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New! CoTCCC Approved Tourniquets
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- Опубликовано: 10 май 2019
- The Committee for Tactical Combat Casualty Care recently released a list of approved commercial tourniquets. This video will give an overview of all the tourniquets currently approved by the CoTCCC as well as discuss several of the tourniquets that did not make the cut.
Up to date information on CoTCCC guidelines: deployedmedici...
You can buy all of these tourniquets from my Skinny Medic affiliate link or or any of the manufacturer links listed below
medicalgearout...
Combat Application Tourniquet (CAT): www.narescue.c...
SOFTTW: www.tacmedsolu...
SAM XT: www.sammedical...
Tactical Mechanical Tourniquet (TMT): combatmedical....
Ratcheting Medical Tourniquet (RMT): www.chinookmed...
TX2 & TX3: www.revmedx.co...
My son is a army medic. He inspires me. I am nearing retirement and looking to become a first aid/first responder trainer. This is good stuff, Sam -- a level headed, even-handed approach. Thanks.
The RAT always seemed sketchy. Thought is was just me. The STAT seemed like a good idea, but turned out too good to be true.
Thanks for putting all the time and money into making this video possible!
I'll always only use the CAT. Stick to what you know I guess. Glad to see a popular RUclipsr from my small town. Keep it up!
Thanks man! What small town is that?
@@PrepMedic I don't want to Doxx you but I moved to this town in IA for College! Hoping to make a career in Law enforcement after I earn my degree.
Nicely done. It's refreshing to watch someone who actually uses this gear doing the reviews.
Thank you sir! #oldguard
Retired Combat Medic, currently a TCCC instructor....this video is time well spent.
Besides benefits for treating canine and pediatric pts with the SWAT-T, it also works with larger folks. It is hard to get some of the others to work on the upper thigh because they max out. But the TX3 has a 60" version besides the regular 40" version so it works out well in so many ways. When I carry the others, I usually go with SOFT-TW cause I think it is the biggest of the others and still folds down small. I am also now carrying the new rattlesnake tq that is super small and easy to EDC and forget about. But I still always carry one or more of the others. Thanks so much for breaking all this down. I just wanted to mention larger pts cause I am big and a large portion of the country is obese and it can definitely come into play and make most of the tourniquets harder or impossible to operate. So practice on a fat friend/self too. Seek out all sizes of folks and get familiar with lots of them. Thanks so much for your channel. It is one of my go tos for medic info. ✌️
You’ve inspired me a lot! I’m a Infantry guardsman and I start EMT school this summer semester! I hope to be a fireman/medic that cross trains into TEMS, keep up the great work brother.
Did you reach your goal?? Just gathering info for my son who loves this field.
PrepMedic: “...never carry these”
Stat: “you weren’t supposed to say that”
If you have an FSA account through work, you can purchase a SAM medical bleed kit with a SAM tourniquet for around $55.00 making it a good purchase due to having other med items for major bleeds in it. You can also get level two and three quick clot kits that have CAT tourniquets (level 3 kit) in them so FSA accounts are a good way to stock up on these items.
I was just about to order the STAT tourniquet. I’m really glad I watched this video. Thanks for taking to time to share this information. CAT tourniquet it is!!!
Good choice!!
Thank you for talking about the RATS, everyone online has a "professional" opinion on that thing and yours is the first one ive seen that is honest and backed up by facts. I find you to be an invaluable resource of information, thank you for doing what you do.
I was always pretty wary of carrying a RAT (it was easier to carry the way I was carrying it, and I knew it would be inferior in application). I didn't realize it was that bad, though, so I think I'll switch to carrying a different option.
You can fold a SOFTT-W smaller than your wallet
All of this about the Rats is conjecture. I remember in the 80’s when I got Army first aid training where they told us to use the issued pressure bandage for a tourniquet.
When it comes right down to it, if there is a Las Vegas or Sutherland Springs type incident I’m more than likely have a RATs on me that the others because of size.
I carry one and a SAM XT. I do carry a couple of CATS in each one of my bags though.
