In my experience, both in the field and "lab experimentation", RATS are crap, and I nor TCCC recommend them. Although not a tourniquet, another option is the SDR T3. My last few years in the Corps as well as my current TCCC training in SWAT pretty much dictates a severe bleed in a limb equals a tourniquet every time. But when the blast of war blows in ours ears, Then imitate the action of the tiger; Stiffen the sinews, summon up the blood, Disguise fair nature with hard-favoured rage. This change has four goals: 1. There has been a great deal pushback on the Rapid Application (RATS) Tourniquet since it was released several years ago. The one I have in the packaging is a tourniquet (at least says it on the bag), but i will take it out and look at it since ill be replacing it. The CAT tourniquet is endorsed by Tactical Combat Casualty Care (TCCC) and is the U.S. Army's tourniquet of choice. R.A.T.S (Rapid Application Tourniquet System) If you ever want to start a fight among gear guys, tacticools, or survival medics ask them why the RATS is the best choice. One for training. The CAT and SOFTT tourniquets are the only CoTCCC recommended tourniquets (CoTCC being the real/original issuer of the TCCC guidelines). Trademarked the phrase "TCCC," then put TCCC-approved on his ****ty bungie cords, knowing full . I need to do more research. The tourniquet itself MAY be OK, it just hasn't been formally tested by groups (other than the company who makes it) like the CAT or the Soft-T. For now, I'd advise . I will be looking at all of your suggestions and ordering a new, proper tourniquet. DevilDog has it right - Jeff Kirkham, the guy behind Readyman, is also the "brains" behind the RATS Tourniquet and is under some serious fire for his extremely questionable and underhanded marketing of the RATS TQ: . If the endpoints are met on the dressing you may have a tourniquet and should check for good blood return in the extremity (pulse and capillary refill), or you risk the complications . DLA Nomenclature: Tourniquet, One Handed Burke Device Tactical. It's the same thing they told me in my early days in the Marines. NSN: Use of CAT Generation 6 is acceptable until life-cycle replacements to gen 7. There were 3 advantages for the rat that I heard. Cspine is important, but what the setting of the injury is determines the . Tighten until cessation of bleeding and move to safety. SWAT-T Tourniquet. The mission of the Joint Trauma System (JTS) is to improve trauma readiness and outcomes through evidence-driven performance improvement. Built for Survival. To be considered for this list, each of these TQs must be approved by the Committee on TCCC (Co-TCCC). It is still the preferred tourniquet for elite military forces and emergency responders worldwide. The Committee for Tactical Combat Casualty Care recently released a list of approved commercial tourniquets. Take a look at the photo below illustrating proper dog tourniquet placement. The patented C-A-T Generation 7 is a true one-handed tourniquet proven to be 100% effective by the U.S. Army's Institute of Surgical Research. There is also a non-approved tourniquet that may be useful called the RATS tourniquet. An Elastic Tourniquet is a stretchy band wrapped tightly around the limb and constricting blood flow past the band(s). A $40 Basic kit is available, but we chose the Solo Advanced. I don't like the scammy "TCCC Approved" marketing the company uses. 2. In my opinion the SWAT-T can take longer to apply if you had to apply it on your own arm vs the C.A.T. One person I spoke with swears by the CAT version. In this guide, we review the best three tourniquets on the market. A significant percentage of these deaths are from the improper application of a tourniquet. I am unfamiliar with the RATS. Keywords: Tourniquet, Tactical Combat Casualty Care Guidelines, external hemorrhage control, shock, resuscitation, emergency medical services Proximate Cause for the Proposed Change The early use of limb tourniquets has been documented to save lives on the battlefield, but has the potential for significant morbidity. This is why it legitimate good gear is CoTCCC approved, because the real TCCC guys had to work around this BS trademark. Tourniquet has many resellers, including the very Tactical Combat Casualty Care company which approved it. On campus, we have service animals, police canine dogs, and agricultural animals. CoTCCC list of approved limb tourniquets. This makes it a more serious issue in my opinion. . The fact that it is an elastic band that you wrap around the limb means that it will work on the smallest/skinniest individuals or children, or even pets. Click to expand. On August 31, 2020 at 8:35 pm, Stephen Arthur said: Edit, I'm ok with the Rats tourniquet also although not TCCC/TECC approved, they adjust