Sabetha EMS Protocols

Universal Patient Assessment Protocol
If significant extremity bleeding is controlled by other means, ie. direct pressure, do NOT apply tourniquet
If tourniquet has been applied prior to EMS assessment, evaluate indication for tourniquet use. Loosen or remove tourniquet if bleeding can be controlled by other methods. Re-apply if indicated
Apply tourniquet to bleeding limb, 2-3 cm proximal to the wound, not over a joint Tighten until bleeding stops, place a second tourniquet proximal to the first if necessary
When a tourniquet is initially placed to stop obvious severe hemorrhage an attempt may be made to replace it with a pressure dressing after patient is stabilized. The tourniquet should not be removed if:
- Transport time is less than 30 minutes
- Amputation or near amputation
- Unstable or complex multiple-trauma patients
- Unstable clinical or tactical situation