The Life-Saving Importance of Knowing How to Apply a Tourniquet: The Five-Minute Window to Save a Life

In moments of extreme injury, when life hangs in the balance, knowing how to utilize or even apply a tourniquet can be the difference between life and death. Accidents happen in an instant, and if someone suffers a severe bleed, every second counts. Within as little as five minutes, a person can bleed to death. When bleeding is this severe, there’s not enough time to wait on EMS or paramedics to save the day. You have to be your own first responder when lives are on the line.

 

Understanding how to properly apply a tourniquet is one of the most critical skills anyone can possess, especially when faced with such an emergency. This article will dive deep into the importance of tourniquets, how severe bleeds occur, and why swift action is vital for survival.

 

How Quickly Can Blood Loss Lead to Death?

 

When an artery is hit or severed during an accident, such as in the arm or leg, extreme blood loss can happen in mere minutes. When bleeding out from an artery, the blood is bright red. On average, the human body contains about 5 to 6 liters of blood, and losing just 20% of that can make it that much harder for the heart to pump enough blood to the body’s organs.

 

Within three to five minutes of severe bleeding, the body’s organs, especially the brain, are starved of oxygen. Without sufficient blood flow, the brain can only survive for a short time before permanent damage occurs. Once the brain and other vital organs begin to shut down, death follows rapidly.

 

Why a Tourniquet Can Be a Lifesaver

 

A tourniquet is a device that, when applied high, tight, and fast, can stop the flow of blood to the bleeding limbs by compressing blood vessels. In situations involving severe limb trauma and bleeding from an artery, it is one of the most effective tools for preventing death due to blood loss. Learning how to apply a tourniquet may save someone’s life — or even your own.

 

Tourniquets require you to remember three things: high, tight, and fast. Time is limited when applying a tourniquet, so make sure to apply it high on the limb, as tightly as possible, and apply it as fast as possible to prevent severe blood loss.

 

Here’s why a tourniquet is so crucial:

 

  1. Stops Life-Threatening Bleeding: A properly applied tourniquet — high on the limb, tight beyond the point of discomfort, and applied quickly — immediately stops severe, bright red bleeding until paramedics or EMS arrive. You can buy as much as two hours to save a person’s life when a tourniquet is properly utilized.

 

  1. Keeps Blood Pressure Stable: As blood loss slows, the body has a better chance of maintaining stable blood pressure, ensuring that oxygen continues to reach the heart and brain.

 

  1. Preserves Life: A tourniquet doesn’t heal the wound, but it buys life-saving time — minutes or even hours in some cases — until more definitive treatment, such as surgery, can be performed.

 

Key Points to Know About Applying a Tourniquet

 

  • Tourniquets should only go on extremities, such as arms or legs. They should never be applied to the torso or midsection.
  • Tourniquets should be applied as high as possible on the wounded arm or leg. That means, if a person’s arm is injured, it should be applied near the shoulder. If their leg is injured, utilize the tourniquet near the hip (without actually applying it on the hip).
  • Tourniquets should be applied as tight as possible, until the bright red bleeding stops.
  • Tourniquets should be applied as quickly as possible. As mentioned above, a person’s life can be in danger within minutes, which is why time matters when applying a tourniquet.

 

Myths and Misconceptions About Tourniquets

 

There are many misconceptions surrounding the use of tourniquets, some of which may prevent people from using them when they’re most needed. Here are a few myths debunked:

 

  1. Myth: Tourniquets Should Only Be a Last Resort: While this was once a common belief, modern research has shown that tourniquets are one of the most effective ways to stop severe bleeding. The earlier they are applied, the better the outcome.

 

  1. Myth: Tourniquets Cause Limb Loss: While it’s true that prolonged tourniquet use can lead to tissue damage, the risk of losing a limb is far less concerning than the immediate risk of death from blood loss. Advances in medical care have significantly reduced the likelihood of limb loss following tourniquet use.

 

  1. Myth: You Can’t Use a Makeshift Tourniquet: While commercial tourniquets are designed for optimal use, in an emergency, a makeshift tourniquet made from a power cord, bandage, or piece of cloth can still be effective. The key is applying it tightly enough to stop the bleeding.

 

Knowing How to Apply a Tourniquet: A Skill That Can Save Lives

 

Knowing how to tie a tourniquet is a skill that could save a life in an emergency. Whether you’re in a remote area far from medical help or simply the first responder to an accident (because let’s face it, sometimes you have to be your own first responder), your ability to act quickly and correctly can make the difference between life and death. A severe bleed is one of the most dangerous injuries a person can suffer, but with the right knowledge and tools, you can buy the time needed until medical professionals can take over and save a life. 

 

Taking the time to learn this essential first aid skill can prepare you to act quickly and effectively in a crisis, helping to ensure that you are ready when seconds count. And with an emergency kit from ProActive Response Group, you can have a tourniquet on hand at all times. Emergencies are never planned — you never know when you might need to save someone’s life (or even your own). And if you’re interested in hosting a class, contact ProActive Response Group today!

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Jim Tapscott

Instructor

Jim served as a Sheriff’s Deputy in Illinois for 30 years. During his time as a Deputy, Jim served on the SWAT team as an operator, team leader and Commander. Jim was involved in several barricaded gunman/hostage incidents as well as service of high risk arrest and search warrants.

Jim was a member of the US Marshals Great Lakes Regional Fugitive Task Force where he performed surveillance and fugitive apprehension. His team was responsible for thousands of high risk felony fugitive arrests. Jim also served in the patrol division where he earned the rank of Sergeant and was responsible for patrol operations. Jim received numerous awards throughout his career to include Deputy of the Year, medal of valor and unit citation for SWAT operations.

