FAO Right Response Bleeding Control Kit: Field Manual & SOP

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FAO Right Response Bleeding Control Kit: 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

The FAO Right Response Bleeding Control Kit is a pre-hospital hemorrhage control system containing tourniquets, hemostatic agents, and pressure dressings that enables trained bystanders, first responders, and prepared individuals to control life-threatening external bleeding before EMS arrival.

The kit's components are organized by operational purpose across four categories: extremity hemorrhage control, junctional and torso wound management, personal protective equipment, and casualty support. Primary tools include a windlass tourniquet for catastrophic limb bleeding, a hemostatic blood-clotting granule packet for junctional wounds where a tourniquet cannot be applied, an Israeli bandage with integrated pressure bar, and a 5-inch by 9-inch trauma pad for large-surface or high-volume injuries. Deployment protocol follows three phases: scene management and initial assessment, hemorrhage control intervention, and shock management with EMS handoff.

Effective deployment depends on correct tool selection based on wound location. Extremity wounds receive tourniquet application placed high and tight, proximal to the wound, with application time documented in permanent marker on the time strap or the casualty's forehead. Junctional and torso wounds require wound packing with hemostatic granules, sustained direct pressure for a minimum of three to five minutes, and secure application of the Israeli bandage using the pressure bar technique to maintain force on the wound site.

The aluminized rescue blanket is a critical component in preventing hypothermia, one of the three elements of the trauma lethal triad alongside acidosis and coagulopathy. Once bleeding is controlled, the operator covers the casualty and monitors level of consciousness until EMS arrives. The EMS handoff requires a concise report covering mechanism of injury, all interventions performed, and the exact time of tourniquet application.

Field Application Steps

1. CONFIRM SCENE SAFETY: Assess the immediate environment for hazards to yourself, the casualty, and bystanders before approaching. In glass-related injury scenarios, mitigate debris hazards before initiating contact.

2. DON PPE: Pull one pair of nitrile gloves from the kit and don them before any patient contact. Stage the second pair for backup use or a second responder.

3. IDENTIFY LIFE-THREATENING HEMORRHAGE: Visually locate the source of most severe bleeding by looking for pulsatile flow, significant blood pooling, or blood-soaked clothing.

4. EXPOSE THE INJURY SITE: Use the bandage shears to cut away clothing over the wound. Complete visualization of the wound is required before selecting the correct intervention.

5. APPLY WINDLASS TOURNIQUET (EXTREMITY WOUNDS): Place the tourniquet high and tight on the injured limb, proximal to the wound between the wound and the torso. For upper arm injuries, place high in the axilla.

6. TIGHTEN AND LOCK THE TOURNIQUET: Pull the strap through the buckle as tight as possible, then turn the windlass rod until bleeding stops completely. Lock the rod into the clip and secure the strap with the hook-and-loop fastener.

7. DOCUMENT TOURNIQUET TIME: Use the permanent marker to write the exact time of application on the time strap or the casualty's forehead in the format T-[time].

8. REASSESS HEMORRHAGE CONTROL: Continuously verify that bleeding has not resumed. If one tourniquet is insufficient, apply the backup elastic tourniquet just proximal to the first.

9. PACK JUNCTIONAL OR TORSO WOUNDS: For wounds where a tourniquet cannot be applied, open the hemostatic granule packet and pour the contents directly into the wound cavity, targeting the point of most active bleeding.

10. APPLY SUSTAINED DIRECT PRESSURE: Press the 5-inch by 9-inch trauma pad firmly over the wound and maintain heavy direct pressure for a minimum of three to five minutes to allow a clot to form.

11. APPLY ISRAELI BANDAGE: Place the sterile pad on the wound, wrap the elastic leader through the pressure bar, reverse direction applying significant downward force on the bar, continue wrapping tightly, and secure with the closing bar.

12. PREVENT HYPOTHERMIA AND MONITOR FOR EMS HANDOFF: Cover the casualty with the aluminized rescue blanket immediately once bleeding is controlled. Monitor level of consciousness continuously and provide EMS a concise report including mechanism of injury, interventions performed, and exact tourniquet application time.

Equip Yourself: FAO Right Response Bleeding Control Kit | Limb & Torso

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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.