Page 42 - JSOM Winter 2019

TABLE 48 M2/RMT-T/TX2/TX3 Usage TABLE 51 SAM-XT Time of Application
Total Total
Score Score Usage Citation Score Score Time (Speed) of Application n = Citation
2 uses in combat documented in medical Application time – 70 seconds (± 30)
3 literature. 37 2 to control bleeding. 80 40
No civilian usage documented in medical Application time – 140 seconds
2 literature. n/a 3 with untrained firefighters to assess 12 52
2.75 mentored application.
3 Ranked 38.9% as preferred tourniquet 42
for arm application (n = 55). 3.60 Application time – 86 seconds
Ranked 30.2% as preferred tourniquet 4 median through 911 dispatch over- 31 54
3 42 the-phone mentoring.
for leg application (n = 55).
Application time – >45 seconds for
5 94% of participant. 32 53
TABLE 49 M2/RMT-T/TX2/TX3 Logistics Application time – 9–15 seconds
Total 4 upper arm. 10 56
Score Score Logistics
6515-01-527-3841 (RMT-T)
5 NSN in DoD System. 6515-01-667-6027 (TX2) It should be noted that two of the studies of the SAM-XT in-
6515-01-667-6208 (TX3) volved users who were either untrained on the device or were
RMT-T $30.16 tele-mentored on how to apply the tourniquet. As such, these
3.67 3 GSA Cost per Unit. TX2 – $36.45
TX3 – $37.95 studies resulted in extended application times. In contrast,
RMT-T $35.95 for the two other studies involving the SAM-XT, the applica-
Commercial Cost per
3 TX2 – $38.95 tions times for the SAMXT and CAT7 were not statistically
Unit.
TX3 – $38.95 different.

SAM Extremity Tourniquet (SAM-XT) – TABLE 52 SAM-XT Simplicity of Application
SCORE: 40.80. Total Part
Score Score Score Ease of Use n = Citation
The SAM-XT is a windlass (composite) tourniquet using Velcro
adhesion to strap with single routed tension-locking buckle. 4 Mean ease-of-use score was 5 4 40
(Easy) ± 0 out of 5.
4.0 Ease of use reported >70%
FIGURE 8 SAM Extremity Tourniquet. 4 as easy with “click” of 12 52
tourniquet.
9
Part
Score Score Steps to Complete n = Citation
5 5 steps. n/a 57
5.0 Mean of 2.9 ± 1 turns to
5 80 40
occlusion.
TABLE 53 SAM-XT Pressures
Total
Score Score Pressures n = Citation
5 Mean of 186.07mmHg (± 62.957). 60 55
5 5 320mmHg (± 102). 80 40
http://www.sammedical.com/products/sam-xt 5 287mmHg (220–424). 31 54

TABLE 50 SAM-XT Occlusion Efficacy TABLE 54 SAM-XT Specifications
Total Total
Score Score Occlusion Efficacy n = Citation Score Score Specifications Scoring
10 97.5% effectiveness. 80 40 1 Width – ≥1.5 inches 1.5 inches 1 – Yes /
100% occlusion with untrained (critical requirement) –1 – No
9 firefighters to assess mentored 12 52 Length – ≥37.50 inches
application. 1 or provide 35 inches 35 inches 1 – Yes /
94% occlusion self-applied thigh circumferential (critical circumferential –1 – No
8 application by Law Enforcement 32 53 requirement).
8.20 Officers. 5 1 Locking Mechanism/ Yes 1 – Yes /
100% occlusion medical-trained Method. 0 – No
10 individuals using 911-dispatch 31 54 1 Time Recording. Yes 1 – Yes /
mentoring. 0 – No
73% occlusion on HapMed Leg Weight – <8 ounces 1 – Yes /
4 Tourniquet Trainers simulators by 60 55 1 (critical for JFAK 3.8 oz –1 – No
IDF Cadets. inclusion).

40 | JSOM Volume 19, Edition 4 / Winter 2019