
According to Doppler Flow Measurements the MAT showed 92% no-flow in the upper extremity and came in 3rd out of the 13 tourniquets tested. For the lower extremity the MAT rated a 69.57% no-flow on the lower extremity and came in 3rd out of the 13 tourniquets tested. The goal is to get as close to 100% occlusion of arterial blood flow so that the patient does not hemorrhage to death. The MAT performs at a level that is satisfactory and works well. While the MAT is a solid tourniquet I still prefer using the Combat Application Tourniquet because it has repeatedly been proven effective in combat.
The C-A-T Combat Application Tourniquet, C-A-T, is an excellent and highly recommended addition to your first aid kit. The C-A-T Tourniquet has been researched and proven to be effective. When faced with a catastrophic injury to an arm or leg from a traumatic event with significant arterial bleeding then this tourniquet is a reliable and necessary piece of gear that has saved many lives. This tourniquet is fast and easy to apply one handed (although not as fast at MAT), under stressful conditions, and is combat proven on the battlefields of Iraq and Afghanistan. Time is of the essence when faced with a serious injury with significant bleeding requiring immediate and effective control of bleeding. This tourniquet can literally be the difference between life and death.
Based upon research from the United States Army Institute of Surgical Research (USAISR) Battlefield Tourniquet Recommendations Issued July 28, 2004:
"The Combat Application Tourniquet (C-A-T) was effective 100% of the time in quickly and effectively occluding arterial blood flow in both the upper and lower extremities in all trials...Pain scores (pinching and circumferential) were dramatically lower with the C-A-T than any other strap-style device evaluated."
Research after this 2004 study has come to the same conclusion. Hence, the Combat Application Tourniquet should be a part of any serious first aid kit or medic gear. Get this tourniquet and be prepared for the worst case scenario.
Overall, the Mechanical Advantage Tourniquet (MAT) is a solid tourniquet that I do not feel has been completely established as a first line tourniquet. I have consulted with friends in the military (Air Force Pararescue and Navy SEALs) who have used both tourniquets yet prefer the Combat Application Tourniquet. I concur with their conclusions and recommend the CAT over the MAT. In the future this conclusion may change. If you get the MAT I still believe you will have a quality tourniquet.
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