Vigilance Elite – Tourniquet Placement TCCC Medical Training

Vigilance Elite – Tourniquet Placement TCCC Medical Training

what’s up guys I’m Sean Ryan with vigilance elite today we’re gonna talk about tourniquets how to put them on how to put them on your buddies I always have one of these things when I carry uh now I always do it can we do out kick can we just cut that what hey what’s up guys this is my buddy Dave Rutherford also known as rut former SEAL would actually put me through training and then also work together at CIA camp combat medic awesome hey dawn now I’m a motivational speaker and author for kids and adults and podcasters for the team never quit podcast Sean I can’t even begin to tell you how stoked I am to be out here on the range with you and vigilance elite brother this is making my day for sure right what are we talking about today tourniquet my specialty all right now one of the greatest things that has happened obviously over the last 35 years is the fact that in Special Operations combat medicine we have moved away from civilian paramedicine before you got in pre 9/11 we were lingering on some old school to ideas and techniques and one of the one of the kind of stalwarts and that kind of medical training one you don’t use turn if that’s the last resort now thank you no thank God we had some very smart people take a good look at Mogadishu and Blackhawk down incident and say we need to wipe the slate clean and start fresh and with that this whole new concept called tactical combat casualty care was introduced and that’s what the stuff that we were teaching you guys in sqt back in the early 2000s now what we’ve discovered is in all the research and combat related injuries we found that basically you can stop mortality with penetrating trauma up to about 80 percent with two different types of treatments – number one tourniquets right any penetrating trauma through any of your arm your limbs boom tourniquet goes on and it has saved I don’t even know I mean I was with two guys that save their lives I’m sure you’ve been around you’ve seen guys live save the same thing so tourniquets and then inclusive dressings for penetrating chest chest trauma so why are they so effective man well because they’re not tourniquets back from the World War two stuff where he opened up like the meal cans and you’d have your see ratchet and a tourniquet in there or some shit it was crazy nowadays man they’ve gone all out and it was really this little this little bitty right here remember when these things came out man yeah holy cat the cat tourniquet and this sucker has really been revolutionary for tourniquets it’s simple to use it’s got this killer windlass and you can put it on any single one and the cool thing is you know a lot of times you get these guys in big horses and our platoons right that are huge and this sucker will take care of it it’ll cinch it down on some big bohemian arrow Campbell style leg or thing where some dude that’s got to fight except the size of my head right this thing will get around it and get on it easily there’s also a bunch of other ones out there there’s the SF tourniquet which is a little bit beefier right this thing’s got the metal ratchet to it and the windlass to it it’s got these kind of plastic these were the only kind of weak points we found in it and then it’s got this kind of locking nut so when you actually are moving guys because one of the things that we saw with velcro is what brother yeah it’s when it gets wet and bloody and and dirty they become very difficult to use and as you’re moving a guy 25 meters 500 meters and you’re dragging them through the mud because you’re the only guy they’re dragging around these things can have a tendency to come undone well this sucker right here with this windlass and the way it cinches down and this right here it’s it’s it’s one of the better ones I believe the only negative part on this is kind of the the cinching strap is a little thin for my taste for necrosis on the skin but right its life over limb yeah that’s the main principle and in all combat fighting is its life over limb so you got these two which I are fine AMA know this is the most widely used there this is not so much but and then of course there’s the the new rats man and I’ll tell you what I’m wasn’t real familiar with this thing when I was in the teams because it came out later but once I worked at the agency and started using this and then recently for sure this thing’s pretty badass its small its compact I love the way when you cinch it down it doesn’t stretch it doesn’t there’s some give-and-take to it because of the versatility of the actual rubberized strength and in this material right here it’s really good the cinching mechanism is great and with the multiple wraps on somebody you can really get a good proper you know gap that two-inch gap that provides that good solid blood stoppage so real quick on this one though this came out like I don’t know maybe a year or two before I left the agency and you know I never ran one because I I didn’t feel like it had been proven yet yeah a lot of other guys were running them you know where it was big it was big in the SF community because a lot of times they’re working with indigenous tourniquets right here because of the way the cinching mechanism when you get real skinny guys that you’re working with whether it’s Yaquis or it’s the Afghans sometimes men these it’s hard to get good blood stoppage on those guys I mean bigger guys no problem but in even if you’re working around children because remember SF medics sometimes I think they’ve treating kids as well too this doesn’t this is awesome for just about every size whether it’s a child all the way up to you know baby Huey on your platoon now when I when they did come out with these one thing they also said was no lower extremities so no legs I mean I don’t know how accurate that is or that this is a new and improved one diamond you know but the great challenge right with any tourniquet based on a larger guy is compression against that either brachial artery which runs there for your moral arteries right or your popliteal arteries down below and if you’ve got a lot of muscle a lot of beat plus swelling that happens immediately from trauma right cavitation expansion of muscle tissue blast injuries all that sometimes to get that compression around that that artery can be difficult I’ve known Merrill one my particular case I had to put a second tourniquet on up above the original one because the first one there was so much swelling that we simply stopped having that good pressure on it so I think that’s kind of one of the