Soldiers getting junctional tourniquet designed to save lives

This is one of those tools that was developed in a vacuum. The design and intent are invaluable and work best in very controlled settings. Unfortunately, front line medicine is anything but a controlled setting. SPC (Join to see) brings up some valid points. I always thought it was too many moving parts and too much weight to warrant space in my aid bag. I'd keep it in my vehicle as a consideration if I'm holding a patient longer than expected. The screws just become parts to be lost and the inflating nodules become victims to harsh environments and can develop cracks that are difficult to notice until the tourniquet fails.

The best equipment for field use has always been exceedingly simple in design and application. That's the success of the Combat Application Tourniquet. When you start adding parts, bulk, and even electricity, you're just creating more instances for Murphy's law to kick in. The distinct skill of being able to quickly and effectively apply high, bilateral tourniquets is infinitely more valuable than the bells and whistles on the junctional tourniquet.

JTQ as it currently is.... Is a nightmare to use. I've used it in training and they gave us what they're currently planning to use while deployed and let's just say I left that shit back. (On top of them making us sign for the equipment that cost a couple hundred per*)

I had both- the junctional with the clamp downs and the air.... They need to be placed so specifically and seated perfectly just inside the iliac Creast to be effective and we found simply moving a patient would put it out of place and blood flow would be reestablished.... The screw downs had a high profile which has the risk of getting caught on shit while the air pressure material wasn't rugged enough to totally trust not to pop like a ballon. We tested them fairly harshly and I wasn't impressed. My go-to for a single, double, amputee will remain bilateral double TQs (depend on PT size)

Not all bad.... In a role 1-2 with a PT on the table throwing one of these on a decompensating patient can be beneficial and overall be a positive thing. But TC3 ? I wouldn't say anytime soon.

Are there merits to the equipment- absolutely like I stated- but I don't think it's ready to commit to the force....

That said I'm just a E4- what the hell do I know.

SSG Negrete and SPC Crowley-I feel you are both jumping the gun on your assessment and outlook on Junctional Tourniquets. First, these were not developed in a vacuum, there are several operational units and TDA units that test and recommends how these products are made. I was intimately involved with the SAM Junctional TQ. My unit has employed the SAM Junctional TQ a few times in combat at the POI. Furthermore, I put one one two weeks ago in Southern AFG for a guy that had a GSW to the LLQ/inguinal region. Junctional hemorrhage is meant to be stopped with manual pressure, then apply the Junctional TQ. It is not meant for CUF, but for TFC and TACEVAC. The AAT is bulky, but can essentially cross clamp the abdominal aorta. The SAM Junctional TQ can also be applied to the upper extremity. I am not such a fan of the JETT, but it does work, just takes a bit more time.