Ready Wrap™ Micro Bleeder Kit

Where this kit sits in the algorithm

Within MARCH this kit supports the M step - Massive Hemorrhage - at the packing and pressure-dressing rungs of the escalation ladder: direct pressure, then wound packing, then a pressure dressing or compression wrap, then a tourniquet for arterial bleeding not controlled by the preceding steps. It equips the first three rungs and deliberately does not equip the fourth.

What it does not cover

There is no tourniquet in this kit, no chest seal, and no airway adjunct. A compression wrap is not a tourniquet and makes no arterial occlusion claim. Goolsby et al., JAMA Surgery 2019, tested 102 untrained laypeople across five devices and found elastic wrap-style devices achieved arterial occlusion far less often than windlass tourniquets - evidence tier: human volunteer study, untrained-layperson cohort. That is precisely why this kit is positioned as a packing and compression package, and why it should be carried alongside a CoTCCC-recommended limb tourniquet rather than in place of one.

If you do reach for a tourniquet

Placement depends on phase and on whether you can see the bleeding source. Under threat, or any time the source is not readily apparent, apply a hasty tourniquet - high and tight, as proximal as possible, over the clothing. Speed beats anatomic precision when you are not exposing the wound. Once time and cover permit and the bleeding site is identified, convert to a deliberate tourniquet applied directly to the skin two to three inches above the wound, which minimizes healthy tissue under compression. If two to three inches above the wound would land on a joint, move proximal past it - never place a tourniquet across or directly over a joint in either mode. If the source still cannot be identified, stay high and tight.

Which wounds to pack

Pack junctional, axillary, groin, neck, and deep extremity wounds a tourniquet cannot reach or control. Do not pack open chest wounds - penetrating thoracic trauma is managed with a chest seal, which this kit does not contain. Abdominal evisceration follows its own pathway. The included gauze is plain, not hemostatic: hold firm continuous manual pressure until hemorrhage is controlled rather than stopping at an arbitrary interval.

Evidence tier and honest limits

Component specifications, dimensions, weight, and regulatory status are manufacturer statements from 6:8 Medical Solutions literature and packaging. Manufacturer claims are the lowest evidence tier and are not a substitute for trial data. No published human trial data specific to this kit configuration exists at time of listing. Note also that a single kit holds one gauze pack - a deep junctional cavity routinely consumes an entire pack or more, so a kit this size is a one-wound package, not a mass-casualty answer.

Framework note

Massive hemorrhage leads both TCCC and TECC, but the two are separate frameworks and do not mirror each other. Apply the one your agency has adopted under your medical director protocols. Equipment does not substitute for training - wound packing and sustained pressure are perishable psychomotor skills.