Emergency Trauma Dressing (ETD) 8"x10" - North American Rescue

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SKU: 30-0165

Type: Pressure Bandage

Vendor: North American Rescue

Emergency Trauma Dressing (ETD®) — 8 × 10 in.

Name: Emergency Trauma Dressing (ETD®) — 8 × 10 in.
Brand: North American Rescue
SKU: 30-0165
Price: 10.5 USD
Availability: InStock

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PRODUCT INFORMATION

ETD® by North American Rescue · Large-Wound Pressure Dressing

Emergency Trauma Dressing (ETD®) — 8 × 10 in.

The ETD built for wounds a 4 in. or 6 in. pad cannot cover: an extra-large 8 × 10 in. sterile non-adherent pad sewn onto a 4 in. resilient elastic wrap that runs 70 in. — 14 in. longer than the standard ETD. Same Quick-Grip Roll Control, same durable securing device, no pressure bars or hooks. Flat-folded and vacuum-sealed, 4 oz.

8 × 10 in. sewn-in pad4 × 70 in. elastic wrapNSN 6510-01-654-6801Sterile · not made with natural rubber latex4 oz

Size the pad to the wound before the wound sizes it for you — one dressing that covers beats two that almost do.

The short answer

What it is

A sterile pressure dressing with an 8 × 10 in. non-adherent pad sewn onto a 4 in. × 70 in. elastic wrap. One dressing per vacuum-sealed package.

Use it for

Direct pressure over larger wounds, and holding packing in place over a wide wound field once the deep parts have been packed.

How it's used

Pad centered over the whole wound, wrap with a little stretch, secure the end — then check the circulation beyond the dressing.

Who carries it

Medics, vehicle and aid-bag kits, and casualty-collection caches that stock one large-wound dressing alongside the standard 4 in. and 6 in. ETDs.

At a glance

Pad (H × W)

8 × 10 in., sewn in

Elastic wrap

4 × 70 in.

Packaged

4.125 × 7 × 1 in.

Format

Flat-folded, vacuum-sealed

Weight

4 oz

NSN

6510-01-654-6801

NAR item

30-0165

FDA

Class I, 510(k)-exempt

Sterility

Sterile, single use

10 things to know about the ETD 8 × 10 in.

What the bigger pad and longer wrap buy you, and where the large-wound dressing stops.

01

An 8 × 10 in. pad on a 4 in. wrap

The pad is sewn onto the wrap, 8 in. high by 10 in. wide — an extra-large sterile non-adherent pad for applying immediate direct pressure to larger areas.³ The 4 in. ETD's pad is 6 × 4 in.⁴
02

A longer wrap — 70 in.

The elastic runs 70 in., against 56 in. on the standard 4 in. and 6 in. ETDs.^3,4 Length matters when a big pad has to be anchored around a big limb: in a tourniquet-conversion simulation, a short wrap was swapped for longer ones because the longer wraps covered limbs better.¹³
03

Flat-folded, 1 in. deep

It packs to 4.125 × 7 × 1 in. and weighs 4 oz — the same weight as a rolled 6 in. ETD.^3,4 The dressing itself is labeled NAR Compression ETD 8″×10″ FLAT.⁸
04

The same ETD design

A durable securing device, Quick-Grip Roll Control tabs that keep the wrap from unrolling during application, and no pressure bars or hooks — engineered from more than 63 after-action reviews of real-world battle-dressing applications.³
05

NSN 6510-01-654-6801

DLA describes the item as a universal compression dressing for severe trauma: sterile, applicable with one hand, an 8 × 10 in. non-adherent pad on a 4 × 70 in. elastic roll-control wrap, single wrapped and vacuum sealed. NAR item 30-0165 is one of the part numbers listed under that NSN; unit of issue is each.⁶
06

Class I, sterile, latex-free

FDA lists it as an elastic bandage (product code FQM, 21 CFR 880.5075): Class I, exempt from 510(k). It is sterile, single use and labeled as not made with natural rubber latex, with a lot number and an expiration date on the label.⁵
07

