Place as soon as possible, ideally prior to onset of shock
Remove clothing so that TQ can be applied directly to skin and remain in full view
Apply 2-3 inches above wound
Tighten until bleeding is controlled and distal pulse is eliminated
Document time of placement on medical tag -- consider writing time of placement on patient with indelible marker
If bleeding is not controlled and distal pulse not eliminated with first TQ:
Apply 2nd<unk> just proximal to the first
Increasing the<unk> WIDTH with a second TQ controls bleeding more effectively and reduces complications versus over-tightening initial TQ.
Analgesia as needed after placement
Apply 2nd<unk> just proximal to the first
Increasing the<unk> WIDTH with a second TQ controls bleeding more effectively and reduces complications versus over-tightening initial TQ.
Tourniquet 
Hair tourniquet
Enoxaparin
Unfractionated heparin
Thrombolytics
IVC filter
Vasopressors
Digital block