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m2® Ratcheting Medical Tourniquet® (RMT) Wide — 2 in.

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m2® Ratcheting Medical Tourniquet® (RMT) Wide — 2 in.
$35.95
PRODUCT INFORMATION
m2® Inc. · Ratcheting Limb Tourniquet
m2® Ratcheting Medical Tourniquet® (RMT) Wide — 2 in.
m2®'s wide Military/Law ratchet tourniquet: 2 in. (50 mm) coyote webbing tightened by a self-locking 1 in. ratcheting buckle on a ladder strap — no windlass rod, and every click holds on its own. It shares the RMT's pull-and-lift operation with the 1.5 in. RMT Tactical but is a separate model: the evidence-based list names the Tactical, not the 2 in. Wide.
2 in. (50 mm) webbingSelf-locking ratchet, no windlass1 in. buckle5 ozCoyote/tan

The same ratchet as the RMT Tactical on a wider band — know which of the two your protocol asks for before you stage it.

The short answer
What it is
m2®'s 2 in. Ratcheting Medical Tourniquet® — 50 mm coyote webbing, a 1 in. self-locking ratchet buckle and a ladder strap.
Use it for
Life-threatening bleeding from an arm or a leg, and any traumatic amputation.
How it's used
Pull the webbing tight, then lift the ratchet arm again and again until the bleeding stops and the pulse below the tourniquet is gone.
Who carries it
Military, law enforcement and responders who want a wider-band, self-securing ratchet tourniquet and are not bound to the evidence-based list.

At a glance

Mechanism
Self-locking ratchet — no windlass
Webbing
2 in. (50 mm), coyote
Ratchet
1 in. m2® buckle + ladder strap
Ladder
2 teeth per cm
Weight
5 oz (142 g)
Folded
4.4 × 2 × 2.5 in.
evidence-based
Not on the list
FDA
Registered, Class I (510(k)-exempt)
Introduced
January 2014

10 things to know about the RMT Wide

What the extra half-inch changes, what the volunteer data show, and where it stands with the evidence-based.

  1. 01

    m2®'s 2 in. Military/Law model

    m2® builds three Military/Law RMTs — Tactical, Paramedic and 2 in. This one runs 2 in. (50 mm) coyote webbing through a 1 in. ratcheting buckle and ladder strap.3,4 m2® introduced the 2 in. model with its 26th generation in January 2014.4

  2. 02

    It is not the RMT on the evidence-based list

    The evidence-based's list of recommended limb tourniquets names the RMT Tactical — the 1.5 in. model — and not the 2 in. Wide.2 The Committee's 2019 review covered the RMT Tactical, the TX2 and the TX3 as the m2®-design ratchet tourniquets.7 Absence from the list does not by itself mean a device was tested and failed; if your protocol requires a evidence-based standard tourniquet, the RMT Tactical is the m2® model that meets it.

  3. 03

    A wider band did not lower thigh occlusion pressure in volunteers

    Wider tourniquets are expected to close the artery at lower pressure. In 16 volunteers, the Wide occluded the thigh at a median 259 mmHg against 256 mmHg for a single Tactical, and the arm at 212 against 230 mmHg. Two Tacticals side by side — 3 in. of total width — occluded at the lowest pressures of all.8

  4. 04

    Coarser ladder, bigger clicks

    The Wide's ladder carries 2 teeth per centimeter against the Tactical's 2.5. One more tooth past occlusion added a median 51 mmHg on the thigh and 63 mmHg on the arm, against 40 and 49 mmHg for the Tactical8 — fewer, larger steps of adjustment.

  5. 05

    Pressure fades — reassess

    Over two minutes, pressure under the Wide fell by a median 43 mmHg on the thigh and 26 mmHg on the arm. Every tourniquet in the series lost pressure; the occlusion losses that occurred came with single-Tactical and paired applications.8 Check every tourniquet again after it is on.