things that they might believe that that that struggles I don’t know any guys that have used those on a lower extremity and I really actually I don’t I mean I haven’t talked anybody who’s used those on other than videos I’ve seen and there’s a truckload of videos on YouTube yeah so let’s back up for just a second I mean number one killer on the battlefield is exsanguination bleed now yeah so that’s why we’re doing this video that’s why it’s so important this also can apply to all kinds of other stuff too like I don’t know car accidents school shootings so great I mean if you can take one piece of medical kit hands down a tourniquet I can’t even tell you how many guys that there are out there that preach this stuff online a lot of our buddies everybody has them in their kit and they’re in their middle their glove box all around they’re simple they’re easy to use and you just can’t go wrong with it with a tourniquet yeah all right so why don’t you show us how to put them on so what we’re going to do is we’re going to just do a little test run on you okay all right sure those are your what we’re gonna do is just do a little test run on you we’re gonna show your subscribers how this works and just get them out there going and thinking properly when it hits the fan all right so the big thing is when you staged your tourniquet where you staged it where you put it on your kit where you put it in your back pocket make sure your loops are generally big enough for the all the way you set them at the size of your thigh the biggest part of your thigh and that’s where you kind of how you staged it all right so basically let’s say we’re in it you know we get to cover and concealment Shawn’s bleeding out he’s like man I’m you know help me I’m dying I’m dying right so I come on simple easy all right jump put it up we go as high as we can right because we want to get make sure we’ll get that nice break your artery right on the good part try not to put any of the plastics or anything on the bottom side next to the brachial artery because that can interfere with the nice pressure we want right so boom come on get that good cinch make sure it’s nice and tight right let go now the sudden we take our windlass we twist that sucker and listen this is not like feel-good day of the week right you’re you are stopping bleeding that is the essential component of what you’re doing here so make sure you get that thing you get it cinched on there and you do it right the first time all right turn it on get it in there you’ll lock it in a key component to always remember are these little safety tabs right here right making sure that that goes all the way over so when this windlass should it get pressed or moved out does not pop out another thing you want to try and do is try and figure out how to get this you know get this piece secured in some way a lot of times on my kit I would have to tape I would try and I was just trying get it this is balled up and as friendly as nice possible you know maybe even put it in there like this just try and police it up so it’s not out of the way cinching and pulling off all right how we doing is your hand going oh guys this doesn’t feel good all right so when you put these on in your practice and zilch it sometimes you know they say that it actually hurts worse than the actual gunshot wound oh I’ve heard that every time you know and then also if it’s right you will not feel a pulse all right well I don’t feel a pulse you can see my hands turning purple through this all right no blood flow no cap refill so this suckers worse all right so let’s take this up so what about you know when I got out of teams you know went to a EMT course and it was like tourniquets like a bad word there yeah that was you know ten years ago or whatever but well the difference is in civilian medicine right you have a transport time that in most urban environments you’re looking at anywhere from five to twelve minutes tops so what you’re not what they don’t want to do is they don’t want to cause tissue necrosis now when you have a tourniquet on you’re really looking at you know reducing some major blood flow you can damage the actual nerve endings in that tissue and really what happens is the wounds become even more exaggerated and you can it’s just bad juju it’s bad medicine but on a battlefield and if you’re in an active shooter environment and life over limbs don’t worry about that right I’d rather have a mangled looking arm or a little bit at the turret than be dead okay all right so the next one what do you got to be able to do to because right because not everybody’s running around with your best friend fully strapped ready to go to battle at all times yeah so you got to be able to do it yourself this one I’m going to demonstrate the rats here I love this one I think the SF guys that invented this are top-notch smart smart dudes pretty easy to run right make sure you have this three finger and you’re in your loop here right here at a minimum three finger drop that sucker on right comes through and now this is about as simple as Simon can make all you do is you start cinch it down make it get high right get on that brachial right boom and you are boom cinch in that sucker down out that hurts like that maybe this isn’t a good idea no I’m just kidding so this gets down you simply put that sucker in there boom secure it bud how am i doing good good dawn good good and that’s what that’s all she wrote right there man that’s tourniquet application that’s it brother all right so a couple key pointers here all right you don’t always have time to look and see where the gunshot it wound is all right so if you have an exit wound down here in the cap or right here there you know there’s an entry room somewhere it might be up here so get it on quick get it up as high as you can get on your arm or as high up on your thighs you can get it all right that way you don’t miss any bullet holes all right so the less blood out the matter greater opportunity you have to survive that incident also one other point if you don’t have one of these all right you can get creative cut a shirt up use your belt anything you can do all right Anna all this shit works okay it’s just that constant pressure to keep that blood from flowing out amen oh good job brother yeah yeah thank you my pleasure so don’t forget to subscribe to our YouTube channel if you want to be notified hit the bell down there at the bottom subscribe to our Instagram account Instagram team frog logic Sean Ryan 762 and vigilance elite all right hey dude worried about him hey brother guess what we’re gonna do that neck tourniquet on you now let’s go