One product, one job

A complete bleeding kit carries four products for four jobs: a tourniquet, packing gauze, a pressure dressing and a chest seal. A big pad does not change that. A limb a tourniquet can control gets a tourniquet; a deep or junctional wound is packed first; the dressing goes over the top.¹ In 50 mass-casualty patients in Afghanistan, most injured by explosives, tourniquets and pressure dressings were the most common prehospital interventions.¹¹
08

On the torso, other rules apply

An open or sucking chest wound gets a vented chest seal — or a non-vented seal if no vented seal is available — not a gauze pad. The abdomen is never packed, and exposed bowel is covered with a moist sterile dressing or a water-impermeable covering, never forced back in.¹
09

Firm pressure — not a tourniquet

NAR's direction: firm pressure, but never so tight it creates a tourniquet effect.¹⁰ Too tight, and the wrap closes the veins while the artery keeps pumping in — a venous tourniquet that can end in compartment syndrome.⁹ In 116 measured applications by EMS providers, pressures ran from 50 to 412 mmHg and did not match how tight providers thought they were,¹² and in cadaver legs high-stretch wraps raised compartment pressure the most.¹⁴
10

More than a bandage

Like every ETD, it can sling and swathe an arm, fasten a splint to a limb, or do any other job that needs an elastic wrap.³

How to apply the ETD 8 × 10 in.

In doctrinal order — the tourniquet and packing decisions come first, the dressing last.

1

Tourniquet first on a limb. Life-threatening limb bleeding a tourniquet can control gets a tourniquet. Hasty: high and tight over clothing, under threat or when you cannot see the source. Deliberate: on bare skin 2–3 in. above the wound once it is exposed. Never across a joint.¹
2

Pack what is deep. Deep wounds and junctional wounds — groin, armpit, neck — are packed first: the power ball goes in first, directly on the bleeding vessel, and every corner is packed tight. Never pack the chest or abdomen. The neck can be packed with care without compressing the airway; the lower neck above the collarbone is acceptable.
3

Hold pressure. Hemostatic gauze: at least 3 minutes, or the time on its label.¹ Plain gauze: at least 10 minutes. In every case, until the bleeding stops — best practice is to keep holding until someone relieves you.
4

Open and center. Tear the package at a red notch and unfold the dressing. The printed tag reads OTHER SIDE TOWARD WOUND; center the 8 × 10 in. pad so it covers the whole wound field.^3,8
5

Wrap with a little stretch. Pull a little stretch on each pass and wrap until the pad is held down edge to edge; the Quick-Grip tabs keep the roll from unrolling as you go.^3,10
6

Secure the end. Fasten the end with the securing device's hook-and-loop, or tuck it under the last wrap so it sits tight.¹⁰
7

Check beyond the dressing. Color, warmth, sensation and pulse below the wrap, compared with the other limb. If the skin turns dusky, capillary refill slows, pain climbs or the pulse fades, take the dressing down and reapply it with less force — then keep reassessing.⁹
8

If blood comes through. On a superficial wound, or a wound under the dressing that is not deep enough to pack, leave the dressing in place and add gauze and pressure on top. That rule does not cover a packed wound: if a packed wound keeps bleeding, remove the packing and repack — find the source, power ball first, every corner tight.¹

Free your hands — with whatever you have. A pressure dressing over the packing frees you for the next casualty or the phone. Short of large dressings? An elastic wrap such as READY WRAP™ or an ACE-type bandage over gauze does the same job, and a bandana or a strip of cloth tied over the packing beats holding it with a hand you need elsewhere. Train on a trainer, not on a live sterile dressing.⁵

Where it fits

Use it for

Direct pressure over wounds too large for a 4 in. or 6 in. pad³
Holding packing in place across a wide wound field once the deep parts are packed
A pressure dressing after a trained provider converts a limb tourniquet¹
Slinging and swathing an arm, or fastening a splint³

Not for

Life-threatening limb bleeding a tourniquet can control — tourniquet first¹
An open or sucking chest wound — a vented chest seal, or a non-vented seal if no vented seal is available¹
Packing into the chest or abdomen — never
Wrapping tight around the neck — the airway comes first
Wounds a 12 × 12 in. pad would cover better — the Abdominal/Stump ETD is that size⁷

The evidence

No peer-reviewed study of the ETD itself is indexed in PubMed. The studies below tested pressure dressings as a class, and the TCCC documents set the role.

