What is Emergency Medicine - Where exactly should a tourniquet be applied?
To hasten decision-making when under fire, it is suggested that the initial tourniquet be placed high on the extremities. The typical recommendation is 2 inches above the injury site, not over a joint, if time permits for the wound to be identified. Placement of a tourniquet near to the wound protects as much limb as possible for future recovery if access to definitive care is anticipated to be delayed. If used, distal tourniquet placement over the tibia, fibula, and radius might make artery compression more challenging and calls for special attention to efficacy. Regardless of inclination, a tourniquet should never be put over a joint and should be tightened until all bleeding has stopped and the limb is pulseless.
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