Steps for Correct Application of a Tourniquet
Indications, Contraindications, and Monitoring of Tourniquets in Children
Indications for placement
Suspected arterial extremity hemorrhage that is unable to be controlled with a pressure dressing
Contraindications for removal in the emergency department
Tourniquet placed within inches of an amputation site Hemodynamic instability Other life-threatening injuries Inability to closely monitor for rebleeding and other complications Note that patients with tourniquets in place for >120 minutes should be observed in a critical care setting for complications.
Monitoring after tourniquet release in the emergency department
Conduct distal neurovascular examination Assess for rebleeding for at least 1 hour If reapplication is required, consider definitive surgical control