Document Detail


Tourniquets for hemorrhage control on the battlefield: a 4-year accumulated experience.
MedLine Citation:
PMID:  12768129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Dror Lakstein; Amir Blumenfeld; Tali Sokolov; Guy Lin; Roni Bssorai; Mauricio Lynn; Ron Ben-Abraham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  54     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-27     Completed Date:  2003-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S221-5     Citation Subset:  AIM; IM    
Affiliation:
Israel Defense Force Medical Corps, Tel-Aviv University, Israel.
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MeSH Terms
Descriptor/Qualifier:
Hemorrhage / etiology*,  prevention & control*
Humans
Israel
Military Personnel*
Retrospective Studies
Silicones / therapeutic use
Time Factors
Tourniquets / adverse effects*
Treatment Outcome
War*
Wounds and Injuries / complications*,  therapy*
Chemical
Reg. No./Substance:
0/Silicones

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


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