The Journal of Trauma: Injury, Infection, and Critical Care · 2003 · 265 citations · 6 references
MedicineEmergency MedicineSurgeryHemostasisResuscitationVascular SurgeryHemorrhage ControlPenetrating Trauma CarePrehospital Trauma CareTrauma ResuscitationLimb ExsanguinationLimb Ischemia ManagementMilitary Prehospital CarePrehospital AdministrationPrehospital ResuscitationTourniquet TechniqueTraumatic Hemorrhage Control
BACKGROUND: Tourniquet application is a known means for bleeding prevention in the military prehospital setting. METHODS: This study was a 4-year retrospective analysis of silicone and improvised tourniquet applications by Israeli Defense Force soldiers. RESULTS: Of 550 soldiers who were treated in the prehospital setting, tourniquets were applied to 91 (16%) patients and in less than 15 minutes in 88% of the cases with almost no complications. Penetrating trauma was the main mechanism of injury. The indication was situational and nonmedical in 58 (53%) of the cases. The patients' ischemic time was 83 +/- 52 minutes (range, 1-305 minutes). A total of 78% of applications were effective, with higher success rates for medical staff compared with fellow soldiers and for upper limbs (94%) compared with lower limbs (71%, p < 0.01). CONCLUSION: Tourniquet application is an effective and easily applied (by medical and nonmedical personnel) method for prevention of exsanguination in the military prehospital setting.
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Systemic and local effects of the application of a tourniquet
L. Klenerman, Mitra Biswas, G.H. HULANDS et al. · Journal of Bone and Joint Surgery - British Volume · 1980 · 125 citations
Evaluation of Possible Battlefield Tourniquet Systems for the Far-Forward Setting
Mark D. Calkins, Casey Snow, Mark Costello et al. · Military Medicine · 2000 · 53 citations · Full text