PERFORMANCE CHECKLIST
Section II: APPLY AN IMPROVISED TOURNIQUET TO AN EXTREMITY
Situation: Continuation of the field dressing and pressure dressing scenario. You have
properly applied a field dressing, manual pressure, elevation, and a pressure dressing.
However, the casualty continues to lose a good deal of blood from the wound. You
have decided to apply a tourniquet. Do so now. 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 appropriately.
Supplies: Triangular bandages (or other material appropriate to make a cravat and
secure the rigid object), windlass made from 7-8 tongue depressors wrapped in tape,
scissors. tape.
GO
NO-GO
Makes a band (cravat) at least two inches wide.
_____ _____
_____ _____
Wraps the tourniquet band around the limb two to four inches.
above the wound.
Ties a half-knot.
_____ _____
Places the rigid object (stick) on top of the half-knot.
_____ _____
Ties a full knot over the rigid object.
_____ _____
Twists the stick to tighten the tourniquet. [Simulate if practicing
_____ _____
on a person.]
Secures the windlass to prevent tourniquet from untwisting using
_____ _____
strip of cloth, cravat, or tape wrapped around the limb. If a cravat
or strip of cloth is used, the tails are tied in a nonslip knot.
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
5-45
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