Combat Medic Essentials │ Part 3: Tourniquet Conversion

How to do a tourniquet conversion. Okay, now we did all the things in M.A.R.C.H. and when we reassess the wound, we found out that
there is just a minor flesh wound. So now there’s a decision to be made. Are we
going to convert the tourniquet? Are we going to let the tourniquet to be
converted by a medic and let him endure the pain? Do you want the pain? -“Yep, why not.” We’re gonna decide, that
we’re going to convert the tourniquet. I could use my scissors right now and cut away his pants,
that he bought himself, but I’m gonna be a good guy and
not going to do this. First, I’m gonna do a small powerball
with the combat gauze. Find the wound. Find the deepest part and start packing it in. Buddy you’re okay. You are going to be good. You’re going to be one man
hopping but you’re gonna be good. Okay, you’re going to help me right now. You’re going to hold pressure here. Okay, brother? Hold pressure here for at least
three minutes, because it says on the label. Hold pressure here and take out your Israeli bandage. I like it, that it is up to date. Okay, just move a bit. Good, I have it. Help me hold it, brother. Feel good? Okay, we are converting the tourniquet, because our patient is
not in shock. We can monitor the wound, and also the tourniquet
does not control an amputation, which is pretty much
redundant. How to release the tourniquet? There are multiple ways how to skin this
cat. Some people say that we remove the windlass a quarter-turn a minute. Okay, some like to do that. The way I teach it is just
to release it altogether and then check if it starts bleeding. Good flow. I am removing his shoes, so I can check his pulse. So I didn’t do a really nice
tourniquet, a comfortable one. Nice. Feel good? I don’t, it stinks. Remove the tourniquet just a bit and we try to put it two
to three inches above the wound. So, if it starts bleeding again we have the means to stop the bleeding. Just make sure you are not putting it
directly on the knee. When this is off: -“You feel great brother?
Any dizziness?” Conversion of the tourniquet
should be done no later then two hours from the point of injury. That is pretty much how you do it. You note it on the TCCC card and that is it. He is a happy camper.

100 thoughts on “Combat Medic Essentials │ Part 3: Tourniquet Conversion

  1. Our medic is on standby and ready to take on your questions, so make sure to write them down in the comment section below. Remember to take the final part of the quiz and grab your Combat Medic Patch on our page right here: 👊

  2. Patient has chest wound with entry hole and exit hole. We perform march and during "R"espiration we find that information out. Why after we set occlusive/HALO on the wound we move on to
    checking other interventions and than another blood sweep, checking pulse and skin and only after all that we turn him over? Isn't air filling his lungs and time is critical to plug the exit hole right away?

  3. In my tccc courses i have been told that releasing a tourniquet is just for medical personal but never for first responders

  4. Wohooo! It took a while, But Finally. I got it! Thank you U.F Pro for these amazing tutorials. And the patch, I hope I'll get it soon. I also hope you will post more of these videos and similar. Thank you!

  5. Outstanding video gents, educational and great sense of humor! subbed and looking forward to many more. Question: what nationality are you guys?

  6. Thanks you so much for let me try again the quizz ! I'm really happy of the win of that patch ! Of how many weeks is the delivery time ? Love from France ! 🇫🇷

  7. Great videos and very informative. I can never join the army because of slight hearing loss, so they dont want me. Luckily i can still join the police. Thank you very much i will be rewatching these videos for a long time

  8. What kind of retention system is the medic using to keep his rifle on his side? I see the single point but I don’t get go it’s staying to the side.

  9. Should you cauterize a wound in case of hemorrhage when you don't have torniquetes and bandages are not enough, or would it be better to just apply pressure?

  10. Happy to see you offering medical knowledge to everyone willing to watch these videos but overall I give you props for the stellar marketing strategy!

  11. Medic: You feel good?
    Casualty: yes
    Medic: i don't! It stinks (radios in for a medeveac and a hazmat team)😂😂😂😂

  12. As active duty soldier for nearly 20 years now and a combat medic for the last 10 and an instructor the last 7 years…I have to say the presentation of the lessons in the 3 video's was top class and easy to follow! Great Job….took the exams and passed (Thank Fuck 😅) I look forward to my unique patch!

  13. *applying for tacmed patch😎
    wait……wha……WHY UF PRO!?

