what’s up guys I’m Sean Ryan with vigilance elite today we’re gonna talk about tourniquets how to put them on how to put them on your buddies I always have one of these things when I carry uh now I always do it can we do out kick can we just cut that what hey what’s up guys this is my buddy Dave Rutherford also known as rut former SEAL would actually put me through training and then also work together at CIA camp combat medic awesome hey dawn now I’m a motivational speaker and author for kids and adults and podcasters for the team never quit podcast Sean I can’t even begin to tell you how stoked I am to be out here on the range with you and vigilance elite brother this is making my day for sure right what are we talking about today tourniquet my specialty all right now one of the greatest things that has happened obviously over the last 35 years is the fact that in Special Operations combat medicine we have moved away from civilian paramedicine before you got in pre 9/11 we were lingering on some old school to ideas and techniques and one of the one of the kind of stalwarts and that kind of medical training one you don’t use turn if that’s the last resort now thank you no thank God we had some very smart people take a good look at Mogadishu and Blackhawk down incident and say we need to wipe the slate clean and start fresh and with that this whole new concept called tactical combat casualty care was introduced and that’s what the stuff that we were teaching you guys in sqt back in the early 2000s now what we’ve discovered is in all the research and combat related injuries we found that basically you can stop mortality with penetrating trauma up to about 80 percent with two different types of treatments – number one tourniquets right any penetrating trauma through any of your arm your limbs boom tourniquet goes on and it has saved I don’t even know I mean I was with two guys that save their lives I’m sure you’ve been around you’ve seen guys live save the same thing so tourniquets and then inclusive dressings for penetrating chest chest trauma so why are they so effective man well because they’re not tourniquets back from the World War two stuff where he opened up like the meal cans and you’d have your see ratchet and a tourniquet in there or some shit it was crazy nowadays man they’ve gone all out and it was really this little this little bitty right here remember when these things came out man yeah holy cat the cat tourniquet and this sucker has really been revolutionary for tourniquets it’s simple to use it’s got this killer windlass and you can put it on any single one and the cool thing is you know a lot of times you get these guys in big horses and our platoons right that are huge and this sucker will take care of it it’ll cinch it down on some big bohemian arrow Campbell style leg or thing where some dude that’s got to fight except the size of my head right this thing will get around it and get on it easily there’s also a bunch of other ones out there there’s the SF tourniquet which is a little bit beefier right this thing’s got the metal ratchet to it and the windlass to it it’s got these kind of plastic these were the only kind of weak points we found in it and then it’s got this kind of locking nut so when you actually are moving guys because one of the things that we saw with velcro is what brother yeah it’s when it gets wet and bloody and and dirty they become very difficult to use and as you’re moving a guy 25 meters 500 meters and you’re dragging them through the mud because you’re the only guy they’re dragging around these things can have a tendency to come undone well this sucker right here with this windlass and the way it cinches down and this right here it’s it’s it’s one of the better ones I believe the only negative part on this is kind of the the cinching strap is a little thin for my taste for necrosis on the skin but right its life over limb yeah that’s the main principle and in all combat fighting is its life over limb so you got these two which I are fine AMA know this is the most widely used there this is not so much but and then of course there’s the the new rats man and I’ll tell you what I’m wasn’t real familiar with this thing when I was in the teams because it came out later but once I worked at the agency and started using this and then recently for sure this thing’s pretty badass its small its compact I love the way when you cinch it down it doesn’t stretch it doesn’t there’s some give-and-take to it because of the versatility of the actual rubberized strength and in this material right here it’s really good the cinching mechanism is great and with the multiple wraps on somebody you can really get a good proper you know gap that two-inch gap that provides that good solid blood stoppage so real quick on this one though this came out like I don’t know maybe a year or two before I left the agency and you know I never ran one because I I didn’t feel like it had been proven yet yeah a lot of other guys were running them you know where it was big it was big in the SF community because a lot of times they’re working with indigenous tourniquets right here because of the way the cinching mechanism when you get real skinny guys that you’re working with whether it’s Yaquis or it’s the Afghans sometimes men these it’s hard to get good blood stoppage on those guys I mean bigger guys no problem but in even if you’re working around children because remember SF medics sometimes I think they’ve treating kids as well too this doesn’t this is awesome for just about every size whether it’s a child all the way up to you know baby Huey on your platoon now when I when they did come out with these one thing they also said was no lower extremities so no legs I mean I don’t know how accurate that is or that this is a new and improved one diamond you know but the great challenge right with any tourniquet based on a larger guy is compression against that either brachial artery which runs there for your moral arteries right or your popliteal arteries down below and if you’ve got a lot of muscle a lot of beat plus swelling that happens immediately from trauma right cavitation expansion of muscle tissue blast injuries all that sometimes to get that compression around that that artery can be difficult I’ve known Merrill one my particular case I had to put a second tourniquet on up above the original one because the first one there was so much swelling that we simply stopped having that good pressure on it so I think that’s kind of one of the things that they might believe that that that struggles I don’t