  6. 06

    A ratchet, not a windlass

    No rod to twist and lock. Each lift of the buckle's arm advances it one tooth along the ladder and the buckle holds there by itself. m2® describes the system as self-locking, applied with one hand and gross motor skills, and confirmed by an audible ratcheting sound.3

  7. 07

    Two steps printed on the webbing

    "1. PULL TIGHT" and "2. LIFT" are printed on the strap. Release is a finger under the tab labeled "LIFT TO OPEN" and a strong lift.3,5

  8. 08

    Five ounces, and it folds

    The 2 in. RMT weighs 5 oz (142 g) and folds to 4.4 × 2 × 2.5 in. for staging.3

  9. 09

    One color

    m2® makes the 2 in. RMT in coyote/tan webbing only.3 m2® registers and lists its RMTs with the FDA as Class I nonpneumatic tourniquets, exempt from 510(k).6

  10. 10

    What studies of the RMT in untrained hands found

    In a trial of 176 untrained adults given only the packaging instructions, those assigned the RMT applied it effectively 64.4% of the time — the best of four tourniquets.9 In 198 untrained adults, success was 23.4% with the RMT, 16.9% with the C-A-T and 10.6% with the SWAT-T, not a significant difference, and every device failed far too often.10 Those studies tested an RMT, not the 2 in. Wide specifically. No tourniquet replaces training.

How to apply the RMT Wide

Placement first, then m2®'s pull-and-lift sequence, in order.

  1. 1
    Pick the placement. Under fire, or when you cannot see where the blood is coming from: hasty — high and tight on the limb, as close to the body as you can get it, over the clothing. When time and safety allow and you can see the source: deliberate — on bare skin, 2–3 in. above the wound, moving above the joint if that spot lands on one. Never across or directly over a joint.1
  2. 2
    Get it around the limb. Place the tourniquet around the injured arm or leg.5
  3. 3
    Pull tight. Grab the loop and pull the webbing tight to take out the slack before you start ratcheting.5
  4. 4
    Lift to tighten. Lift the buckle's ratcheting arm, again and again, until the bleeding stops and the pulse below the tourniquet is gone.1,5 It hurts. That is expected.
  5. 5
    Still bleeding? Add a second. If one tourniquet does not stop it, apply a second tourniquet side-by-side with the first.1
  6. 6
    Mark the time. Write the time of application on the tourniquet and on the casualty card with a permanent marker.1
  7. 7
    Reassess, then decide on conversion. Recheck the bleeding and the pulse once the scene allows, and convert a hasty tourniquet to a deliberate one: a second tourniquet on skin 2–3 in. above the wound, tightened, then the first loosened. If the source still cannot be found, it stays high and tight.1
  8. 8
    Release only when removal is the plan. Put a finger under the "LIFT TO OPEN" tab and lift strongly.5
Train before you need it. m2® calls for tourniquet-specific practice and familiarization before a real application, and regular practice with your tourniquet to stay proficient.5

Where it fits

Use it for
  • Life-threatening bleeding from an arm or a leg that a tourniquet can reach1
  • Any traumatic amputation, even one that is barely bleeding — adrenaline clamps the arteries down, and when it wears off they open and the bleeding starts
  • A second tourniquet side-by-side when one is not enough1
  • Gloved, cold or shaking hands — a lift of the arm instead of fine rod work3
Not for
  • Kits that must hold a evidence-based standard tourniquet — carry the RMT Tactical or another listed model there
  • The groin, armpit or neck — those wounds are packed with hemostatic gauze or controlled with a junctional device
  • Across or directly over a joint, in either placement
  • Children 2 and under — direct pressure or a pressure wrap is the better tool

The evidence

Every study cited above, what it tested, and how strong the evidence is.

Study Evidence type What was studied What it found
Wall et al., J Spec Oper Med 2016 Human volunteer Wide RMT (5.1 cm) vs single and paired Tactical RMTs (3.8 cm), 16 recipients, 96 applications All occluded; Wide median 259 mmHg thigh, 212 mmHg arm; larger final-tooth jumps; pressure fell under all within 120 s
Montgomery et al., J Spec Oper Med 2019 Expert review · evidence-based evidence-based limb tourniquet review that set the current list Covered the RMT Tactical, TX2 and TX3 as the m2®-design ratchets; the RMT Tactical was added in 2019
Portela et al., Acad Emerg Med 2020 Simulation · laypeople 176 untrained adults, packaging instructions only, simulated bleeding arm; SOFTT-W, C-A-T, RMT, SWAT-T RMT highest effective rate (64.4%) and fastest (100.9 s)
Ross et al., J Emerg Med 2018 Simulation · laypeople 198 untrained adults randomized to C-A-T, m2® RMT or SWAT-T Success 16.9%, 23.4%, 10.6% (p = 0.149); failure rates unacceptably high for all

Only the volunteer study tested the 2 in. Wide itself. The lay studies tested an RMT and point the same way for every device: untrained hands fail too often.