to very . I carry a C.A.T, and I have a SWAT-T as well. Just to be clear, I'm not calling into question the efficacy of the R.A.T.S. You must be a subscriber to . For the record, the guys behind the RATS TQ got a trademark on the term TCCC so they could put TCCC APPROVED on their product. . BUY HERE. Buy 2. Answer (1 of 8): RATS tourniquets do work. The Rapid Tourniquet uses a solid vulcanized rubber core with a nylon sheath, combined with a unique locking mechanism to make an incredibly fast . It is stronger, lighter, and easier to use so you can stop the bleed anywhere life takes you. The SWAT-T Tourniquet has both its fans and its detractors. The RATS Aderpresse is Misere in the Saatkorn class as the other two which are approved by the Co-TCCC. A: TCCC does not approve or deny any medical equipment for the military as it is no longer a function of the committee. Ratcheting Medical Tourniquet -Tactical (RMT-T) NSN: 6515-01-527-3841. I would highly recommend against the RATs tourniquet. The RATS is not a good tourniquet and has been tested by a couple of independent groups and has been shown to not completely occlude blood flow confirmed by doppler. Here is some intelligent thinking on the topic. This doesn't mean it's inferior. Edit, I'm ok with the Rats tourniquet also although not TCCC/TECC approved, they adjust to very small limbs and are better than an improvised tourniquet. What the Doppler does is determine whether blood flow has actually stopped after Application of the Tourniquet. Tests proved that the CAT . Critics have been asking to see it used in conjunction with Doppler Ultrasound in order to prove its efficacy. The SOF-T Wide is also just as trusted, but not quite so widely used. https . The rats has been proved to not be not nearly as effective as either of the aforementioned TQs. As of this writing (Sept 2020), unlike many other commercial tourniquets, RATS hasn't found a place on the list of tourniquets approved by the Committee on Tactical Combat Casualty Care (CoTCCC). Here is the short rundown: The RATS has issues, but it's also great for a couple of reasons. Solid vulcanized rubber core with a nylon sheath, combined with a locking mechanism that creates high efficiency. Consider moving to safety prior to application of the TQ if the situation warrants. Description. It'll share a front or rear jeans pocket with a G17 magazine. Theyve been proven to cause irreversible nerve damage and I personally have never seen a verified legitimate time they've been used and worked, and I work in emergency medicine. When the Co-TCCC released the updated recommended tourniquet list Monday, and the RATS tourniquet was not on there, I removed it promptly. CATs and SOFT-Ts will work at this location even on small dogs. The RATS can occlude blow-flow very well, but it's hard to get the wraps evenly placed to form a wide continuous band, and very easy to get a couple of 1/2" to 1" apart wraps, particularly in self application, or when applying to a larger thigh (where only one or two wraps may be possible). The New Benchmark For Bleeding Control. DLA Nomenclature: Tourniquet Nonpneumatic Combat Application One-Handed 37.5" LG 1. I've read a lot about using the RATS on animals and very slim children. I have another first aid kit that sits behind my headrest with a CAT, the SWAT T is there if I dont have time to grab the rest of my gear. Authority lies with the medical director of each area or jurisdiction. Its also no CoTCCC approved at this time due to the issues presented by multiple independent studies. Check out the new gen2 rats tourniquet. In children, the approved tourniquets do not always fit. A relatively compact size 2. So far voting members of TCCC have tested and recommended the R.A.T.S. The CAT has the benefit of being the first to the market and was picked up by the US and British militaries for combat applications and so it enjoys great data supporting its effectiveness. But any tourniquet you have a chance to use is better than no tourniquet, or the awesome tourniquet you left home or in the car. The "TCCC approved" endorsement on the RATS is misleading. Invented and patented by a 28 year Special Forces Medic with multiple combat trauma experiences under his belt. With several tourniquets on the market and many cheap forgeries, Simpson recommends only using Tactical Combat Casualty Care-approved (TCCC) tourniquets such as the Combat Application Tourniquet (C-A-T) The RATS tourniquet, or the SOF Tactical Tourniquet. it has actually been tested and approved by the army institute for surgical research. Fans love the wide band, the one-handed application and the way it can be used as both a pressure bandage and tourniquet. CoTCCC Approved CATs Combat Application Tourniquet (CAT) Gen 7 NSN: 6515-01-521-7976 DLA Nomenclature: