small extremity, secures the Self-Adhering Band under the
_____
______
windlass strap and continues to wind the Omni-Tape band around
the extremity and over the windlass rod.
Grasps the windlass strap, pulls it tight, and adheres it to the
_____
______
Velcro on the windlass clip.
Marks the casualty's forehead with a "T" and the time of application.
_____ _____
OVERALL EVALUATION
GO
NO GO
(A no-go on any step gives an overall evaluation of no-go.)
IS0871
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