@@Dero_milsurp Smaller than MY wallet isn't saying much:-)
Weaponeer sorry, the DATA and STUDIES on RATS is anything but conjecture.
@@Dero_milsurp The RATS does work. It takes longer to apply than others. It is more painful than others. The risk of tissue damage is higher than others. IT IS LIFE OVER LIMB. The only concern is application time, the rest is of no importance.
Thanks. You've shown me a lot over time. Be safe and take care
Thank you!
Amazing to see the improvement in the quality of your videography over the last few years! But the quality of the content is evident even a few years ago! Your consistency and continuous improvement is hard to balance, congrats!
CAT Gen 6 is what I started with in the field. Gen 7 was an upgrade for me. Was introduced to the Soft T Wide, great TQ. I never had an issue with either of them. Thanks for the review👍
The ratcheting TQs are interesting to me. They would keep tension on the limb even if you have to let go, or if your hand slipped. Survival dispatch has a video where Alan Kay talks about it. Interesting for tactical applications! Great video
Great video. I have a CAT in my current home trauma kit (right inside the garage/workshop door), but I'll definitely be getting some SAM XT TQs for the rest of the kits I want to make. Anything that makes self-application easier and is generally more foolproof for non-pros is a plus in my book! Now I'm going to keep binging your videos.
I love the look on his face when talking about the rats.
Thanks for the review. Your videos really help make sense of the choices among all the new toys available. It's been two decades since I had most of my training, and now I'm trying to update & put together some new kits. Also trying to nudge the administration at the school where I teach to schedule training so we have a few folks w current first responder certification. Right now the school can't even give out bandaides or aspirins. Double-Yew Teee Efff?
Toys?🤔
Thanks for including the info on pediatric tourniquet application!
I generally keep a couple of CAT-Ts and a couple of SWAT-T's in my Jump Bag . I agree, the SWAT T is not the best choice for self app. But it's multipurpose use as either a TQ or a pressure bandage is advantageous in a multi Cas event.
That Stat TQ looks like a giant zip-tie.
That is exactly what it is.
Stat is trash
The Sam xt didn't have any failures reported but Sam did recall their first batch as they found the stitching was not up to their standards.
marc lifschitz I think it was a very honest and trustworthy move by them to say „we can and will do better than that“ and recall it!
Excellent video. "Except those.." LOL
😂I didn't want anyone to get the wrong idea
I carry a cat 7 generation with a second as back up and a shtf soft wide as a third
I carry a SOFT-TW Gen 3 with Modified TRAC clip in a Phlster Flatpack TQ carrier EDC on body along with a PEW for bare minimum medical on body.
. I was carrying CATs and SOFFTs in my EDC bag and Car kit.
I think you will really like the TMT, it's a little wider that the OG tourniquets, but it's very similar to the CAT and SOFFT, it has an unclippable buckle,and a small sand bag on the end to aid in pull. It actually clicks into the windlass lock. Very easy to use.
Thank you for bringing up that shady stuff RATs has done and how they actually work. Practicing with one just out of curiosity a buddy had and it took me 3x longer to apply than a CAT.
STAT if you ask a question they don't like on their Facebook they will make a comment to the effect of read our study, and when you ask a question related to their "study" they delete your comments and block you. IMO it a glorified Ziptie. Sadly now Trenton NJ Police are now carrying the STAT on duty. .
Great video, thanks for taking the time
Maybe I missed it somewhere in the comments. I admittedly stopped searching after the first 100 comments. Can you address TK-4 tourniquets? These were the first I got in the Marine Corps after our improvised ones with a triangular bandage. They seem to have fallen into some black hole of non-existence whenever I see a video on tourniquets. From training with them, they seem as good as SWAT-T, but much easier to self-apply since you have the hook to pull against. Great content though! Thanks for putting this out.
I agree with using the SAM -XT for teaching civilians. I teach a lot of First aid courses and especially to youth as an ARC instructor. I think that it would be easier to teach with than CATs. Great analysis of these TQs! Keep up the great work.
