Document Detail


Extended (16-hour) tourniquet application after combat wounds: a case report and review of the current literature.
MedLine Citation:
PMID:  17414556     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of emergency tourniquet use of unusually long duration. The patient was wounded during combat operations, and the subsequent battle and evacuation caused a significant delay in surgical treatment of his wounds. Emergency tourniquets can be lifesaving, but are not benign interventions. In general, the extent of tourniquet injury increases with increasing time of application. Despite having a tourniquet in place for 16 hours, the limb was salvaged and significant functional recovery was accomplished. We conducted a search of the published literature including the Medline database, and present a review of the relevant articles concerning emergency tourniquet use, tourniquet injury, and mitigating treatments. Given the widespread use of tourniquets in ongoing military operations, it seems likely that tourniquets will transition to civilian use. Thus it is important for physicians to understand tourniquet injury and appreciate that even extended tourniquet application times does not necessarily doom the affected limb.
Authors:
John F Kragh; David G Baer; Thomas J Walters
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of orthopaedic trauma     Volume:  21     ISSN:  0890-5339     ISO Abbreviation:  J Orthop Trauma     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-06     Completed Date:  2007-05-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807705     Medline TA:  J Orthop Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-8     Citation Subset:  IM    
Affiliation:
Bone and Soft Tissue Trauma Research Program, US Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6315, USA. john.kragh@amedd.army.mil
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MeSH Terms
Descriptor/Qualifier:
Adult
Afghanistan
Hemorrhage / etiology,  therapy*
Hemostatic Techniques / instrumentation*
Humans
Male
Military Personnel*
Time Factors
Tourniquets*
United States
War
Wounds, Gunshot / complications,  therapy*
Wrist Injuries / complications,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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