Obviously a poor excuse for a scientific article loaded with emotional language....
I’ve never done a real-world application of a Rats TQ, but I have of the Swat-T, and two applications of the Soft Wide. Swat-t sucked to apply, and wasn’t extremely effective, it was to a femoral bleed.... Both Soft applications were to an arm with a brachial bleed. Both Soft applications were quick, easy, and stopped the bleed.
I carry a Soft on my belt, and a Soft and Swat-t on my vest.
In the article it referenced the Israeli study, with students not cranking hard enough. The answer seems easy, train them better. In my experience, throw on the TQ, tighten the strap as much as possible, then crank until you can’t anymore on the windlass, then keep tightening it more and secure it.
(Not a doctor, not legally/medically liable for you, etc).