I've been watching a ton of your videos while I try to put together a go-bag / b.o.b. medical kit, that I can share with friends and family who aren't into preparedness the way I am, because I know that they aren't going to spend hours researching and building their own kit. Initially I was going to include the C.A.T. in the kit, but after watching this I think I'm gonna use the SAM XT instead because most of the people using this kit (including myself) have little to no medical experience and having that click feature to tell us when it's tight enough could be the difference between life and death, or at the very least give us some peace of mind that it was applied correctly. Thanks for all your hard work to get this information out there, it's helped me tremendously.
The SOFT-T Wide is my personal favorite!
I REALLY like my TMT, it’s a shame you didn’t get to review it. You were a little off on the description. It’s about as wide as the SOF-T wide, and the strap is velcro AND a friction lock, meaning you don’t have to get good contact to keep it from sliding. The clip also quick-removes like the SOF-T wide, but it’s honestly a bit easier. The end of the velcro doesn’t have the red tab, BUT it has a thick plastic cylinder in it that’s really easy to feel for and get a grip on. The windlass is on a hard plate that’s curved, which is a pro and a con. It keeps the TQ from moving on your arm while tightening, but it makes it a little thicker than a CAT, which combined with the wider form factor makes it kind of hard to fit into TQ holders. The last thing is a windlass that locks into place with a pretty good “Click” sound. TL:DR if you like the CAT and have room for a slightly bigger TQ, i’d seriously look into the TMT.
The BEST thing about the RMT, is when you are tightening (ratcheting) it, if you are "interrupted", it keeps whatever tension you've already applied. If you are tightening one of the windlass TQs, and you take your hand off the windlass for whatever reason (you slip off due to blood/slippery, you need to protect your patient, etc.) you lose whatever tension you've applied and have to start over.
For that reason, the ratchet system of the RMT is one of the best for self-application, where due to stress/shock or combat circumstances, you are more likely to lose contact with the windlass. Just another POV of WHY the RMT was approved and how it can be employed and why it would be carried. On a Leg application, it's even more of an issue, with more blood volume lost with a severed Femoral Artery; therefore more of a reason to get it tightened down the FIRST time.
You already spoke about how it's difficult to self apply the CAT and SOFTT-W TQs to an arm, having to somehow pin the TQ to a wall or with your arm, while tightening. The Bite Piece on the RMT alleviates some of that. Yes, you have to practice with it, but you have to practice with ANY of them to become proficient. Just KNOW, there is a REASON why that TQ was approved by the TCCC committee. Something to think about. In a perfect world, LEO and MIL would carry a minimum of 2 TQs, with the RMT being the readily accessible by either hand for self application, and the 2nd (RMT/CAT/SOFTT-W/other) being on the vest/belt line in the IFAK/BOK for someone else to administer.
John Gates yeah that is a good point, although the CAT doesn’t have an issue with needing to pin it. That is only for friction lock TQs. I think the self arm application of the RMT is much harder then the CAT but about par for the course compared to the softt. I also worry about how are it is to take the strap off the RMT if you needed to disconnect it to get it around an extremity.
I think the TMT is great as it has no velcro and the reason I say it's great is because the velcro is very loud and it can give away your position if you are close the enemy so in certain situations it is a life saver in more than one way.
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.
With the Sam XT if the clicking feature fails you still have essentially a CAT tourniquet
1) Is this the new house? 2) Can you do a review/advice video on stethescopes for EMS?
I've got the littman cardiology 4 and it's amazing. I was able to manually find BP on a dialysis patient in the back of a rig with people talking.
Outstanding presentation! The man not only knows his stuff, but he presents it in a very professional manner. I want to see more from him!
Man, I just saw the RATS on another channel and was thinking about getting one to carry for smaller children. It was marketed toward being better for small diameter limbs, and that larger tourniquet didn't do a great job on small limbs.
Was it WPS? That video led me to this one... Yikes.
@@ericbartha6313 actually I saw it on RUclips on a channel (can't remember who) then I saw this video. After that I saw it on WPS and I was a little thrown seeing it there. JL usually has really good quality content and recommended things. So it left me thinking.... Hmmmm.