Jim was a state certified CQB (Close Quarter Battle) SWAT instructor as well as an Active Shooter Response instructor, providing training for multiple law enforcement agencies throughout the state of Illinois.

Jimmy Pregel

Medical Instructor

I’m a proven leader with a diverse background in defense, law enforcement, and emergency response. My career began as a Scout Sniper in the U.S. Marine Corps, where I earned the Navy and Marine Corps Commendation Medal. I then served as a security contractor in Afghanistan and Iraq, further developing my tactical and crisis management skills.

Domestically, I served as a Deputy for the Greenville County Sheriff’s Office, earning a Medal of Valor, and as a firefighter, where I was awarded a Life Saving Ribbon. These roles reflect my commitment to safety and service, demonstrating leadership under pressure and a passion for protecting others.

As part of the Proactive Response Group Team, I design and deliver comprehensive medical training, developing lesson plans and conducting hands-on sessions. I ensure that participants are equipped with essential medical skills, fostering a culture of continuous improvement and readiness. My role is vital in preparing our team to handle medical emergencies confidently and competently.

Chris Taylor

Instructor

Chris is a retired Major from the Greenville County Sheriff’s Office in South Carolina. Chris was third in command over operations, overseeing more than 300 sworn Deputies as well as all special teams within the Sheriff’s Office. In 2012, Chris helped to organize a Dignitary Protection Team within the Sheriff’s Office that assisted the Secret Service with Presidential and Vice Presidential visits throughout the state. In addition to his normal duties, Chris performs private security for dignitaries, celebrities, as well as 12 years with the Miss America Organization. Chris has been instructing Active shooter Response with ProActive Response Group since 2021.

In his down time, Chris enjoys time with his wife and daughter, as well as watching sports and fishing.

Tyrie Fowler

Instructor

Tyrie Fowler is an Active Shooter Response instructor at Proactive Response Group and an Emergency Medicine Trauma Nurse at Prisma Health in Greenville. A Greenville native, Tyrie earned his Exercise Science degree from the University of South Carolina and his nursing degree from Mary Black School of Nursing. He joined Greenville Health System in 2015, transitioning from Orthopedic Trauma to Emergency Medicine. At Prisma Health, a Level One Trauma Center, he is part of the Trauma Nurse Leader team, with training in Advanced Trauma Care (ATCN) and Tactical Emergency Casualty Care (TECC). Tyrie is pursuing certifications in Emergency Nursing (CEN) and Trauma Certified Registered Nurse (TCRN).

Tyrie enjoys Fall for its long runs, college football (Go Gamecocks!), and hunting, including deer and quail. He also loves smoking recipes with a creative twist. As a medical instructor, Tyrie empowers bystanders to provide critical assistance in emergencies, teaching them to control bleeding and manage injuries, ensuring they leave his class confident in making a difference.

Steven Anderson

Instructor

Steven J. Anderson is currently an Active Shooter Response Instructor for ProActive Response Group; he enjoys empowering people to survive in life threatening situations. Steve grew up in central Minnesota and spent three years with the United States Army. He graduated from St. Cloud State University with a degree in Criminal Justice. Steve worked as a federal agent for the United States Border Patrol where he was a member of the U.S. Border Patrol Tactical Unit (BORTAC): completing multiple assignments in Central & South America, an assignment with the United Nations and the Deputy Director (A) of the National Air Security Operation Center. In 2020 he retired from working in Federal Law Enforcement.

In his spare time he enjoys the outdoors especially bow hunting. Steve is a proud husband and father to 3 wonderful daughters.

Rob Christian

Instructor, Sales

Rob is originally from Louisville, CO. He joined the U.S. Marine Corps in 2003 and served as a Combat Engineer Officer until 2012. Rob deployed in support of Operation Enduring Freedom in 2009 and 2010 where he planned and implemented force protection strategy, counter improvised explosive device operations, and mobility operations for Third Battalion Sixth Marine Regiment and Third Battalion Seventh Marine Regiment . Upon his departure from the military, Rob began to teach firearms and tactics with Arizona based Alpine Arms while simultaneously running his own small residential security consulting firm. Rob relocated the South Carolina in 2021 and joined ProActive Response Group in early 2023.

When not working Rob spends time with his wife Lindsey and son Theo. He enjoys stand up paddle boarding, visiting the rifle range, four wheeling, and camping.

The Life-Saving Importance of Knowing How to Apply a Tourniquet: The Five-Minute Window to Save a Life

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Founder

Chad Ayers

Chad Ayers served as Sheriff’s Deputy for Greenville County in South Carolina for 12 years. He has worked undercover in multiple state and federal investigations and in high-pressure environments, including active shooter events and hostage negotiations. Chad was a member of the SWAT team, where he served as assistant team leader and also assisted in the creation and implementation of the Greenville County Sheriff’s Office active shooter response program. Chad starred in season one of A&E TV’s Emmy-winning documentary LIVEPD and is a frequent guest commentator for FOX News, Law & Crime Network, and On Patrol Live.

Founder

Andy Sexton

Andy Sexton spent 12 years with the Greenville County Sheriff’s office in South Carolina, where he held the rank of Uniform Patrol Sergeant. His experience includes serving as an assistant SWAT team leader, involvement in high-risk incidents, including hostage rescues and the protection of dignitaries, working in criminal investigations (including armed robbery and homicide), and serving on the training committee for the Greenville County Sheriff’s Office.

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