know any guys that have used those on a lower extremity and I really actually I don’t I mean I haven’t talked anybody who’s used those on other than videos I’ve seen and there’s a truckload of videos on YouTube yeah so let’s back up for just a second I mean number one killer on the battlefield is exsanguination bleed now yeah so that’s why we’re doing this video that’s why it’s so important this also can apply to all kinds of other stuff too like I don’t know car accidents school shootings so great I mean if you can take one piece of medical kit hands down a tourniquet I can’t even tell you how many guys that there are out there that preach this stuff online a lot of our buddies everybody has them in their kit and they’re in their middle their glove box all around they’re simple they’re easy to use and you just can’t go wrong with it with a tourniquet yeah all right so why don’t you show us how to put them on so what we’re going to do is we’re going to just do a little test run on you okay all right sure those are your what we’re gonna do is just do a little test run on you we’re gonna show your subscribers how this works and just get them out there going and thinking properly when it hits the fan all right so the big thing is when you staged your tourniquet where you staged it where you put it on your kit where you put it in your back pocket make sure your loops are generally big enough for the all the way you set them at the size of your thigh the biggest part of your thigh and that’s where you kind of how you staged it all right so basically let’s say we’re in it you know we get to cover and concealment Shawn’s bleeding out he’s like man I’m you know help me I’m dying I’m dying right so I come on simple easy all right jump put it up we go as high as we can right because we want to get make sure we’ll get that nice break your artery right on the good part try not to put any of the plastics or anything on the bottom side next to the brachial artery because that can interfere with the nice pressure we want right so boom come on get that good cinch make sure it’s nice and tight right let go now the sudden we take our windlass we twist that sucker and listen this is not like feel-good day of the week right you’re you are stopping bleeding that is the essential component of what you’re doing here so make sure you get that thing you get it cinched on there and you do it right the first time all right turn it on get it in there you’ll lock it in a key component to always remember are these little safety tabs right here right making sure that that goes all the way over so when this windlass should it get pressed or moved out does not pop out another thing you want to try and do is try and figure out how to get this you know get this piece secured in some way a lot of times on my kit I would have to tape I would try and I was just trying get it this is balled up and as friendly as nice possible you know maybe even put it in there like this just try and police it up so it’s not out of the way cinching and pulling off all right how we doing is your hand going oh guys this doesn’t feel good all right so when you put these on in your practice and zilch it sometimes you know they say that it actually hurts worse than the actual gunshot wound oh I’ve heard that every time you know and then also if it’s right you will not feel a pulse all right well I don’t feel a pulse you can see my hands turning purple through this all right no blood flow no cap refill so this suckers worse all right so let’s take this up so what about you know when I got out of teams you know went to a EMT course and it was like tourniquets like a bad word there yeah that was you know ten years ago or whatever but well the difference is in civilian medicine right you have a transport time that in most urban environments you’re looking at anywhere from five to twelve minutes tops so what you’re not what they don’t want to do is they don’t want to cause tissue necrosis now when you have a tourniquet on you’re really looking at you know reducing some major blood flow you can damage the actual nerve endings in that tissue and really what happens is the wounds become even more exaggerated and you can it’s just bad juju it’s bad medicine but on a battlefield and if you’re in an active shooter environment and life over limbs don’t worry about that right I’d rather have a mangled looking arm or a little bit at the turret than be dead okay all right so the next one what do you got to be able to do to because right because not everybody’s running around with your best friend fully strapped ready to go to battle at all times yeah so you got to be able to do it yourself this one I’m going to demonstrate the rats here I love this one I think the SF guys that invented this are top-notch smart smart dudes pretty easy to run right make sure you have this three finger and you’re in your loop here right here at a minimum three finger drop that sucker on right comes through and now this is about as simple as Simon can make all you do is you start cinch it down make it get high right get on that brachial right boom and you are boom cinch in that sucker down out that hurts like that maybe this isn’t a good idea no I’m just kidding so this gets down you simply put that sucker in there boom secure it bud how am i doing good good dawn good good and that’s what that’s all she wrote right there man that’s tourniquet application that’s it brother all right so a couple key pointers here all right you don’t always have time to look and see where the gunshot it wound is all right so if you have an exit wound down here in the cap or right here there you know there’s an entry room somewhere it might be up here so get it on quick get it up as high as you can get on your arm or as high up on your thighs you can get it all right that way you don’t miss any bullet holes all right so the less blood out the matter greater opportunity you have to survive that incident also one other point if you don’t have one of these all right you can get creative cut a shirt up use your belt anything you can do all right Anna all this shit works okay it’s just that constant pressure to keep that blood from flowing out amen oh good job brother yeah yeah thank you my pleasure so don’t forget to subscribe to our YouTube channel if you want to be notified hit the bell down there at the bottom subscribe to our Instagram account Instagram team frog logic Sean Ryan 762 and vigilance elite all right hey dude worried about him hey brother guess what we’re gonna do that neck tourniquet on you now let’s go