This is one of, if not the best RMTs I’ve seen. The leather loop helps accomplish one-handed application on the often difficult location of the upper arm. I intend to practice even more so that I am better able to accomplish that task, as everyone should be able to apply a tourniquet with one hand. There are some good videos available from the site to view different methods, and I encourage everyone to review them and practice. The design that makes these so reliable and effective may make one-handed application require more practice than other Tourniquets. I fully intend to become proficient because this is a high quality RMT, and once snug, the ratchet makes it easy to complete the correct application. I highly recommend this RMT due to its high quality.