Sam Medical also makes some great Chest Seals! They are much larger than pretty much any other chest seal I saw up to now and the vent really works compared to others. Just saying 😉
But of course the Sam Splint is the thing that made them famous in the first place 🤷🏼♂️
Maybe you manage to get the TMT and play around with it, personally I like it a lot so far and I‘d love to hear your thoughts on it!
Thanks for your words of truth on the RATS, couldn‘t have said it better!
Had my medics grill the hell out of the RATS I carried with me before and halfway into EMT school... Still glad I brought it along, so that my whole class could see and feel the difficulty of application for themselves. These days I EDC a pair of nitrile gloves rubber banded to a SOFTT-W.
For anyone who (like me) started out only carrying and knowing the RATS, I highly recommend you have a CAT or SOFTT put on you so that you understand just how unnecessarily painful a RATS is in comparison. Cheers to all!
A very good presentation and review. Thanks.
Great video appreciate the knowledge bomb brother.
Fucking amazing! Thank you! I’m very grateful you are taking the time to make these videos. I just graduated FMTB-W and I want to be a paramedic with the sheriff department when I get out.
After watching your video and others I’ve got SAM XT - Tactical Tourniquet for my aid kit and the SoftTW Tourniquet for my edc.
I’ve been waiting for this video for a while and I’m glad that it finally happened. Thanks Sam!
You are welcome!
I don't use the STAT tourni but the hour timer would most likely have nothing to do with the "Golden Hour" and more likely have more to do with tourniquet reduction protocols. Some teach at the 1-hour mark you should consider reducing the tourni' to a pack-and-wrap.
Can you please do more videos on the cat Tournament great job on the video 👍
Good review. Glad to see some addition to approved TQs
Just a layman here. I know using a belt as a tourniquet is not recommended but it seems a tq that is purpose designed to store in your belt loops around your waist and also happens to hold up your pants would go a long way towards more people actually having one when it’s needed.
Soft wide T's problem with Gen III wasn't the triangle holder - but rather that small metal clip would flatten out if you really torque down on that thing. That's unacceptable and cost lives. The Gen IV beefs up that bracket so you won't be able to flatten it out.
Ok interesting. since i have been trained with the CAT Tourniquet in the Swiss Military i also made the decision to use the cat (gen 7) and it is in my edc. (even though i haven't had to use it yet, but i do replace it every 2 years, since that was what we were told in military when it needs to be replaced)
An excellent video. However, it will not change purchasing practices. I am a CAT and SOFT-T wide person all rhe way. Thank you.
Agreed. I am glad I got all of them to look at and show people their options but I will be sticking with the tried and true as well.
I wanted to get 2 SOFTTW(One for carry and other for training), saw this video. Learn about lot of interesting option, but sticking to SOFTT option cause it fold well.
Occlusion pressure is most effective if there pressure and force is applied adequately and evenly across the entirety of the width of the device. Circumferencially
Love the videos! One point I’d like to get across, just sharing the knowledge, dogs do not need TQs, the blood vessels in dogs limps (tail included) are very easily stopped with direct pressure, unlike use they don’t have large critical blood vessels there. I’ve yet to hear of a case where a TQ was need for a dog. In fact it usually does more damage than it helps when applied, very preventable tissue damage. My background is serving in recon in the military and dual purpose k9 handler. Cheers!
Just bought a SAM-XT to put in one of the water bottle pouches of my backpack
Some clarity on the RATS. The comparison study indicated that it did in fact WORK. The RATS is much smaller and easier to stow/carry. The pain issue is irrelevant in a life or death event. The soft tissue damage is irrelevant in a life or death event. It seems many fail to grasp the concept LIFE OVER LIMB. The RATS isn't the best option, but it is a viable option.
3:2 CPR with arm pumps works, and is better then nothing but if you were to do it it would still be wrong. The “it’s better then nothing” is not a strong argument in the medical world. Tissue damage is exceedingly relevant as it determines long term morbidity. A flat folded SOFT-W is smaller then a RATs anyways
@@PrepMedic Bullshit. You can't stuff a SOFTW in your pcoket like a RATS. Nor can you wrap it around your ankle or belt like a RATS. The RATS isn't a "better than nothing" option. It is a good option, not the best option.
