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with pelvic ring disruption. Weaknesses of the  present   amputations with and without pelvic and perineal involve-
          report include only two specimens used in testing    ment. J Surg Orthop Adv. 2012;21:8–14.
          and the lack of testing of the compression devices on   7.  Bottlang M, Simpson T, Sigg J, et al. Noninvasive reduction
          the   vasculature of the inguinal region and proximal   of open-book pelvic fractures by circumferential compres-
                                                               sion. J Orthop Trauma. 2002;16:367–373.
          thigh, and lack of a control pelvic binder as a standard   8.  Kragh JF Jr, Murphy C, Dubick MA, et al. New tourniquet
          comparison.
                                                               device concepts for battlefield hemorrhage control.  U.S.
                                                               Army Med Dept J. 2011:38–48.
          The JETT restored pelvic dimensions adequately in ca-  9.  Klotz JK, Leo M, Anderson BL, et al. First case report of
          daveric models with artificially created AP pelvic ring   SAM? Junctional tourniquet use in Afghanistan to control
          injuries. Further studies in living patients with pelvic   inguinal hemorrhage on the battlefield. J Spec Oper Med.
          ring injuries are needed to validate these results.  2014;14:1–5.


          Conflicts of Interest
          Drs Gates and Holcomb are the inventors of the JETT   Dr Gary is affiliated with the Department of Orthopaedic
          and receive royalties from North American Rescue, the   Surgery, University of Texas Health Science Center at Hous-
          manufacturer of the JETT. None of the authors have   ton, Houston, Texas. E-mail: joshgary14@gmail.com.
          any other disclosures.
                                                             Dr Kumaravel is affiliated with the Department of Radiol-
                                                             ogy, University of Texas Health Science Center at Houston,
          Funding                                            Houston, Texas.
          Funding for this study was provided by the Texas Emerg-  Dr Gates  is affiliated with the Department of Emergency
          ing Technology Fund. The sponsor did not have any role   Medicine, University of Texas Health Science Center at Hous-
          in the design and conduct of the study, collection, man-  ton, Houston, Texas.
          agement, analysis and interpretation of the data; nor in
          preparation, review or approval of the manuscript, or   Dr Burgess is affiliated with the Department of Orthopaedic
          the decision to submit this manuscript for publication.   Surgery, University of Texas Health Science Center at Hous-
          North American Rescue Products did not provide fund-  ton, Houston, Texas.
          ing for nor was it involved in this study.
                                                             Dr Routt is affiliated with the Department of Orthopaedic
                                                             Surgery, University of Texas Health Science Center at Hous-
          References                                         ton, Houston, Texas.
          1.  Sathy AK, Starr AJ, Smith WR, et al. The effect of pelvic   Dr Welch is affiliated with the Department of Surgery and
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            sis of 63,000 trauma patients. J Bone Jt Surg Am. 2009;91:   of Texas Health Science Center at Houston, Houston, Texas.
            2803–2810.
          2.  Schulman JE, O’Toole RV, Castillo RC, et al. Pelvic ring   Ms Podbielski is affiliated with the Department of Surgery
            disruption and injurys are an independent risk factor for   and Center for Translational Injury Research (CeTIR), Uni-
            death after blunt trauma. J Trauma. 2010;68:930–934.  versity of Texas Health Science Center at Houston, Houston,
          3.  Prasarn ML, Horodyski M, Conrad B, et al. Comparison   Texas.
            of external fixation versus the trauma pelvic orthotic device
            on unstable pelvic injuries: a cadaveric study of stability.    Ms Beeler is affiliated with the Department of Surgery and
            J Trauma Acute Care Surg. 2012;72:1671–1675.     Center for Translational Injury Research (CeTIR), University
          4.  Kragh JF Jr, Walters TJ, Baer DG, et al. Survival with   of Texas Health Science Center at Houston, Houston, Texas.
            emergency tourniquet use to stop bleeding in major limb
            trauma. Ann Surg. 2009;249:1–7.                  Dr Holcomb is affiliated with the Department of Surgery and
          5.  Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring dis-  Center for Translational Injury Research (CeTIR), University
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          6.  Mamczak CN, Elster EA. Complex dismounted IED blast
            injuries: the initial management of bilateral lower extremity













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