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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
disruption and injury on mortality after trauma: an analy- Center for Translational Injury Research (CeTIR), University
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
ruptions: effective classification system and treatment pro- of Texas Health Science Center at Houston, Houston, Texas.
tocols. J Trauma. 1990;30:848–856.
6. Mamczak CN, Elster EA. Complex dismounted IED blast
injuries: the initial management of bilateral lower extremity
34 Journal of Special Operations Medicine Volume 14, Edition 4/Winter 2014

