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JUNCTIONAL

TOURNIQUET APPLICATION

CLINICAL INDICATIONS:
• High level amputation not amendable to a standard tourniquet, non-compressible hemorrhage
in a transition zone (inguinal and axilla), and pelvic immobilization.
CONTRAINDICATIONS:
• None
PROCEDURE: All medical personnel should be proficient in deploying and applying all available
tourniquets. Junctional tourniquets (JT) should be pre-set and removed from wrapping (ready
for immediate use and application). Junctional tourniquets should be applied according to
manufacturer’s instructions.
• Remove clothing as necessary to visualize area of application if possible. Remove objects
from patient’s pockets or pelvic area. Slide device into place as necessary to proper position.
• Tighten tourniquet by twisting or pumping up balloon/bladder until bleeding stops. (depends on
JT used)
• Secure all straps in order to ensure security of device.
• Document presence of tourniquet and time of placement on patient (forehead). (“T” signifies
tourniquet). Do not cover tourniquet.
• Recheck tourniquet intermittently (q15min) and after any movements to ensure no new
bleeding/loosening has occurred.
• Junctional tourniquets are recommended to be in place for up to four hours.
• ***If using a JT with pump device, additional inflation may be necessary with changes in
altitude.
• The uniqueness of junctional tourniquets do not lend themselves to conversion well
and should be left to Roles with surgical capability. Use caution if attempting Junctional
Tourniquet Conversion. Must have high index of suspicion that injury is compressible
and can be managed by other adjuncts.

Document procedure, results, and vital signs.

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