SAM Junctional Tourniquet

SAM Junctional Tourniquet


The SAM® Junctional Tourniquet for hemorrhage control is designed to control bleeding where tourniquets would not be effective, such as with IED/Blast injuries or high level amputations. With these types of injuries, time is of the essence. The SAM® Junctional Tourniquet offers a simple design. It is compact, easy to use (only four steps), and quick to apply (typically under 25 seconds). The Target Compression Device (TCD) is placed at or near the injury site and pumped up until the bleeding stops. Two TCDs can be used to occlude blood flow bilaterally if needed. The rugged design ensures that the device stays firmly attached to the patient during transport. Designed to exceed MIL-STD-810g requirements.

In addition, the SAM® Junctional Tourniquet is the ONLY junctional hemorrhage device FDA cleared to stabilize pelvic fractures. Recent studies indicate that IED-type injuries often have associated pelvic fractures. The patented buckle provides the clinically correct force every time, taking the guesswork out of tightening. This is vital in high stress environments where over-tightening or under-tightening could potentially be harmful. The SJT is the ONLY junctional hemorrhage device to provide the clinically correct force for pelvic fractures.

The SJT recently was announced a winner of EMS World Magazine’s 2013 Top Innovation Awards!
It also was a JEMS Hot Product Award winner for 2014!

  • For inguinal junctional hemorrhage
  • For axilla hemorrhage (NEW!)
  • For pelvic fractures
  • Lightweight (1 lb.,1 oz.) (488g)
  • Easy to use (4 step application)
  • < 25 second application time
  • FDA 510(k) cleared and CE mark
  • NSN 6515 01 618 7475


“The SAM Junctional Tourniquet does things no other tourniquet can; it occludes the femoral artery in the inguinal area at the junction of the torso and legs. When blast injuries take off legs like in Boston and every day in combat zones, it can easily be fatal. It is frequently difficult if not impossible to stop the bleeding in time… A regular tourniquet encircles and compresses the entire limb. The SJT puts direct pressure on the only part of the limb that actually matters, the artery. It is well designed, ruggedly constructed, and terribly clever.”
–Dan White, EMT-P, EMS1 Columnist, Owner Arasan, LLC

SAM Junctional Tourniquet Instructions for Use

Animated video showing how to use a SAM Junctional Tourniquet, including real-time application time.

24% of patients with traumatic lower limb amputations from IEDs had an associated pelvic fracture. “Given the high risk of pelvic fractures in patients with traumatic bilateral above knee amputations, it is imperative that the earliest and proper application of a pelvic binder be initiated.”

A.M. Cross, C. Davis, M. Taylor, W. de Mello, J.J. Matthews, Lower limb traumatic amputation – the importance of pelvic binding for associated pelvic fractures in blast injury, Injury Extra, Volume 41, Issue 12, December 2010, Page 152, ISSN 1572-3461,

The SJT achieved hemorrhage control in an average of 26 seconds, far faster than any competitive products, and controlled blood loss to an average of 35 mL which was 90% less than competitive products in an independent study:

Kragh JF, Mann-Salinas EA, Kotwal R, Gross K, Gerhardt R, Kheirabadi B, Wallum T, Dubick M, Laboratory assessment of out-of-hospital interventions to control junctional bleeding from the groin in a manikin model, Am J Emerg Med (2013),


SJT – Front

SJT – Front 2

SJT – Inside

SJT – Expanded

Junctional Tourniquet Application Process:

1) Slide the belt underneath the patient, positioning the Target Compression Device (TCD) over the area to be compressed. Use sterile gauze or hemostatic dressing if targeting directly over a wound. For bi-lateral application, use a second Target Compression Device.

2) Hold the TCD in place and connect the belt using the buckle.

3) Pull the BROWN HANDLES away from each other until the buckle secures. You will hear an audible click. Fasten excess belt in place by pressing it down on the Velcro. You may hear a second click once the belt is secure.

4) Use the hand pump to inflate the TCD until hemorrhage stops. Application time is about 25 seconds. Monitor patient during transport for hemorrhage control and adjust the device if necessary. TO REMOVE, unbuckle the belt.


• SJT 102: SJT, 2 TCD, Extender, Hand Pump, Aux.Strap
• SJT 101: SJT, 1 TCD, Hand Pump
• SJT 100: Pelvic Sling Belt Only

NSN 6515 01 618 7475

For the US Market, order through our exclusive partner Boundtree Medical,
For the EU Market, order through our exclusive partner, Waterjel Europe,