A device for applying a constrictive force about a limb includes a reel based device, a tension member, and a force application component. The reel based device includes a housing, a spool positioned within the housing, a load holding mechanism that enables the spool to rotate in a tightening direction within the housing and that prevents the spool from rotating in a loosening direction within the housing, and a knob that is coupled with the spool so that a rotation of the knob causes the spool to rotate in the tightening direction. The tension member is coupled with the spool so that as the spool rotates in the tightening direction, the tension member is wound about the spool. The force application component is coupled with the tension member so that as the tension member is wound about the spool, the force application component constricts about the limb.