Document Detail

Testing of junctional tourniquets by military medics to control simulated groin hemorrhage.
MedLine Citation:
PMID:  25344708     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Junctional hemorrhage is a common cause of death on the battlefield, but there is no documented direct comparison for the use of junctional tourniquet models by US medics. The purpose of this testing is to assess military medic experience with the use of junctional tourniquets in simulated out-of-hospital trauma care.
METHODS: Nine medics (seven men and two women) used four different junctional tourniquets: Combat Ready Clamp™ (CRoC™; http://www.combatmedicalsystems .com), Abdominal Aortic and Junctional Tourniquet™ (AAJT™;, Junctional Emergency Treatment Tool (JETT™; http://www.narescue .com), and SAM Junctional Tourniquet® (SJT®; http:// These medics also acted as simulated casualties. Effectiveness percentages, as measured by stopped distal pulse by Doppler auscultation, and time to effectiveness were recorded in two tests per tourniquet (72 total tests). Tourniquet users ranked their preference of model by answering the question: "If you had to go to war today and you could only choose one, which tourniquet would you choose to bring?"
RESULTS: All tourniquets used were safe under the conditions of this study. Both the SJT and the CRoC had high effectiveness percentages; their rate difference was not statistically significant. The SJT and the CRoC had fast times to effectiveness; their time difference was not statistically significant. Users preferred the SJT and the CRoC; their ranked difference was not statistically significant.
CONCLUSION: The SJT and the CRoC were equally effective and fast and were preferred by the participants.
John F Kragh; Donald L Parsons; Russ S Kotwal; Bijan S Kheirabadi; James K Aden; Robert T Gerhardt; David G Baer; Michael A Dubick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of special operations medicine : a peer reviewed journal for SOF medical professionals     Volume:  14     ISSN:  1553-9768     ISO Abbreviation:  J Spec Oper Med     Publication Date:  2014  
Date Detail:
Created Date:  2014-10-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158402     Medline TA:  J Spec Oper Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  58-63     Citation Subset:  IM    
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