When Bleed Source Is Unknown

Anand recommends placing the tourniquet as high on the limb as possible if the bleed source is unclear.

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Episode notes

🧭 REBEL Rundown

📌 Key Points

🩸 Tourniquets save lives and limbs: Apply immediately when you’ve got arterial bleeding.
📍 Placement matters: Position the tourniquet 5–6 cm proximal to the arterial bleed, or if you can’t identify the exact source, place it as high up on the limb as possible.
🔧 Windlass technique: The windlass provides only a small amount of extra pressure. Tighten the velcro first, then twist the windlass 1–2 turns to complete compression.

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⏰ Highlights

00:00 Introduction to Tourniquets
00:40 Optimal Placement of Tourniquets
01:21 Proper Tightening Techniques
01:57 Importance of Timing and Application
02:36 Summary and Conclusion

📝 Introduction

In this episode of the Rebel Core Content podcast, Swami provides crucial tips on using tourniquets. Highlighting the significance of these life and limb-saving devices, the discussion focuses on the optimal placement of tourniquets, emphasizing placing them 2-3 inches (5-6 cm) above the bleeding source and avoiding joints. Swami also advises on the correct way to tighten the tourniquet using the Velcro strap first, followed by minimal use of the windless. The importance of noting the application time to avoid prolonged arterial flow interruption is also discussed. The episode concludes with a reminder to visit the podcast’s website for more valuable content.

Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO)