SKILLS / EMERGENCY MEDICINE

Critical Bleeding Control: Tourniquets and Hemostatics

Deploying a windlass tourniquet, packing wounds, and applying pressure dressings.

By Benjamin VorbachKnowledge Base

Arterial bleeding can cause death within minutes. Carrying and knowing how to use immediate trauma medical supplies is the most useful physical capability you can possess.

The Bleeding Control Protocol

1. Direct Pressure

Apply firm, continuous manual pressure directly to the wound using clean gauze or cloth.

2. Windlass Tourniquets

For severe limb bleeding, apply a tourniquet (like the CAT or SOF) 2-3 inches above the wound. Tighten the windlass until the bleeding stops and secure it.

3. Wound Packing

For junctional areas (groin, armpits) where tourniquets cannot be applied, pack the wound tightly with hemostatic gauze and apply direct pressure.

"A tourniquet is not a last resort; it is the immediate response to life-threatening extremity bleeding."

For further first aid preparation, check out Mass Casualty Basics.

Benjamin Vorbach

About the Author

Benjamin Vorbach — Founder, Full Spectrum Self Protection

Benjamin Vorbach has more than two decades of operational experience in high-risk security environments, executive protection, and personal safety instruction. He founded Full Spectrum Self Protection to translate proven operational tradecraft into realistic, practical Personal Preparedness for individuals and families.

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