TQ-RAM Pressure Point Device
A compact, hands-freeing pressure-point device for junctional and compressible wound sites — an accessory to the TMT tourniquet that holds directed compression while you work.
What is the TQ-RAM? A compact, hands-freeing pressure-point device (PN 31-150) designed to provide targeted compression at junctional and compressible wound sites not amenable to a conventional tourniquet. At just 0.62 oz, it functions as an accessory to the TMT tourniquet — securing over wound packing or against an arterial pressure point to maintain hemostasis while the responder attends to other injuries. Made in the USA; single-patient use.
Key Specifications
| Manufacturer | Safeguard Medical |
| Part Number | PN 31-150 |
| Weight | 0.62 oz (17.5 g) |
| Dimensions | 4.0" × 2.5" × 1.75" |
| Design | Arched dome for direct or indirect (through-dressing) point pressure |
| Compatibility | Designed as a TMT™ accessory; attaches via the TMT strap system |
| Latex | Not made with natural rubber latex |
| Use Type | Single-patient use |
| Shelf Life | 7 years from manufacture |
| CoTCCC Status | Adjunct device — not independently CoTCCC-listed; complements the CoTCCC-recommended TMT |
| Origin | Made in the USA |
What It Is
Conventional tourniquets are among the most effective hemorrhage-control tools available, but they are anatomically constrained to the extremities. Wounds in the inguinal (groin), axillary (armpit), and other junctional regions are among the most lethal in penetrating trauma precisely because no standard tourniquet can be placed above them. The TQ-RAM was built to address this gap: by integrating with the TMT’s strap, its arched dome delivers concentrated, sustained compression over a packed wound or arterial pressure point — freeing the responder’s hands to manage the airway, establish access, or treat additional casualties.
At 0.62 oz and 4.0" × 2.5", the TQ-RAM adds negligible bulk to a kit. Its arched-dome geometry focuses pressure inward to the wound bed rather than distributing it broadly like a flat pad, providing the equivalent of directed manual pressure without continuous hand engagement. Hemostatic gauze products generally require sustained manual pressure to achieve hemostasis — a demanding requirement on a single responder in a multi-casualty or active-threat scenario — and the TQ-RAM allows that pressure to be maintained while other life threats are addressed.
The TQ-RAM is sold standalone but realizes its full utility alongside the Tactical Mechanical Tourniquet (TMT). Together they form a hemorrhage-control system addressing both extremity and junctional bleeds at a combined kit weight under 3.6 oz. For hemostatic wound packing that pairs with the TQ-RAM, explore the hemostatic agents collection.
Operating notes. The wound is packed and the TQ-RAM dome positioned over the packed wound or arterial pressure point; the TMT strap is then routed so it overlies the dome and tightened to apply firm, sustained compression. Hemostasis is verified and monitored, with the strap re-tightened as needed, and wound packing plus application time documented. This summary is not a substitute for accredited training or local protocol.
Clinical Context
Junctional hemorrhage — from wounds in the groin, armpit, or neck — accounts for a disproportionate share of combat and trauma fatalities. Research cited in the Journal of Trauma (2013) identified junctional wounds as responsible for a meaningful share of potentially survivable combat deaths. CoTCCC guidance addresses junctional hemorrhage through dedicated junctional tourniquet devices for pelvic/groin wounds; the TQ-RAM fills a similar role at a fraction of the cost and weight, particularly for a responder who already carries the TMT. For mass-casualty or multi-patient scenarios, carrying multiple TQ-RAMs alongside TMTs can expand a responder’s hemorrhage-control capacity.
Explore complete massive hemorrhage control kits, or browse the full tourniquets & pouches collection.
Who Uses the TQ-RAM Pressure Point Device
- Military medics & combat first responders — Provides hands-free point pressure over wound packing while the medic continues the trauma survey or prepares additional interventions.
- TMT tourniquet users (operators, CLS) — Purpose-built accessory for the TMT system, enabling pressure maintenance at junctional wounds where tourniquet application is anatomically prohibited.
