Page 129 - JSOM Fall 2019
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22. Altamirano MP, Kragh JF Jr, Aden JK, et al. Role of the wind- 24. Goolsb C, Branton A, Chen E, et al. Just-in-time to save
lass in improvised tourniquet use on a manikin hemorrhage lives: a pilot study of layperson tourniquet application. Acad
model. J Spec Oper Med. 2015;15(2):42–46. Emerg Med. 2015;22(9):1113–1117.
23. Goralnick E, Chaudhary MA, McCarty JC, et al. Effective- 25. Reed JR, Carman MJ, Titch FJ, et al. Implementation and
ness of instructional interventions for hemorrhage control evaluation of a first-responder bleeding-control training pro-
readiness for laypersons in the Public Access and Tourniquet gram in a rural police department. J Spec Oper Med. 2018;18
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Surg. 2018;153(9):791–799.
APPENDIX 1 Step-by-Step Explanation of How to Successfully Put Together and Apply an Improvised Tourniquet Using a Cravat for the Strap
1. Find a cravat and stick to build the tourniquet. 2. Fold the cravat to a width of 2.5cm to 5cm (1 to 2 inches).
3. Attach the rod to the cravat approximately one-third of the length 4. Place the strap 2 to 3 inches (5cm to 7cm) above the injury with the
of the strap. It can be secured with a single half-hitch. rod on the lateral aspect. Tighten the strap as tight as possible and
then secure it with two knots.
5. Twist the rod until the bleeding stops or it can no longer be spun 6. Secure the rod in its position. If possible, the ends of the cravat used
around. to tie the strap in place can be used to tie down the rod (as shown).
If this is not possible, either tape or a second cravat can be used.
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