A tourniquet stops an amputation bleeding; a 144-square-inch pad is what covers the stump, the open belly or the burn afterward.
At a glance
10 things to know about the Abdominal/Stump ETD
What the big pad is for, and the doctrine for the three injuries it was built around.
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01
The largest ETD
A 12 × 12 in. sterile non-adherent pad — 144 sq in. — on a 6 in. elastic wrap 70 in. long.3 The standard 6 in. ETD's pad is 6 × 6 in. on a 56 in. wrap.7
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02
What NAR built it for
Abdominal eviscerations, traumatic amputations, burns and large pattern wounds.3 In 50 mass-casualty patients in Afghanistan, most hurt by explosives, tourniquets and pressure dressings were the most common prehospital interventions.10
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03
5 oz, 1.5 in. deep
It packs to 5.25 × 6 × 1.5 in. and weighs 5 oz.3 The same ETD design as the smaller sizes: 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 battle-dressing use.3
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04
NSN 6510-01-541-8121
DLA carries it as Bandage, Abdominal: a 12 × 12 in. non-adherent pad attached to a 70 × 6 in. wrap, sterile, issued one each. NAR item 30-0012 is one of the part numbers listed under that NSN.5
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05
Amputation: the tourniquet goes on first — and stays
Every traumatic amputation gets a limb tourniquet, even one that is barely bleeding, and tourniquets on amputations are not converted in the field.1 The dressing covers the stump; the tourniquet above it stays where it is.
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06
Evisceration: cover it, never push it
Exposed bowel is covered with a moist, sterile dressing or a sterile water-impermeable covering — clear food wrap, an IV bag or a bowel bag are the TCCC examples — and is never forced back in. The abdomen is never packed.1 Moisten the pad with clean fluid, or lay the impermeable layer first, then let the wide pad and wrap hold it.
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07
Burns: dry, sterile, and warm
The TCCC Guidelines call for covering burns with dry, sterile dressings, and note that burn casualties are particularly susceptible to hypothermia.1 The 12 × 12 in. pad covers a large area in one piece; cover the casualty to keep heat in.
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08
Firm over a bleed, gentle everywhere else
NAR's direction: firm pressure on a bleeding wound, but never so tight it creates a tourniquet effect.9 Too tight on a limb, and the wrap closes the veins while the artery keeps pumping in — a venous tourniquet that can end in compartment syndrome.8 In cadaver legs, high-stretch wraps raised compartment pressure the most.11 Over bowel or a burn, the wrap only holds the dressing.
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09
A long wrap on purpose
Seventy inches of 6 in. elastic is what holds a 12 × 12 in. pad over a stump or an abdomen — the injuries NAR designed it for.3 Wrap length is a real limit: in a tourniquet-conversion simulation, a short wrap was swapped for longer ones because the longer wraps covered limbs better.12
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10
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.4
How to use the Abdominal/Stump ETD
Bleeding first, then coverage — with the rules that change by injury.
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1Control limb bleeding with a tourniquet. Life-threatening limb bleeding a tourniquet can control, and every traumatic amputation, 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 bleeding once it is exposed. Never across a joint.1
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2Pack what can be packed. Deep 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. Hold pressure: hemostatic gauze at least 3 minutes or the time on its label,1 plain gauze at least 10 minutes, and until the bleeding stops. Never pack the chest or abdomen.
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3Open and center. Tear the package at a red notch and open the dressing.3 Center the 12 × 12 in. pad over the stump end, the burn or the whole wound field.
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4On an evisceration, cover first. Do not force organs back in. Cover exposed bowel with a moist, sterile dressing or a water-impermeable covering — clear food wrap, an IV bag, a bowel bag — then lay the pad over it.1
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5Wrap to hold. On a bleeding wound, pull a little stretch on each pass.9 Over bowel or a burn, wrap only snug enough to hold the dressing in place.
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6Secure the end. Fasten the end with the securing device's hook-and-loop, or tuck it under the last wrap so it sits tight.9
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7Check and keep warm. On a limb without a tourniquet, check color, warmth, sensation and pulse beyond the wrap; if circulation suffers, take the dressing down and reapply it with less force.8 Cover the casualty against heat loss.1
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8If 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
Where it fits
- Covering a traumatic amputation once the tourniquet is on1,3
- Holding a moist or water-impermeable covering over an abdominal evisceration1,3
- Dry, sterile coverage of large burns1,3
- Large pattern wounds a 4 in., 6 in. or 8 × 10 in. pad cannot cover3
- Replacing the tourniquet on an amputation — it stays on1
- Pushing eviscerated organs back in, or packing the abdomen — never1
- An open or sucking chest wound — a vented chest seal, or a non-vented seal if no vented seal is available1
- Wrapping tight around the neck — the airway comes first
- Small wounds — a 4 in. or 6 in. ETD fits them better7
The evidence
No peer-reviewed study of the Abdominal/Stump ETD is indexed in PubMed. The TCCC documents set the role for the injuries it covers; the studies below tested pressure dressings as a class.
| Study | Evidence type | What was studied | What it found |
|---|---|---|---|
| TCCC Guidelines, 1 May 2026 | Expert review · guideline | Massive hemorrhage, tourniquet conversion, abdominal evisceration, burns | Tourniquet for any traumatic amputation, not converted in the field; cover exposed bowel with a moist sterile or water-impermeable covering and never force it back; cover burns with dry, sterile dressings and prevent hypothermia |
| 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 |
| 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) |
| 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 |
Strongest to weakest: human registry data, then cadaver and manikin work. The registry counts how often pressure dressings were used, not how well any one brand performed; for amputation, evisceration and burns, the TCCC Guidelines are the governing standard.
How it compares
NAR's two large-wound ETDs against the standard 6 in. — pick by the size of the wound you expect.
| Abdominal/Stump ETD | ETD 8 × 10 in. | ETD 6 in. rolled | |
|---|---|---|---|
| NAR item | 30-0012 | 30-0165 | 30-0032 |
| Pad (H × W) | 12 × 12 in. | 8 × 10 in. | 6 × 6 in. |
| Elastic wrap | 6 × 70 in. | 4 × 70 in. | 6 × 56 in. |
| Packaged | 5.25 × 6 × 1.5 in. | 4.125 × 7 × 1 in. | 6 × 2.5 × 2.1 in. |
| Weight | 5 oz | 4 oz | 4 oz |
| NSN | 6510-01-541-8121 | 6510-01-654-6801 | 6510-01-558-4114 |
| NAR's stated use | Abdominal eviscerations, traumatic amputations, burns, large pattern wounds | Direct pressure to larger areas | Immediate direct pressure |
Abdominal/Stump figures from NAR's product page;3 8 × 10 in. figures from NAR's product page;6 6 in. figures from NAR's product information sheet.7
Build the system
The tourniquet and gauze that come first, the next-size ETD, a chest seal, burn and hypothermia cover, and a wrap.
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Package & specifications
Specifications coming soon. Contact us for detailed product information.
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