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Bleeding Control Cabinet for CA AB2260 | Field Manual & SOP

Category: First Aid Kits

Difficulty Level: Tier 3: Field Competency Required

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Written by: Valerie Ellis Lavin

Quick Overview

A public access bleeding control station is a wall-mounted, multi-casualty hemorrhage control system that enables trained or untrained bystanders to manage life-threatening external bleeding in public venues pending arrival of professional first responders, in compliance with California Regulation AB2260.

The station is built around a metal wall cabinet housing a Multiple Victim Carry Tote that contains six individual fabric pouch kits. Each kit provides a complete capability set for a single casualty, including a windlass tourniquet for extremity hemorrhage, a Hema-Seal Trauma Dressing for non-extremity wounds, nitrile exam gloves for body substance isolation, bandage shears for exposure, a permanent marker for documentation, and a STOP the BLEED reference booklet. This configuration allows a single responder to deploy the entire cache to a dispersed multi-casualty scene away from the cabinet's fixed location.

Deployment protocol follows a five-phase sequence: scene assessment and equipment access, PPE donning and injury exposure, extremity hemorrhage control via tourniquet, non-extremity hemorrhage control via pressure dressing, and reassessment with structured handoff to arriving emergency services. Tourniquet placement requires positioning 2 to 3 inches above the wound, high and tight on the limb, with the windlass rod twisted until bleeding stops completely. Time of application must be recorded on the strap or the casualty's forehead for receiving medical professionals.

Readiness sustainment requires monthly inspections by a designated facility safety officer, verification of all six kits, expiration date checks on sterile components without breaking seals, and immediate replacement of any opened, expired, or compromised kit using SKU 91520.

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Field Application Steps

1. CONFIRM SCENE SAFETY: Assess the environment for ongoing threats before approaching any casualty or the cabinet. Do not proceed until the scene is safe to enter.

2. ACCESS THE CABINET AND SELECT EQUIPMENT: Open the wall cabinet door and disregard any alarm. If multiple casualties are dispersed, grab the entire Multiple Victim Carry Tote. If there is a single isolated casualty, take one Individual Fabric Pouch Kit.

3. DON GLOVES BEFORE PATIENT CONTACT: Put on the nitrile exam gloves as the first action, before touching any casualty. This provides body substance isolation and protects both the responder and the casualty from bloodborne pathogen exposure.

4. EXPOSE THE INJURY SITE: Use the bandage shears to cut away clothing covering the wound. Visually identify the source of the most severe, life-threatening bleeding before taking any further action.

5. APPLY TOURNIQUET FOR EXTREMITY HEMORRHAGE: For spurting or continuously flowing blood from an arm or leg, route the tourniquet strap 2 to 3 inches above the wound, high and tight on the limb. Do not place the tourniquet over a joint such as the knee or elbow, or over items in a pocket.

6. TIGHTEN AND LOCK THE TOURNIQUET: Pull the strap tightly and secure it, then twist the windlass rod until bleeding stops completely. Lock the windlass rod into the securing clip and secure the remaining strap end.

7. DOCUMENT TIME OF APPLICATION: Write the exact time of tourniquet application on the tourniquet strap or on the casualty's forehead using the permanent marker. This information is critical for receiving medical professionals.

8. APPLY HEMA-SEAL DRESSING FOR NON-EXTREMITY HEMORRHAGE: For severe bleeding at the torso, groin, or armpit where a tourniquet cannot be used, place the Hema-Seal pad directly onto the wound. Wrap the elastic bandage tightly to maintain firm pressure over the wound pad, then secure with integrated clips or tuck the bandage end.

9. MAINTAIN PRESSURE AND MONITOR THE CASUALTY: Keep the casualty calm and warm. Monitor continuously for recurrence of bleeding. Do not remove or loosen a tourniquet or dressing once it has been applied under any circumstances.

10. EXECUTE STRUCTURED HANDOFF TO RESPONDERS: When professional first responders arrive, report the following: casualty count, intervention applied, location of injury, and time of tourniquet application. Example: "One casualty. Tourniquet on right leg applied at 14:30 for arterial bleeding."

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FAO Bleeding Control Cabinet with Multiple Victim Kits for CA Regulation AB2260

Equip Yourself: FAO Bleeding Control Cabinet with Multiple Victim Kits for CA Regulation AB2260

Ensure you have the right gear before an emergency strikes.

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LEGAL DISCLAIMER & SAFETY WARNING:
The information provided in this Luminary Global Field Manual is strictly for educational and informational purposes. It is not a substitute for formal medical, tactical, or professional training. In the event of a medical emergency, immediately seek professional help or contact emergency services. Luminary Global assumes no liability for the misuse of equipment, improper application of techniques, or any injuries/damages resulting from the use of these guidelines. Always rely on your official agency training, local laws, and established protocols during a crisis.