How it compares

The 2 in. ratchet against its evidence-based standard neighbors.

RMT Wide 2 in. RMT Tactical TX2 C-A-T® Gen 7
Maker m2® Inc. m2® Inc. RevMedx North American Rescue
Tightening system Ratchet — 1 in. buckle on a ladder strap Ratchet — 0.75 in. buckle on a ladder strap Ratchet on a polymer ladder Windlass rod, secured after tightening
Band width 2 in. (50 mm) 1.5 in. 2 in. 1.5 in.
Weight 5 oz 3.6 oz 0.2 lb packaged 2.7 oz
Self-securing Yes — each click holds Yes — each click holds Yes — each click holds No — rod and strap are secured as separate steps
evidence-based standard No Yes — RMT Tactical Yes — TX2 Yes — C-A-T Gen 7
NSN on the evidence-based list — 6515-01-527-3841 6515-01-667-6027 6515-01-521-7976

RMT weights are m2®'s device figures; the TX2 weight is RevMedx's packaged figure; the C-A-T weight is from the evidence-based's 2019 review.3,7,11 Absence from the evidence-based list does not by itself mean a device was tested and failed.

Build the system

The evidence-based standard ratchet and windlass tourniquets, a trainer, and what goes in the kit beside it.

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 RMT Wide evidence-based standard?

No. The evidence-based list names the RMT Tactical, the 1.5 in. model.2 The 2 in. Wide is a separate m2® model the list does not name. Absence from the list does not by itself mean it was tested and failed; if your protocol requires a evidence-based standard tourniquet, carry the RMT Tactical or another listed model.

▾How is it different from the RMT Tactical?

Wider webbing (2 in. against 1.5 in.), a larger 1 in. buckle against the Tactical's 0.75 in., a coarser ladder (2 teeth per cm against 2.5) and more weight (5 oz against 3.6 oz).3,8 The pull-and-lift operation is the same.

▾Does the wider band need less pressure?

Not on the thigh in the one volunteer study that tested it: median occlusion pressure was 259 mmHg for the Wide against 256 mmHg for the Tactical. On the arm it was 212 against 230 mmHg. Two 1.5 in. tourniquets side by side occluded at the lowest pressures.8

▾Where does it go — high and tight, or 2–3 inches above the wound?

Both are correct; the phase and whether you can find the source decide. Under fire or with no visible source, go hasty: high and tight, over the clothing. When it is safe and the source is identified, go deliberate: bare skin, 2–3 in. above the wound, above the joint if that spot lands on one. Never across or directly over a joint.1

▾How tight is tight enough?

Until the bleeding stops and the pulse below the tourniquet is gone. It will hurt — that is expected. If one tourniquet does not stop the bleeding, put a second side-by-side with the first.1

▾How long can it stay on?

For civilians and most law enforcement — above all when you put it on yourself — leave it on and let the receiving clinicians take it off. Military direction differs: TCCC calls for converting a tourniquet to a hemostatic or pressure dressing as soon as possible when the casualty is not in shock, the wound can be watched closely and it is not controlling an amputation, making every effort to do it in under 2 hours, and not removing one that has been on more than 6 hours without close monitoring and lab capability.1 Conversion is buddy aid by someone trained to do it. Long transport delays in rural and remote areas are where it becomes a real question.

▾Should it go on an amputation that is barely bleeding?

Yes. A traumatic amputation gets a tourniquet regardless of how much it is bleeding.1 The adrenaline surge clamps the arteries down; when it wears off they open and the bleeding starts.

▾Can I use it on a child?

m2® builds a separate civilian RMT for patients under 120 lb (55 kg), marketed for pediatric and geriatric use.3 Most commercial tourniquets work on most children; the real debate is at the very small end. Most limb injuries in children do not need a tourniquet: escalate from direct pressure to a pressure dressing, and to a tourniquet only for truly life-threatening bleeding. For children 2 and under, direct pressure or a pressure wrap is the better tool.

