2019: Sweating the Little Things: Tourniquet Application Efficacy in Two Models of Pediatric Limb Circumference
Military Medicine, Volume 184, Issue Supplement_1, March-April 2019
Conclusion: SWAT-T™ was successfully tightened over all sites of all CPR manikins except the infant. The SWAT-T™ was tightened on all PVC pipes, while no windlass TQ was able to tighten on PVC pipe 5.75" circumference or smaller (age < 24 months upper extremity).Read the Abstract
2018: Comparison of Commercial Tourniquets in a Pediatric Trauma Patient Model
2018 NAEMSP Scientific Assembly, Prehospital Emergency Care
Conclusion: Many commercially available tourniquets were shown to be unable to stop fluid flow in our pediatric arm hemorrhage test model. SWAT-T™ was in the group that was successful stopping the flow of water on all sized mannequins.Read the Abstract
2015: Different Width and Tightening System: Emergency Tourniquets on Distal Limb Segments.
Journal of Special Operations Medicine
Conclusion: SWAT-T™ vs. CAT/RMT/SOFTT-W Better Occlusion, Safer Pressures; 10.4% failure in other TQs, zero failures in SWAT-T™ group.
2014: Assessment of 32,956 SWAT-T™ applications.
Conclusion: In a survey of 10 training companies and published studies, there were 32,956 SWAT-T™ applications to full occlusion. It was found that with proper usage the SWAT-T™ is a durable medical device with zero first-time-use failures.
2013: Tourniquets and occlusion: the pressure of design.
Military Medicine: May 2013
Conclusion: The SWAT-T™ performed better than the CAT (Combat Application Tourniquet). The SWAT-T™ had safer pressures, and was more effective.
2012: Lighting did not affect self-application of a stretch and wrap style tourniquet.
Journal of Special Operations Medicine
Conclusion: The SWAT-T™ stretch and wrap style tourniquet can be self-applied properly even in darkness. When properly applied, it stops limb arterial flow.
2012: Stretch and wrap style tourniquet effectiveness with minimal training.
Military Medicine: November 2012
Conclusion: The SWAT-T™ can easily be properly applied and can stop arterial flow at a variety of extremity locations. Proper application is associated with cessation of arterial flow.
Boston Marathon bombings
Report of use in saving lives at the scene of the 2013 Boston Marathon bombings.
Self-application of a SWAT-T
Report of use in saving the life of a police officer who was shot in the line of duty.
Application on Canine Officer
Report of use in saving the life of Spike, a k9 partner, with a gun shot wound.
Report of use in saving the life of a child.
High Axillary Application After Other TQ Failure
**Warning- very graphic images.** Report of use in saving the life after a fall through glass.
I've trained a lot of LE medics and operators in CA as well as a lot of Special Operations Forces and non-SOF military medics/operators. I know of several cases of SWAT-T usage that has saved lives in the setting of real arterial injuries.
The SWAT-T has several advantages over the other commercially available TQ's. In terms of application, it's the only one that can be used on kids and small adults in it's current form. Combat Applications Tourniquet (CAT's) and Special Operations Forces Tourniquet (SOFT's) are too large and it requires a smaller, pediatric cuff if using a pneumatic tourniquet. Perhaps the most important factor is cost. Most Law Enforcement agencies do not have the Department of Defense budget and it's unrealistic to think that will change. The SWAT -T is 1/3 the cost of a CAT.
I'm not suggesting someone purchase a less expensive and ineffective device. To the contrary, the SWAT-T is very effective however if you want your device to save lives, it has to be available to the individuals most likely to use it on scene. The SWAT-T's are often purchased by individuals and not necessarily agencies. If you stop selling the SWAT-T, you'll simply decrease the number of tourniquet's available to be used on our children the next time someone starts to shoot up a movie theatre.
My personal opinion is the SWAT-T is a very good TQ for all the reasons stated. I will continue to carry, teach and recommend the device.
I have no financial ties to the SWAT-T.
Dr. Matthew Sena
Trauma and Critical Care Surgeon, Tactical Physician
The SWAT-T tactical tourniquet is an 'esmark' like compliant (elastic) wrap that stretches with perfect memory to return to its baseline length.
I first used it on my right upper arm over bare skin to see if I could do it one handed and gain the 'tightness' needed for it to act as a tourniquet, not just a pressure dressing. It was easy to apply although the first and second revolution around my arm was not as tight as you want, it quickly grabbed itself with friction and I tightened it and 'tucked' the end under a layer to completely shut off flow to my radial and ulnar arteries. This was checked with a color flow doppler/duplex ultrasound machine in our vascular lab in our hospital. As I released it, flow was restored after 2-3 revolutions back around my arm, releasing the tourniquet effect. There was no pinching of my skin or discomfort at all. NOTE: it took me about 20 seconds to stretch/wrap/tuck it into place to occlude the vessel; this would likely speed up with experience.
