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Tactical Emergency Casualty Care (TECC) Guidelines Hemostatics: For compressible hemorrhage not amenable to tourniquet use, or as an adjunct to tourniquet removal (if evacuation time is anticipated to be longer than two hours), apply a hemostatic agent in accordance with the directions for its use along with an appropriate pressure bandage
TCCC-Guidelines-2024 - Allogy Expose and clearly mark all tourniquets with the time of tourniquet application Note tourniquets applied and time of application; time of re-application; time of conversion; and time of removal on the TCCC Casualty Card Use a permanent marker to mark on the tourniquet and the casualty card
C-TECC Updates Protocols for BLS ALS Clinicians - Spotter Up Key Updates in the Protocols Massive Bleeding: The updated guidelines include new recommendations for hemorrhage control Clinicians are advised to convert or relocate tourniquets within two hours of application, consistent with current Committee on Tactical Combat Casualty Care (CoTCCC) recommendations
Q A on Safe Tourniquet Use - Outpatient Surgery Magazine For anticipated inflation time of less than 2 5 hours, upper extremity pressure should be less than 250 mmHg and lower extremity pressure should be less than 300 mmHg For procedures that will involve prolonged tourniquet times of more than 2 5 hours, you should measure limb occlusion pressure and use a safety margin of 50 mmHg to 75 mmHg Q
Safe Use of Pneumatic Tourniquets, 30. 50. 47 - Providence The circulator Anesthesia provider will alert the surgeon to duration of tourniquet inflation time at 1 hour and every 30 minutes thereafter Tourniquet inflation time should be as short as possible Generally, the tourniquet time should not exceed one hour on the upper extremity or 1 1 2 – 2 hours on the lower extremity
TCCC Quick Reference Guide - California Emergency Medical Services . . . -The tourniquet is not being used to control bleeding from an amputation Convert tourniquets in less than 2 hours if bleeding can be controlled with other means Expose and use an indelible marker to clearly mark all tourniquet sites with the time of tourniquet application, reapplication, conversion, or removal
Guidelines - C-TECC The priorities of DTC remain relatively unchanged from CUF; emphasis remains on mitigating the threat, moving the wounded to cover or an area of relative safety, and managing massive hemorrhage utilizing tourniquets
CTOMS Presents: Evolution of Tourniquet Placement Guidelines This approach helped minimize tissue damage and nerve injury associated with prolonged tourniquet use 4 Current Position: The current CoTCCC position balances the “high and tight” placement for emergency situations where time is critical, with a preference for more targeted placement when the exact source of bleeding can be identified
for BLS ALS Clinicians - c-tecc. org Consider tourniquet relocation or downgrade conversion if there will be a delay in evacuation of more than two hours For any patient who is receiving fluid resuscitation (including blood products) for hemorrhagic shock, ensure a positive response to resuscitation efforts (e g , improving mentation and peripheral pulses normal in character
Updated TECC Guidelines - c-tecc. org Our most up-to-date TECC Guidelines documents are housed on the right-hand side of this page The TECC for Pediatric Care and TECC for CBRN documents are also being updated and will be released soon