Tourniquet Nonpneumatic Combat Application One-Handed 37.5" LG 1 This U.S. military-approved tourniquet uses . TACTICAL COMBAT CASUALTY CARE (TCCC / TC3) COTCCC RECOMMENDED DEVICES & ADJUNCTS AS OF: 01 AUG 2019 TOURNIQUETS, LIMB NON-PNEUMATIC Common Name / Brand Name DLA Nomenclature NSN Combat Application Tourniquet (CAT) Gen 7 Tourniquet Nonpneumatic Combat Application One-Handed 37.5" LG 1 6515-01-521-7976 This video will give an overview of all the tourniquets currently approved by the CoTCCC. The problem is that they actually work TOO well in the field. No second step is needed. Apply a tourniquet over the clothing as proximal- high on the limb- as possible. P.S. Unsere Bestenliste Aug/2022 - Ultimativer Ratgeber Die besten Favoriten Aktuelle Schnppchen Alle Vergleichssieger JETZT direkt weiterlesen! Combat Application Tourniquet (C-A-T) The patented C-A-T is a true one-handed tourniquet proven to be 100% effective by the U.S. Army's Institute of Surgical Research. Jeff Kirkman is the epitome of a ****ty human being, and a liar. Engineered for rapid application the Sam XT Extremity Tourniquet minimizes the number of windlass turns needed compared to traditional tourniquets, enabling an easier and faster training of the product. Its versatility is unparalleled, working on all limb sizes, i.e. The RATs has yet to be proven anywhere but on one of Kirkman's pages, or the pages of those he has a financial partnership with. Tests proved that the C-A-T Gen7 completely occluded blood flow of an extremity in the event of a traumatic wound with significant hemorrhage. The Tactical Mechanical Tourniquet (TMT) is a hemorrhage control device specifically designed for massive hemorrhage control of an extremity. For any traumatic total or partial amputation, a tourniquet should be applied regardless of bleeding. . The RATS tourniquet can work for smaller children and animals. is currently undergoing evaluation by TCCC. If that isn't indicative of the kinds of shenaniganry they are trying to pull, I don't know what is. The RATS Tourniquet is the fastest and most affordable tourniquet on the market. This makes it a more serious issue in my opinion. Just make sure you take the time to understand your equipment before it's needed. The only issues we have personally seen with the CAT is the longevity of the plastic windlass. Sorry if I seem pedantic, but as a "Stop the Bleed" Instructor I . Recommended by Committee on Tactical Combat Casualty Care (CoTCCC) TRUFORCE Buckle auto-locks, eliminating nearly all slack. Knowing full-well the average person was not . Tourniquet has many resellers, including the very Tactical Combat Casualty Care company which approved it. However, it's now the opposite. [**Previously recommended tourniquets] -Combat Application Tourniquet Gen 6 (CAT-6)** -Combat Application Tourniquet Gen 7 (CAT-7)** -Ratcheting Medical Tourniquet (RMT) Tactical -SAM Extremity Tourniquet (SAM-XT) -SOF Tactical Tourniquet-Wide (SOFTT-Wide) -Tactical Mechanical Tourniquet (TMT) Rats tourniquet - Die TOP Produkte unter der Vielzahl an Rats tourniquet! Heads will explode. Our patented SOF Tourniquet was designed by a Special Forces medic while on deployment in Afghanistan in 2003 to save lives. When purchasing or putting together an IFAK (Individual First Aid Kit)/trauma kit, stick to the basics. Having the TCCC Approved label without disclosing what that approval actually means is misleading in my book." Again, the label is very clear. Rapid Tourniquet GEN 2 - Rapid Application Tourniquet System Generation 2 Is the fastest tourniquet on the market, and proven in combat. The proper application of tourniquets is credited with saving between 1,500 and 2,000 military personnel during the Iraq and Afghanistan wars.Even so, 24 percent of all battlefield deaths are considered preventable if the proper techniques of Tactical Combat Casualty Care are followed. 1. For tourniquet, I like CAT style, but RAT works well also. . I was wondering if these are just as effective as a CAT type tourniquet or if I should get a different one. Will probably buy 2, one for practice and the other to carry. Check Price on Amazon. Without rehashing a lot of what has been said the tourniquet you have with you is a thousand times better than the one you left in your kit. Tourniquets. 