You absolutely can do both those things with a flat folded SOFT. The RATS comes off with patient movement, is slower to control bleeding then other commercial TQs, causes tissue damage above and beyond other options, is more painful, is difficult for self application, and is almost impossible to use if it is soaked in blood. It is not a good product and should not be carried.
@@PrepMedic Like others you've missed the point. Pain and tissue damage are of no concern when it is LIFE OVER LIMB.
No you cannot stuff a SOFTW in your pocket as easily as a RATS, that's a flat out bullshit lie. I've tried stuffing all my tourniquets in a pocket, and the RATS is by far the easiest. SOTFW is small but not that small. A CAT is a joke.
Coming undone is a case of stupid application. You notice the cleat has TWO locking slots, try using both.
Yes, the RATS is not the easiest one handed tourniquet, then again the CAT and SOFTW are an abortion as well when it comes to one handed application. Until gen 7 of the CAT the buckle was still a thread through friction style. Far from easy or intuitive with bloody hands, especially if you can't loop it over the end of the limb.
At the end of the day the RATS is capable and no less effective. It does have drawbacks, but so do all other tourniquets. If space is an issue, if cost is an issue, if you're looking for supplemental tourniquets then the RATS is very much an option.
Personally I much prefer the ratcheting tourniquets. No chance of losing tension while you occlude, like happens with both the SOFTW and CAT as well as the RATS. They're also much faster to apply and easier one handed.
I’ve used the CAT for real, worked great. I’ll always use it.
Great video! Love my CAT and thank you for finally talking about the STAT TQ I’ve always wondered about those can’t believe people may have those in a kit
My Fire Dist. uses the SAM TQ and we really like them.
What is your opinion on cat tourniquets left in a vehicle all the time? I have a blowout kit in my center console and have always been concerned the hot car could hurt them over time. Thanks
Appreciated, stay safe stay alert. Cheers
Deffiently looking for a turnakit for a emergency situation. My wife has her Army issue AFAK. But I need a few for those crazy emergency situations that can occur during these crazy times.
I was taught the Sam XT had the locking pin system as the CAT has the possibility of slipping if the velcro is extremely coated in blood or some other really slick liquid. I carry the XTs personally but have had no problem with the CATs honestly.
With regards to the SAM XT I would say it’s not up to specs. All the ones I’ve tried has engaged the locks prematurely which has created a situation where I’ve been forced to really crank the windlass to its limit. The amount of slack on the band between the fixed windlass and the plastic buckle allows only a few turns which takes away my option of an additional turn if needed. All windlass tourniquets has this problem but i would say the SAM XT is the least permissive.
When it comes to the buckle itself I would say it’s an amazing idea until you ask your first “what if?” question. What if it engages prematurely? Then I would say, in combination with the minimal amount of windlass-turns permitted by the design that you’re screwed. If the buckle engages you’re stuck with the pre-tightening you were given by the tourniquet and can’t tighten it at all. The idea of the buckle engaging at the perfect time, every time is at best theoretical. Combined with the inability to reduce the slack once engaged as well as the low number of windlass-turns possible I wouldn’t ever use this in real life.
I just wanted to comment about a couple of the tourniquets that are not TCCC approved that I have heard some pretty interesting feedback on not only from the developers of one of them but from other people who have analyzed their application with different patient sets and in different environments. So first off besides the multi-use functionality of the SWAT-T, as a potential sling device or as a pressure bandage the SWAT team as well as the other one I'm going to talk about are very applicable tourniquets as I understand it for children with smaller limbs and or animals such as canines in particular. My understanding is the RATS also falls into this category at least from what I heard one of the employees for the company that creates those tourniquets talked about when it was developed in Iraq and Afghanistan by the soldier that developed them for treating massive hemorrhages on extremities in children with very small and thin limbs. My argument and contention is that this also applies to animals and in particular dogs. I think the same could be said for the SWAT-T but that may be a little harder to apply than the RATS.