Next I placed it on my upper and lower leg positions using 2 hands; I could occlude distal flow, verified by color Doppler, in 8-9 seconds.
CONCLUSIONS: it performs as advertised with no discomfort unlike what most other tourniquets cause when tightened. It weighs almost about the same as a CAT, takes up about the same space in a pouch. I am quicker 1 handed with a MAT as well as 2 handed vs. this one but the price of $8.50 beats everything out there. I tried my best to break it while stretching it around my leg....no way, not unless there is something like glass/shrapnel around to snag it.
It truly is multipurpose: pressure dressing/tourniquet, anywhere an elastic bandage can be utilized. I give it 4.99 stars out of 5.0.....nothing is ever perfect but this comes close, it has earned my endorsement.
I have used it in the Trauma resuscitation bay when other hospital provided tourniquets failed. The case was captured on camera and is posted on the manufactures website as a case report. It was utilized by a surgical resident that had no experience with it and figured it out on his own and applied it properly with no training; he simply followed the directions printed on the tourniquet.
I have issued the SWAT-T to all members of the two SWAT teams that I am the Medical Director of Tactical Medicine for and have trained all of the SWAT personnel on its use and plan to obtain them for all non-SWAT personnel in each department: Arizona Department of Public Safety (State Police) as well as the Maricopa County Sheriff's Office. It meets my critical criteria for field use: it is safe and effective, multipurpose and cost effective. I carry 25 of these in a dump pouch that can be utilized for mass casualty events such as school shootings or other such events that have the potential for multiple extremity wounds. They are light weight, compact and easy to stow on your personal gear. I highly recommend this tourniquet be tested for military use.
MD, FACS, Medical Director Trauma Services, Safety S.O.U. & Maricopa County Sheriff's Office T.O.U. (SWAT)
The SWAT Tourniquet is an ingeniously simple device used for hemorrhage control of an extremity. It is easily applied by either an individual or a buddy. In fact, I had a test volunteer who readily applied the tourniquet to herself using the SWAT (Stretch, Wrap and Tuck) technique. The latex-free rubber tourniquet measures 4" wide by 50" length. By stretching the tourniquet, one can apply considerable compressive pressure to the affected limb. By simply wrapping the tourniquet, one can secure an underlying gauze bandage for simple bleeding control. An instructional video is available on the manufacturer's website: http://swattourniquet.com. During the video, absence of a distal pulse after tourniquet application is demonstrated via a hand-held Doppler device. I particularly liked the versatility of this product since it can also be utilized in a variety of ways including sling, swathe, abdominal wound pressure dressing, "ace wrap", etc. Unlike other tourniquets, there are no complicated windlasses/straps/hooks to worry about. One needs to ensure a firm grip of the tourniquet during application in the presence of copious bleeding/fluids. Although advertised to be reusable unless soiled or damaged, I would surmise that it would be single use if applied to an exsanquinating (bleeding) injury. However, the SWAT Tourniquet's lightweight, low-cost simple design means that every officer/team member can be outfitted with this lifesaving device.
police officer from Massachusetts
NTOA: Member Tested and Recommended Program
The SWAT tourniquet is very user friendly and anyone can use it properly as long as they understand the effects of a properly applied tourniquet. The markings are a little confusing, but without looking at those I can effectively deploy the tourniquet. I love that it is so functional and re usable. It allows for continued training with the same tourniquet band.
police officer from Oregon
NTOA: Member Tested and Recommended Program
I have reviewed the SWAT-T device and accompanying instructions. The instructions that accompany the device are in-line with the forthcoming standards for tourniquets that will be implemented here at EMS.
I see no reason that the device would not be effective as advertised. The graphics on the device are user friendly and I had no trouble applying it effectively to myself and to several volunteers on both upper and lower extremities. I did not test it while bloody, wet, hot, and cold, etc. I also did not (obviously) leave the device in place for any length of time to test how well it adhered, but as a simple pressure dressing it performed well.
I have some reservations about the claim that it is reusable unless soiled, etc. I can understand the need to re-use the device in an extended operational environment but wouldn't recommend that it be reused under most circumstances that SERT team members would encounter.
I feel that the $8.99 advertised price for the device is reasonable when considering the versatile application and the cost of some other devices that I located on a quick web based search. I feel that some other available devices might provide a more certain stoppage of blood flow, because they provide for a more controlled mechanical restriction and don't rely on the adhering properties like the SWAT-T, but the devices I viewed online are either much larger or cost prohibitive. The SWAT-T being latex free and having a shelf life of 3 years are both advantages.
