16/02/2026
TOURNIQUETS
I’ve recently been undertaking some CPD on the use of tourniquets and came across some conflicting advice between American and UK guidance. It highlighted how important it is to follow the correct national recommendations, so I thought I’d share a brief and useful overview of the current UK guidelines.
Location: Apply directly to the skin, 5–8 cm (or 2-3 inches) above the wound, between the injury and the heart. Do not place directly over a joint (elbow or knee).
Application: Tighten the strap, then twist the windlass (rod) until bleeding stops completely (there may be a little seepage). Secure the windlass in the clip.
Pain: The procedure will be extremely painful; reassure the casualty, but do not stop.
Documentation: Note the exact time of application on the device or the casualty's forehead or cheek.
Management: Never remove or loosen a tourniquet once applied; this is for medical professionals only. Once it’s on, it’s on!
Second Tourniquet: If the first tourniquet does not stop the bleeding, apply a second one just above the first.
When to Use:
Catastrophic Bleeds: For amputations, mangled limbs, or arterial bleeding that cannot be stopped by direct, focused pressure. Can be used for stabbings, severe workplace accidents, and road traffic collisions.