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Acknowledgments                                     7.  Slaven SE, Wall PL, Rinker JH, et al. Initial tourniquet pressure
          We thank the undergraduates of the Drake University Trauma   does not affect tourniquet arterial occlusion pressure. J Spec Oper
          Research Team for all their help carrying out the experiments.   Med. 2015;15(1):39–49.
          We also thank Joe Buising for his help with tourniquet images.  8.  Polston RW, Clumpner BR, Kragh JF Jr, et al. No slackers in tour-
                                                                niquet use to stop bleeding. J Spec Oper Med. 2013;13(2):12–19.
                                                              9.  Kragh JF Jr, O’Neill ML, Walters TJ, et al. The military emer-
          Disclosures                                           gency tourniquet program’s lessons learned with devices and de-
          None of the authors have any financial relationships relevant   signs. Mil Med. 2011;176:1144–1152.
          to this article to disclose, and there was no outside funding.  10.  Kragh JF Jr. Burrows S, Wasner C, et al. Analysis of recovered
                                                                tourniquets from casualties of Operation Enduring Freedom and
                                                                Operation New Dawn. Mil Med. 2013;178:806–810.
          Author Contributions                               11.  Valliere MJ, Wall PL, Buising CM. From pull to pressure: effects
          PW and CB developed the concept and contributed to all as-  of tourniquet buckles and straps.  J Am Coll Surg. 2018;227:
          pects of the project. SD, CM, and KS contributed to design;   332–345.
          the acquisition, analysis, and interpretation of data; and the   12.  Rometti MRP, Wall PL, Buising CM, et al. Significant pressure
          drafting and revising of the article. CHR contributed to de-  loss occurs under tourniquets within minutes of application.  J
          sign, the analysis and interpretation of data, and the drafting   Spec Oper Med. 2016;16(4):15–26.
          and revising of the article. All authors had final approval of   13.  Wall P, Buising C, Nelms D, et al. Paired tourniquet distance ef-
                                                                fects. J Spec Oper Med. 2017;17(4):37–44.
          the manuscript.                                    14.  Wall P, Buising C, Grulke L, et al. Effectiveness of pulse oxime-
                                                                try versus Doppler for tourniquet monitoring. J Spec Oper Med.
          References                                            2017;17(1):36–44.
          1.  Bulger EM, Snyder D, Schoelles K, et al. An evidence-based pre-  15.  Wall P, Sahr S, Buising C. Different width and tightening system
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            Surg. 2018;85(4):665–667.                           com/312196432. Accessed March 11,2019.
          4.  Scerbo MH, Holcomb JB, Taub E, et al. The trauma center is too   22.  Ropebook Beta V2.2 Angular Vector Forces.  https://www.rope
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            2017;83(6):1165–1172.                            21.  Wall PL, Coughlin O, Rometti M, et al. Tourniquet pressures:
          5.  Teixeira PG, Brown CV, Emigh B, et al. Civilian prehospital tour-  strap width and tensioning system widths.  J Spec Oper Med.
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            ripheral vascular injuries. J Am Coll Surg. 2018;226(5):769–776.  22.  Wall PL, Duevel DC, Hassan MB, et al. Tourniquets and occlu-
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