The Emergency (Israeli) Bandage is characterised by the built-in handle, which allows for more pressure to be put on a wound, hereby increasing the effectiveness of the bandage in stopping active bleeding.
Direct pressure is usually the first strategy used at controlling extremity haemorrhage. Direct pressure can be achieved through firm pressure with a clean wound dressing, trauma pad or other sterile dressing. If unavailable, any form of cloth may be used. Further pressure may be achieved through bandaging with a roller bandage or a improvised form achieving the same outcome.
If the first bleeding remains after the first bandage, a second bandage may be placed over to apply more pressure. This is preferable as removing the initial bandage may dislodge a newly formed clot further exacerbating the bleeding.
If too greater pressure is applied, an unwanted tourniquet effect maybe created threatening the integrity of the patients limb. To mitigate this risk, a perfusion check must be conducted after the application or a trauma dressing or bandage.