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Tactical emergency care for law enforcement: Buddy tourniquet application

This segment highlights essential principles and practical steps to ensure successful tourniquet application in the field

In the sixth of a nine-part series, Robert Carlson from Brave Defender Training Group explains the critical skill of buddy tourniquet application for law enforcement officers.

Recognizing that officers are more likely to apply tourniquets to others rather than themselves, Carlson emphasizes the importance of proper technique and situational awareness to effectively stop life-threatening arterial bleeding. This segment highlights essential principles and practical steps to ensure successful tourniquet application in the field.

Key learning points

  1. Prioritize tactical over medical concerns: Ensure the scene is secure before attempting medical intervention.
  2. Apply tourniquets for life-threatening arterial bleeding: Focus on severe extremity bleeds to maximize the effectiveness of available tourniquets.
  3. Utilize cover: Whenever possible, apply tourniquets behind cover to maintain situational awareness and safety.
  4. Manual pressure for blood loss control: Use manual pressure to slow down bleeding and buy time for tourniquet application.
  5. High and tight application: Place the tourniquet as high as possible on the limb, ensuring it is tight enough to stop the bleeding.

Discussion questions

  1. How do you balance tactical concerns with the immediate need for medical intervention in high-stress scenarios?
  2. What challenges might you face when trying to apply a tourniquet behind cover and how can these be overcome?
  3. Why is it crucial to perform a pocket sweep before applying a tourniquet and what items should you look for?
  4. How can officers ensure they are adequately trained in tourniquet application beyond watching instructional videos?
  5. What are the signs that a tourniquet is effectively stopping arterial bleeding, and what steps should be taken if the bleeding does not stop?
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This segment highlights essential principles and practical steps to ensure successful tourniquet application in the field

Robert Carlson is a firearms instructor for the Memphis (Tennessee) Police Department specializing in active shooter, counterambush and tactical medicine training. He is the lead TECC instructor for the Mississippi National Guard’s Regional Counterdrug Training Academy, providing no-cost training to law enforcement across the country. He has been recognized as an expert in active shooter response by law enforcement. Carlson also owns Brave Defender Training Group and is an IADLEST nationally certified instructor.