Originally Posted By: Alan_Romania
This is also why hemostatics and (more importantly) tourniquets are great tools in the back country or survival situations. While you probably won't need to be shooting back, you could easily find yourself in a situation where evacuation is a LONG time off and you may be the only person able to provide aid. You may even be the only patient as well as the only care giver. The quicker you stop bleeding the more blood you retain... it really is that simple.


I'm up for recertifying my WFA this year, and may step up the longer 5 day WAFA, depending on schedule: it will be interesting how the instructor deals with tourniquets and hemostatics, or if they deal with them at all. A couple years ago the response was there's no real place for tourniquets in the backcountry, they identified all sorts of issues with releasing pressure and restoring circulation after having it on for ~an hour or more: in short they said if you commit to a tourniquet you may be committing to losing a limb. And they also said the majority of bleeding is stopped with direct pressure, which is true - and when there isn't the pressure to evacuate a casualty right away as there may be with an EMT and close transportation, you can apply direct pressure much better by yourself or putting a confident Scout on the task for you. I will agree the game is to prevent blood loss and keep the patient out of shock, so it makes sense that a tourniquet may have a place on a serious bleeder. I imagine though that will probably come as a result of a fall, and they may have much more serious wounds to deal with. Anyway, I'll follow whatever protocol I'm trained in, but may carry the tourniquet on longer hikes - I think the two I have are SOFT-T types.