PERFORMANCE CHECKLIST
APPLY A COMBAT APPLICATION TOURNIQUET TO AN EXTREMITY
Situation: You have decided to apply a Combat Application Tourniquet (CAT) to a
casualty (wound/amputation site marked or indicated). Apply the CAT now and prepare
the casualty for transport. 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: Combat Application Tourniquet, marking device.
GO
NO-GO
Removes the CAT from its pouch.
_____ _____
Slides the wounded extremity through the loop of the Self-Adhering
_____
______
Band.
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.)
IS0877
5-40
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