One casualty can need more than one tourniquet. Staging several in one marked place means the second and third are where your hand already is.
At a glance
8 things to know about the Titancare Quad Tourniquet Pouch
What a four-tourniquet pouch is for, and the doctrine that decides how to use it.
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01
A supply point, not a self-aid draw
A pouch that stages four tourniquets answers a supply problem: several tourniquets at one reachable location. Keep a tourniquet on your own person for self-aid, where either hand reaches it under stress, without looking, and treat this pouch as the supply behind it.
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02
A carrier is not a tourniquet
The Evidence-Based Standard Devices & Adjuncts list names tourniquets — the C-A-T Gen 7 (NSN 6515-01-521-7976), the SOF-Tactical Tourniquet-Wide (6515-01-587-9943), the SAM-XT (6515-01-670-2240), the Tactical Mechanical Tourniquet (6515-01-656-6191) and others — and no pouches.2 The pouch has no status of its own; each tourniquet in it keeps its own.
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03
Why four
The TCCC Guidelines call for a limb tourniquet on life-threatening bleeding from an arm or a leg, and on any traumatic amputation.1 A casualty with bilateral limb wounds needs one per bleeding limb, and a second tourniquet goes on side by side with the first when bleeding continues.1
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04
Stage them as you would carry them
Each tourniquet goes in out of its packaging and set up as its own instructions direct — the C-A-T in its quick-launch configuration,3 the TMT in its one-handed configuration.4 A pouch full of tourniquets still in their packaging is storage, not access.
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05
Match the pouch to your tourniquets by trial
Four tourniquets in one pouch have to come out one at a time without pulling the others out or the pouch off its mount. Load it with the exact models you carry, mount it as you will wear it, and draw all four with a gloved hand.
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06
Mount it where it is found
A MOLLE/PALS pouch mounts on a plate carrier, vest, medic bag, vehicle panel or board. Standardize the position across a team, so a teammate can find the supply without searching, and mount it where either hand can reach it.
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07
Supply is not skill
In a trial of 465 laypeople, 88% applied a tourniquet correctly after a one-hour course, and only 54.5% could still do it 3 to 9 months later.6 In 102 laypeople trained on the C-A-T, correct application was 92.2% for the C-A-T and 11.8% for the SWAT-T,7 so the model you stock and the model you train on should match.
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08
The reason you carry any
In 232 combat casualties treated with tourniquets in Baghdad, survival was 90% when the tourniquet went on before shock set in and 10% after.5 Early application is the point of staging them where you can reach them.
How to stage it and use what is in it
Stage and mount first, then the application sequence the TCCC Guidelines teach — with the placement decision made up front.
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1Stage each tourniquet. Out of its packaging and set up as its own instructions direct — the C-A-T in its quick-launch configuration,3 the TMT in its one-handed configuration.4 Load the pouch and confirm each comes out singly.
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2Mount it within reach. Weave it onto MOLLE/PALS webbing where either hand can reach it under stress, without looking, and standardize the position across the team.
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3Choose the placement. Under threat, or when you cannot see where the blood is coming from: hasty — high and tight, over clothing. When the source is found and time and safety allow: deliberate — on bare skin, 2–3 in. above the wound. If that point lands on a joint, move above the joint. Never place it across or directly over a joint.1
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4Tighten until it works. Tighten until the bleeding stops and the distal pulse is gone. It hurts, and that is expected. If bleeding continues, add a second tourniquet side by side with the first.1
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5One per bleeding limb. Apply a tourniquet to every limb with life-threatening bleeding, then record the time on each tourniquet and on the casualty card.1
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6Reassess a hasty tourniquet. When the scene allows, expose the wound. If a tourniquet is needed, place a second one on bare skin 2–3 in. above the bleeding site, tighten it, then slowly release the first. If the source still cannot be found, the first stays high and tight.1
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7Leave it on — or convert by protocol. For civilians and most law enforcement, especially in self-aid, leaving it in place for the receiving clinicians is good practice. The TCCC Guidelines direct every effort to convert within 2 hours when the casualty is not in shock, the wound can be watched, and it is not an amputation.1
Where it fits
- Keeping several tourniquets together at one reachable MOLLE/PALS location
- A medic bag, vehicle or team supply point beside the tourniquet each person carries on their body
- Life-threatening bleeding from an arm or a leg, and any traumatic amputation — with the tourniquets inside1
- A second tourniquet side by side with the first when bleeding continues1
- Your only tourniquet, if you are the one who may need it — keep one on your person for self-aid
- The groin, armpit or neck — pack those wounds with hemostatic gauze and hold pressure
- Across or directly over a joint — move above it
- Bleeding that direct pressure or a pressure dressing controls
The evidence
A pouch has no clinical trials. These are the studies behind stocking tourniquets, reaching them early and knowing how to use them.
