Israeli-style combat bandages demand a specific technique: thread the wrap through a pressure bar, reverse direction, generate compression. Under gross-motor stress, in gloves, in the dark, that threading step is where application fails.
Should a bandage require a technique you can forget under fire?
North American Rescue analyzed data from 63 After Action Reviews to find where bandages failed in the field — then deleted the failure point. The ETD™ uses a simple durable securing device instead of pressure bars and hooks: no threading, no reverse pass, gloves-on operable. Quick-Grip Roll Control tabs keep it from unrolling if dropped, and a sterile non-adherent pad protects the wound surface for clean reassessment at higher care.
Engineered From the AARs
No Pressure Bars or Hooks
A durable securing device replaces the threading step that fine-motor-fails under stress. Operable with gloves, one hand.
Quick-Grip Roll Control
Tabs along the wrap stop it unrolling if dropped — eliminating a common field frustration.
Non-Adherent Wound Pad
Protects the wound and lifts cleanly for reassessment and bandage changes without reopening tissue.
Red-Tip Technology® Access
Vacuum-sealed, low-cube package opens one-handed with a single pull on the red-tipped notch.
Choosing 4″ vs 6″
4″ ETD (SKU 30-0031)
- Standard for extremity wounds
- Most-fielded military IFAK size
- 56″ × 4″ wrap, 2.6 oz
- NSN 6510-01-558-4108
6″ ETD (SKU 30-0032)
- Larger torso, shoulder, thigh wounds
- More wrap length for added passes
- 56″ × 6″ wrap, ~4 oz
- Common in medic bags
Who Carries It
Military & IFAK — the 4″ is among the most-fielded bandages worldwide
Tactical & LE medics — gloves-on application with no technique penalty
First responders — simple, reliable pressure dressing for any extremity wound
Round Out Hemorrhage Control
A pressure dressing is one layer of the bleeding-control stack.
Emergency Trauma Dressing
Wrap. Secure. Done.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.
Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| SKU | 30-0031 (4″) / 30-0032 (6″) |
| NSN (4″) | 6510-01-558-4108 |
| Bandage (4″) | 56″ L × 4″ W — 2.6 oz |
| Bandage (6″) | 56″ L × 6″ W — ~4 oz |
| Wound Pad | Sterile, non-adherent |
| Securing | Durable securing device — no pressure bars / hooks |
| Roll Control | Quick-Grip Roll Control tabs |
| Sterility | Sterile, vacuum-sealed |
| Latex | Latex-free |
When to Deploy Emergency Trauma Dressing (ETD)
- Extremity hemorrhage — post-tourniquet zone: Apply over wound packing in junctional areas where tourniquets cannot be placed — neck, groin, axilla — as the primary pressure device.
- High-velocity penetrating wounds: The ETD's primary dressing pad and pressure applicator deliver firm, targeted pressure to gunshot and fragmentation entry/exit wounds.
- Abdominal and chest wounds: The 6" ETD serves as the standard covering for penetrating torso trauma prior to chest seal application or evacuation.
- Burns and abrasions: Non-adherent dressing surface covers burn injuries without sticking to wound margins — maintains a sterile field for large surface-area injuries.
- Multi-casualty incidents: Compact, lightweight, and NSN-coded — stocking multiples is the standard in squad-level cache and Rescue Task Force caches.
- Securing after hemostatic packing: Apply over Combat Gauze or QuikClot packing as the pressure layer in the hemorrhage-control sequence.
The ETD is not a tourniquet replacement. For extremity arterial hemorrhage, apply a CoTCCC-recommended tourniquet first. The ETD serves the wound-packing and pressure-dressing role in the full hemorrhage-control sequence.
How Emergency Trauma Dressing (ETD) Compares
ETD 6" vs ETD 8"×10": The standard 6" ETD covers most extremity and wound-site applications. The 8"×10" ETD provides a larger primary dressing pad for wider wounds, torso injuries, and large-surface burns. When kit space is unlimited, carry both; when loading is constrained, the 8"×10" covers the 6" application but not vice versa.
ETD vs Israeli Bandage: Both are pressure dressings with integrated securing mechanisms. The ETD (North American Rescue) uses a velcro-free design with a rubber pressure applicator; the Israeli Bandage uses a plastic bar applicator and clip system. Both meet field pressure dressing requirements. ETD is NSN-coded and standard in US military IFAK configurations.
ETD vs ETD Flat-Packed: The standard ETD rolls. The flat-packed ETD is vacuum-sealed into a low-profile format for plate-carrier panels and slim IFAK pouches. Same clinical performance — different package geometry. Choose flat-pack for thinnest possible kit profile.
CoTCCC position: The ETD is included in CoTCCC-recommended IFAK configurations as the standard field pressure dressing. It is an NSN-listed item with multiple federal supply class entries across different sizes.
Frequently Asked Questions
Q: Is the NAR Emergency Trauma Dressing (ETD) CoTCCC-recommended?
A: Yes. The ETD is included in CoTCCC-recommended IFAK configurations as the standard pressure dressing component. It is an NSN-listed item used throughout the US military and allied force medical systems. The ETD appears in TCCC curriculum materials as the standard field pressure dressing paired with hemostatic gauze for wound-packing applications.
Q: How is the ETD different from a standard field dressing?
A: The ETD features an integrated pressure applicator — a rubber pad assembly that allows the provider to apply focused pressure directly over a wound while simultaneously securing the dressing with the integrated tail. Standard field dressings (Carlisle bandages, Israeli dressings) use either clip or loop mechanisms. The ETD's velcro-free design prevents accidental release under transport stress.
Q: Can the ETD be used over hemostatic gauze (Combat Gauze / QuikClot)?
A: Yes — layering over hemostatic packing is one of the primary applications. After packing a wound with Combat Gauze or QuikClot Gauze, apply the ETD primary dressing pad over the packing and use the integrated pressure applicator and securing tail to hold firm circumferential pressure over the site. This is the standard CoTCCC wound-packing and pressure-dressing sequence.
Q: What NSN covers the 6" ETD for military procurement?
A: The 6" ETD is available under multiple NSNs corresponding to production batches. Current NSN is published in the DLA Cataloging and Standardization Program. Contact North American Rescue or your contracting office for the current FSC 6510 entry. MED-TAC International supports agency procurement — contact for bulk/institutional pricing.
Q: How do I apply the ETD with one hand?
A: One-handed ETD application is a standard TCCC skill drill. Anchor the dressing pad over the wound with the dominant hand, then use the thumb of the injured or assisting hand to hold the pad while threading the securing tail. Consistent one-handed drills under time pressure and with gloves are essential before field deployment. Reference the NAR ETD application card or TCCC curriculum for full technique.
Related searches: NAR Emergency Trauma Dressing, ETD bandage, Israeli bandage alternative, 4 inch trauma bandage, 6 inch pressure dressing, no pressure bar bandage, North American Rescue ETD, NSN 6510-01-558-4108
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Available Options:
- 6"
- 4"
Specifications coming soon. Contact us for detailed product information.
FREQUENTLY ASKED QUESTIONS
