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The C-A-T utilizes a durable windlass system with a patented free-moving internal band providing true circumferential pressure to the extremity. Once adequately tightened, bleeding will cease and the windlass is locked into place. A hook and loop windlass retention strap is then applied, securing the windlass to maintain pressure during casualty evacuation. The C-A-T’s unique dual securing system avoids the use of screws and clips which can become difficult to operate under survival stress or where fine motor skills are compromised.