7. dubi. Last time I checked was in March 2016). Only time I would ever use one is for a K9. That tourniquet is one of two windlass models approved for use in combat by the Department of Defense and the Committee on Tactical Combat Casualty Care (the other is the C-A-T). It does not say CoTCCC approved. The problem with the use of any tourniquet on a dog's leg is that the leg is funnel shaped. The CoTCCC now recommends the following TQs in the non-pneumatic limb tourniquet category: Combat Application Tourniquet (C-A-T) Gen 7 and Gen 6 Ratcheting Medical Tourniquet -Tactical (RMT-T) SAM Extremity Tourniquet (SAM-XT) SOF Tactical Tourniquet - Wide (SOFTT-W) Tactical Mechanical Tourniquet (TMT) Committee of TCCC (CoTCCC) Approved Tourniquets: The two tourniquets widely used in the the Special Operations community as well as experience in the staff here at C.A.G., but even more importantly have approval from the Committee on TCCC (CoTCCC) and Fort Sam Houston's Institute of Surgical Research are the Combat Application Tourniquet, version 3 -or- CAT3 and Special Operations Forces . . The R.A.T.S. I'm slowly getting my get home bag stocked with various items including medical emergency items. DLA Nomenclature: Tourniquet Nonpneumatic Combat Application One-Handed 37.5" LG 1. Tests proved that the C-A-T completely occluded blood flow of an extremity in the event of a traumatic wound with significant hemorrhage. Anyone that has bought a discount/airsoft tourniquet and intends to use it as an actual life saving device, please reconsider. SAM Extremity Tourniquet (SAM-XT) NSN: 6515-01-670-2240. I personally haven't had a chance to test RATS Tourniquet. A tourniquet does not mean you're going to get the limb cut off. Joined: Nov 7, 2006 . In class when discussing that the CAT and SOF-T Wide are the two recommend by TCCC, I have students tell me that the RATS is as well. Correct tourniquet placement on a dog leg is very high on the hip/shoulder. He trademarked the name TCCC and then slapped TCCC-approved on his piece of shit, knowing full-well that the majority of people would mistake that for CoTCCC. External hemorrhage control using tourniquets has been a core tenet in modern U.S. military trauma medical care since 2003 with the deployment of the Combat Application Tourniquet (North American Rescue, LLC, Greer, SC), 5 and their use in civilian trauma has been supported. when he trademarked "TCCC" then put "TCCC-Approved" on his rubber bands. . While you could improvise many items to slow the bleeding, I expect total arterial occlusion from a commercial product. Summary. Recommended by the Committee on Tactical Combat Casualty Care ; Designed to perform . The Committee on Tactical Combat Casualty Care (CoTCCC) has thoroughly studied and approved of three TQs for use in combat, 1) the Combat Application Tourniquet (C-A-T) (North American Rescue, Greer, SC), 2) the SOF Tactical-Tourniquet Wide (SOFTT-W) (Tactical Medical Solutions, Anderson, SC), and 3) the Emergency and Military Tourniquet (EMT . On August 30, 2020 at 10:37 pm, Ratus said: . The C-A-T Gen7 utilizes a durable windlass system . Purposeful upgrades to the SOF Tourniquet allow for smoother and faster one-handed and two-handed applications for the most effective bleeding control.. Its innovative design draws from years of extensive research, material testing, and end-user feedback from on and off the battlefield to adapt with your ever-evolving medical response needs. Just remember, "Stop the bleeding, start the breathing.". I find the RATS to work better for that application. The RAT tourniquet is a flat bungee that works through wrapping the cord around the extremity to stop bleeding. Taught as a self-aid and buddy-aid task, the TMT . The JTS vision is that every Soldier, Sailor, Airman and Marine injured on the battlefield or in any theater of operations will be provided with the optimum chance for survival and maximum potential for . Individual First Aid Kit. TX tourniquets are the widest non-pneumatic tourniquets recommended by Committee on Tactical Combat Casualty Care Unique ratchet design allows precise, one-handed micro-adjustments to treat re-bleeding and minimize patient discomfort 2 " width / 39 length TX2 Tourniquet NSN: 6515-01-667-6027 This would be the SOF-T or the CAT. Just pitch it, chuck it up as a loss and get a proper tourniquet. Best Camping Survival Kits based on Quality of Material, Value for Money, Overall Satisfaction, Convenience; Pros- Comes with an instruction manual that makes it easy to use, Proven to effectively cover blood flow in both upper and lower body areas, Made of a vulcanized rubber that . The third type of . 