Page 140 - Journal of Special Operations Medicine - Summer 2016
P. 140
Tourniquet Phobia
• “But - I learned that tourniquets are dangerous
and should only be used only as a last resort!”
• This is a medical “Urban Myth” that has cost the
lives of thousands of casualties and trauma victims.
• Many thousands of tourniquets were used
in the US Military in Iraq and Afghanistan.
• ZERO limbs were lost from tourniquet
use in those two conflicts.
• 2 hours of tourniquet time is very safe.
34
What Can TCCC Offer to
My Civilian EMS System?
• Tourniquets
• Hemostatic dressings
• Trauma airway approach
• TCCC Needle Decompression Plan
• Tranexamic Acid (TXA)
• Hypotensive resuscitation - with blood products where
possible
• Intraosseous vascular access
• Triple-Option Analgesia
When You Can’t Use CoTCCC-Recommended
a Tourniquet Hemostatic Dressings
• Groin, axilla
• Neck
Combat Gauze Celox Gauze ChitoGauze
First Choice
Use a hemostatic dressing!
38 * Always apply with 3 minutes of firm direct pressure!
126 Journal of Special Operations Medicine Volume 16, Edition 2/Summer 2016