Now the one caveat here is that there are canine specific and child size tourniquets I believe, and I know specifically tacmed makes a canine style tourniquet that is tapered or angled in a certain way to be able to deal with the sloping or tapering dimensions of a dog's front or hind legs. So what I'm getting out here is if you don't have a special canine or some sort of tourniquet design for children or child size limbs these two devices may have a role and I understand the drawbacks and the deficits with their design and application but I mean if you're coming back to the point where you don't have a piece of equipment and most training or specified application of improvised tourniquets will include things like a triangular bandage and a stick or a belt I mean you might as well go with one of these other non TCCC certified devices in lieu of a rag and a stick or a belt.
So I finished this video and like a clown I should have watched the whole thing before I posted my comment because I was not aware of the criticism of the rats tourniquets and I was also not aware of the weird kind of business practices at that company has been doing.
Been planning on getting some RMT's for a while, as they offer pedriatic/geriatric models as well as regular/tactical/wide models as well. Thanks for the video!
The swat also makes a pretty good geriatric TQ, for pediatric I have to add a note - for mid or higher limb injury you will have to fold the swat to be placed effectively, based on my own testing.
And for the RMT biting, having done a bit of training with the Russian Esmarch tourniquets thats a step in the process. You should have a look at the "model alpha", pretty nifty TQ (did a video on it).
Good video, keep it up.
Sam, do a review on the Recon Medical TQ, please!!!
I may do a video but in general they are unstudied and hence not fit for use. Smaller scale studies have shown windlass failures at the rivet hole which weakens the TQ substantially. The "velcro" material is also less effective. I would personally stay away.
Yah I bought a rats as my first TQ and after practicing on myself and others I bought a CAT. Harder to carry IMO but it's doable.
So far, I'm liking the Recon Medical CAT tourniquets. So far so good and works great so far... What's your opinion on them?
He just said don't buy any cat tourniquets on Amazon because they break. Recon medical sells their tourniquets on Amazon
Recons are good to go
Don’t buy Recon Medical TQs. Not only neck deep in copyright law suits but also have been reported to bend around the rivits in the windless. The Recon is not a CAT. CAT is a brand name.
@@PrepMedic instructors i train with recommend and use. one has 200+ applications in training.
Well, if you/they are ok with a Product made in China that doesn’t have any published litterateur demonstrating field efficacy that also isn’t approved by the COTCCC, made by a company that rips off patents and threatens to sue people who talk bad about their products then that is your/their choice. I personally am going to stick with one of the many options that are US made and have long lists of literature behind them. TQs like the Recon are attempting to “fix” issues that don’t exist. When it comes down to brass tacs the question is why would you buy a Recon?
SOF-T wide for the win it’s still the smallest
Combine it with the phslster flatpack and it’s easy to carry
I agree, the RaT is not a good design, and is definitely 1. Less secure than CaT or sof-t and 2. Way more pain when applying. Yes it's better than bleeding out but it's like using a hammer to unthread a bolt, it can be done but with damage to all surrounding areas.
I've never liked RATS. Now I've got info to support that.
I carry both CAT and SOF-T Wide tourniquets. The only trouble I have with SOF-T Wide is that it's harder to get into secured buildings because of the metal. 😂 (I live just just minutes from and travel through a dangerous area and have dealt with traumas off the clock, so I carry trauma gear.)
Personal opinion: I like the idea of the CAT better for self application and arms in general but SOF-T Wide would be my go to for legs because they tend to be thicker. If you have a different opinion on it, please lmk.
Plus, when I give away tourniquets, I prefer to give CATs because they seem better for self-application.
The one problem I have with the CAT TQ is the way it sets in a holder on a belt. It sticks up higher than a SOF-T and people keep asking if I have a gun. 🤷 🤣
But overall, I don't have any complaints on actual design or function issues with either of these TQs.
They're the only two I have experience with, tho. I might get a SWAT-T since they seem better for pediatrics.
Thank you for this info and I'll look at the info on the website!
I own a RATS TQ, and a few CAT's. Should I keep the RATS TQ as backup TQ or no? Anyhow keep up the great work, I really enjoy the videos!
