1. SITE PREPARATION: Expose the injured limb if tactically feasible. Remove gross contaminants such as dirt and debris from the skin surface. Do not apply tape directly over open wounds. Place a sterile dressing over any wound before proceeding.

2. SPLINT PLACEMENT: Position the rigid splint to immobilize the joints both above and below the suspected fracture site. Assign one operator to maintain continuous manual stabilization of the limb and splint throughout the application.

3. INITIAL SECUREMENT, PROXIMAL AND DISTAL: Apply a single circumferential wrap well proximal to the injury site and a second wrap well distal to it. Use firm pressure, not constricting pressure. These anchor wraps establish splint position before primary securement begins.

4. PRIMARY SECUREMENT: Apply additional circumferential wraps beginning at the distal anchor and working proximally toward the body. Overlap each pass by at least 50% to create a laminated, high-strength layer. The 3-inch width reduces the total number of passes required to achieve full coverage.

5. TERMINATION: Tear the final strip cleanly using the serrated edge. Press the terminal edge firmly against the underlying tape to prevent snagging during movement. Smooth all applied tape surfaces by hand to ensure complete adhesion and eliminate air gaps.

6. POST-APPLICATION CIRCULATION ASSESSMENT: Immediately assess distal circulation by checking capillary refill in the fingernails, skin color, finger temperature, and any patient-reported numbness or tingling. If any sign of circulatory compromise is present, cut and loosen the tape immediately. Reassess distal circulation at regular intervals throughout transport.