I’ve trained a lot of LE medics and operators in CA as well as a lot of Special Operations Forces and non-SOF military medics/operators. I know of several cases of SWAT-T usage that has saved lives in the setting of real arterial injuries.

The SWAT-T has several advantages over the other commercially available TQ’s. In terms of application, it’s the only one that can be used on kids and small adults in it’s current form. Combat Applications Tourniquet (CAT’s) and Special Operations Forces Tourniquet (SOFT’s) are too large and it requires a smaller, pediatric cuff if using a pneumatic tourniquet. Perhaps the most important factor is cost. Most Law Enforcement agencies do not have the Department of Defense budget and it’s unrealistic to think that will change. The SWAT -T is 1/3 the cost of a CAT.

I’m not suggesting someone purchase a less expensive and ineffective device. To the contrary, the SWAT-T is very effective however if you want your device to save lives, it has to be available to the individuals most likely to use it on scene. The SWAT-T’s are often purchased by individuals and not necessarily agencies. If you stop selling the SWAT-T, you’ll simply decrease the number of tourniquet’s available to be used on our children the next time someone starts to shoot up a movie theatre.

My personal opinion is the SWAT-T is a very good TQ for all the reasons stated. I will continue to carry, teach and recommend the device.

I have no financial ties to the SWAT-T.

Dr. Matthew Sena

Trauma and Critical Care Surgeon, Tactical Physician