Page 43 - JSOM Winter 2019

TABLE 55 SAM-XT Complications and Safety Delfi Emergency and Military Tourniquet (EMT) –
Total SCORE: 38.00.
Score Score Complications and Safety n = Citation
No reported complications in This is a pneumatic tourniquet similar to blood pressure cuff
5 medical literature. n/a n/a looped through a locking clamp. The EMT was one of the
5 original tourniquets recommended by CoTCCC in 2005. As a
5 No reported safety issues in medical n/a n/a pneumatic, it has less consideration for the application in the
literature.
combat environment due to the assumption that it could be
easily punctured or damaged. As such, it has not been com-
The manufacturer conducted a self-imposed recall of the monly carried by prehospital providers.
SAM-XT in May 2018. Based on internal testing, results in-
dicated a possible failure of the stitches securing the buckle to FIGURE 9 Delfi Emergency and Military Tourniquet
the nylon belt could occur, posing a potential risk when used
on a human patient to stop arterial blood flow. No injuries,
deaths, or training failures were reported from field users. 58

TABLE 56 SAM-XT Usage
Total
Score Score Usage Citation
No combat usage documented in medical
2 n/a
literature.
No civilian usage documented in medical
1.33 2 n/a
literature.
http://www.delfimedical.com/emergency-military-tourniquet/
No user preferences documented in
0 n/a
medical literature.
TABLE 58 Delfi EMT Occlusion Efficacy
TABLE 57 SAM-XT Logistics Total
Total Score Score Occlusion Efficacy n = Citation
Score Score Logistics 10 100% occlusion. 30 18
5 NSN in DoD System. 6515-01-670-2240 9 100% occlusion. 10 19
3.67 3 GSA Cost per Unit. $37.46 9 100% occlusion. 10 22
3 Commercial Cost per Unit. $37.95 Leg and arm application – >90%
9.33 8 success with no breakage or 44 27
deformities reported.
Pneumatic Tourniquets Recommended 10 100% occlusion. 20 31
by CoTCCC Leg applications with 100%
10 occlusion. 30 1
Pneumatic tourniquets are not recommended for inclusion in
the Joint First Aid Kit (JFAK) or as the initial tourniquet for
application in care under fire. However, pneumatic tourni- TABLE 59 Delfi EMT Time of Application
quets are recommended as considerations for medics and pro- Total
viders in tactical field care, evacuation platforms and Role I/II/ Score Score Time (Speed) of Application n = Citation
III teams. The primary consideration for the use of pneumatic 5 47 seconds mean application time. 30 18
tourniquets is for replacement of previously applied tourni- 4 Application time 59.1 seconds (± 8.9). 10 19
quets, tourniquet conversion, or prolonged application. Speed 4 38 seconds mean time to occlusion. 10 22
and simplicity of application are less concerning as these de- 4.67 5 Leg application time – mean 58.68 40 27
vices would be used in more secure situations when tourniquet seconds (±22.96).
replacement or conversion would be considered. As noted in 5 Arm application time – mean 52.5 40 27
the TCCC Guidelines and previous tourniquet guidelines seconds (±28.8).
11
high and tight tourniquets placed in Care Under Fire should 5 Application time – 22.23 seconds. 20 31
be replaced with more appropriately placed tourniquets when
time and the tactical situation permits. In this situation, the TABLE 60 Delfi EMT Simplicity of Application
application of prehospital pneumatic tourniquets could be Total Part
considered if available. Score Score Score Ease of Use n = Citation
No documented ease of use
1 1 n/a n/a
ratings in medical literature.
Part
5.67 Score Score Steps to Complete n = Citation
5 Looped – 3 steps. n/a 59
4.66 5 Routed – 4 steps. n/a 59
4 Mean of 35 pumps. 30 60

Recommended Limb Tourniquets in TCCC | 41