  14. I am going to buy many sets of UF Pro gear when the time comes, too much thought was put in to not. Its a long shot but see if you can get permission for official ATACs camouflage patterns for your gear. If you would like to see the effectiveness of many camouflage patterns check out Brent0331 YouTube channel, he has Greenzone and many more. Keep developing useful versatile gear. I would like rain pants and stuff similar to ECWCS gear in Greenzone, ATACs iX/FG, Kryptek Yeti, and classic German snow camo pattern on the ponchos.

  15. Let me sum it up and correct me if I´m wrong.

    1) Fast tourniquete as high on the limb as I can until there is no more threat.
    2) Check the wound (clean, etc.) and stuff it with gauze.
    3) Cover the stuffed wound.
    4) Move the tourniquete about 3 inches above wound.
    5) "No homo"

  16. No gloves, ok! But not saying "no homo" that's just bold safety violation. 😀 Want some pain, meh just pile it on top :D:D

  17. There is 2 reason why i love this medic:
    1)He is being a good guy and not going to cut uf pro cool camo pants
    2) he says "no homo"

  18. Yo what if the wound is on the neck, near the base of the skull/spine. Jugular may or may not be hit. Asking for a friend. Urgently.

  19. I like yours videos especialy about the combat techniques but I'm so confused after the medic series. I saw there were many things what I rather do in a different way but can mention only one in this episode…WHY YOU DIDNT USE ANOTHER TQ TO PUT IT LOWER AND THEN REMOVE THE FIRST ONE. OR IF YOU RELIZED AFTER WOUNDPACKING AND REMOVING TQ THE WOUND IS NOT A BLEEDING ANYMORE WHY DID HE APPLY TQ AGAIN. ??..thx in advance

  20. While I was deployed, we discovered the most effective way to apply a tourniquet is to put (especially on the thigh) a roll of Kerlix or elastic roll still rolled up, under the tourniquet directly over the artery. It applies the pressure where it is needed most, increases the effectiveness of the tourniquet, reduces how tight you have to make it and helps the patient tremendously. Especially with soldiers, you'll sometimes never get it tight enough to stop the bleeding without this.


  22. Thank you for your videos! I am greatly enjoying them.
    I have a tourniquet question:

    Won’t the blood that has sat in the tourniquet extremity become toxic and flow back into the patient’s heart upon loosening of the windlass? And would that be dangerous?

  23. With the tourniquet, can it be much higher than 2-3 inches of the wound? I've read/seen people mentioning as high as possible vs a few inches above the wound.

  24. That was a nice movie – . – /
    I wanted to know how to remove a Tourniquet.
    Thanks that was great, sooo
    Wound Packing – Pressure for 3 min.? – Bandage on tight but not too tight – sill in the 2 hours range – then release pressure of Tourniquet by a quater, check for no bleeding.
    But why pressure for 3 min. when there is a Tourniquet no blood should close nothing ? Pressure when releasing the Tourniquet ?

  25. if you leave the tq for too long he will lose the leg , you need to release the tourniquet on a set amount of time, leave the circulation return for a few seconds and then reapply the tq if the bleeding didn't stop, if it did stop remove the tq and secure with other means. so many people first choice is to apply a tq when it could make someone lose a limb for no reason , also you should learn to pinpoint arteries and veins by the color of the blood and/or the speed of the flow. one means dying fast, the other dying slower, that's the priority you should follow when treating wounds.

    Ok so I understand that these kind of things are supposed to be performed by a medically trained individual, but most of the people on here aren't. So to anyone that is looking at this video as a guide on how to treat injuries, let me give you one simple tip that will save someone's life. For the love of God, DO NOT REMOVE A TOURNIQUET!! Once you put on a tourniquet, blood will begin to clot. If you remove the TQ, the blood clots will travel to other regions of the body and cause blocks, and will end up killing the person you were trying to save. Unless you actually know what you're doing, once a TQ is applied, do not take it off

  27. The reason for releasing the TQ slowly is because a bunch of toxins in his blood is accumulated at the spot. If these toxins reach his heart all at the same time, it could kill him. That is why you release it 1/4 per minute. Please don't ever release it immediately. Where I was trained, I was told that the risk is simply too big, to remove a TQ, if it has been effective for more than 20 minutes – so it's better to let the patient endure the pain, than risking a heart failure.

  28. So for how long does the tourniquet stays on until you decide to remove it? And is it not dangerous to let it be on for to long as well?
    Thx for answers! Great video 👌🏻👌🏻

  29. I thought he was joking, when he said that the guy will be pissed off for cutting his pants. Then I checked the price of these pants o.0

  30. Any concern for reperfusion injury by releasing the tourniquet all at once instead of a half or quarter turn per minute?

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