A deep wound high up on the arm or an amputation at the upper part of the arm may require a tourniquet at the armpit to control bleeding. If needed, apply as follows:

1. Place the center of a narrow cravat bandage in the armpit over a firm pad or padded object.

2. Cross the ends on the shoulder over a pad.

3. Carry the ends around the back and chest to the opposite side and tie them over the pad.

4. To tighten, insert a small stick or smaller object under the cross of the bandage on the shoulder and twist. Twist only until the bleeding is controlled. Then secure or anchor the stick to prevent untwisting (fig. 10-40, view D).

5. Again, do not loosen the tourniquet except if directed to do so by a physician.