1. I'd stay away from any of the non-approved tourniquets. Just be aware of knockoff CAT and Rats tourniquets that you can find online. Wrap the SWAT-T over hemostatic agent or sterile dressing then tuck or tape the end to maintain pressure, preventing further contamination and re-bleeding. @Lemmy68 if you're in the medical field then you should know to not make absurd comments that can end up killing people. The two types of tourniquets approved by the Committee on Tactical Combat Casualty Care are the CAT and the SOFTT. and non-life-threatening scenarios. Combat Application Tourniquet (CAT) Gen 6. One of those items is a tourniquet. I am a TCCC instructor and I implore you to ONLY use a CoTCCC approved TQ. The strap is run through. There's no precise method to control the amount of pressure exerted by the tourniquet and each wrap of the elastic band around the limb can increase the pressure exponentially by 2 to 3 times . . Joint Special Operations Command (JSOC) had a one-handed tourniquet in rotation until late 2002/early 2003 before it was replaced by the SOF-T a highly-effective, combat-tested device developed by a Special Forces 3rd Group medic in 2003 while on deployment in Afghanistan. Never use a RATS tourniquet. Currently, there are 10 devicesapproved for use in the field. The Swat-t is not a TCCC approved tourniquet. Maybe someone with more experience can tell me if they are valid advantages, or a load of crap. 4. . The version that I bought is the HALO type. The only drawback to the CAT is that its use is limited to adults it doesn't work well for small kids or dogs. Using lessons learned from the battlefield, the TMT is designed to ensure ease of application and definitively achieve occlusion. the committee on tactical combat casualty care (cotccc) has thoroughly studied and approved of three tqs for use in combat, 1) the combat application tourniquet (c-a-t) (north american rescue, greer, sc) (figure 1), 2) the sof tactical-tourniquet wide (softt-w) (tactical medical solutions, anderson, sc), and 3) the emergency and military (Let's just hope it remains that way.) It's easy to deploy in any conditions, provides a stable, secure hold and is built to last. This has been . that in my mind this is a pretty good deal. Noted as the best prehospital tourniquet in the February 2008 supplement of The Journal of Trauma The patented C-A-T is a true one-handed tourniquet proven to be 100% effective by the U.S. Army's Institute of Surgical Research. And one for the real thing. There's obviously a lot more to emergency first aid, but those are the most immediate concerns. The CAT and the SOFTT-W are the only ones with approval from the Committee on Tactical Combat Casualty Care. With that said, the R.A.T.S. Subscribe Now. Finally an EDC with a tourniquet! The SOF-T Wide came onto the scene a short time . . adults, dogs and children. the majority of the population would never think any different looking at that label on the RATS, that is the problem. "The R.A.T.S. They are what a trauma kit is intended to address. The best advice I can give you is go with a TK that is approved by the Comitie on Tactical Combat Casualty Care ( only 3 that are approved as far as I know are the CAT, SOF-T, and the EMT Tourniquet. 6 In addition to tourniquets, hemostatic agents are also being used in . 0. I have posted previously as to my experience with the CAT's and SOF-T's several times, in which I have broken both types (of various generations of . Rats avoided actual regulation by making their own brand called TCCC so they could name their tqs TCCC certified and trick laypersons into thinking they're good. It features a RATS tourniquet, which uses a metal cleat to lock . For the price I paid, even if I discard the tourniquet, there are so many other items included (their version of an Israeli bandage, a chest seal, an airway, decompression needle.) If you are wearing pants, you can carry it easily. NOTE: The RMT Civilian models are not CoTCCC-recommended for military use. Check Latest Price. As others have said the "TCCC Approved" on the label is pretty shifty. (Except for 2, one I love, and the other I hate) Let's break down em down and help you pick the right tool for the job. for use. I have had real world experience with several different types of tourniquets, various generations of CAT's and TacMed SOF's, as well as, the newly TCCC approved Ratcheting Medical Tourniquet (RMT). Ratcheting Medical Tourniquet -Tactical (RMT-T) NSN: 6515-01-527-3841. Tac Med Solutions Gen 4 SOFT-W Tourniquet. The X8T just ratchets and holds. Best Overall. RATS GEN 2 Rapid Application Tourniquet System | Life Saving | Hemorrhage KIT | Emergency | First-AID | Survival. The RAT tourniquet gets the same poo. Open-loop tourniquet A favorite design of the CoTCCC, open-loop tourniquets consist of a single, unconnected strap with a cinching mechanism and buckle located at one end. CoTCCC Recommended. . Tourniquet, simply the manufacturer's choice to label it TCCC Approved. Better to play it safe. The RATS is NOT TCCC approved. I have yet to see Doppler prove that it occluded arterial blood flow, studies on live tissue, or real CoTCCC approval. Don't save it as a back up. Then lend the eye a terrible aspect. This Article describes why the RATS is controversial. Whether Recon Medical(best in my opinion), CAT, SOF-T, SWAT-T, RAT, etc. A blood pressure cuff is NOT equal to an actual TCCC approved tourniquet.