COMBAT MEDIC/CORPSMAN

TACTICAL COMBAT CASUALTY CARE

M A R C H

SAM® JUNCTIONAL TOURNIQUET

NOTE: Junctional tourniquets should be applied after proper wound packing.
CONSIDER body substance isolation. EXPOSE the injury and assess the bleeding source.
01
NOTE: If a Combat Lifesaver is available, direct NOTE: Clothing may need to be cut away to properly
them to assist. expose the wound.

02 If possible, APPLY direct
pressure to the source of the
most active bleeding.
03 EMPTY the casualty’s pockets 04 PLACE the casualty in the
and remove items from around supine position.
the hip area. MAINTAIN direct pressure
05
while preparing the SAM.

06 PASS the belt behind the thighs and slide it upward positioning the 07 HOLD the TCD in place and
Target Compression Device (TCD) over the area to be compressed. connect the belt by snapping the
a. Over the femoral pulse just below the inguinal ligament. buckle together.
NOTE: If wound was not previously packed, use gauze or hemostatic dressing
if targeting the TCD directly over an open wound.
b. Just below the midpoint of imaginary line between anterior superior iliac
spine and pubic tubercle (if pulse is not palpable).

PULL brown handles away from FASTEN excess belt in place by Use the hand pump to
08 09 10
each other firmly until the buckle pressing it down on the hook INFLATE the TCD(s) until the
is secured, ensuring all slack is and loop fastener. hemorrhage stops and a distal pulse is
removed before TCD inflation. NOTE: You may hear a second click no longer present.
NOTE: You will hear an audible click. once the belt is secure. NOTE: When treating bilateral
junctional injuries, use a second TCD
following the same procedure.
E (T
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NOTE: Monitor casualty for
hemorrhage control and adjust device
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/

DOCUMENT time of tourniquet

g
R Le

12 DOCUMENT all findings and

: k) /
TQ blan
e

11 placement on casualty’s forehead.

T YPE: in th
E: (Fill /
TIM ms: e
pto Tim
ym RD

treatments on a DD Form 1380 TCCC

S n) / CA
s& catio C
Sign ate
& Lo ssure TCC
e (R Pre e
Puls od Rat
Blo ory Sat
pirat O2

Casualty Card and attach it to the casualty.

Res x% PU

#TCCC-CMC-SC-14 7 JUN 2021

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