Lol rats
why dont keep a cat as Backup?
Nikolas Hippler I have only three CAT’s and I have found they are best for primary TQs, so if someone needs a backup I cannot risk another TQ that would be mainly used as a primary for a backup. So that’s why I asked if I could use the RATS TQ as a backup.
@@williamdilorenzo5253 I mean, you can use it, it will work, but it is going to harder to apply and less effective than a CAT. It doesn't really save that much space to carry a RATS as a backup over a CAT or SOFT-TW. Really the question you need to ask is this: if someone (you or a buddy) is bleeding out from an injury, would you rather have the best tool for the job or one that will work _probably._
Depends on whether u want it for yourself or someone else.
What do you think of the H&H TK4, and TK4L tourniquets? The Marine used to issue them. They are about $10, and I love to see a comparison on them vs the SWAT-T.
Not a medical professional by any stretch of the imagination but I do have a personal experience using one of these on a friend that blew his hand off. I happened to have one of these in my bug out bag and threw it on him and it did just fine. I was worried the hook wouldn’t stay tucked but it stayed just fine and fully occluded blood flow long enough to get him to a hospital. I know this comment was a year ago but I’m just watching this video now lol.
Excellent Sam, thank you for the latest information however I am choking to death waiting for that said topic 😎😎😎👍🏻🇦🇺.
I personally really liked the SAM-XT, until we had a catastrophic failure of the device, where the pin mechanism cracked and broke off during tightening. Still like them but wouldn't recommend using one in extreme cold weather conditions. Fortunately this happened during training.
So In theory the Velcro lock will still hold it in place. Was this not the case?
@@PrepMedic No. The pin mechanism snapped completely off and there for the tq cannot be used. I can send you a pic of the tq if you want.
A review on the Recon medical TQ would be great. It's identical to the CAT except it has a metal windless and grab holes. It's also half the price of the CAT.
I may do a video but in general they are unstudied and hence not fit for use. Smaller scale studies have shown windlass failures at the rivet hole which weakens the TQ substantially. The "velcro" material is also less effective. I would personally stay away.
Hey Prep medic what’s your opinion on using Ringer‘s Solution instead of normal Saline for Blood replacement and to combat dehydration not for the administration of drugs though.
Thanks
I know, the Video is a little bit old...
Here's my oponion:
CAT-Gen7:
Easy to use TQ, easy for self Applikation.
I suggest to throw the older CAT away.
To buckle the Strap different for use an the leg doesn't work in all stress conditions.
SOF-TT Wide:
In Gen 3 my favourite for situation where space is an issue for carrying.
As said by Sam: harder for self application than the CAT.
Not so easy to apply for non-trained users in my opinion. Because the short windlass and the triangle locking mechanism.
The Gen4:
Better to apply (retention clip and longer windlass), but needs more space to carry.
SAM XT:
I fully agree to Sam. Easy to teach, not only civilians.
Because of the "click" its right enough.
Some people doesn't pre-thight the Tourniquet enough.
TMT:
Not seen, not used yet.
TX2 and TX3
It works good, for me also very good for one Hand self application.
Great video. Sam looks good. I wish the SAFE tourniquet got their shit together for this review but oh well.
Is the 3 inch RMT less effective because the ratchet strap is very long and only pulls on either end, won't it in essence create a 3 inch strap for half the arm and an approx 1 inch strap(the ratchet strap) for the other half of the circumference of the arm? also do you feel that the RMT is harder to setup/tighten because the rigid plastic strap is constantly trying to stay straight instead of conform to the limb?(especially in situations with a smaller circumference)
If you take a look at deployed medicine they just released the numbers on all the new TQs
Not paying $120 for two torniquets from the USA because I can't find them here (or much of anything medical tbh since the New Religion (TM) began of building back better) is something that will save lives.
Knew I should have substituted out the RATS for CAT in the pre-packed range kit I bought...😬
Thanks for the info. Is it safe to practice with the tourniquet you keep in your kit or should you have a dedicated practice TQ?
