(Firstly get the training. Practice, experience and skills are more important than gear)

I keep pushing tourniquets for remote wilderness use, that’s because we are so far behind in this country when it comes to training. Always carry a tourniquet, pressure bandages and S rolled gauze for junction packing in order to stop serious bleeds..

I have worked around situations where crush injuries from heavy vehicles , car accidents and chainsaw accidents were common occurrences ,when people thought they were adequately trained and the right equipment and training was never prevalent at the time.

8 tips on applying a tourniquet

1. Tourniquets are placed at least 5cm above the wound

2. Never place a tourniquet on a joint

3. Ideally, the tourniquet should be placed directly on the skin if the situation/environment allows it.

4. You can place tourniquets on lower limbs (ie two bones)

5. If one tourniquet isn’t effective, place a second tourniquet flush against the first tourniquet, but with the windless offset, so you are able to tighten

6. Tourniquets should be horizontal to the limb

7. When applying a tourniquet to a male casualty’s upper thigh, ensure the genitals don’t get caught

8. Re-check effectiveness regularly and after every casualty move

by Tacmed Australia

Stop the Bleed full course

Junctional Wound Packing

Tourniquet Application

Staging a Tourniquet

Pressure Bandages

RATS Tourniquet



(RTACC) Rescue Trauma and Casualty Care course by Tacmed Australia


TacMed Training (RTACC)

Course Content:


Scene Management

Enhanced kinematics and mechanism of injury

Catastrophic bleed management using stepwise approach – Wound Packing, Hemostatics, Tourniquets and Junctional Bleed Management

Airway assessment with enhanced management – adjuncts & supraglottic devices

Spinal assessment, management and immobilisation

Safe and effective Oxygen usage

Respiratory assessment and management

Recognition of Thorax trauma and complications

Abdominal assessment

Circulatory assessment, management, shock

Head injury & disability assessment

Effects of environment and exposure

Cardiac arrest – pit crew resuscitation

Paediatric BLS

Paediatric Anatomy, normal physiology & common medical emergencies

Care of common medical conditions i.e. stroke, diabetes

Care or medical emergencies

Thermal injury with ability to assess severity

Musculoskeletal injury with use of analgesia & fracture reduction

Drowning and immersion

Excitation delirium and overdose

Mass casualty management


Major civilian disasters

Bombs, blasts, blades and ballistics


Transfer of the critically ill patient