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SAM XT Extremity Tourniquet
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- Опубликовано: 19 июл 2017
- SAM XT Extremity Tourniquet is a windlass TQ. These style tourniquets are designed for one handed application if needed to control major bleeding in the arms and legs. The SAM ET tourniquet features as metal windlass and a auto-lock buckle to secure the strap.
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My service switched to these a few years ago. I’ve used it half a dozen times since then, including last shift. Always worked like a charm.
It’s a great product - really foolproof in use. The “click” engages on 22 lbs of pressure, then utilise the windlass. To those saying they won’t hear the noise of the click on a screaming patient or loud environment - you feel the click as well, it’s very noticeable. Like all things, Train with it and its second nature.
I have replaced the CATS in some of my kits by the SAM XT because it is really easy to use and quicker. Unfortunately, it doesn't pack as flat
(same length or even a little shorter, though), so I could not fit them in a couple of my really tight kits. The click technology (which must be
reset each time after use by pulling the enclosure up) is very intuitive. All you need to do is pull steadily on the strap one-handed,
or even two-handed on the leg if you want, until you hear the click. The click comes on faster than I thought, and I'm able to shave 2-3 seconds
off in that initial phase compared to the CAT with no worry about slack. Also, you technically don't need to attach it with the velcro to
itself to secure it, the prongs that come out do a really good job. No need to readjust like a CAT if you have doubts and think you could get
it tighter or didn't get it tight enough. When it clicks, it's tight enough, always and on the first try if applied correctly. Really fun to use and really fast. Windlass is solid and metal.
+ UPDATE: after training with the SAM XT and about 15 applications on the arms (biceps, high) alone, I noticed that when put on bare skin,
some skin seems to get trapped in the buckle and you get bitten by the prongs which, although not very painful, pinch the skin and leave red
marks, even puncturing the skin on a few occasions. It would not matter in a real situation, but in training, it can get quite annoying. This is
a huge disappointment. I tried different position on the biceps, and except for placing the tourniquet so that it faces inward, pulling the
strap outside the biceps instead of inside (not the way it is supposed to be used), it does this. You don't feel it on clothes, and it is not a problem on bare skin on legs. I wonder if others have had the same experience.
Greatly appreciate the update about the skin pinching.
High and tight when in the fight. 2-3 when you can breath
Personally, I like this one. My only trouble with the all velcro ones is that blood, clots, dirt and debris can adversely affect its performance. You can feel the click when it snaps in. We are in the process of training 330 medics on it and so far the response has been very positive. Good video.
beefy! but instead of coming up with more expensive tourniquets, i wish the industry would work on less expensive but quality versions. i would like to carry 4 but havent saved up enough allowance for that yet.
I personally edc a rats tourniquet, generally under 15 bucks per tourniquet and virtually no minimum limb size, making it better for young children/animals. Super quick to apply and theres a dozen ways to carry one. Highly recommended by me.
@@alexandersimcox2079 please tell me this is a joke, the rats is not CoTCCC approved, commonly fails to occlude an artery, and even when it does work it commonly can cause nerve damage due to the narrowness of each band
@@harknesskyle it's better than nothing and carries extremely small. I also edc a sof-t wide on my ankle. I was pointing out how cheap they are and how easy they carry. Someone trying to carry 4 or 5 cats on them will not only look crazy, but be extremely uncomfortable. 4 or 5 rats can be concealed easily for edc. They have the additional benefit of being better for smaller limbs, like for dogs and children where a sof-t or cat wouldnt compress evenly or at all. I'm not saying that they're on the same level as a proper cat or sof-t, but I'm saying that they are an option. As for the nerve damage, I'd much rather survive an encounter that's tourniquet worthy with nerve damage than die because I didnt feel like carrying a bulkier tq. Additionally, I dont think that an injury that requires a tourniquet happens often without also nerve damage
Additionally, it's a hell of a lot more intuitive for someone you may be with to understand how to apply vs a cat or sof-t. It's basically a glorified bungee cord and even a 10 year old could figure out how to apply, while the other tourniquets are substantially more confusing.
@@alexandersimcox2079 I will concede that for children and dogs it has a place, however claiming a cat or sof-t is too complicated for someone to understand is a bit silly
Even if they can figure out the mechanics of the rats, theyll likely be unable to get it sufficiently tight unless theyve practiced and know how it works
Price is an advantage with a rats, but is your life worth the $15 you save by getting a less effective torniquet?
Mecro post. We train to put them as high as possible on the leg. This partially due to the fact we cargo pockets on our uniforms. Potential obstruction to proper supplication. Going high on the leg makes sure the tourniquet can do it’s job.
These are the TQs the company I just started with stocks on the trucks. Everyone seems to like them just fine. I don't trust everyone's opinions, but there are some people here (including a few vets) who, when they say something is fine, I tend to shut up and trust them.
I'm a fan of the CAT tourniquet, but I really like these, as well. In addition, my FSA store stocks these (but not CATs). So I now have a real non-rubber tourniquet as part of my response kit.