  1. Samuel Weatherford says:

    As a former USN Rescue Swimmer, Charleston County (SC) EMS EMT/Paramedic and now 20 years practicing medicine as a Physician Assistant in NC; Bravo Zulu gentlemen! Excellent training block.

  2. Justin Chapman says:

    I’m a Industrial Firefighter/EMR and they are teaching tourniquets more in civilian EMS now than in the past. I keep my trauma kit and tourniquet in my bag on duty. Thank y’all for making these videos!

  3. Bob Bailey says:

    Awesome video. Maybe a sucking chest wound video would be another we could all use as a reminder. I was taught anything plastic like a cigarette pack wrapper in most cases will by time for the unfortunate bastard.

  4. Peter Weremijenko says:

    I know for a fact that the RATS TQ works on legs. I've seen it work in the real world.

  5. David Black says:

    How the fuck are you going to sing the praises of a tourniquet that cannot be used on your legs? Why?

  6. Mr. Bondhus2You says:

    Interested in purchasing one of these, specifically the last one, the small simple one. Anybody know the name or where I can find?

  7. OfficialDoc says:

    Now i want to ask, we were always trained to not loop it and slide it onto an extremity. I tend to agree more with you're method because when in a high adrenaline environment, having the motor skills to feed the TQ through the eyelet can be difficult. What are your thoughts?

  8. Lordpreetyy says:

    I would find it beneficial on a neck shot/wound tutorial

  9. cool11801 says:

    Thank you

  10. Corbin Gibson says:

    I love the impeach Donald Trump add lol

  11. tommy terantino says:

    these guys are the best of the best

  12. Xplicid says:

    Before chuckin that white safety Velcro sucker on, with the running end we (Aus Army) would loop around the windlass bar and back in under the white safety Velcro. If that makes sense. More Velcro surface area, less snag ability etc.

