References

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Anon. Haemorrhage. 2012. https//tinyurl.com/y8a8j9d4 (accessed 3 January 2018)

C-A-T Resources. Combat Application Tourniquet C-A-T, Instructions for use. 2016. http//tinyurl.com/yag65vob (accessed 7 January 2018)

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clinical skills
management
guidelines
paramedic
prehospital

Combat Application Tourniquet: best practice use

02 January 2018
Features
02 January 2018
Volume 10 · Issue 1

Abstract

In this new monthly feature, the paramedic education team at Edge Hill University focuses on the clinical skills carried out by paramedics on the frontlines, highlighting the importance of these skills and how to perform them. In this month's issue, Rory McKelvin discusses best practice use of a combat application tourniquet.

This first article in the Journal of Paramedic Practice's monthly Clinical Skills feature highlights best practice use of a Combat Application Tourniquet® (CAT®). It also provides background information relating to the use of a CAT in the clinical practice setting.

A ‘tourniquet’ or CAT is a device designed to specifically occlude arterial and venous blood flow in an extremity. To do this, it uses a mechanical advantage device, differing from ligature type devices used for intravenous cannulation and other procedures (Amy et al, 2014).

The CAT is a unique piece of medical equipment as it can save a patient from exsanguination (severe uncontrolled blood loss). However, if used inappropriately, it can cause injuries to be significantly worsened to the point that a limb may need to be amputated (Lee et al, 2007; Dayan et al, 2008).

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