| Survey of Trauma Registry Data on Tourniquet Use in Pediatric War Casualties. | |
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MedLine Citation:
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PMID: 23187998 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: Previously, we reported on the use of emergency tourniquets to stop bleeding in war casualties, but virtually all the data were from adults. Because no pediatric-specific cohort of casualties receiving emergency tourniquets existed, we aimed to fill knowledge gaps on the care and outcomes of this group by surveying data from a trauma registry to refine device designs and clinical training. METHODS: A retrospective review of data from a trauma registry yielded an observational cohort of 88 pediatric casualties at US military hospitals in theater on whom tourniquets were used from May 17, 2003, to December 25, 2009. RESULTS: Of the 88 casualties in the study group, 72 were male and 16 were female patients. Ages averaged 11 years (median, 11 years; range, 4-17 years). There were 7 dead and 81 survivor outcomes for a trauma survival rate of 93%. Survivor and dead casualties were similar in all independent variables measured except hospital stay duration (median, 5 days and 1 day, respectively). Six casualties (7%) had neither extremity nor external injury in that they had no lesion indicating tourniquet use. CONCLUSIONS: The survival rate of the present study's casualties is similar to that of 3 recent large nonpediatric-specific studies. Although current emergency tourniquets were ostensibly designed for modern adult soldiers, tourniquet makers, perhaps unknowingly, produced tourniquets that fit children. The rate of unindicated tourniquets, 7%, implied that potential users need better diagnostic training. LEVELS OF EVIDENCE: Level 4; case series, therapeutic study. |
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Authors:
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John F Kragh; Arthur Cooper; James K Aden; Michael A Dubick; David G Baer; Charles E Wade; Lorne H Blackbourne |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-26 |
Journal Detail:
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Title: Pediatric emergency care Volume: - ISSN: 1535-1815 ISO Abbreviation: Pediatr Emerg Care Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-11-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507560 Medline TA: Pediatr Emerg Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the *US Army Institute of Surgical Research, Fort Sam Houston, TX; †F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD; ‡Department of Surgery, Harlem Hospital Center, College of Physicians and Surgeons Columbia University, New York, NY; and §University of Texas Health Science Center at Houston, Houston, TX. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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