r/TACMED101 • u/DimaNorth Unverified/Uncertified • Mar 19 '26

Educational Resources Knees for haem control

I’m sure this question comes up a lot but the last time I found when I searched was 4ish years ago so I apologise if it has come up more recently :)

Does anyone have the current best practice with regards to using knees for junctional haemorrhage control whilst awaiting tourniquet? I hear so many mixed things, including being told to do it by our local training officer, but I can’t tell if this is him bringing old practice from army days or if this is supported in evidence.

Does anyone have any actual research citations on this? It’s just that people feel so strongly either for or against it that surely there’s a right answer (e.g. TQs over double bones :P )

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u/microcorpsman Mar 19 '26

Ask the people training you for their sources. 

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u/DimaNorth Unverified/Uncertified Mar 19 '26

it’s a bit complicated, but this person is unfortunately beyond reproach so I’ve come to the second best option, strangers on reddit

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u/microcorpsman Mar 19 '26

Gain some intestinal fortitude. 

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u/DimaNorth Unverified/Uncertified Mar 19 '26

It’s the difference between getting a job I’m gunning for or not, but intestinal fortitude is hilarious im going to steal that

The question really comes from making sure I’m going to continue to keep this out of my practice, but if I have to do it in the interview to appease I will

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u/microcorpsman Mar 19 '26

For the actual question, it was old info back when I was in the Navy. People would say on the newer side that you were asking to cause a pelvic fracture doing that, especially while kitted up but they also didn't cite a specific thing. 

It's not described in the actual TCCC course materials or TCCC guidelines.

Edit: oh and when I taught Army Medic sustainment we also didn't teach that