Orientation for the Application and Use of the TBWT®

Application to an Arm (left arm shown):

Loop-wrap the Tourniquet strap around the right arm of Windlass Rod.

Wrap the Tourniquet strap around the arm.

Position TBWT ® on arm; if left arm, the Windlass Rod should always face away from the chest, if right arm Windlass Rod should always face toward the chest.

Fold the Tourniquet strap over the left Windlass Rod arm.

Pull the Tourniquet strap under the left Windlass Rod arm to firmly secure.

Fold Tourniquet strap over the center of the Windlass Rod and feed under the left arm of the Windlass Rod.

The TBWT® is now secure with the Keeper Hook in place to prevent Tourniquet loosening or unwinding.

Begin twisting the Windlass Rod clockwise to provide pressure to the arm; attach the red-tipped Keeper Hook to the closest Windlass Rod arm to secure once the necessary pressure is reached.

Application to a Leg (left leg shown):

Position TBWT® on leg; if left leg, the Windlass Rod should always face away from the inner thigh, if right leg Windlass Rod should always face towards the inner thigh.

Wrap the Tourniquet strap around the leg.

Loop-wrap the Tourniquet strap around the right arm of Windlass Rod.

Begin the loop-wrap of the Tourniquet strap by pulling the strap under the right Windlass Rod arm.

Fold strap over opposite Windlass Rod arm towards center.

With the Keeper Hook in place, the tourniquet is secure and will not unwind. To remove the tourniquet, or if additional pressure is required to the limb, simply pull the Keeper Hook out of place and remove the device or continue winding, making sure to reattach the hook to lock in place again.

Find Keeper Hook (red tipped) and bring the Windlass Rod and Hook together. Hook the Keeper over the available Windlass Arm to lock in place.

Firmly grasp both Windlass Rod arms and twist clockwise to provide pressure to limb.

Fold Tourniquet strap over the center of the Windlass Rod and feed under the left arm of the Windlass Rod.

The following is a pictorial orientation showing the application of The Basic Windlass Tourniquet to help in stopping excessive blood loss due to injuries to an extremity; as shown, to either an arm or a leg. However, this pictorial shows the presumed use; this device can be applied in different ways, and can be secured in place depending upon the individual, the EMT, Corpsman, First Responder or Caregiver's discretion, as the situation demands. It should be used as needed, in whatever form is necessary, upon the judgement of the individual using it. Its simplicity is what makes it useful; a simple device to help with a complicated situation. The example straps shown on this page are orange with black piping to provide color and contrast for training purposes. The standard TBWT® is supplied with black strapping and no piping.

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