Study	Evidence type	What was studied	What it found
TCCC Guidelines, 1 May 2026	Expert review · guideline	Massive hemorrhage, tourniquet conversion, open chest wounds, abdominal evisceration	Tourniquet for limb bleeding it can control; hemostatic dressings ≥3 min of pressure; pressure dressings after tourniquet conversion; vented chest seal for an open chest wound; moist sterile or water-impermeable covering for exposed bowel
Evidence-Based Standard Devices & Adjuncts, 15 December 2021	Expert review · device list	Devices recommended for combat casualty care	Limb tourniquets and hemostatic dressings and devices are named; there is no pressure-dressing category
*Schauer et al., Prehosp Disaster Med* 2017**	Human · combat registry	50 mass-casualty patients, DoD Trauma Registry and Prehospital Trauma Registry, Afghanistan; explosives the most common cause	Tourniquets and pressure dressings were the most common prehospital interventions; 97% of the 36 with follow-up survived to discharge
*Brauckmann et al., Eur J Trauma Emerg Surg* 2026**	Human volunteer · simulation	124 EMS providers applying pressure dressings to one volunteer's forearm over calibrated sensors; 116 analyzed; ETD not among the materials	Peak pressure 169 ± 84 mmHg (range 50–412); self-assessed tightness did not match measured pressure
*Kragh et al., J Spec Oper Med* 2021**	Manikin · simulation	100 simulated tourniquet applications and conversions by one operator, including conversion to a pressure dressing	Conversion to a pressure dressing took longer than conversion to a tourniquet; a short wrap was swapped for longer ones to cover limbs better
*Kwok et al., Mil Med* 2026**	Cadaver · synthetic model	Low-, moderate- and high-stretch circumferential dressings on a pressurized manikin arm and cadaver legs	High-stretch dressings raised compartment pressure the most (cadaver anterior compartment +10.7 vs +3.0 mmHg for low-stretch)

Strongest to weakest: human registry data, then human-volunteer measurements, then manikin and cadaver work. The registry counts how often pressure dressings were used, not how well any one brand performed.

How it compares

The large-wound ETDs against the standard rolled sizes — pick by the size of the wound you expect.

	ETD 8 × 10 in.	Abdominal/Stump ETD	ETD 6 in. rolled	ETD 4 in. rolled
NAR item	30-0165	30-0012	30-0032	30-0031
Pad (H × W)	8 × 10 in.	12 × 12 in.	6 × 6 in.	6 × 4 in.
Elastic wrap	4 × 70 in.	6 × 70 in.	6 × 56 in.	4 × 56 in.
Packaged	4.125 × 7 × 1 in.	5.25 × 6 × 1.5 in.	6 × 2.5 × 2.1 in.	4.5 × 2.5 × 1.75 in.
Weight	4 oz	5 oz	4 oz	2.6 oz
NSN	6510-01-654-6801	6510-01-541-8121	6510-01-558-4114	6510-01-558-4108
NAR's stated use	Direct pressure to larger areas	Eviscerations, amputations, burns, large pattern wounds	Immediate direct pressure	Immediate direct pressure
evidence-based standard	No	No	No	No

8 × 10 in. figures from NAR's product page;³ Abdominal/Stump figures from NAR's product page;⁷ 4 in. and 6 in. figures from NAR's product information sheet.⁴

Build the system

The tourniquet and gauze that come first, the other ETD sizes, the chest seal it does not replace, wraps and the trainer.

C-A-T® Gen 7 Tourniquet

evidence-based standard — tourniquet first on a limb

QuikClot® Combat Gauze®

Pack first — the evidence-based hemostatic dressing of choice

Abdominal/Stump ETD®

12 × 12 in. pad on a 6 × 70 in. wrap

ETD® — Rolled

The standard 4 in. and 6 in. sizes

HyFin® Vent Chest Seal

The fourth job — sealing an open chest wound

READY WRAP™

Compression wrap to hold packing in place

NAR Elastic Wrap Bandages

Extra wrap to extend or reinforce a dressing

Wound Packing Leg Trainer

Practice packing and wrapping

Free from MED-TAC

The Trauma Brief

MED-TAC's free trauma field guide, written by a physician and medical educator — what to do in the first minutes of a severe bleed, step by step.