▾How should I carry and store it?

Take it out of the factory packaging, fold it, and keep it pouched or covered, out of the weather — especially on body armor. Military, law enforcement and anyone armed carry it on their person. Everyone else keeps it as close as possible: gear bag, go bag, vehicle.

▾How do I release it?

Put a finger under the tab labeled "LIFT TO OPEN" and lift strongly.5 Release is for conversion or removal by someone trained to do it, not a way to check the wound.

Package & specifications

▾In the package — one tourniquet
  • 1× m2® Ratcheting Medical Tourniquet® (RMT) Wide — 2 in. (50 mm) coyote webbing
  • 1 in. m2® self-locking ratcheting buckle and ladder strap, assembled
  • Application steps printed on the webbing
▾Full specifications
Specification Detail
Manufacturer m2® Inc., Vermont, USA
Model Ratcheting Medical Tourniquet® (RMT) — Wide 2 in./50 mm (m2® Military/Law version)
Mechanism Self-locking ratcheting buckle on a toothed ladder strap; no windlass
Webbing 2 in. (50 mm), coyote
Ratchet 1 in. m2® buckle; ladder 2 teeth per cm
Weight 5 oz (142 g)
Folded size 4.4 × 2 × 2.5 in. (106 × 50 × 63.5 mm)
Color Coyote/tan
Instructions Printed on the webbing: 1. PULL TIGHT · 2. LIFT
Release Tab labeled "LIFT TO OPEN"
TCCC status Not on the evidence-based list of recommended limb tourniquets (the list names the RMT Tactical)
FDA FDA-registered, Class I (510(k)-exempt) nonpneumatic tourniquet — 21 CFR 878.5900, product code GAX; m2 inc. establishment 3007334269
History 2 in. model introduced with RMT Generation 26, January 2014
▾References — 11 sources
  1. Committee on Tactical Combat Casualty Care. Tactical Combat Casualty Care (TCCC) Guidelines, 1 May 2026.
  2. Committee on Tactical Combat Casualty Care. Evidence-Based Standard Devices & Adjuncts, 15 December 2021.
  3. m2® Inc. Product pages: Ratcheting Medical Tourniquet® (RMT) – WIDE 2″/50mm (with folded-dimension sheet); RMT – TACTICAL; RMT – LESS THAN 120 lbs/55 kg. m2inc.biz.
  4. m2® Inc. Ratcheting Medical Tourniquet™ timeline and 2020 Military/Law RMT® model sheet (RMT-History-2020).
  5. m2® Inc. Ratcheting Medical Tourniquet® instructions for use (PULL TIGHT · LIFT · Removal; Training).
  6. U.S. Food and Drug Administration. Establishment registration and device listing: m2 inc., registration 3007334269, "Ratcheting Medical Tourniquet RMT", product code GAX (21 CFR 878.5900, Class I, 510(k)-exempt).
  7. Montgomery HR, Hammesfahr R, Fisher AD, et al. 2019 Recommended limb tourniquets in Tactical Combat Casualty Care. J Spec Oper Med. 2019;19(4):27–50.
  8. Wall PL, Weasel J, Rometti M, et al. Pressures under 3.8cm, 5.1cm, and side-by-side 3.8cm-wide tourniquets. J Spec Oper Med. 2016;16(2):28–35.
  9. Portela RC, Taylor SE, Sherrill CS, et al. Application of different commercial tourniquets by laypersons: would public-access tourniquets work without training? Acad Emerg Med. 2020;27(4):276–282.
  10. Ross EM, Mapp JG, Redman TT, et al. The tourniquet gap: a pilot study of the intuitive placement of three tourniquet types by laypersons. J Emerg Med. 2018;54(3):307–314.
  11. RevMedx, Inc. TX2/TX3 Tourniquets product specification sheet, MKT-0035-01 Rev B.
Genuine m2® Inc.
Sourced direct from the manufacturer or an authorized master distributor. Ships from MED-TAC International, South Florida, US of A — clinician-founded, veteran-led, SDVOSB-certified.
ADDITIONAL INFORMATION

Available Options:

  • Tan
SPECS & MEASUREMENTS

Specifications coming soon. Contact us for detailed product information.

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