| Study | Evidence type | What was studied | What it found |
|---|---|---|---|
| Kragh et al., Ann Surg 2009 | Human · combat clinical | Tourniquets as a class: 232 casualties with 428 tourniquets, combat support hospital, Baghdad, 2006 | Survival 90% when tourniquets were applied before shock vs 10% after; no limb lost because of a tourniquet |
| McCarty et al., JAMA Surg 2019 | Manikin · randomized crossover | 102 laypeople trained on the C-A-T applying five tourniquet types | Correct application: C-A-T 92.2%, SOF-T 68.6%, improvised 32.4%, SWAT-T 11.8%, RATS 11.8% |
| Goralnick et al., JAMA Surg 2018 | Simulation · randomized trial | 465 laypeople, one-hour tourniquet course, retested 3 to 9 months later | Correct application 88% after the course and 54.5% at retest |
Strongest to weakest: human clinical data, then simulation and manikin studies. The combat data are for tourniquets as a class, not for any carrier.
How it compares
A multi-tourniquet supply pouch beside two carriers for the tourniquet you wear.
| Titancare Quad Tourniquet Pouch | 5.11® FLEX Tourniquet Pouch | Universal Tourniquet Holder | |
|---|---|---|---|
| Maker | Titancare | 5.11 Tactical | Elite First Aid |
| Tourniquets staged | Four | A tourniquet | A tourniquet — any major model |
| Mounting | MOLLE/PALS | FLEX-HT™ vertical MOLLE; straps for horizontal MOLLE or belt; plate-carrier tuck flap | MOLLE backing |
| Retention | — | Elastic compression webbing; Hypalon® pull tab | Elastic hook-and-loop strap; snag-resistant nylon top strap |
| Role | Supply: several tourniquets at one location | Carry point for the tourniquet you wear | Carry point for the tourniquet you wear |
| evidence-based standard | No — a carrier; status belongs to each tourniquet inside | No — a carrier; status belongs to the tourniquet inside | No — a carrier; status belongs to the tourniquet inside |
5.11 figures from 5.11 Tactical;8 Elite First Aid figures from Elite First Aid.9 Absence from the evidence-based list does not by itself mean a product was tested and failed.
Build the system
evidence-based standard tourniquets to stock in it, carriers for the tourniquet on your person, and the rest of the bleeding kit.
Questions buyers ask
Package & specifications
Available Options:
- Black
Specifications coming soon. Contact us for detailed product information.
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Order Processing & Tracking
Fulfillment Timeline: In stock merchandise ships within 48-72 hours from Florida HQ.
Automated carrier tracking details are emailed immediately upon shipment dispatch.
30-Day Returns & Medical Safety
Returns: Unused, unopened equipment in original manufacturer packaging is eligible for return within 30 days of delivery.
Bio-Safety Notice: To ensure sterility and patient safety, medical consumables with opened or broken tamper-evident seals cannot be returned.
Return Facility: MED-TAC International Corp., 15757 Pines Blvd, Suite 154, Pembroke Pines, FL 33027.
Export Compliance
North American Rescue (NAR) products and rifle hard armor plates are strictly restricted to US and APO/FPO addresses and cannot be exported internationally.
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