Get the Brief ›

Questions buyers ask

▾Is the ETD 8 × 10 in. evidence-based standard?

No. The Evidence-Based Standard Devices & Adjuncts list names limb tourniquets and hemostatic dressings and devices; it has no pressure-dressing category, so no pressure bandage is on it.² Absence from the list does not by itself mean a product was tested and failed. The TCCC Guidelines use pressure dressings by role — for example, when a tourniquet is converted.¹

▾When do I choose it over a 4 in. or 6 in. ETD?

When the wound is wider than a 6 × 4 in. or 6 × 6 in. pad. The 8 × 10 in. pad covers 80 sq in. in one pass, and the 70 in. wrap gives the extra turns to hold it.^3,4 Most kits that carry it carry it alongside the standard sizes, not instead of them.

▾8 × 10 in. or Abdominal/Stump?

The Abdominal/Stump ETD is the larger one: a 12 × 12 in. pad on a 6 × 70 in. wrap, 5 oz, which NAR describes for abdominal eviscerations, traumatic amputations, burns and large pattern wounds. The 8 × 10 in. sits between it and the standard ETDs, on a 4 in. wrap at 4 oz.^3,7

▾Does it have an NSN?

Yes: 6510-01-654-6801. DLA lists NAR item 30-0165 among the part numbers under that NSN, issued one each.⁶

▾Can it go over packed gauze?

Yes. Pack the deep parts of the wound, hold pressure (at least 3 minutes for a hemostatic, at least 10 for plain gauze, and until the bleeding stops), then cover the whole field with the pad and wrap.¹

▾Can I use it on a chest wound?

Not to seal it. An open or sucking chest wound gets a vented chest seal — or a non-vented seal if no vented seal is available — and the casualty is watched for a developing tension pneumothorax.¹

▾How tight should it be?

Firm, with a little stretch on each pass — but never tight enough to act as a tourniquet.¹⁰ Check color, warmth, sensation and pulse beyond the wrap; if circulation suffers, NAR's instruction is to take it down and reapply it with less force.⁹

▾What if blood soaks through?

If the wound is superficial, or not deep enough to pack, leave the dressing on and add gauze and pressure on top. If the wound was packed and is still bleeding, adding layers will not fix it: remove the packing and repack it to the source.¹

▾Does it expire?

Yes — the label carries a lot number and an expiration date,⁵ and the DLA record carries a 60-month shelf-life code.⁶ Replace an expired dressing or one whose package is torn or damaged.

Package & specifications

▾In the package — one sterile dressing

1× NAR Emergency Trauma Dressing (ETD®) 8 × 10 in. — item 30-0165
Sterile non-adherent pad, 8 in. H × 10 in. W, sewn onto a 4 in. × 70 in. resilient elastic wrap
Quick-Grip Roll Control tabs and a durable securing device; no pressure bars or hooks
Flat-folded, vacuum-sealed package with Red-Tip Technology® red tear notches
Sterile, single use. Tourniquet, packing gauze and gloves sold separately.

▾Full specifications

Specification	Detail
Manufacturer	North American Rescue, LLC — Greer, South Carolina, USA
Product	Emergency Trauma Dressing (ETD®) 8 × 10 in. — labeled NAR Compression ETD 8″×10″ FLAT
NAR item	30-0165
NSN	6510-01-654-6801
GTIN (GUDID)	00842209109012
Pad	8 in. H × 10 in. W, sterile, non-adherent, sewn onto the wrap
Elastic wrap	4 in. W × 70 in. L, resilient elastic
Components	Durable securing device, Quick-Grip Roll Control tabs; no pressure bars or hooks
Packaged dimensions	4.125 × 7 × 1 in.
Weight	4 oz
Packaging	Flat-folded, vacuum-sealed, low-cube; Red-Tip Technology® red tear notches
Other uses	Sling and swathe; fastening a splint; any job that needs an elastic wrap
Sterility	Sterile, single use
Latex	Labeled not made with natural rubber latex
Labeling	Lot number and expiration date
FDA	Elastic bandage, product code FQM, 21 CFR 880.5075 — FDA-registered, Class I (510(k)-exempt)
Federal records	DLA: compression dressing, universal, severe trauma; one-hand application; unit of issue each; shelf-life code 60 months
TCCC status	Not evidence-based standard — the evidence-based device list has no pressure-dressing category

