I have used it in combat, actually the designer and developer was with me that trip. And was able to really explain how it works and give me a good class on it. It works well and does a good job especially in harder areas like brachial. The issue is that without about 20 min of training it can be confusing to people. Especially since it is designed to be wrapped directly next to the previous wrap (giving it more than 1.5 inches). But great piece of kit and another tool that doesn’t weigh but 6 ounces. Jeff is a terrific guy and I’d go on tgt with him any day. He will be glad to talk to you and answer any questions you have. Take a look at his Belt with integrated TQT. It’s another great tool.