    Also. When applying to self, running the end of the Velcro through just ONE of the holes in the buckle was the in thing. But when applying to someone else we’d make sure it went through both of the holes in that buckle. If that makes any sense 😂 .. hard to explain; easier to show

  13. czarface says:

    Another awesome video

  14. Kentucky Brandon says:

    How do you guys feel about the SWAT-T tourniquet???? Could you do a review please?

  15. Kentucky Brandon says:

    I have cats and 2 SWAT -T’s that I roll with, haven’t used the SWAT-T’s yet

  16. Amphibious Rifleman - Shema Yisrael says:

    Ya'll are the BEST! Thanks! I literally keep a notebook out when I watch your videos. I was a CLS for my boat crew back in 08-10, and tourniquet was a NO NO back then. Things have changes so much. Stop the Bleed is life now! Appreciate what ya'll are doing!

  17. Elysian Tattoo Travel says:

    This one should be mandatory for everyone!slap this one on Facebook,Instagram.. all kinds of forums etc..because this one is gonna safe lives right here!

  18. personalsafetykam says:

    Great video. Kept it simple for a guy like me, and I learned a lot.

  19. Jacob Brown says:

    9:34 he is like that fucking hurts like hell


    good material, but Shawn is soooo hard to watch…very dry, slow, & just not a good speaker…But, great material tho…

  21. Chloe Hennessey says:

    Because of VE I now carry a tourniquet and blood clotter in the glovebox of my car and backpack.

  22. Fau Q says:

    I could listen to Rut talk about any fucking thing! Such a great delivery.

  23. Effen Truth says:

    Shouldn't you have maybe given him a grazer first before the turny?

  24. Eric B says:

    Mr. Rutherford is always STOKED! LOVE IT!!!!

  25. That Mofo says:

    i was shown to tie a knot at the end of my RATs TQ, easier to hold onto

  26. Pete Fanelli says:

    Great instructional video. Thanks so much. I’ve been researching them and you guys helped.

  27. 1997ss says:

    If you have a rats tourniquet, throw it in the trash. Buy a sof t wide or a cat.

  28. Roy Ayers 3%er says:

    Recent studies have shown the rats is perfectly safe on legs

  29. Wes K says:

    Also known as "RUTT!"

  30. Dave Wolf says:

    I was taught, "Pain plus one", so turn it until it hurts, then go one more. Yeah it's definitely not comfort day when you put these guys on

  31. Dave Wolf says:

    Oh, also, I should say, they used to say that putting a tourniquet on meant losing the limb, but the guy teaching the tccc said he knew of a soldier who had a tourniquet on for 2 or 3 days (???) and did not lose his arm so that's not even true.

  32. stephen knecht says:

    Where can I order both of those at

  33. Bill Hart says:

    Gotta get me one of those!!

  34. Don Frazier says:

    Thanks! 2005 Iraq Combat medic Platoon Sgt. FOB Cobra. Cav scout, M1 A1 qualified. You guys are the shit.

  35. Steve Saephanh says:

    his arm belonged in the walking dead lol

  36. Jared Vidler says:

    Excellent, no frills video. Great info with no bull shit.🤙🏻🇺🇸

  37. Bill Hart says:

    You looked pretty uncomfortable with that on Shawn!!

  38. Paz Paz says:

    Great vid. Superimportant question though: What is the model of Rut's awesome-looking glasses?

  39. Mr. D BOI says:

    I'mma start carrying tourniquet with my everyday carry. It's not always just about stopping an active shooter. How about helping the people crying for help on the ground?

  40. Freedom Inc. says:

    I own eight of these. Best on the market.

  41. saespyder says:

    All bleeding stops…eventually.

