Page 45 - JSOM Winter 2019

TABLE 68 TPT2 Simplicity of Application TABLE 73 TPT2 Logistics
Total Part Total
Score Score Score Ease of Use n = Citation Score Score Logistics
No documented ease of use 5 NSN in DoD System. 6515-01-656-4831
1 1 ratings in medical literature. n/a n/a
Part 2 GSA Cost per Unit. $55.69
Commercial Cost per Unit.
2
$60.00
Score Score Steps to Complete n = Citation
4
4 7 Steps to apply. n/a 62
Pumps to occlusion 30.5 Tourniquets Not Currently Recommended by
3 4 24 47
(25–32). CoTCCC
1 Mean of 51 pumps. 30 60
The following tourniquet devices are not currently recom-
mended by the CoTCCC as military tourniquets. These devices
TABLE 69 TPT2 Pressures either have limited data for review or have data that scored
Total too low to be considered for recommendation. Lack of com-
Score Score Pressures n = Citation parative data is the critical consideration for lack of inclusion
5 189.6mmHg mean combined 34 combined of some of these tourniquets in the current recommendations.
pressures of all studies.
4 183mmHg mean pressure. 10 22
Mean leg contact pressure
4 10 48 Stretch-Wrap-And-Tuck Tourniquet (SWAT-T) –
215mmHg. SCORE: 28.47.
4.20 4 Mean arm contact pressure 48 The SWAT-T is an elastic band applied with circumferential
215mmHg.
TPT2 contact pressure on HapMed stretching and wrapping to around a limb to create compression.
Leg Tourniquet Trainer [n = 4]
4 mean of 210mmHg [and HapMed 8 7 FIGURE 11 Stretch-Wrap-And-Tuck-Tourniquet.
Arm Tourniquet Trainer [n = 4]
mean of 125mmHg.

TABLE 70 TPT2 Specifications
Total
Score Score Specifications Scoring
Width – ≥1.5 inches 1 – Yes /
1 2 inches
(critical requirement). –1 – No
Length – ≥37.50 inches
or provide 35 inches 1 – Yes / http://www.swat-t.com/products.html
1 39.75 inches
circumferential (critical –1 – No
requirement).
5 Locking Mechanism/ 1 – Yes / TABLE 74 SWAT-T Occlusion Efficacy
1 Yes
Method. 0 – No Total
1 Time Recording. Yes 1 – Yes / Score Score Occlusion Efficacy n = Citation
0 – No 100% occlusion on 16 forearm and
Weight – <8 ounces 10 16 calf applications. 32 14
1 (critical for JFAK 5.02 oz 1 – Yes / 100% occlusion after 120 seconds
inclusion). –1 – No 10 of application on 16 forearm and 16 32 14
calf applications.
TABLE 71 TPT2 Complications and Safety 4.80 0 Average of 47% success rate in four 27
experimental conditions and deemed 40
Total not eligible to move on to Phase IIb.
Score Score Complications and Safety n = Citation 77% mid-thigh Doppler success rate
No reported complications in 4 150 63
5 medical literature. n/a n/a observed when properly stretched.
5 0 30% occlusion success. Failed to 20 31
5 No reported safety issues in medical n/a n/a obtain occlusion for 70% of tests.
literature.
TABLE 75 SWAT-T Time of Application
TABLE 72 TPT2 Usage Total
Total Score Score Time (Speed) of Application n = Citation
Score Score Usage Citation Required, on average, 173.08
No combat usage documented in medical 0 40 27
2 n/a seconds (+82.14) to apply.
literature. Required on the average 149
1.33 2 No civilian usage documented in medical n/a 0 seconds to apply. 20 31
literature. 1.67 Average application times were
No user preferences documented in
0 n/a 5 <40 seconds for all locations (31 150 63
medical literature. ± 6 seconds male, 34 ± 13 seconds
female; p = .02).

Recommended Limb Tourniquets in TCCC | 43