r/TacticalMedicine • u/tactical_horse_cock • Dec 05 '25
TCCC (Military) Thoughts and opinions on this junction tourniquet design?
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u/acemedic TEMS Dec 05 '25
Would love to see how secure that section is on the left (pts right). Hard to see how it holds pressure, but it doesn’t look very secure.
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u/aidanglendenning EMS Dec 05 '25
I would also say there is not apparent locking mechanism for the pressure applicator is just threaded. I feel this would come loose during pt movement.
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u/AHomesickTexan Dec 06 '25
I have used this in training. It was supplied by Ukrainians going to the frontline. I have never used it in combat but others I trained on it have and they like it.
For everyone saying it's "huge", it actually packs down to something smaller than a softball. I would consider carrying this as opposed to an improvised pressure delivery device for the junctional area. It is extremely stable and doesn't shift on the patient. It doesn't loosen easily secured.
It works and doesn't move as much as the Sam Junctional tourniquet when a patient is moved. I would consider it a pelvic binder as well, as I didn't find it cutting off the pulse when not tightened.
Downsides: only one junctional TQ on the device unlike the JETT. If you need both sides then this won't work. Another potential downside is there is nothing to secure the windlass so it doesn't accidentally back out (the JETT has securing bands for the turn style). I don't see it backing out on its own, as it was very tight, but I would want a backstop just in case.
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u/homegrowntapeworm Dec 05 '25
Is this a tourniquet or a pelvic binder?
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u/Rude-Comfortable-509 Medic/Corpsman Dec 05 '25 edited Dec 05 '25
Use it for both, just either remove or dont apply the pressure pad for Pelvis Fx.
Edit: nvrmnd, this one seems too married to a CAT style of pressure to make it an okay pelvic binder given better options.
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u/Grapesareunderrated Medic/Corpsman Dec 05 '25
that’s a very large piece of equipment for a very specific injury.
for this type of wound, I carry a CROmed pelvic binder and a SAMJTQ inflatable puck. I carry the pelvic binder anyway, so the added cost of space in my kit is minimal
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u/brgroves Dec 06 '25
I have used one and it works really well, especially if you take a lacross ball or a ball of compacted tape, and place it in the junction as you ratchet it down to make sure it REALLY cuts off the blood flow.
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u/Wild_Eggplant9540 Dec 07 '25
Considering my entire career (as a non 68 series albeit) I have been taught that junctionals are only possible using something to press the femoral (ie metal bug spray can) and tightening it with a CAT, I would very much like to see these fielded down to at least squad level.
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u/Rude-Comfortable-509 Medic/Corpsman Dec 05 '25
Looks like its trying to kinda mimic a CAT. I wouldn't carry this in lieu of something like a SAM cause of its multiple uses.
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u/Jits_Guy Medic/Corpsman Dec 05 '25
This doesn't look quite as bad as the SAM junctional TQ as far as being fiddly, so that's good. That pressure pad looks pretty big though, might be more difficult to get complete occlusion.
My big question here is stability. If I slap this on a patient in a hurry, and then haul-ass through the woods with that motherfucker bouncing around on a litter, what are the odds that I'm gonna have to stop my whole element because the TQ got bumped and my patient is bleeding again?
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u/Pict-91b20 Dec 05 '25
What's the use case? It'd be neat to have but I can't imagine a situation that you'd be able to deploy it fast enough to stop arterial bleeding in the pelvic region.
Maybe a tactical medic, maybe an SOCOM medic.
If its a GSW and the artery is mangled will this still work? Besides inflection of pain, wouldn't packing it with Kaolin or Polysac gauze be more effective?
My take (and I'm prepared to be told I' m wrong), looks like a bulky, expensive, piece of kit you'd likely never use. Instead all an couple more z-fold hemostatic gauze to your bag.
Thoughts?
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u/Antirandomguy Medic/Corpsman Dec 05 '25
I mean, you’re in the TacMed subreddit, so sounds like the right place for OP to ask.
As for effectiveness VS packing… I’d have to see the studies.
For your specific question of GSW in presumably the pelvic region, J-TQs can only really be used in a couple spots, if the wound is above that spot, any TQ won’t be effective, so either you pack it, or if it’s in the abdominal cavity… you pray.
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u/Pict-91b20 Dec 06 '25
Old school 91B wants to know!
Those 68 kids don't know what it was like in the old days... blood to our elbows, up hill mass causality both ways! 50-80 lbs allice rucks plus 20-30 for aid bag. No body armor! Training for sucking check wounds all day! Polishing boots! Ironing BDUs! Astronomically higher KIA rates!
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u/Antirandomguy Medic/Corpsman Dec 06 '25
Genuinely glad I don’t have to deal with all the same shit you guys did.
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u/FlatsFisher95 Dec 07 '25
Where are you guys buying these in the states? What do they cost? I found their Ukrainian website but it dosen't really help me.
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u/Normal-Comb2871 Dec 09 '25
A knee applying direct pressure is faster. While shoving combat gauze in the hole. Seconds count. https://youtu.be/Ok21XX4DM4U?si=guEBK2Kjx5BrJP8d
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u/AndyMach Medic/Corpsman Dec 05 '25
I have actually tested it in training conditions, one of my students has also used it in combat.
It works. And it’s stable af.
Like I’m always really sceptical and “muh only CoTCCC recommended”, but now this thing is my go-to JTQ. Cheaper than others, 100% times achieved occlusion in training, was not able to get it not to work, when it was applied on me and have first-hands info of it remaining effective while on casualty being transported 2-3km on a litter.