Interesting piece of kit. I'd like to see how it works in the real world. Great video, man! Keep up the good work!
Thanks for letting us know of the break. Excellent video Skinny Medic! 😁👍👍🇺🇸
Buy Here: medicalgearoutfitters.com/collections/new-products/products/sam-xt-extremity-tourniquet-black
Awesome! Think I'll wait till its been proven the field First.
Glad to see there is finally a new TQ on the market.
Thanks for that, Skinny. I carry a CAT but something as simple as noting the time is a big deal for me. You're studly as always. Carry on.
Seems like a great design if they can get the materials sorted out.
hey skinnymedic i'm a paramedic student from Australia. When you put the tourniquet on do you generally go 4 inch's above the wound and put another on at the top of the extremity if it doesn't stop bleeding or do you go straight to the top of the extremity just in case of arterial spasm. in your experience what have you found is the best ? i have heard both the different theory's and not quite sure what one is best.
In America, standards are typically set forward by the Committee on Tactical Combat Casualty Care. It specifies the following: _"Apply directly to the skin 2-3 inches above the bleeding site. If bleeding is not controlled with the first tourniquet, apply a second tourniquet side-by-side with the first."_ See cotccc.com/wp-content/uploads/TCCC-Guidelines-for-Medical-Personnel-170131.pdf
Additionally, there is another RUclipsr who talks about this sort of stuff. His name is Jay Paisley, and he was a medic for Delta Force and a member of the CoTCCC board. If you ask him questions, he is very likely to respond. See ruclips.net/video/RgEO-sRwdAs/видео.html.
Here from your new video checkin gout your review!
Looks like SAM is using similar tech to their pelvic splint system for this. I'm not convinced that "standardizing" the required TQ tightness to a plastic buckle and to one windlass spin is helping the products versatility. I'm imagining that buckle engaging before I m able to pull the strap as tight as I want it.
I think the ones you sell are better I have no problem with what I brought from you this year. Thank you for the video. :)
Hello S.M., out of all the tourniquets you’ve shown in your different posts, if I can only afford a single device which one would you recommend and why? Thanks
They need to start making the windless on the CAT metal. Id pay an extra $3-5 for that. Arguably already the easiest one handed tq on the market, just make that metal and it would be the closest to perfect a tq could get IMO.
Can’t hear the click and does click out to hold Velcro, is it defective?
They got recalled , bad stitching pattern on the ratchet end. Cat 7 for me !
Hey Skinny I heard today that there is a class action lawsuit against RUclips by creators that are getting demonitized because of certain content or subjects. I remember you mentioned you had a problem with them because of your comment, that's so much blood, or words to that effect. I thought you might like to know
Wow, thanks!
I'm skeptical of the materials in construction. If one of these broke during training (apparently indoors), I wonder how it would hold up in colder (perhaps sub-zero) outdoor conditions.
t m One could express the same critique of the CAT, with its plastic torsion bar. Have had one snap on me during a call.
seems like a pretty good tourniquet, but I think i would still prefer the CAT or SOF-T
Okay just kind of nitpicking because obviously its not even close to being a priority but this thing on bare skin pinches like a mofo between the plastic parts. Again it might save the life but it seems like it could definitely be designed without this problem. I applied it to myself and now i have pinch marks thatll be there for days
Great piece of kit but where can you buy these manager kings from?
I have been made aware that I need a tourniquet for my FAK. Would you recommend this one for someone with basic first aid training. I will be finding classes locally to further my first aid knowledge. If not this one which would you recommend?
I just want to know what blood vessel is being occluded by that ‘knee to the groin?’
Edward Erbland Femoral artery
Femoral Artery
I tried both links--page not found.
do a review of the STAT tourniquet! please.
It’s a scam
The stat is completely untested and incredibly difficult to tighten because it offers no mechanical advantage. It's far too thin as well, meaning more pain, more tissue damage, because it needs to be tighter than a thicker tourniquet would. So, in addition to being incredibly difficult to tighten, it needs to be tighter than the average tq. Not a good combo.
Will this tourniquet fit in a injection molded cat holder?
Not in the same leauge as the CAT. The amount of tension you can apply with the winlass, seems very limited. Someone might apply it a bit too loose under stress and need to start over. I don't see this happening with the CAT.
This is the same issue you'd have with the CAT though right? They are basically identical, this one just positively locks. the CAT can slip before you wrap it. If it clicks, you are only 2 ish turns away. You also don't even have to click it, and then just twist like a CAT. I have used both.
@@JoshGlastra I don't believe so. By his explanation it seems this tq has much less tension room for final winlass tightening after synching tight. Meaning the CAT is much more forgiving. If it's not broken why even try something else? Stick with the gold standard. I haven't used this one personally though I must be honest.
@@montepr803 I just think it's a better design with no real drawbacks, since you use it like a regular CAT without even clicking it. It's worth noting that it's TCCC certified just like the CAT, so it's passed the same challenging real world tests along with the SOF-T, and a couple others. That should lend confidence in the design, at least from my point of view.