Thanks for the video on TQs
Any thoughts on the "Recon medical" tourniquet? Its not on the CoTCCC but its NTOA approved for whatever that's worth.
b0ll00 I would like some true data on it. I bought two to trial with testing and applications were successful with occlusion on the arms. Application on the legs I noticed you need some more pressure on the initial cinching with the buckle but they did occlude.
My results concluded that they function like the CAT and have a nicely knurled aluminum or aluminum alloy windlass.
I am skeptical still since it really seems too good to be true for the cost and innovations with the hole near the tip and the windlass.
So Sam, would you please do some testing with a Recon Medical TQ and see if it is indeed an okay compromise when it comes to the “2 for the price of 1 CAT”? Or if it’s a gimmick. For the record they are not knockoff CATs they seem to be truly intent on making a product with their own improvements.
FYI, the Wikipedia page for tourniquets lists the STAT as its first entry on the emergency tourniquet section of the article.
It lists several "pros" of the STAT, claims it can be applied in under 5 seconds, and that it is "The most ideal tourniquet for pediatric and K9 use".
The page also fails to mention any of the shortcomings of the STAT, nor does it mention the STAT's subpar performance when tested against other TQs.
Perhaps someone with more knowledge on the subject than myself would like to edit the page so that it more accurately reflects reality.
Skinny Medic had this 4 days ago. How many lives have you cost??!
Lol
That's why he is the big fish! Stay tuned for a collaboration though.....
@@PrepMedic, 😁haha, naa I won't say that. But seriously man (as much as I like and appreciate SkinnyMedic's videos), I definitely prefer your content, all of it!😀👊
I have a story some might find interesting but it might be a bit long.
So back in Feb 13,2006 my dad and me were struck by a vehicle going at an estimated 60MPH amputating a leg from each of us.. I was 11 at the time and my leg wasn’t bleeding out (I was bleeding like crazy internally though) but my dad was in a dire situation bleeding profusely. Just so happened a nurse was traveling the same was and was there in less than a minute (if I had to guess) and there was an EMT close by who heard it on the scanner. The nurse looked at me real fast and while I was in bad shape she saw my dad was in worse shape. So she went over to him and the off duty EMT helped her apply a makeshift TQ to his leg. Well, all they could find were sticks and they kept snapping. So they weren’t sure what to do until they looked down and saw my dad was still clutching the tire iron (shaped like an L) FINALLY they could apply solid pressure until helicopters could arrive and we could Evac. The issue was, nobody knew I was bleeding internally. So I was looked at as the less dire circumstance (and I was while my dads leg was pumping blood) But I started having a REAL hard time breathing and after fighting for an oxygen mask (the EMT kept taking it away for some reason) I eventually heard the rotors power off and I blacked out. (I guess I figured I was safe) anyhow, videos like this can help me choose a good TQ so if I’m ever in a messed up situation, I don’t have to rig a makeshift TQ. By the way, my dad felt a ton of pain during the tightening of the TQ. I think he said “Take that god damn thing off me” and the EMT said “you wont last two minutes” we both lost a good amount of blood at that time. But... people, carry a couple tourniquets in your car and preferably get training. You never know when you will be the first responder.
I happened to use the SAM tourniquette once in a field and it proved to be a piece of crap: that clicking mechanism bites the skin and the "step" of the holes is too large to be useful in a sence of getting the right ammount of tightness in comparison to CAT tourniquette. For devices like that simplicity almost always means reliability imho.
I Want one that I can fit into the spare magazine spot on my tier 1 axis elite holster. What would you recommend?
Excellent review! Thanks!
Hey love the vid! Are you going to make a video about that backpack that was sent to you in you EDC car episode
Sir Lemonpledge already did.
We broke one Sam turniquet when practicing with it last fall during my military service
Aww man, I just added a RATS TQ to my vest where I already have a Sof t wide TQ cuz I wanted more TQs. I think I'll get a Swat to replace it.
Man!!!! you need to make a video of the iTClamp
This is a question more based towards an ambulance. What are your views on carrying an israeli bandage in addition to a tourniquet? Our medical director approved them, just wondering what your view on the use of them in the pre hospital setting. Any opinions are appreciated.