In one way the system “tighten until bleeding stops” works good enough for windlass TQs, but since most of our PD and even some .mil guys gets only RBTs this may be the issue. Even worse that they are trained “start easy, and tighten each next revolution more and more”. With long enough piece of rubber….

I have warned students in the past of the possible dangers of elastic bandages (let alone RBT), improper application of an Emergency dressing or Oales can have similar effects. This only my anecdotal observations in trg and deployments. I do warn about the effects of stretching and cinching a dressing down too tightly and that the effects of an elastic bandage a cumulative. Also, impress upon students the importance of constant assessment of Pulse, Motor and Sensory (PMS) at distal extremities.

This is a training issue. The Oales modular bandage/ BLAST bandage are the best field hemorrhage control on the market.