Page 35 - Journal of Special Operations Medicine - Summer 2014

on human subjects that are of the age of casualties, and 8. Pizanisa A, Pohlemanna T, Burkhardta M, et al. Emer-
assessments of the quality of training needed for users. gency stabilization of the pelvic ring: clinical compari-
son between three different techniques. Injury, 2013;44:
1760–1764.
Acknowledgments 9. Bottlang M, Simpson T, Sigg J, et al. Noninvasive reduc-
tion of open-book pelvic fractures by circumferential
Dr. Harold G. Klemcke of the USAIR aided in manu- compression. J Orthop Trauma. 2002;16:367–373.
script preparation. 10. Krieg JC, Mohr M, Ellis TJ, et al. Emergent stabilization
of pelvic ring injuries by controlled circumferential com-
pression: a clinical trial. J Trauma. 2005;59:659–664.
Disclaimers
11. Polston RW, Clumpner BR, Kragh JF Jr, et al. No slack-
The opinions or assertions contained herein are the pri- ers in tourniquet use to stop bleeding. J Spec Oper Med.
vate views of the authors and are not to be construed 2013;13:12–19.
as official or reflecting the views of the Department of 12. Kragh JF Jr, Johnson JE, Henkel CK, Dubick MA. Tech-
Defense or United States Government. The authors are nique of axillary use of a Combat Ready Clamp to stop junc-
employees of the U.S. government. This work was pre- tional bleeding. Am J Emerg Med. 2013;31:1274–1276.
pared as part of their official duties and, as such, there is 13. Kragh JF Jr, Murphy C, Steinbaugh J, et al. Prehospital
emergency inguinal clamp controls hemorrhage in ca-
no copyright to be transferred.
daver model. Mil Med. 2013;178:799–805.
14. Jacobs LM, McSwain NE Jr, Rotondo MF, et al; Joint
Disclosures Committee to Create a National Policy to Enhance Sur-
vivability from Mass Casualty Shooting Events. Improving
This project was funded with internal SAM Medical survival from active shooter events: the Hartford Consen-
®
Products funds. sus. J Trauma Acute Care Surg. 2013;74:1399–1400.
15. Walls RM, Zinner MJ. The Boston Marathon response:
Dr. Kragh has no conflicts of interest to disclose; the why did it work so well? JAMA. 2013;309:2441–2442.
USAISR aided in this work as part of a cooperative re- 16. Douma M, Smith KE, Brindley PG. Temporization of
search and development agreement. The other authors penetrating abdominal-pelvic trauma with manual exter-
have nothing to disclose. nal aortic compression: a novel case report. Ann Emerg
Med. 2013 Oct 23. pii:S0196-0644(13)01452-2.

References
1. Eastridge BJ, Mabry RL, Seguin P, et al. Death on the bat-
tlefield (2001–2011): implications for the future of combat Dr. Johnson is an anatomist and educator at Wake Forest
casualty care. J Trauma Acute Care Surg. 2012;73(6 Suppl University and has a track record of aiding Special Operations
5):S431–S437. Forces medics in training. He also is director of the Center
2. Kragh JF Jr, Mann-Salinas EA, Kotwal RS, et al. Labora- for Applied Learning, Wake Forest Innovations, Wake Forest
tory assessment of out-of-hospital interventions to control Baptist Health, Winston-Salem, NC.
junctional bleeding from the groin in a manikin model. Am
J Emerg Med. 2013;31:1276–1278. SGM Sims, USA, is an experienced combat medic and medi-
3. Davis JM, Stinner DJ, Bailey JR, et al. Skeletal Trauma Re- cal combat developer for Combat Development Directorate,
search Consortium. Factors associated with mortality in US Army Special Operations Command, Fort Bragg, NC.
combat-related pelvic fractures. J Am Acad Orthop Surg.
2012;20(Suppl 1):S7–S12. SFC Hamilton, USA, is an experienced combat medic and
4. Joint Theater Trauma System Clinical Practice Guideline, medical developer for the Ranger Regiment and is now train-
Pelvic fracture care. US Central Command, Joint Trauma ing to become a physician assistant in the Inter-service Physi-
System. April 2012. cian Assistant Program, JBSA Fort Sam Houston, TX.
5. Cross AM, Davis C, de Mello W, Matthews JJ. Lower limb
traumatic amputations: the importance of pelvic binding COL (Ret) Kragh is a hemorrhage control researcher, ortho-
for associated pelvic fractures in blast injury. J Bone Joint pedic surgeon, and assistant professor, Uniformed Services
Surg Br Proc. 2012;94–B:14. University of the Health Sciences, F. Edward Hébert School
6. Mossadegh S, Tai N, Midwinter M, Parker P. Improvised of Medicine, Bethesda, MD. He is a former Ranger Battalion
explosive device-related pelviperineal trauma: UK military Surgeon, from 1990 to 1993.
experience, literature review and lessons for civilian trauma Correspondence to Lance D. Hopman, Research and Develop-
teams. Ann R Coll Surg Engl (Suppl). 2013;95:1–5. ment, SAM Medical Products, 27350 SW 95th Avenue, Suite
7. Fu CY, Wu YT, Liao CH, et al. Pelvic circumferential com- 3038, Wilsonville, OR 97070, USA. E-mail: Lance.Hopman@
pression devices benefit patients with pelvic fractures who sammedical.com.
need transfers. Am J Emerg Med. 2013;31:1432–1436.

SAM Junctional Tourniquet to Control Inguinal Hemorrhage 25
®