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A tourniquet can be used if applying pressure and dressing it has failed and should not be removed until at a hospital or medical facility.
Add pressure to the appropriate pressure point. As a last resort, you'd apply a tourniquet, but be prepared to lose that limb.
The purpose of a tourniquet is to stop the uncontrollable loss of blood. It should only be used in emergency situations as a last resort. Most of the time a touriquet is used, the tissues downstream are permanently damaged. It's very rare you can't control even extreme bleeding with direct pressure.
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what is the maximum amount of time a tourniquet should left on
Once you apply a tourniquet, you should never loosen it until you are ready to remove it.
never
A tourniquet should not be removed at all. Tourniquets are a LAST RESORT method. They are hard to apply, they cause a lot of pain, and they can lead to the loss of any limb below wherever the tourniquet was applied. However, if the choice is your LIFE or your LIMB, choose the life. Apply the tourniquet and tighten it until the bleeding stops. Secure the stick to make sure the tourniquet does not loosen and DO NOT TOUCH IT. Get the victim to a hospital immediately. Once there, the doctors and nurses are trained in how to remove tourniquets and treat the wounds. If you leave a tourniquet on too long, the person might lose their arm/leg/whatever. If you take it off too soon, they can easily bleed to death.
This differs with some ambulance companies but applying a tourniquet would be the next step. Some companies took tourniquets out of the protocols.
I presume you are latex allergic, since you asked this question. There are tourniquets that contain latex and those that are latex free. It depends on what your institution purchases. You should be able to ask the person applying the tourniquet whether it is latex free and if not, request a latex free tourniquet be used on you.
According to CLSI the tourniquet should not be left on for more than a minute. If a suitable vein has not been found, remove the tourniquet, leave it off for two minutes, then reapply the tourniquet to look for suitable veins and/or perform the venipuncture.
At the wrist.