Page 47 - JSOM Winter 2019

FIGURE 12 Special Operations Forces Tactical Tourniquet. TABLE 85 SOFTT Specifications
Total
Score Score Specifications Scoring
Width – ≥1.5 inches (critical 1 – Yes /
–1 requirement). –1 – No
Length – ≥37.50 inches or provide 1 – Yes /
1 35 inches circumferential (critical –1 – No
requirement).
3 1 – Yes /
1 Locking Mechanism/Method.
0 – No
1 – Yes /
1 Time Recording.
0 – No
Weight – <8 ounces (critical for JFAK 1 – Yes /
1
inclusion). –1 – No

https://www.tacmedsolutions.com/products/hemorrhage-control Israeli Emergency Silicon Tourniquet (IEST) –
SCORE: 33.90.
Combat uses of the SOFTT have been reported as 4 uses in The IEST is a silicon-based elastic-type band applied with
2011 and 70 used SOFTTs recovered during a period from circumferential stretching and wrapping around the limb to
37
10
2010 to 2012. There is also evidence of 66% effectiveness achieve occlusion pressure. There is one (1) study on the IEST
(n = 62) of combat applied SOFTT device in 2008. 61 in the literature searched from 2011 to 2018. The single study
by Glick et al. reported a 91% occlusion effectiveness (n = 78);
application time of mean 33 seconds to effective occlusion (5–
TABLE 82 SOFTT Occlusion Efficacy 74); a maximal pressure median of 261mmHg; and a difficulty
41
Total assessment mean of 2.8 (easy) of a possible 10. The IEST is
Score Score Occlusion Efficacy n = Citation 2.5 inches wide, 78 inches long, and weighs 4.3 oz but does
Arm application 80% occlusion not have a locking or recording mechanism. The documented
6 46 25
success. combat usage was reported in 2002 as a combination of com-
Leg application 77% occlusion mercial silicon and improvised tourniquets with no significant
4 46 25
success. difference between the two. 78% of the tourniquet applica-
69
4 72.7% occlusion. 22 30 tions (n = 110) were effective with 94% effectiveness to upper
4.33 Arm applications with 68.18% limbs and 71% effectiveness to lower limbs. The IEST was
69
2 25 67
occlusion. determined by the working group to have insufficient study
Leg applications with 48.0% data to make recommendations at this time.
0 25 67
occlusion.
Leg and arm applications with
10 30 1
100% occlusion. FIGURE 13 Israeli Emergency Silicone Tourniquet/
TABLE 83 SOFTT Time of Application
Total
Score Score Time (Speed) of Application n = Citation
Arm application at mean 21
5 46 25
seconds.
5 Leg application at mean 26 seconds. 46 25
5 48.2 seconds mean application time 22 30
4
0 Arm applications with mean time of 25 67
129.6 seconds (± 74.5).
Leg applications with mean time of
5 25 67
56.3 seconds (± 25.2).
TABLE 84 SOFTT Simplicity of Application
Total Part
Score Score Score Ease of Use n = Citation
Application technique
5 simplicity 80% Easy – 46 25
5 4.0 ± 0.8 out of 5. https://israelifirstaid.com/6-5-feet-2-m-2-5-inches-6-5-cm-emergency
-silicone-tourniquet/
5 Ease of Use overall 73.6%. 22 30
10
Part
Score Score Steps to Complete n = Citation
5 One Handed – 5 Steps. n/a 68
5
5 Two-Handed – 6 Steps. n/a 68

Recommended Limb Tourniquets in TCCC | 45