Tourniquet belt

1. A tourniquet belt, comprising:

an elongate belt having a first end and a second free end;

a ladder strap coupled to the elongate belt at a first end of the ladder strap;

a securing element coupled to the elongate belt at the first end of the elongate belt and configured to secure the second free end of the elongate belt; and

a separate tightening element coupled to the elongate belt, wherein the tightening element comprises a ratcheting buckle configured to engage the ladder strap, wherein the ratcheting buckle is selectively actuable to tighten or loosen the tourniquet belt, and wherein the ladder strap is coupled to an interior surface of the belt and the ladder strap extends through the bell to engage with the tightening element.

2. The tourniquet belt of claim 1 , wherein the tightening element is permanently attached to the belt at a position closer to the first end than to the second free end of the elongate belt.

3. The tourniquet belt of claim 1 , wherein the securing element is a friction buckle.

4. The tourniquet belt of claim 1 , wherein the ratcheting buckle includes a handle that is selectively actuable to advance the ladder strap relative to the ratcheting buckle.

5. The tourniquet belt of claim 1 , further comprising a release configured to disengage the ratcheting buckle from the ladder strap.

6. The tourniquet belt of claim 1 , further comprising a protective cover covering a portion of the ladder strap.

7. The tourniquet belt of claim 1 , further comprising a protective cover covering at least a portion of the tightening element.

8. The tourniquet belt of claim 1 , wherein a first face of the second free end of the belt comprises a first securing feature at a first location, and the first face of the belt has a second complementary securing feature at a second location.

9. The tourniquet belt of claim 1 , wherein the elongate belt comprising three layers of material coupled together.