  42. Goodtime Charlie says:

    Hi Shawn I had a quick question, I’ve always heard with tourniquets to loosen them every 15-20 minutes after application, is that still standard procedure and would you recommend that? Love the channel, love the content, keep it up

  43. Morgan Foley says:

    How long can a person leave it on if your in battle does your arm die with no blood flow would you continue to in gauge in battle or would you be seeking a evacuation or and exit plan

  44. Morgan Foley says:

    You should show lower legs and what not and how to deal with a bleeding injury down below

  45. Chris Gore says:

    Volume up at 9:10

  46. Forrest Goodwin says:

    Shawn's face when Rut starts cranking the TQ had me dying. People don't understand that a good TQ is a painful one. Time for some TQ drills!

  47. Shaquille Nuku says:

    This dudes attitude is incredible absolutely everything he does is with full belief and character! Can not find that these days

  48. Shaquille Nuku says:

    Can anyone else agree the sheer conviction of when he started saying “hey brother….” made you shit yourself knowing there was 2 fucking Navy Seals running at you with some rope 🤦🏽‍♂️

  49. Altonahk says:

    I prefer the SF Tourniquet over the CAT, personally.

  50. Andrew Vare says:

    Makes me understand I need more training, stat.

  51. Noah Burger says:

    13:05 That’s what she said!

  52. mojo jojo says:

    "But what if she shot you in the face"?

  53. Tommy Kimbler says:

    Trying to learn in this field. Prior service member joining another branch. Looking for a medical position if a medic pops up. You brothers sent me in the right direction. Showing the history, the evolution of, and even direction of where it may go. Thank you for your service. Great content as always.

  54. Tony Jenner says:

    Rut sounds like Cash from Tango and Cash… AKA Kurt Russell

  55. Libertas1 says:

    What's your guy carrying Shawn? And thanks for the content.

  56. Isaiah Bamburg says:

    A single dad professional asshole. Iam new to your videos, but you guys are my only friends and i dont even know you. Thanks.

  57. gst69man says:


  58. Primal Puska says:

    Ever think of starting a school? basic combat or tactical training

  59. Mike Candella says:

    Ladies, get you a man that lights up when he sees you like Rutt when he hears"Tourniquet"

  60. Second Liberty Gun Club says:

    Where can I find a MEDICAL course in the D.M.V. or PA area?

  61. panther paint says:

    Those are two dudes i don't want walking towards me, looking to do some damage

  62. Jason Walker says:

    shawns arm went numb and he never shot right again. lol way to take one for the team.

  63. Lord Skyrider says:

    You sir are one of the only ones I see to touch base with TCCC and how important that is, and also using a cellphone to call 911 first , I haven’t seen this level of expertise since I was in the service! Most guys only focused on firearms training and forget about the rest!! Thank you both for your service!! Keep up the good work!

  64. Morgan Foley says:

    Is there some common improvised items one might have on them to use as a tourniquet ,, I’ve taking first aid and cpr many times for work every three years not once have first aid instructors shown a tourniquet or how to properly put one on I’ll have to mention that next course

  65. GRich77 77 says:

    Love the video. Great information. I am a ret. police (medically), and USMC vet. I am the security lead at my chuch and ALL my guys/girls on team carry one in pocket. Pray that we never use them but we have them for emergencies. Keep up the great videos.

  66. Daniel Cage says:

    also, you can release it every 15min if you want to keep the limb but get some pressure on the wound and make sure you didn't already loose too much blood etc…

  67. Thad Burrow says:

    What is the name of the second tourniquet??

  68. Jhon Sauceda says:

    As someone who's been threw a training course or two on first aid the thumbnail is exactly how many tourniquets you need. No more, no less.

  69. David Renyak says:

    Great info guys great stuff!

  70. Nick Rhoades says:

    Shawn, when are we gonna get you to a million subscribers man? How you aren't already viral is so puzzling to me. You've devoted pretty much your entire life to helping other people, it's easy to tell you're a natural born leader💪 I'm about to go order a flannel & a hoodie😂 hope all is well with you

  71. JT F says:

    You guys are awesome. Thanks!