▾References — 14 sources

Committee on Tactical Combat Casualty Care. Tactical Combat Casualty Care (TCCC) Guidelines, 1 May 2026.
Committee on Tactical Combat Casualty Care. Evidence-Based Standard Devices & Adjuncts, 15 December 2021.
North American Rescue. Emergency Trauma Dressing (ETD) — 8 x 10 in. product information (item 30-0165, NSN 6510-01-654-6801), narescue.com.
North American Rescue. Emergency Trauma Dressings — ETD® Standard Rolled, 4 & 6 in. Product Information Sheet, REV091025.
National Library of Medicine. AccessGUDID device record: NAR 30-0165 (DI 00842209109012) — FDA product code FQM (Bandage, Elastic), 21 CFR 880.5075, Class I, 510(k)-exempt; GMDN 47011.
Defense Logistics Agency. Federal Logistics Information System item record, NSN 6510-01-654-6801 (Bandage, Emergency Trauma Dressing), reference data as of 18 September 2026.
North American Rescue. Emergency Trauma Dressing (ETD) — Abdominal/Stump product information (item 30-0012, NSN 6510-01-541-8121), narescue.com.
North American Rescue. ETD 8 × 10 in. dressing label (PN 30-0165), as photographed on narescue.com.
North American Rescue (NAR Doctor). Pressure Dressing Pitfalls. NAR blog, narescue.com.
North American Rescue (NAR Doctor). The Importance of Effective Pressure Dressing. NAR blog, narescue.com.
Schauer SG, April MD, Simon E, Maddry JK, Carter R III, DeLorenzo RA. Prehospital interventions during mass-casualty events in Afghanistan: a case analysis. Prehosp Disaster Med. 2017;32(4):465–468.
Brauckmann V, Menzel J, Welke B, Decker S, Macke C. Under pressure — a sensor-based analysis of simulated prehospital pressure dressing application for hemorrhage management. Eur J Trauma Emerg Surg. 2026;52(1):192.
Kragh JF Jr, Le TD, Dubick MA. Exploring tourniquet conversion in simulation to develop concepts and hypotheses. J Spec Oper Med. 2021;21(3):23–29.
Kwok VE, Rohde DJM, Hazem D, et al. The impact of circumferential dressings on muscle compartment pressure: results from synthetic and cadaveric models. Mil Med. 2026;191(Suppl 1):106–110.

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Built around MARCH. Every kit we sell maps to the MARCH protocol — Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia. Learn the sequence in our complete MARCH guide.

SPECS & MEASUREMENTS

Specifications coming soon. Contact us for detailed product information.

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FREQUENTLY ASKED QUESTIONS

When should I use the ETD 8×10 instead of the standard 4 in. or 6 in. ETD?

Use the ETD 8×10 when the wound area exceeds what a 4 in. or 6 in. pad can adequately cover. Typical use cases include blast or fragmentation wounds with multiple entry points across a wide surface area, large exit wounds, abdominal wounds with broad tissue involvement, partial amputations with significant soft tissue disruption, and thoracic injuries spanning a large area. The 8×10 in. pad (80 sq. in. coverage) provides approximately 2–3× the coverage area of a standard 4 in. ETD pad, and the 70 in. wrap length provides extra bandage for secure circumferential application.

What is the difference between the ETD 8×10 and the NAR Stump/Abdominal ETD?

