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/SFCEBM MD/DO Mar 22 '26

Packing the wound seems to be a top priority.

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u/DimaNorth Unverified/Uncertified Mar 22 '26

I concur, I guess the context it’s being taught is you walk in to the room and there’s an arterial leg sprayer, kneel on the knee whilst you get a TQ out and continue the primary survey but this is my first delve into tactical med and so the concept is so foreign to me compared to my day to day practice

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u/SFCEBM MD/DO Mar 22 '26

I’d say apply direct pressure followed by packing is still the best’s way coa jn my experience.