I didn't have the chance to review the manufacturers training guidelines on the device but am certain that the training division here could review the materials provided by the manufacturer and train the SERT operators to use the device in a fairly short amount of time. I do highly recommend training and yearly review with this, or any medical device that the operators choose to carry. In light of my training and experience, I would have no reservations about utilizing the device for its advertised purpose during a real-world event. Thank you for the chance to assist you with this matter.
police officer from Pennsylvania
NTOA: Member Tested and Recommended Program
The SWAT-T tourniquet is designed as a multi-function piece of first response medical equipment. SWAT stands for Stretch, Wrap, And Tuck. The SWAT-T can and should be used as a tourniquet. It also functions like an ACE bandage and can be used to hold dressings in place. Out of the wrapper, the SWAT-T looks like a rolled piece of rubber. Upon unrolling it, instructions are printed on the SWAT-T. These instructions advise the user when the SWAT-T is being stretched tight enough to stop circulation making a tourniquet. This is a useful feature when dealing with a patient that cannot provide feedback. Testing the SWAT-T revealed that it takes little practice for an operator to correctly apply it on himself one-handed. As advertised, the SWAT –T has many uses including: tourniquet, applying pressure dressings, immobilizing body parts, as an ACE bandage, securing IV tubing to an arm when tape won't stick (I.E. wet environments), as a makeshift constricting band for IV's, and many other uses. To use the SWAT-T as a tourniquet, the operator winds the strip around itself, pulling to achieve the proper tension, and then tucking the running end under the wrapped portion. This requires little to no use of fine motor skills, allowing the SWAT-T to be applied by those in shock or suffering the rapid heartbeat associated with stress. As a tourniquet, when applied correctly, the reduction of blood flow was measured by the tester through the absence of pulses distal to the SWAT-T. The multiple uses, simple design, compactness, and function of the SWAT-T make it a useful addition to any operator's personal gear, and any tactical medical kit.
police officer from North Carolina
NTOA: Member Tested and Recommended Program
I work for a new Nonprofit organization called Serqet Medical Solutions, Inc and I work on their Med-4-Rangers project to deliver medical solutions to Wildlife Protection Rangers operating in high risk Conservation areas. Our goal is to equip as many rangers as possible with self help trauma kits. I am ex UK Special Forces (Although I have been working on and off in anti poaching in East Africa for the past 3 years). I have not had any experience with your Tourniquet but have used both the CAT and the SOFT tourniquets but I have heard some good things about the SWAT-T and the cost and size being a major factor here - as we will be fitting out several hundred Rangers with kits we would like to include the SWAT Tourniquet into our offering. Our 1st project is to deliver kits to Rangers in the Seregeti and Selous reserves in Tanzania, Africa. As well as equipment we are also providing training on self help trauma med to the rangers and this will be carried out by our certified medical professionals (Docs, RN's and former combat medics who work in EMS).
Virunga National Park, in the Democratic Republic of the Congo, is Africa's oldest national park. It is also Africa's most dangerous - 140 rangers have been killed in the line of duty over the last 20 years. Armed poachers and roving militias -- who have been warring in the park since the '90s -- outnumber park rangers ten to one.
During patrols, we come into contact with armed poachers or groups of armed people staying in the forest.
Whenever there are incidents, there are always deaths.
We are extremely happy with the tourniquet, and plan to use it for all future packs. The Rangers caught on to how to use it quickly, in part due to the circle/square diagrams on the tourniquet. Brilliant.
Liz Marriott, RN, CEO
Serqet Medical Solutions, Inc. is an NGO committed to providing medical gear and training to the rangers of Virunga National Park These rangers work selflessly to protect the wildlife of Africa's oldest national park and many have given their lives in the performance of their duties.
My name is BK, and I am a former IDF soldier and a current police officer. I am also a tactical instructor who understands the importance of point of wound care and proud to be the person my teams call "doc". Over the past 22 years I had the opportunity to see tourniquets save lives. Period. I am glad that the tactical/medical arena is recognizing the benefits in timely and proper application of a tourniquet in saving lives. I personally have used the SWAT-T and carry several on me while deployed, from front lines to back alleys, and cannot express my gratitude for the superb product put forth by the guys at SWAT-T. Get one, get the training, and pray you'll never need it…but know that if you do, your chances of saving a life, your own or your partner's are that much better for it. Stay safe!
Maryland Tactical Officer's Association
We can see our director who just control a massive hemorrhage (popliteal artery severed by the tibia) on a victim of a serious trauma to the lower limb. At Celops, we believe a lot in the SWAT-T. The turnstile swat is versatile (tq, purchase, taping for sprained ankle, maintenance of a cold / Heat Pack, scarf...), Multi-patients (Adult, pediatric, K9), economic (almost 50 % cheaper than a CAT-T... This tool works in all conditions (hot, cold, rain, blood...), it is easy to use (intuitive), perfect for the context civil... take it everywhere you go (to the concert, hiking, shooting, on a mission, at the diner, everywhere). Stay safe, sharp and ready !