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Torniquets are really good stuff. if the shooter had a femoral or other arterial bleed, i'd throw one on in a second (hence why its in my kit), but if the foot is intact and attached, I think i'd go for a pressure dressing first. tourniquet if bleeding couldnt be controlled with pressure. It isn't combat afterall, and this day in age you have to consider you might very well get sued if the patient lost a body part for whatever reason. You have to be able to medically justify everything you do in court. Combat medicine: tourniquet. Civilian: pressure dressing, then tqt as last resort.
Civilian medicine, though the trauma management principles are the same, is a completely different legal beast than combat medicine.
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