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How to Guides - Product Field Manual SOPs - Luminary Global

Field Manual: First Aid Only CA AB2260 Bleeding Control Kit SOP

Category: First Aid Kits

Difficulty Level: Tier 3: Field Competency Required

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Written by: Valerie Ellis Lavin

Quick Overview

A bleeding control kit is a field-deployable collection of hemorrhage control tools that enables trained or untrained responders to manage life-threatening external bleeding from a single casualty until professional medical personnel arrive on scene.

The Luminary AB2260 Bleeding Control Kit is designed for deployment in publicly accessible locations per California Regulation AB2260. Its components address two primary wound categories: extremity hemorrhage on arms and legs, managed with a windlass tourniquet applied high and tight on a single-bone portion of the limb, and junctional or torso hemorrhage at the groin, armpit, neck, or torso, managed with the Hema-Seal Trauma Dressing. All sterile components are single-use and rated for one casualty per kit deployment.

Operator readiness depends on inspection and sustainment protocol. Quarterly inspections must verify kit location and accessibility, pouch integrity, full contents inventory, packaging seal integrity on all sterile items, and expiration dates on the trauma dressing and gloves. Any deployment, whether operational or for training, renders the full kit unserviceable and requires complete replacement before the facility reopens to occupants.

Time documentation is a critical field requirement that is often overlooked under stress. Upon tourniquet application, the operator must use the included marker to record the exact application time on the tourniquet's time strap or, if unavailable, on the casualty's forehead. This information is not administrative. It is essential clinical data for the surgical team receiving the casualty.

Field Application Steps

1. CONFIRM SCENE SAFETY AND DON GLOVES: Verify the immediate area is free from active hazards before approaching the casualty. Open the zippered pouch and don the nitrile exam gloves before making any patient contact.

2. EXPOSE AND IDENTIFY THE WOUND: Use the bandage shears to cut and remove all clothing covering the injury site. Expose the limb from the joint above to the joint below the wound, then visually confirm the exact source of the most significant bleeding.

3. SELECT THE APPROPRIATE PROTOCOL: If the wound is on an arm or leg, proceed with Protocol A using the windlass tourniquet. If the wound is at the groin, armpit, neck, or torso, proceed with Protocol B using the Hema-Seal Trauma Dressing.

4. PROTOCOL A, APPLY TOURNIQUET HIGH AND TIGHT: Place the windlass tourniquet on the limb between the wound and the torso, on a single-bone portion of the arm or leg. Do not place it directly over a joint.

5. PROTOCOL A, TIGHTEN AND ENGAGE THE WINDLASS: Pull the running end of the strap through the buckle and cinch out all slack. Twist the windlass rod until the bright red pulsating bleeding stops completely. Bleeding cessation is the endpoint, not the casualty's pain tolerance.

6. PROTOCOL A, SECURE AND DOCUMENT TIME: Lock the windlass rod inside the C-clip and secure the white time strap over it. Use the marker to write the exact current time on the time strap, and confirm the bleeding has stopped.

7. PROTOCOL B, APPLY DIRECT PRESSURE AND DRESS THE WOUND: Apply firm direct pressure to the bleeding source with your gloved hands. Place the sterile pad of the Hema-Seal Trauma Dressing directly onto the wound while maintaining that pressure.

8. PROTOCOL B, WRAP AND SECURE THE DRESSING: Tightly wrap the elastic portion around the body part. When passing over the pad, route the elastic through the integrated pressure bar to reverse direction and concentrate pressure on the wound site. Continue wrapping the remaining length and secure using the integrated closure bar.

9. REASSESS AND MONITOR: Continuously monitor the casualty after the intervention is in place. If a tourniquet-controlled bleed restarts, apply a second tourniquet directly above the first. Keep the casualty warm to reduce hypothermia risk.

10. EXECUTE HANDOFF TO EMS: When professional medical responders arrive, report the mechanism of injury, the bleeding location, all interventions performed, and the exact tourniquet application time. Transfer this information clearly and without delay.

First Aid Only CA AB2260 Bleeding Control Kit | Nylon Pouch

Equip Yourself: First Aid Only CA AB2260 Bleeding Control Kit | Nylon Pouch

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.