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Wilderness Emergency Care

Insight Educators

Israeli/Emergency Bandage Application
Step By Step Application

Immediate and effective direct pressure to a wound is the primary and most effective way to control bleeding...



This is a free informational page on the application of the Israeli/Emergency Bandage. It is strictly for informational purposes and should not

Recent studies have shown, and it is well documented that the number one cause of death due to injury (in a combat zone) is uncontrolled hemorrhage. One device that has come to the forefront in emergent hemorrhage control is the Israeli/Emergency Bandage.

It is;

  • a simple dressing
  • a pressure dressing
  • a tourniquet
  • designed for one-handed/self application
  1. Always use Personal Protective Equipment (PPE) such as gloves, goggles (eyeshield), and /or faceshields when dealing with high risk medical situations such as hemorrhage control.
  1. Each dressing comes in a double sealed package that is pre-scored on the four corners of the packaging for universal access. Open the package by pulling a corner apart from the package.
  1. Once the main/outer package is opened, pull out the bandage which is sealed in a second, vacuum sealed, clear plastic wrapper. Similar scoring on this package allows for universal access. Open the package by pulling a corner apart from the package.
  1. Once opened, you will notice that the bandage comes in roll. Open the roll to expose the main portion of the trauma pad (white) as seen at right.
  1. Apply the dressing against the wound so that the direction pad stating "OTHER SIDE TO WOUND" is visible and directly over the wound site. This is important so that the pressure bar can be effective in the management of this wound.
  1. Wrap the dressing around the extremity and feed the bandage through the middle opening of the pressure bar. This can be accomplished by pulling the bandage over the pressure bar and pulling the bandage in a downward motion (holding a downward pressure against the bar), slightly sliding the bandage from one side to another. By doing this, you are "feeding" the bandage into the opening.
  1. Pull pressure (approximately 50% of the stretch of the bandage), thus "snugging" the bandage against the victim and taking out the slack in the bandage.


  1. Bring the bandage back in a reverse direction. This will engage the pressure bar against the wound and apply constant direct pressure to the wound site. Study this step carefully and make sure that you understand it; it is what makes this dressing uniquely effective in the management of uncontrolled hemorrhage.
  1. Continue the bandaging process by wrapping the bandage above and below the wound site. Wrap the entire bandage until you come to the end of the roll.
  1. At the end of the roll, you will find the securing clip. The clip is plastic and is sewn into the end of the bandage. It has grip clips on sides and is designed to hold your bandage in place by simply grabbing the top layer of the prior evolution and clipping the ends over it. 


  1. After the application of the bandage, always check for good perfusion past the point of application. Standard checks for good pulses, motor, and sensation may be reduced secondary to injury, pain, or neuro trauma. Assessment for capillary refill may be your best bet.

Tourniquets have posed concerns due to the intent of the device; to restrict or stop blood flow past the point of application. This has been a concern in the civilian arena for many years.

The Israeli/Emergency Bandage offers you the opportunity to increase the amount of pressure applied to the wound. Eventually, if enough pressure is applied, the bandage will become a tourniquet.

  1. Unfasten the clip from the bandage.
  2. Feed the clip portion underneath the last evolution of wrapping and bring the wrapping towards the center of the clip by "squeezing" the edges inward.
  3. Begin rotating the clip in a circular fashion until sufficient pressure is applied. 2 to 3 twists/rotations should increase pressure significantly.
  4. Re-attach the clips as in step 10.
  5. Re-assess perfusion as in step 11


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