- Law enforcement & TEMS operators — Manages inguinal (groin) and axillary (armpit) hemorrhage at junctions not accessible to standard windlass tourniquets.
- EMS & tactical paramedics — Maintains hemostatic dressing pressure during patient packaging and transport when hands are needed for other care tasks.
- TCCC skills training programs — Teaches junctional hemorrhage control as a standalone skill alongside tourniquet application and wound packing courses.
TQ-RAM vs. Manual Direct Pressure vs. Junctional Tourniquets
| Feature | TQ-RAM (TMT Accessory) | Manual Direct Pressure | Junctional Tourniquet (SAM/JETT) |
|---|---|---|---|
| Hands-free capability | Yes — designed for hands-free maintenance | No — requires continuous hand pressure | Yes — independent application |
| Hemostatic gauze compatibility | Yes — serves as adjunct over wound packing | Yes — but requires hands | Limited — applied separately |
| Wound site requirement | Direct or indirect — arched dome | Direct hand placement | Designed for inguinal/junctional |
| TMT integration | Purpose-built TMT accessory | Not applicable | Standalone device |
| Weight | 0.6 oz — minimal kit weight addition | N/A | Heavier standalone system |
| Package size | 4″ × 2.5″ × 1.75″ | N/A | Bulkier standalone |
| Applicable wounds | Junctional, groin, axilla, direct-pressure wounds | Any accessible wound | Primarily junctional/inguinal |
| Shelf life | 7 years from manufacture | N/A | Varies |
Frequently Asked Questions
Q: What is the TQ-RAM and how does it work?
A: The TQ-RAM is a hands-freeing point pressure accessory designed to work with the Tactical Mechanical Tourniquet (TMT). Its arched dome design delivers targeted direct or indirect pressure to a wound site, maintaining hemostatic dressing compression after wound packing so the medic's hands are free to continue the trauma survey, manage the airway, or prepare additional interventions. It is designed for wounds not amenable to tourniquet application — particularly junctional sites like the inguinal (groin) and axillary (armpit) regions where standard windlass tourniquets cannot be effectively applied.
Q: Why is junctional hemorrhage control important and how does the TQ-RAM address it?
A: Junctional hemorrhage — bleeding from the groin, armpit, or neck — is a leading cause of potentially preventable combat death because standard extremity tourniquets cannot be applied at these sites. Hemostatic gauze wound packing remains the primary intervention, but maintaining consistent direct pressure for the 1–3 minutes required for hemostasis is difficult when the medic must simultaneously manage other life threats. The TQ-RAM provides sustained, targeted pressure over the wound packing, freeing the medic's hands for concurrent interventions and reducing the risk of prematurely releasing hemostatic dressing pressure.
Q: Is the TQ-RAM only compatible with the TMT or can it be used with other tourniquets?
A: The TQ-RAM was purpose-built as a TMT accessory, designed to integrate with the TMT's windlass system for combined tourniquet plus point-pressure application. While the pressure dome can functionally provide direct pressure in isolation, the TMT integration is the primary design intent. Users of other tourniquet systems may use the TQ-RAM independently for point pressure, but the device's full value is realized in the TMT platform where the combination delivers hands-free proximal pressure management.
Q: Where in the trauma survey should the TQ-RAM be applied?
A: The TQ-RAM is applied in the Massive Hemorrhage phase of MARCH — at the time of wound packing for non-tourniquet-amenable bleeding. After wound packing with hemostatic gauze (ChitoGauze, QuikClot, or similar), the TQ-RAM is positioned over the packed wound to maintain pressure while the medic continues the survey. Per TCCC guidelines, direct pressure over hemostatic gauze should be maintained for a minimum of 3 minutes to achieve hemostasis — the TQ-RAM enables this without requiring the medic to remain stationary.
Related searches: TQ-RAM, junctional pressure device, hands-free wound compression, TMT accessory, directed pressure point device.
All products sourced from the actual brand manufacturer or authorized master distributors. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.
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