  72. Steve Evans says:

    " I'm shot in the dick, Shawn apply a RATS for me brother " ….." Hey Shawn where You going man, help me Shawn why are You running away brother"

  73. The Dark Web. says:

    These two guys talked with me in Julian,CA working with the Weatherman, who was looking at my movements. Too bad I ditched the lame ducks. Peace out!

  74. Jesse Taylor says:

    Great video Shawn. Do we always place the tourniquet at the limbs highest point? What if the bullet was in the lower calf for example.

  75. Rayban Rudy says:

    RUT??? IS THAT YOU???😎

  76. bookreaderson says:

    I totally need those . One for my mobile command unit one for base camp 1 and my bug out bag and edc …. lol

  77. Zachary Ahlheim says:

    Blood Sweep before or after tourniquet application? Thanks for the great info.

  78. Eradicator says:

    Rut makes my day every time man. you guys are great together!

  79. Dennis Dewey says:

    Good job guys ! Thanks for your service !!

  80. American Journeyman says:

    Excellent talk. Thank you. Will use this video for my family's emergency training in conjunction with practice applying.

  81. D P says:

    Damn Rut! Your a G!? Makes sense…freakin great job fellas. Everything I heard in this video was helpful so thank you 🙏🏼 be well guys. ✌🏼

  82. D P says:

    Damn Rut! Your a G!? Makes sense…freakin great job fellas. Everything I heard in this video was helpful so thank you 🙏🏼 be well guys. ✌🏼

  83. D P says:

    Damn Rut! Your a G!? Makes sense…freakin great job fellas. Everything I heard in this video was helpful so thank you 🙏🏼 be well guys. Keep up the great work you guys been doing. ✌🏼

  84. Roddin and Racin says:

    Was looking for a good video o. This subject

  85. cheyennew811 says:

    Civilian EMS here. We all carry tourniquets and it is stressed for trauma.

  86. Zane Hobbs says:

    @Vigilance Elite, whether it’s combat or the normal civilian day to day I hope the general audience and more people learn more TCCC and CLS. Anything could happen folks between a deployment or working a construction job always prepare for the worst and hope for the best, worst case scenario you know basic first aid and can save someone’s life, limb, or eyesight!

  87. Robert Murdoch, A.P. says:

    Got 3 RATS in the mail today!

  88. River Savage says:

    That was excellent! I took a “stop the bleed” course and I think this was better. Lol

  89. milkycord says:

    Is no one gonna talk about how shawn made his arm go purple mid-lesson

  90. Edward Snowden says:

    Neck tourniquet. Silly seals those are for jihad's not camera men

  91. james heath says:

    Absoutely a great teaching video.

  92. james heath says:

    I would really like to seemore medical videos. In my truck aid kit, I keep different type of tampexs’. Penetrating injuries or bleeding surface cuts, I plan to plug the hole or layer the tampexs’ along the bleeder then tightly wrap a preassure bandage. Is this effective, or is there a better method?

  93. Smith says:

    Paramedic – Tourniquets are the shit when you’re under staffed and/or getting shot at. But for anybody reading this that is in civilian life and a safe environment, and doesn’t have a tourniquet, direct pressure. Press until they stop leaking. If that means you put your knee on it and all your body weight, great. It’s gonna suck and they’re going to cry and beg you to stop, but it’s what needs to be done.

  94. Joshua Bierdz says:

    Question, how long should you keep the tourniquet on? And should you regularly let blood through to make sure your arm doesn’t fall off?

  95. Sam says:

    Ripped my right leg off in a bike wreck two years after deployment. Had a CAT in my bag and was able to stop bleeding laying in the middle of the road. Useful piece of equipment.

  96. SMITHWERKS says:

    I know a few guys I'd like to use that RATS on their neck.

  97. Carlos G says:

    Great video guys. Here is a rats being used in real life. –

  98. Gene Read says:

    were can I buy that last tourniquet and what is it called Thank U both for UR service

  99. Ronnie Shand says:

    For how long can you have it tight? Do you need to loosen it up every so many minutes?

  100. Paulino Aleman says:

    Did anyone else hear someone taking a photo at 4:42 ?

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