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Practical Use of Emergency Tourniquets to Stop Bleeding in Major Limb Trauma

The Journal of Trauma: Injury, Infection, and Critical Care · 2008 · Vol. 64(2) · pp. S38–S50

John F Kragh✉(United States Army Institute of Surgical Research)James Walters(United States Army Institute of Surgical Research)David G. Baer(United States Army Institute of Surgical Research)Charles J. Fox(United States Army Institute of Surgical Research)Charles E. Wade(United States Army Institute of Surgical Research)José Salinas(United States Army Institute of Surgical Research)John B. Holcomb(United States Army Institute of Surgical Research)

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Abstract

Morbidity risk was low, and there was a positive risk benefit ratio in light of the survival benefit. No limbs were lost because of tourniquet use, and tourniquet duration was not associated with increased morbidity. Education for early military tourniquet use should continue.

Trauma, Hemostasis, Coagulopathy, Resuscitation Trauma and Emergency Care Studies Pelvic and Acetabular InjuriesTourniquetMedicineAmputationSurgeryProspective cohort studyFasciotomyAnesthesiaAdverse effectInternal medicine

MeSH terms

AdolescentAdultAgedArm InjuriesChildChild, PreschoolEmergency TreatmentFemaleHemostatic TechniquesHumansLeg InjuriesMaleMiddle AgedTourniquetsUnited States

Citations

402

FWCI

13.41

field-weighted impact

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99%

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