PERFORMANCE CHECKLIST

APPLY A DRESSING, PRESSURE DRESSING, AND TOURNIQUET

Situation: You have located a casualty who is losing a good deal of blood from a wound on an extremity.

GO NO GO

Exposes wound.

Removes the field dressing from plastic and paper wrappers contaminating the white side of the dressing.

Grasps the tails of the field dressing with both hands, holds the dressing directly over the wound with the white side down, pulls the dressing open, and places the dressing pad directly over the wound.

Holds (or has casualty hold) the dressing in place and wraps one tail around the injured limb, covering one exposed edge of the dressing.

Wraps other tail in opposite direction so the other edge of the dressing pad is covered.

Ties the tails into a nonslip knot over outer edge of the dressing (not over the wound). Should be able to insert two fingers under the knot.

Checks the casualty's circulation below the injury.

Loosens and reties tails if the bandage is too tight.

Applies direct hand pressure over the dressing or has the casualty apply pressure if he is able.

Checks limb for fracture.

Elevates the wound above the level of the heart if limb is not fractured.

Applies a pressure dressing if bleeding continues.

Folds material as necessary to form pressure dressing wad (pad).

Places wad on top of the field dressing pad directly over the wound.

Wraps a strip of cloth (cravat) tightly around the wad and limb.

Ties a nonslip knot directly over the wound to secure the wad. Should be able to insert only one fingertip under pressure dressing bandage.

Checks circulation below the injury.

Loosens and reties the bandage if needed.

Applies a tourniquet if bleeding continues.

Makes a band (cravat) at least two inches wide.

Wraps the tourniquet around the upper arm or thigh.

Has padding (shirt sleeve, etc.) between tourniquet band and skin.

Ties a half-knot.

Places the rigid object (stick) on top of the half-knot.

Ties a full knot over the rigid object.

Twists the stick to tighten the tourniquet. [Simulate if practicing on a person.]

Secures rigid object to prevent tourniquet from untwisting using the ends of the tourniquet band or a strip of cloth (cravat) wrapped around the limb (below the tourniquet) and ties the tails in a nonslip knot.

Marks the casualty's forehead with a "T" and the time of application.

OVERALL EVALUATION GO NO GO

(A no-go on any step gives an overall evaluation of no-go.)