COMBAT MEDIC/CORPSMAN

TACTICAL COMBAT CASUALTY CARE

M A R C H

TOURNIQUET CONVERSION
CONSIDER body substance isolation.
NOTE: If a Combat Lifesaver is available, direct them to assist.

01 EXPOSE the wound, if not 02 REMOVE the hemostatic 03a PACK the dressing tightly into
previously exposed. dressing or gauze from its the wound.
NOTE: Remove clothing and sterile package.
equipment as required. NOTE: If hemostatic dressing or
gauze is not available, use clean, dry
cloth material.

03a STEP 3 NOTE: Fill and pack the whole wound cavity tightly while 04 ENSURE the hemostatic
keeping firm pressure on the wound. More than one hemostatic dressing or gauze extends
dressing or gauze may be required. 1–2” above the skin.
STEP 4 NOTE: If the hemostatic dressing or gauze does not extend 1–2” above the skin, place additional hemostatic
dressing or gauze.
STEP 4 NOTE: If a penetrating object is lodged in the casualty’s body, bandage it in place. Do not remove the object.

AFTER packing, continue to

05 06 REMOVE the pressure 07 PLACE the pad of the
apply firm, manual pressure bandage from its package. pressure bandage directly
for a minimum of 3 minutes. over the wound or previously
applied hemostatic dressing while
continuing to apply direct pressure.

Continued on next page...

#TCCC-CMC-SC-36 7 JUN 2021

 COMBAT MEDIC/CORPSMAN
TACTICAL COMBAT CASUALTY CARE

M A R C H

TOURNIQUET CONVERSION
Continued...

WRAP the pressure/elastic SECURE the hooking ends of SLOWLY release the
08 09 10
bandage tightly around the the hook and loop straps or tourniquet (over one minute);
extremity, focusing pressure over closure bar onto the last wrap of the observe the bandage for bleeding.
the wound and ensuring that the bandage.
edges of the pad are covered. STEP 10 NOTE: Convert tourniquets
in less than 2 hours, if possible, but
STEP 8 NOTE: If the bandage has a do not remove a tourniquet that has
pressure bar, insert the elastic wrap been in place more than 6 hours.
completely into the pressure bar,
pull the bandage tight, and reverse STEP 10 NOTE: If bleeding reoccurs,
it back over the top of the pressure retighten the original tourniquet,
bar, forcing it down onto the pad. ensuring bleeding is controlled and
the distal pulse is absent.

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it to the casualty.
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#TCCC-CMC-SC-36 7 JUN 2021