@@JoshGlastra I'm gonna dig into it and try it out. Now that you mention that.
Sorry, this is off topic. I have a friend that just graduated as an EMT. Do yo have a suggestion for a multi tool or rescue knife? Not sure I want to get him raptor scissors. He started work with an oil company. Thank.
I raptors
I carry the raptors on me and a multi tool in a bag on the ambulance
SkinnyMedic thanks. Any specific multitool? Any with a belt cutter and window breaker?
I've never been one to adopt the "Batman" belt, but I always have a radio clip, extra glove pouch and my Raptors. Everything else I need is in my first response kit or the truck.
Do you no longer have the Amazon store?
No but you can buy it here medicalgearoutfitters.com/collections/tourniquets-holders
Yeah as a former EMT I'm not crazy about this item, too many mechanical parts that can cause further pain to the patient. The pressure of the turnequet is bad enough but having that ratchet type of hardware just seems excessive to me.
Ok I just got mine, the strap between the hinge and windlass hooks, you can only turn 1/2 turn, it won’t let me give another 1/2 turn.
I have no medical training at all, so I may be wrong about this. But it seems to me the broken locking tooth and the outtake at the end of the video where you could not disengage the lock tells me everything I needed to know about that tourniquet. Thanks for the video.
They should make the piece with the tabs out of metal. Problem solved. Maybe.
how is the time writing area cleaned?
You don’t. TQs are single use in the field.
Do they have a LoVis model?
Ian Cornell he said they have all black also
Its not a good sign when SkinnyMedic had trouble getting it off his arm.
isn't that a good thing...it not coming off easily means it's not going to come off by accident....
40 bucks!! There are many others out there that are just as good as this for half the price!
Yes buy it on Amazon, that way when you go to use it will break. Because it’s offshore crap. Is someone’s life not worth $40.00.
@@robmilne67 an 8 dollar belt can do the same thing this does, but like the old saying goes, there's a sucker born every second.
i dont like this one....dont want to be waiting for an audible click in a noisy industrial factory with a screaming patient...perhaps it has not been explained properly ...looks like a CAT with a funny buckle...if it has the velcro then it should work even if the teeth are not locked in place shouldn't it ?... anyway i just bought a CAT gen 7 and i am going with that...
well the 2 nubs are bright orange....they'd be pretty easy to see....plus I think you'd also feel it click into place...
I have this and you can feel the click which kicks in on 22 lbs of pressure. It’s excellent and idiot proof.
Those teeth seem overcomplicated. The velcro on the CAT works and the technology has been around for years. I'd rather have something simple than an over complicated design that you can't get off
When would you be taking it off? Trauma centre will just cut it.
Douglas Bird training with it? I don't know about you but I like to test out my gear, make sure it's functional and I know how to use it. I'll choose simplicity over complexity any day of the week
I'm sorry, what makes you think we did not test both this and the CAT? Also, when would you ever take it off?
Douglas Bird i don't know who you are but if I'm testing my gear, especially a tourniquet, I wanna be able to get it off. In an emergency situation, sure, they'll cut it. I'm still gonna stick with the CAT. At least I know that works.
Fair enough, they both work and if the CAT is what you like fine. I can't look at it from just my perspective, I need to look at it from 330 other perspectives and the group liked this one.
Are tourniquets used for snake bites?
Old Fart No. They're for massive hemorrhaging on extremities
Pressure Immobilisation bandage to whole length of limb, minimise movement as venom moves through lymphatic system from muscle contraction not through blood vessels pumped by heart, that's my understanding anyway.
That locking seems frustrating to me. You had a hard time looking it to place.
Overcomplicated design to make it look like a SAM product. Make sure you haven't got one of the recalled ones !
CAT, Sof-T or RATS for me.
Thanks, but I'll stick with combat proven tourniquets like the CAT and RATS.
RATS combat proven? Please tell me that this is a joke.
28th comment kek
Seems too complicated and takes too much time. I'll stick to carrying my CAT.
Nice but no thanks.
This looks like a cumbersum, complicated, overpriced piece of crap. But thanks for the review.
Piece of junk. Plastic is a no no on a TQ. Soft is the best TQ
snitsky 92 you do know nylon is plastic right?
snitsky 92 yeah because CAT tourniquets haven't been saving the lives and limbs of service members for years .... Oh wait
Well aware of that. Plastic on the buckle is bad due to plastic can bend or crack in the sun. Plus plastic is not that strong. That's why I love the Soft TQ because nothin is plastic. Its all aluminum and that creates endurance. Might be harder to put on but its best bang for a buck.
snitsky 92 pretty sure they use UV resistant polymers these days. That would be a legit argument in the 90s. But now polymer is extremely durable, In some cases polymer is more durable than aluminum
Ian Cornell I went through the TCCC training which your military so you have this medical training which required class. We were shown and told of cats TQ actually breaking due to the high heat in the middle east.