Abstract: Described embodiments provide systems and methods for a tourniquet system compression device. The compression device includes a spooling mechanism, a ratchet release, a safety release, and a profile surface. The spooling mechanism includes a first side loading configured to receive a first tourniquet strap, and a second side loading slot configured to receive a second tourniquet strap. The ratchet release disengages a ratchet gear from a pawl. The safety release prevents the ratchet gear from disengaging with the pawl when the safety release is active. The profile surface generates a pressure profile against a subject. The compression device includes a fixed end of webbing. The compression device is coupled to the webbing. The spooling mechanism is configured to gather the webbing. The compression device includes a preset pressure profile. The compression device includes a fixed end fitting. The compression device is configured for side entry loading of the webbing.