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First Aid Only Texas 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 First Aid Only Texas Bleeding Control Kit (SKU 91159) is a point-of-injury hemorrhage control system designed for trained bystanders and first responders to stabilize casualties from life-threatening bleeding and penetrating chest trauma before EMS arrives.

This kit is configured to meet Texas House Bill 496 requirements for deployment in schools, industrial sites, and public venues. It addresses the critical time gap between a traumatic incident and the arrival of professional Emergency Medical Services. The user's operational role is narrowly defined: mitigate immediate life threats from blood loss and penetrating chest trauma only. It is not a replacement for definitive medical or surgical care.

The kit organizes its components into five functional groups covering extremity hemorrhage control, junctional and torso wound dressing, chest trauma management, PPE and tools, and patient support. Primary hemorrhage control capability is built around a windlass tourniquet for catastrophic limb bleeding, backed by hemostatic gauze for junctional wounds where a tourniquet is not feasible. Two non-vented chest seals extend the kit's deployment envelope to open chest wounds. An aluminized rescue blanket supports shock management by preventing dangerous heat loss from blood loss.

All components are single-use and the kit is designed for one casualty only. Quarterly inspection protocols govern readiness, requiring verification of pouch integrity, contents inventory, seal integrity, expiration dates on hemostatic gauze and chest seals, and marker function. After any item is used, the entire kit is considered expended and must be replaced with a fully stocked unit before returning to service.

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Field Application Steps

1. SCENE ASSESSMENT AND ACTIVATION: Verify the scene is safe before entering. If it is not safe, do not approach. Direct a bystander to call 9-1-1 and report the nature of the emergency.

2. DON PPE: Retrieve and open the bleeding control kit. Put on the nitrile exam gloves immediately, before making any contact with the casualty, to establish Body Substance Isolation.

3. IDENTIFY THE LIFE THREAT: Approach the casualty and rapidly identify the single point of most severe, life-threatening bleeding. Do not stop to address minor injuries.

4. EXPOSE THE WOUND: Use the bandage shears to cut away clothing over and above the injury site. Slide the blunted blade against the skin and cut upward to fully visualize the wound and confirm no additional injuries are present.

5. APPLY THE WINDLASS TOURNIQUET: Place the windlass tourniquet high and tight on the injured extremity, proximal to the wound. Tighten the strap, then twist the windlass rod until bleeding stops completely, and secure the rod in the C-clip.

6. DOCUMENT TOURNIQUET TIME: Use the marker to write the exact time of tourniquet application on the tourniquet's time strap. If the strap is not accessible, mark the time on the casualty's forehead using the format T: HH:MM.

7. MANAGE FOR SHOCK: Unfold the aluminized rescue blanket and wrap it around the casualty, covering the torso and all unaffected limbs to prevent dangerous heat loss from blood loss.

8. REASSESS AND HOLD: Continuously monitor the casualty and observe the tourniquet for bleeding control effectiveness. Do not remove or loosen the tourniquet under any circumstances.

9. EXECUTE EMS HANDOFF: When EMS arrives, report the following: one patient, location and nature of injury, tourniquet applied at the documented time. Transfer care and provide the documented application time immediately.

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First Aid Only Texas Bleeding Control Kit | HB496 Compliant

Equip Yourself: First Aid Only Texas Bleeding Control Kit | HB496 Compliant

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.