Page 44 - JSOM Winter 2019

TABLE 61 Delfi EMT Pressures FIGURE 10 Tactical Pneumatic Tourniquet, 2 inches.
Total
Score Score Pressures n = Citation
164mmHg mean combined
5 pressures of all studies. 58 combined
Mean 147mmHg – EMT tended
4.67 to require slightly less pressure to
5 48 27
achieve occlusion on the HapMed
Leg Tourniquet Trainer.
4 160mmHg mean pressure. 10 22

TABLE 62 Delfi EMT Specifications
Total
Score Score Specifications Scoring
Width – ≥1.5 inches (critical 1 – Yes /
1 3.5 inches
requirement). –1 – No
Length – ≥37.50 inches
or provide 35 inches 1 – Yes /
1 40.3 inches
circumferential (critical –1 – No
requirement).
4
1 Locking Mechanism/Method. Yes 1 – Yes /
0 – No
1 – Yes /
0 Time Recording. No
0 – No
Weight – <8 ounces (critical 1 – Yes /
1 7.8 oz http://www.alphapointe.org/category/alphapointe-news/
for JFAK inclusion). –1 – No
TABLE 63 Delfi EMT Complications and Safety TABLE 66 TPT2 Occlusion Efficacy
Total Total
Score Score Complications and Safety n = Citation Score Score Occlusion Efficacy n = Citation
No reported complications in 10 100% occlusion of the popliteal 24 47
5 medical literature. n/a n/a artery.
5 9 100% occlusion. 10 19
5 No reported safety issues in medical n/a n/a
literature. 10 100% occlusion. 30 60
TABLE 64 Delfi EMT Usage 9 100% occlusion. 10 22
Total 100% occlusion of Arm (40
Score Score Usage Citation applications) and Leg (40
Combat Usage: 106 (92%) of 115 device 8.83 Applications) within 5 minutes;
maintaining occlusion for 1 full
5 applications effective with 9 (8%) being 61 10 minute. 2 of 40 Arm and 2 of 40 80 48
ineffective. Leg applications had re-bleeding
2.33 No civilian usage documented in medical occur requiring further tightening /
2 n/a
literature. adjustment to regain occlusion.
No user preferences documented in 80% occlusion effectiveness
0 n/a
medical literature. achieved and maintained on 5 leg
5 applications and 5 arm applications 10 7
(2 failed to maintain occlusion due
TABLE 65 Delfi EMT Logistics to leaks in the air bladders).
Total
Score Score Logistics TABLE 67 TPT2 Time of Application
5 NSN in DoD System. 6515-01-580-1645 Total
2.33 1 GSA Cost per Unit. $426.54 Score Score Time (Speed) of Application n = Citation
1 Commercial Cost per Unit. $475.00 5 Application time 11 seconds (7–12). 24 47
Application time 87.6 seconds
3 10 19
(± 19.6).
Tactical Pneumatic Tourniquet 2 Inches (TPT2) – 35 seconds mean time to stop
SCORE: 34.62). 4 occlusion. 10 22
The TPT2 is a pneumatic tourniquet designed with an inner 2 90 seconds mean application time. 30 60
and outer cover which join in a Y-shape with the pneumatic 3.25 4 Dry/Light applications – 10 48
bladder housed within the inner cover. It is secured with Vel- 55.3 seconds (± 15.4).
cro and a slider buckle and then inflated similar to a blood 0 Wet/Dark applications – 10 48
91.8 seconds (± 58.1).
pressure cuff.
4 Leg application time – 56.2 seconds 5 7
(± 12.5).
Arm application time – 37.3 seconds
4 5 7
(± 5.3).

42 | JSOM Volume 19, Edition 4 / Winter 2019