Junctional hemorrhage — bleeding at the groin and pelvis where the limb meets the torso — accounts for roughly 19% of potentially survivable battlefield deaths. The common femoral artery exits the pelvis beneath the inguinal ligament, in a spot a circumferential limb tourniquet simply cannot reach.
What controls bleeding a limb tourniquet can't reach?
The JETT is a mechanical junctional tourniquet built for that zone. A belt assembly carries two individually adjustable trapezoidal compression pads that apply direct pressure over the common femoral arteries below the inguinal ligament — unilateral or bilateral. It deploys pre-assembled and pre-staged for both lower extremities, so a responder needs no extra setup to treat bilateral injury. Developed against U.S. Army Combat Casualty Care Research Program requirements; CoTCCC-recommended; FDA 510(k) cleared; made in the USA.
Why the JETT
Reaches the Junction
Targets the common femoral artery below the inguinal ligament — the zone limb tourniquets can't occlude.
Bilateral, Pre-Staged
Two pads pre-positioned for both lower extremities — no extra setup to treat bilateral injury.
Toggle-Lock Windlass
Lanyard-and-toggle locks each windlass against unwinding from vibration and movement during transport.
Pelvic Stabilization
Circumferential compression adds pelvic-fracture stabilization — a dual benefit in the blast-injury pattern.
Evidence
In cadaveric testing with the common femoral artery cannulated to physiologic pressures, the JETT achieved bilateral common femoral occlusion in as little as 10 seconds, with immediate cessation of flow on application and hemostasis maintained at systemic pressures above 110 mmHg (Gates et al., 2014). Because it compresses the proximal artery before it branches, testing found less potential for vascular damage or neuropraxia than circumferential limb tourniquets.
Who Carries It
Tactical & combat medics — blast and high-thigh/groin hemorrhage
CASEVAC teams — locked occlusion that holds through transport
Agencies & tac-medical — junctional capability beyond limb tourniquets
Pair It Up
Carry it ready and round out junctional capability.
JETT
Control the Junction.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.
Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| SKU | 30-0088 |
| NSN | 6515-01-616-5841 |
| Weight | 1 lb 8 oz (680 g) |
| Device Length | 56.75″ — fits waist up to 50″ |
| Mechanism | Mechanical windlass; trapezoidal pads with threaded T-handles; lanyard & toggle locking |
| Indications | Inguinal/groin hemorrhage (unilateral or bilateral); high thigh/groin wounds; pelvic-fracture compression |
| Regulatory | FDA 510(k) cleared (K123194); US Patent 9,492,177 |
| Origin | Made in the USA |
| CoTCCC | CoTCCC-recommended junctional tourniquet |
When to Deploy Junctional Emergency Treatment Tool™ (JETT®)
- High-thigh and inguinal hemorrhage control: The JETT is the primary tool for junctional wounds — groin, upper thigh, and inguinal zone injuries where a standard limb tourniquet anatomically cannot reach.
- Bilateral lower-extremity hemorrhage: Two independently adjustable compression pads allow simultaneous bilateral femoral artery occlusion — a single deployment covers both legs.
- IED blast casualty management: Bilateral lower-extremity amputations are a common IED pattern; the JETT addresses both limbs simultaneously, reducing time-to-hemorrhage-control in the highest-mortality injury pattern.
- Prolonged Field Care (PFC) junctional management: In extended-care scenarios where MEDEVAC is delayed, the JETT provides maintained junctional occlusion that can be monitored and adjusted.
- Mass casualty junctional triage: Pre-staged as an external carry item on a medic bag, the JETT is immediately accessible when a junctional casualty presents in a multi-patient scenario.
How Junctional Emergency Treatment Tool™ (JETT®) Compares
JETT vs. SAM Junctional Tourniquet (SJT): Both are CoTCCC-recommended junctional TQs. The JETT uses a mechanical windlass mechanism pre-staged for bilateral use; the SJT uses a pneumatic bladder inflation system. Device selection often reflects individual medic preference and unit standardization — both are clinically effective.
JETT vs. Abdominal Aortic Junctional Tourniquet (AAJT): The AAJT applies pressure above the inguinal ligament to occlude the distal aorta — effective for high bilateral junctional wounds. The JETT targets the common femoral arteries below the inguinal ligament. Both are CoTCCC-recommended for different zones of junctional injury.
JETT vs. combat pelvic wound packing: Wound packing is effective for discrete, accessible junctional wounds. The JETT is indicated where direct wound access is limited or the wound pattern is diffuse — it provides external vascular occlusion without requiring wound access.
JETT vs. C-A-T Tourniquet for high-thigh wounds: A C-A-T can treat mid-thigh and below; it cannot achieve effective occlusion in the proximal thigh or groin. The JETT was developed to address exactly the zone where the C-A-T fails.
Frequently Asked Questions
Q: Is the JETT CoTCCC-recommended?
A: Yes. The Junctional Emergency Treatment Tool (JETT) is CoTCCC-recommended for the control of junctional hemorrhage — specifically life-threatening bleeding from the inguinal and high-thigh zone where limb tourniquets cannot be applied.
Q: What training is required to use the JETT?
A: TCCC or equivalent training with specific JETT familiarization is required. Application requires correct identification of the femoral artery location and proper pad positioning — improper placement does not achieve occlusion. NAR provides training resources.
Q: Is the JETT FDA cleared?
A: Yes. The JETT is FDA 510(k) cleared. It was developed against U.S. Army Combat Casualty Care Research Program requirements and meets military and civilian regulatory standards.
Q: What is the NSN for the JETT?
A: The JETT is fielded under multiple DoD contracts. Contact MED-TAC International for current NSN, DLA, and GSA procurement information for unit-level or bulk orders.
Q: Can the JETT be used on pediatric casualties?
A: The JETT is designed and validated for adult use. Pediatric junctional hemorrhage management requires separate clinical guidance — consult your unit's medical officer for pediatric casualty protocols.
Related searches: NAR JETT, junctional emergency treatment tool, junctional tourniquet, common femoral artery occlusion, pelvic stabilization tourniquet, North American Rescue 30-0088, NSN 6515-01-616-5841
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.
FREQUENTLY ASKED QUESTIONS