Both are large-format ETD-series bandages for large wounds, but they differ in pad size and wrap dimensions. The ETD 8×10 has an 8×10 in. non-adherent pad on a 4 in. elastic wrap (70 in. long). The NAR Stump/Abdominal ETD has a larger 12×12 in. pad on a 6 in. elastic wrap (70 in. long) and is specifically designed for traumatic amputations with stump coverage, abdominal eviscerations, and large burn wound coverage. The Stump/Abdominal ETD is the preferred option for amputation stump management; the ETD 8×10 is better matched to large thoracic wounds and blast pattern wounds on limbs or torso.

Is the ETD 8×10 appropriate for tourniquet conversion?

Yes. When transitioning a wound from tourniquet management to wound packing and pressure dressing during casualty transport, the ETD 8×10 is a suitable cover dressing over packed gauze on large wounds. After wound packing with NAR Compressed Gauze or equivalent, the ETD 8×10 pad provides broad coverage over the packed site while the elastic wrap secures the packing under pressure. The extended 70 in. wrap allows sufficient bandage length for multiple wrapping passes even on large extremity wounds.

Does the ETD 8×10 have the same application mechanism as other ETDs?

Yes. The ETD 8×10 uses the same NAR ETD design principles — no pressure bars or hooks, Quick-Grip Roll Control tabs to prevent unrolling, and a simple durable securing device that can be applied with gloved hands without specific technique. The wound pad is sewn directly onto the elastic wrap, maintaining the one-piece design. Application is identical to other ETD sizes: center the pad over the wound, wrap the elastic circumferentially with firm tension, and secure with the locking device.

What is the packaged size of the ETD 8×10 and does it fit standard IFAK pouches?

The ETD 8×10 packaged dimensions are L 4.125 in. × W 7 in. × D 1 in., weight 4 oz. The 7-inch width is larger than standard ETD packages due to the oversized pad, and it will not fit in IFAK pouches designed for standard-width bandages. It is best suited for medic bags, vehicle trauma kits, extended patrol kits, or any kit with sufficient pouch width to accommodate the 7-inch dimension. Check your pouch width before ordering for IFAK integration.

Is the ETD 8"×10" CoTCCC-recommended?

The ETD product line is CoTCCC-recommended as the standard field pressure dressing system. The 8"×10" variant is included in medic-level kit configurations where larger dressing coverage is required. It is NSN-listed through DLA and appears in enhanced IFAK and trauma cache configurations across US military medical programs.

When should I use the 8"×10" instead of the 6" ETD?

Use the 8"×10" when the wound surface is too large for the 6" pad to achieve full coverage — typically torso wounds, large extremity blast injuries, and wide avulsion injuries. If the 6" pad can fully cover the wound with overlap on all sides, the standard size is appropriate. Carry the 8"×10" as the large-wound contingency in any cache expected to treat mass-casualty or blast events.

Can the ETD 8"×10" be used for abdominal injuries?

Yes. The 8"×10" pad covers abdominal penetrating wounds and provides adequate surface area for many abdominal evisceration presentations. For the most severe truncal trauma, the Stump/Abdominal ETD offers a purpose-built geometry. Both are valid tools; the selection depends on wound type and what is available in the kit.

Does the 8"×10" use the same application technique as the 6" ETD?

Yes. The 8"×10" ETD uses the same integrated pressure applicator and securing tail system as the standard 6" ETD. Application technique is identical — anchor the pad, apply the pressure bar, wrap and secure the tail. The larger pad size requires no special training beyond standard ETD application skills.

What NSN applies to the ETD 8"×10" for procurement?

The ETD 8"×10" is listed under Federal Supply Class 6510 in the DLA catalog. The specific NSN for the current production run is available through the DLA Cataloging and Standardization Program or by contacting North American Rescue directly. MED-TAC International supports agency and government procurement inquiries.

Emergency Trauma Dressing (ETD®) — 8 × 10 in.

At a glance

10 things to know about the ETD 8 × 10 in.

An 8 × 10 in. pad on a 4 in. wrap

A longer wrap — 70 in.

Flat-folded, 1 in. deep

The same ETD design

NSN 6510-01-654-6801

Class I, sterile, latex-free

One product, one job

On the torso, other rules apply

Firm pressure — not a tourniquet

More than a bandage

How to apply the ETD 8 × 10 in.

Where it fits

The evidence

How it compares

Build the system

Questions buyers ask